DOI QR코드

DOI QR Code

영아 수면건강 교육프로그램의 개발 및 효과

Development of an Infants' Sleep Health Program Using a Video for SIDS Prevention Education and Measurement of the Program's Effects

  • 장숙 (삼육대학교 대학원) ;
  • 김일옥 (삼육대학교 간호학과)
  • Jang, Sook (Department of Nursing Graduate School, Sahmyook University) ;
  • Kim, Il-Ok (Department of Nursing, Sahmyook University)
  • 투고 : 2014.07.18
  • 심사 : 2014.12.14
  • 발행 : 2015.01.31

초록

목적 수면은 인간의 기본적인 생리욕구이며, 건강을 유지하는 데 매우 중요하다. 특별히 영아기는 수면주기가 불안정하고 영아급사증후군의 위험이 높아 초산모를 위한 교육이 이루어져야 한다. 본 연구의 목적으로 초산모를 위한 영아 수면 건강과 SIDS 예방 동영상 교육 프로그램을 개발하고 그 효과를 검증하는 것이다. 방법 본 영아 수면건강과 SIDS 예방 동영상 교육 프로그램은 Dick, Carey와 Carey (2009)의 체제적 교수설계모형에 따라 문헌고찰과 자문위원들의 자문과정을 거쳐 개발되었으며, 소책자, 동영상 및 PPT 슬라이드로 구성되었다. 산후조리원에 입소한 출산 2주 이내의 초산모들을 대상으로 편의 모집한 총 78명 중 최종적으로 분석한 연구대상자는 59명이었다. 실험군 I, II에게 영아 수면건강과 SIDS 예방 프로그램을 적용하였고, 실험군 II에게는 교육 2주 후 동영상 강화교육을 추가로 실시하였다. 실험군 I, II와 대조군 모두 교육 전과 교육 4주 후에 영아 수면 건강과 SIDS 예방에 대한 지식, 어머니 역할 자신감을 측정하였다. 결과 영아의 수면 건강과 SIDS 예방 교육 프로그램을 제공받은 실험군 I, II는 교육 프로그램을 제공 받지 않은 대조군보다 영아 수면 건강과 SIDS 예방에 대한 지식 및 어머니 역할 수행 자신감에서 유의한 차이를 보였다. 교육 2주 후에 동영상 강화교육을 받은 실험군 II는 실험군 I과 유의미한 차이를 보이지 않았다. 결론 이상의 결과를 통해 본 영아 수면 건강과 SIDS 예방 동영상 교육 프로그램은 초산모의 영아 수면 건강과 SIDS 예방에 대한 지식과 어머니 역할 자신감을 상승시키는 데 효과적임이 입증되었고, 동영상 강화교육은 현장 강의를 대신할 수는 없으나 초산모를 위한 교육에 보조역할을 할 수 있을 것으로 판단된다.

Purpose: The purposes of this study were to develop an infant sleep health education program using a video for SIDS prevention education and to measure the effects of the program. Methods: The infant sleep health education program consisted of presentations and motor images. The formation of educational material was directed by the systematic design of instruction. Participants in this study were 59 primiparous women from postpartum care centers. The instruments used in this study were criterion referenced test items for knowledge about infant sleep health and confidence inventory. Experimental group I was given the treatment of infant sleep health education program. Experimental group II was given the program using a video reinforcement after 2 weeks. On the other hand, control group was given no treatment. Results: There was a significant increase in knowledge and confidence in the performance of mother's roles of both experimental group I and experimental group II over the control group. No significant difference was founds for knowledge and confidence in the performance of mother's roles between experimental group I and II. Conclusion: The results indicate that this program is a very effective intervention for better sleep health in infants by helping the mothers increase confidence in their role performance.

키워드

참고문헌

  1. American Centers for Disease Control and Prevention. (2011). Sudden unexpected infant death and sudden infant death syndrome. Retrieved September 29, 2014, from http://www.cdc.gov/sids/aboutsuidandsids.htm
  2. Barnard, K. E. (1999). Beginning rhythms: The emerging process of sleep wake behaviors and self regulation. Seattle: NCAST, University of Washington.
  3. Blair, P. S., & Fleming, P. J. (2002). Epidemiological investigation of sudden infant death syndrome in infants: Recommendations for future studies. Child: Care, Health & Development, 28, 49-54. http://dx.doi.org/10.1046/j.1365-2214.2002.00014.x
  4. Colvin, J. D., Collie-Akers, V., Schunn, C., & Moon, R. Y. (2014). Sleep environment risks for younger and older infants. Pediatrics, 134(2), e406-412. http://dx.doi.org/10.1542/peds.2014-0401
  5. Dick, W., Carey, L., & Carey, J. O. (2008). The systematic design of instruction. New York, NY: Harper Collins College Publishers.
  6. Faul. F., Erdfelder. E., Lang. A. G., & Buchner, A. (2007). "G^*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences." Behavior Research Methods, 39, 175-191. https://doi.org/10.3758/BF03193146
  7. Han, K. J., Kwon, M. K., Bang, K. S., & Choi, M. Y. (2010). Effects of a mother-fetus interaction promotion program on sleep and activity in mothers and infants. Journal of Korean Academy of Child Health Nursing, 16(4), 239-248. https://doi.org/10.4094/jkachn.2010.16.4.239
  8. Hwang, N. M. (2010). The necessity for establishing a public prenatal health promotion and education system. Health and Welfare Policy Forum, 163, 50-64.
  9. Hwang, Y. J., Park, Y. H., Park, I. S., Kim, N. Y., Kim, J. M., & Kim, J. Y. (2004). The effects of nursing education using CD ROM on the anxiety and knowledge of patients having minor surgery. The Journal of Korean Academic Society of Adult Nursing, 16(1), 82-89.
  10. Jeon, Y. J. (1997). A study on the educational needs and satisfaction of primigravida during the antepartal period. Korean Journal of Women Health Nursing, 4(2), 187-202.
  11. Leach, P. (2000). Your baby & child from birth to age five. New York, NY:Knopf
  12. Lederman, R. P., Weigarten, C. G., & Lederman, E. (1981). Postpartum self evaluation questionnaire: Measures of maternal adaptation. Birth Defects Original Article Series, 17(6), 201-231.
  13. Lee, J. H. (1998). The effect of a child care education for first-time mothers on newborn care behavior and confidence in maternal role. Korean Journal of Women Health Nursing, 4(3), 322-331.
  14. Lee, J. S. (2003). The effect of postpartum video education on the knowledge and self-efficacy of postpartum care in primiparas. Unpublished master's thesis. Kosin University, Busan.
  15. Lee, Y. A. (2000). Cognitive psychology and its application (4th ed.). Seoul: Ewha Womans Univ. Press.
  16. Lee, Y. E. (1992). An experimental study on the impact of an agreement on the means to achieve nursing goals in the early postpartum period of primiparous mothers and enhance their self-confidence and satisfaction in maternal role performance. Journal of Korean Academy of Nursing, 22(1), 81-115.
  17. Mercer, R. T. (1981). A theoretical framework for study factors that impact on the maternal role. Nursing Research, 30(2), 71-77.
  18. Ministry of Health & Welfare. (2011). 2007-2008 Analysis of causes of infant death and stillbirth. Retrieved July 10, from http://www.mw.go.kr/front_new/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=031604&page=1&CONT_SEQ=264598&SEARCHKEY=TITLE&SEARCHVALUE
  19. Oh, H. E., Sim, G. S., & Kim, J. S. (2002). The effects of prenatal education on primiparas' perception of delivery experience, self-confidence and satisfaction in maternal role. Performance. Korean Journal of Women Health Nursing, 8(2), 268-277.
  20. 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.
  21. Pratkanis, A. R., & Aronson, E. (2001). Age of propaganda: the everyday use and abuse of persuasion (rev. ed.). New York, NY: W. H. Freeman and Company.
  22. Pugh, M. A., & Revell, M. A. (2011). Using online materials for prenatal education: The good, the bad and the ugly. International Journal of Childbirth Education, 26(4), 9-13.
  23. Salzarulo, P., & Chevalier, A. (1983). Sleep problems in children and their relationship with early disturbances of the waking-sleeping rhythms. Sleep, 6(1), 47-51. https://doi.org/10.1093/sleep/6.1.47
  24. Seo, Y. M. (1998). The effect of education program on primiparas' knowledge, confidence and accuracy of behavior in newborn care. Journal of Korean Academy of Nursing, 28(4), 1060-1074. https://doi.org/10.4040/jkan.1998.28.4.1060
  25. Stremler, R., Hodnett, E., Kenton, L., Lee, K., Weiss, S., Weston, J., et al. (2013). Effect of behavioural-educational intervention on sleep for primiparous women and their infants in early postpartum: Multisite randomised controlled trial. BMJ, 20, 346-359. http://dx.doi.org/10.1136/bmj.f1164
  26. Symon, B. G., Marley, J. E., Martin, A. J., & Norman, E. R. (2005). Effect of a consultation teaching behaviour modification on sleep performance in infants: A randomised controlled trial. The Medical Journal of Australia, 182(5), 215-218.
  27. Taylor, J. A., & Davis, R. L. (1996). Risk factors for the infant prone sleep position. Archives of Pediatrics & Adolescent Medicine, 150(8), 834-837. http://dx.doi.org/10.1001/archpedi.1996.02170330060010
  28. Tribotti, S., Lyons, N., Blackburn, S., Stein, M. & Withers, J. (1988). Nursing diagnosis for the postpartum woman. Journal of Obstetric, Gynecologic & Neonatal Nursing, 17(6), 410-416. http://dx.doi.org/10.1111/j.1552-6909.1988.tb00467.x
  29. Wang, H. J., Park, H. S., & Kim, I. O. (2013). Comparison of prenatal health management state and educational needs for pregnant women with advanced maternal age and under the age of 35. Korean Journal of Women Health Nursing, 19(4), 230-241. http://dx.doi.org/10.4069%2Fkjwhn.2013.19.4.230 https://doi.org/10.4069/kjwhn.2013.19.4.230
  30. Willinger, M., James, L. S., & Catz, C. (1991). Defining the sudden infant death syndrome (SIDS): Deliberations of an expert panel convened by the national institute of child health and human development. Pediatric pathology, 11(5), 677-684. https://doi.org/10.3109/15513819109065465

피인용 문헌

  1. Effects of a maternal role adjustment program for first time mothers who use postpartum care centers ( Sanhujoriwon ) in South Korea: a quasi-experimental study vol.20, pp.1, 2015, https://doi.org/10.1186/s12884-020-02923-x