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Effect of Prenatal Education Program of Labor and Delivery Experience

분만 체험 산전교육 프로그램 효과

  • 성춘희 (영남이공대학교 간호대학) ;
  • 박경민 (계명대학교 간호대학)
  • Received : 2014.08.19
  • Accepted : 2014.09.11
  • Published : 2014.09.30

Abstract

This study examined the effects of a prenatal education program of labor and delivery experience for primigravidas in mid-pregnancy. This investigation was designed as a one group pre-post quasi-experimental study, aiming to determine the effects of prenatal education on anxiety, confidence and knowledge in delivery by demonstrating knowledge and actual situations including understanding labor, breast-feeding, baby care and others, and experiencing the education program. Subjects were collected randomly from an on-line club in D city. The simulation education proceeded for 2 hours a week from April to June, 2014, and there were 6 sessions each in the first and second periods. We included 35 primigravidas who attended all 6 sessions. The data was analyzed using descriptive statistics, exploratory factor analysis and a paired t-test. According to the study results, the subjects showed a significant difference in knowledge in delivery (t=-9.07, p<001), confidence in delivery (t=-9.00, p<001) and anxiety (t=14.39, p<001) after participating in the prenatal education program. An evaluation of satisfaction revealed experience to be the most differentiating factor, and the simulation experience was identified as most effective. The desired appropriate number of class sessions was 4 times, and 88.6% of the pregnant women intended to attend the program at their next birth, indicating a high response rate.

본 연구의 목적은 임신 중반기의 초임부를 대상으로 분만 체험 산전교육 프로그램 효과를 연구하였다. 산전교육으로 분만의 이해, 모유수유, 아기돌보기 등 다양한 지식과 분만의 실제상황을 시범하고 체험 교육함으로써 분만지식, 분만자신감, 불안에 대한 효과를 알아보기 위해 시도된 단일 군 사전사후 유사 실험설계 연구이다. 대상자의 모집은 무작위로 D시의 On-line카페를 통해 모집되었다. 분만 체험 산전교육은 2014년 4월부터 6월까지 매주 2시간씩 1차에 6회와 2차에 6회 진행되었다. 6회 모두 참석한 초임부 35명을 대상으로 연구되었다. 분석방법은 기술통계, 탐색적 요인분석, paired t-test를 이용하였다. 연구결과는 체험 산전교육에 참여한 후에 분만지식(t=-9.07, p<001), 분만자신감(t=-9.00, p<001), 불안(t=14.39, p<001)에서 유의한 효과가 있는 것으로 나타났다. 만족도평가는 체험부분이 가장 차별화되는 요소이며 가상으로 경험해보는 부분이 가장 효과적으로 평가하였다. 교육희망횟수는 4회가 적당하며, 88.6%가 다음 임신 시에도 참석을 원하는 것으로 나타나 임부의 호응도가 높았다.

Keywords

References

  1. Korea National Statistics Office, 2013 Birth. Mortality statistics. 2014. DOI: http://kostat.go.kr
  2. Mills, T. A. and T. Lavender, Advanced maternal age. Obstetrics, Gynecology & Reproductive Medicine, 2011. 21(4): p. 107-111. DOI: http://dx.doi.org/10.1016/j.ogrm.2010.12.003
  3. Bayrampour, H., et al., Advanced maternal age and risk perception: A qualitative study. BMC pregnancy and childbirth, 2012. 12(1): p. 100. DOI: http://dx.doi.org/10.1186/1471-2393-12-100
  4. H. J. Wang, H. S. Park, I. 0. Kim., Comparison of Prenatal Health Management State and Educational Needs for Pregnant Women with Advanced Maternal Age and Under the Age of 35. Korean J Women Health Nurs Vol. 19 No. 4. DOI: http://dx.doi.org/10.4069/kjwhn.2013.19.4.230
  5. S. H. Kang., A Study on the Customer's Satisfaction Level with the maternal and child health(MCH) program of Local Health center. 2009, Graduate school of Public in a A-jou University: suwon.
  6. N. M. Hwang., the necessity for establishing a public prenatal health promotion and education system 2010: p. 50-64.
  7. Littleton, L. Y. and J. Engebretson, Maternal, neonatal, and women's health nursing. 2002: Pearson Education.
  8. M. H. Hur., Effects of one-to-one labor support on labor pain, labor stress response, childbirth experience and neonatal status for primipara. Journal of Korean Academy of Women's Health Nursing, 2001. 7(2): p. 188-202.
  9. Esimai, O., et al., Antepartum anxiety and depressive symptoms: A study of Nigerian women during the three trimester of pregnancy. Journal of Obstetrics & Gynecology, 2008. 28(2): p. 202-203. DOI: http://dx.doi.org/10.1080/01443610801912352
  10. J. I. Kim., Comparison of Prenatal Education Programs for the Primigravida: Focused on Anxiety and Labor Efficacy. Korean Journal of Women Health Nursing, 2005. 11(3): p. 225-231.
  11. G. J. Kim., The effects of Doula Touch delivery education on, self-confidence delivery, knowledge of childbirth, couple satisfaction. Journal of the Korea Academia-Industrial cooperation Society 2013. 14(6): p. 2880-2888. DOI: http://dx.doi.org/10.5762/KAIS.2013.14.6.2880
  12. T, C, J. Y .Lee., Study on the Maternity Education visitor Satisfaction in accordance with participation Motivation. 2013, 18, 15-34.
  13. Fast, A., et al., Low-back pain in pregnancy. Spine, 1987. 12(4): p. 368-371. DOI: http://dx.doi.org/10.1097/00007632-198705000-00011
  14. S. H. Jun., The Effect of Exercise of Pregnancy on Back Pain and Delivery Self-Efficacy. in Journal of Korean Physical Education Association for Girls and Women. 2008.
  15. Birkel, D. and L. Edgren, Hatha yoga: improved vital capacity of college students. Alternative therapies in health and medicine, 2000. 6(6): p. 55-63.
  16. Hospital, K., process pf preparation for childbirth-lamaze education program. 1998.
  17. S. A. Kim, S. K. Lee, and , H. J. Chae., Effects of Clinial Practice and Simulation-Based Practice for Obstetrical Nursing. Korean J Women Health Nurs, 2012. 18(3): p. 180-189. DOI: http://dx.doi.org/10.4069/kjwhn.2012.18.3.180
  18. K. M. Park,. et al., Simulation Education. 2013, Seoul: Hyungmoon.
  19. O'Meara, C.M., Childbirth and parenting education-The providers' viewpoint. Midwifery, 1993. 9(2): p. 76-84. DOI: http://dx.doi.org/10.1016/0266-6138(93)90050-3
  20. Y. S. Choi., The Effects of Childbirth Education on Labor pain. The Graduate School Yonsei University, 1983.
  21. M. K. Lee., Effects of San-Yin-Jiao (SP-6) acupressure on labor pain, delivery time, serum $\beta$-endorphin and intensity of uterine contractions in women during labor. 2003, The Graduate School Yonsei University: Seoul: Hyungmoon.
  22. Spielberger, C.D., Manual for the State-Trait Anxiety Inventory STAI (form Y)(" self-evaluation questionnaire"). 1983.
  23. S. S. Han, and S. C. Lee., Nursing and Health Statistical Analysis. 2012, Seoul: Hanale.
  24. E. H. L. Kim., et al., Effects of an Educational Program of Pregnancy and Delivery on Pregnancy related Knowledge, Newborn Care Knowledge, and Postpartum Care Self-efficacy of Marriage Immigrant Women. J Korean Acad Nurs, 2010. 40(1): p. 78-87. DOI: http://dx.doi.org/10.4040/jkan.2010.40.1.78
  25. K. O. Lee, K. R. Kim, S. H. Ahn., Effects of a Qigong Prenatal Education Program on Anxiety. Depression and Physical Symptoms in Pregnant Women Korean J Women Health Nurs, 2006. 12(3): p. 240-248.
  26. S. Y. Bae., A Study on the Stress and Anxiety of Pregnant Women Immediately Before Delivery. 2012, Graduate School of Chosun University: Gwangju.
  27. M. K. Lee., Factors Influencing Self Confidence during Delivery in Laboring Women. Korean J Women Health Nurs, 2005. 11(1): p. 20-26.
  28. K. K. Kim., H. J. Koh., The Effects of the Prenatal Education on Unwed Mother`s Knowledge about Delivery, Postpartum Care and Anxiety. 2004, Korean Public Health Research, Vol. 30 No. 1 pg. 13, 11 p.
  29. E. J. Kwak., The Effects of Pre-delivery Music Therapy Program on Anxiety and Stress of the Primigravidas. 2006, Graduate School of Music Therapy Sookmyung Women's University: Seoul
  30. M. H. Jeon, E. K. Yoo., A Study on Primiparous Husband's State Anxiety, Perceived Support and the Perception of Childbirth Experience. J Korean Acad Nurs, 2004. 10(1): p. 51-58.
  31. S. H. Jun., The Effect of Pregnancy on Back Pain and Delivery Self-Efficacy. Journal of Korean Physical Education Association for Girls and Women, 2008. 22(2): p. 229-242.
  32. T. Y. Moon, S. M. Park, & M. S. Han., The Influence of Regular Participation in Pregnant Exercise on the Body-esteem and Pregnancy Stress. Journal of the Korea Academia-Industrial cooperation Society. 2010, 11(3), 1153-1162. DOI: http://dx.doi.org/10.5762/KAIS.2010.11.3.1153
  33. Y. R. Kim., into the Satisfaction of prenatal Ballet for Pregnant Women. 2010, The Graduate school of Ewha Woman University.
  34. H. J. Ryu, S. H. Kim., The Effects of The Program Using Mediation Art Activities on The Emotional Rest of Pregnant Women, 2008. 2: p. 249-284.
  35. Fitzpatrick, E., S. Reeder, and L. Mastroianni Jr, Maternity nursing, ed. 12, Philadelphia, 1971. JB Lippincott Co.

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