DOI QR코드

DOI QR Code

모-태아 상호작용 증진 프로그램이 임부 및 영아의 수면-활동 양상에 미치는 효과

Effects of a Mother-fetus Interaction Promotion Program on Sleep and Activity in Mothers and Infants

  • 투고 : 2009.09.21
  • 심사 : 2010.08.25
  • 발행 : 2010.10.30

초록

Purpose: This study was done to evaluate effects of a mother-fetus interaction promotion program on maternal and infant sleep/activity regulation, and examine the correlation between maternal and infant sleep/activity. Methods: Thirty-four mother-infant dyads were recruited from an OB-GY clinic with postpartum care center, and assigned to the intervention group (17) or control group (17). Data were collected from January 18 to August 5 2005. A programmed education focused on mother-fetus interaction was provided to the intervention group in the 3rd trimester. Maternal sleep/activity record was completed at 32-36 weeks gestation and infant sleep/activity record was completed for one month after birth. Results: During the 3rd trimester, there were no significant differences in maternal sleep/activity between the groups, except for frequency of mothers' night awakening and urination at night. There were no significant differences in infant sleep, but significant difference was found in feeding times between the groups. Correlation of maternal sleep in the 3rd trimester and infant waking times was significant. Conclusion: The results of this study indicate that maternal sleep/activity during pregnancy influences infant sleep/activity at 3-4 weeks, and that nursing interventions to regulate maternal sleep/activity provided to primiparas can be beneficial to the regularity of infant sleep/activity patterns.

키워드

참고문헌

  1. Barnard, K. E. (1978). The Nursing Child Satellite Training Series, Nursing Child Assessment Satellite Training, Learning Resource manual, 3-15.
  2. Barnard, K . E. (1999). Beginning rhythms: The emerging process of sleep wake behavior and self-regulation. Seattle: NCAST, University of Washington.
  3. Brazelton, T. B. (1994). Touchpoints: Your childs' emotional and behavioral development. New York: HarperCollins Publishers.
  4. Chamberlain, D. B. (1995). What babies are teaching us about violence. Pre-and Perinatal Psychology Journal, 10(2), 51-74.
  5. Davis, K. F., Parker, K. P., & Montgomery, L. (2004). Sleep in infants and young children: part one: Normal sleep. Journal of Pediatric Health Care, 18(2), 65-71. https://doi.org/10.1016/S0891-5245(03)00149-4
  6. DeCasper, A. J., Lecananuet, J. P., Maugeais, R., Granier-Deferre, C., & Bushnel, M. C. (1994). Fetal reactions to recurrent maternal speech. Infant Behavioral Development, 17, 159-164. https://doi.org/10.1016/0163-6383(94)90051-5
  7. Feldman, R., Eidelman, A. I., Sirota, L., & Weller, A. (2002). Comparison of skin-to-skin (Kangaroo) and traditional care: Parenting outcomes and preterm infant development. Pediatrics, 110, 16-26. https://doi.org/10.1542/peds.110.1.16
  8. Feldman, R., Weller, A., Sirota, L., & Eidelman, A. I. (2002). Skinto- skin contact (Kangaroo Care) promotes self-regulation in premature infants: Sleep-wake cyclicity, arousal modulation, and sustained exploration. Developmental Psychology, 38, 194-207.
  9. Groome, L. J., Loizou, P. C., Holland, S. B., Smith, L. A., & Hoff, C. (1999). High vagal tone is associated with more efficient regulation of homeostasis in low-risk human fetuses. Developmental Psychobiology, 35, 25-34. https://doi.org/10.1002/(SICI)1098-2302(199907)35:1<25::AID-DEV4>3.0.CO;2-Q
  10. Han, K. J. (2007). Development of the maternal-fetal interaction belief scale. Journal of Korean Academy of Child Health Nursing, 13, 265-272.
  11. Han, K. J., & Kim, J. S. (2004). Mother's perceptions and practices of Taegyo, belief toward Korean mother-fetus interaction. Korean Parent-Child Health Journal, 7, 144-159.
  12. Han, K. J., & Kwon, M. K. (2007). The effect of mother-fetus interaction promotion program on mother-infant interaction during feeding. Journal of Korean Academy of Child Health Nursing, 13, 191-200.
  13. Hiscock, H., & Wake, M. (2002). Randomised controlled trial of behavioural infant sleep intervention to improve infant sleep and maternal mood. British Medical Journal, 324, 1062-1067. https://doi.org/10.1136/bmj.324.7345.1062
  14. Kim, I. O. (2000). Sleep pattern of Korean newborns and early infants, 242, The 9th NCAST Institute, The first three years last a lifetime, August 4 and 5, 2000 Bellevue, WA.
  15. Kim, J. S. (2002). The effect of mother-fetus interaction promotion program of talking and tactual stimulation on mother-fetus interaction and mother-infant play interaction. Unpublished doctoral dissertation, Kyung Hee University, Seoul.
  16. Kim, T. I., Shim, M. K., & Kim, M. J. (2000). A study on the sleep/ activity pattern in newborn baby. Journal of Korean Parent-Child Health, 3(2), 25-40.
  17. Kwon, M. K., Lee, K. M., Choi, S. J., & Choi, S. S. (2000). A study on the sleep/activity pattern of normal neonate in Kangwon area. Journal of Korean Parent-Child Health, 3(2), 18-24.
  18. Landqvist-Petersson, C. (2001). Correlation between level of selfregulation in the newborn infant and developmental status at two years of age. Acta Paediatrica, 90, 345-350.
  19. Mikhail, M. S., Freda, M. C., Merkatz, R. B., Polizzotto, R., Mazloom, E., & Merkatz, I. R. (1991). The effect of fetal movement counting on maternal attachment to the fetus. American Journal of Obstetrics &Gynecology, 165, 988-991. https://doi.org/10.1016/0002-9378(91)90455-Z
  20. Minde, K. (1998). The sleep of infants and why parents matter. Zero to Three, 19, 9-14.
  21. Morell, J. (1999). When baby can't sleep, mother may need help, Journal of Advanced Nursing, 29, 776-782. https://doi.org/10.1046/j.1365-2648.1999.00988.x
  22. Nikolopoulou, M., & St. James-Roberts, I. (2003). Preventing sleeping problems in infants who are at risk of developing them. Archives of Disease in Childhood , 88, 108-111. https://doi.org/10.1136/adc.88.2.108
  23. Park, H. S. (2000). A Study on the sleep/activity pattern in normal early infants using NCASA (Nursing Child Assessment Sleep/Activity) record. Unpublished master's thesis, Kosin University, Busan.
  24. Park, H. S. (2005). The effects of a nursing intervention program utilizing NCASA (Nursing Child Assessment Sleep/Activity) on primipara. Unpublished doctoral dissertation, Kosin University, Busan.
  25. Parmelee, A. H., Wenner, W. H., & Schulz, H. R. (1964). Infant sleep patterns: From birth to 16 weeks of age. Journal of Pediatrics, 65, 576-582. https://doi.org/10.1016/S0022-3476(64)80291-2
  26. Song, J. H., Han, K. J., Oh, K. S., Cho, K. J., Lee, J. H., Park, E. S., et al. (2001). Analysis of telephone counseling service on child health. Journal of Korean Academy of Child Health Nursing, 7, 245-257.
  27. Thoman, E. B. (1990). Sleeping and waking states in infants: A functional perspective. Neuroscience and Biobehavioral Reviews, 14, 93-107. https://doi.org/10.1016/S0149-7634(05)80165-4
  28. Thomas, K. A., & Burr, R. L. (2009). Accurate assessment of mother & infant sleep: How many diary days are required? Maternal Child Nursing, 34, 256-260. https://doi.org/10.1097/01.NMC.0000357921.63971.9e
  29. Thomas, K. A., & Foreman, S. W. (2005). Infant sleep and feeding pattern: Effects on maternal sleep. Journal of Midwifery &Women's Health, 50, 399-404. https://doi.org/10.1016/j.jmwh.2005.04.010

피인용 문헌

  1. 영아 수면건강 교육프로그램의 개발 및 효과 vol.21, pp.1, 2010, https://doi.org/10.4094/chnr.2015.21.1.11