• 디지털융복합연구
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• 제19권9호
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• pp.423-433
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• 2021

본 연구의 목적은 고위험 임부 간호의 개념 정의 및 분석을 하기 위함이다. 이 연구는 Schwartz - Barcott & Hesook Suzie Kim의 하이브리드 모형을 사용하여 분석하였다. 하이브리드 모델을 사용하여 주요 속성과 지표를 식별하고, 현장 실사 고위험 임부 병실에서 고위험 임부를 직접 간호를 수행한 5년 이상 수행한 간호사 10을 면담하여 자료를 수집하였다. 그 결과 3가지 차원, 5가지 속성, 37개의 지표로 도출되었다. 본 연구로 고위험 임부 간호의 개념 분석은 고위험 임부 간호에 대한 지침을 제공할 수 있으며 이론적 초석을 마련할 수 있다.

• 한국콘텐츠학회논문지
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• 제19권8호
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• pp.556-564
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• 2019

본 연구는 팀 기반 학습방법을 고위험 임부간호교육에 적용하여 학생들의 학업성취도, 문제해결능력 및 의사소통능력에 미치는 효과를 검증하기 위한 동등성 대조군 전후 실험설계연구이다. 연구대상은 J도에 소재한 간호학과 2학년 중 실험군 60명, 대조군 60명으로 총 120명이었다. 주 1회, 8주간 프로그램을 실시하였으며 실시 전과 후에 학업성취도, 문제해결능력 및 의사소통능력을 측정하였다. 측정된 자료는 ${\chi}^2-test$와 Fisher's exact test, independent t-test, paired t-test로 분석하였다. 연구결과 학업성취도에서는 두 군 간의 유의한 차이가 없었으나(1차 시험: p=.38, 2차 시험: p=.26) 학습자의 문제해결능력과 의사소통능력을 증진시켰다(p<.001). 그러므로 본 연구는 팀 기반 학습이 고위험 임부간호교육에서 학생들의 문제해결능력과 의사소통능력을 향상시키는데 효과적임을 파악한 점에서 연구의 의의를 지니며, 향후 다른 간호학 전공 분야의 효과적인 교수법으로 확대적용 할 수 있을 것으로 기대한다.

• Journal of Preventive Medicine and Public Health
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• 제22권1호
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• pp.146-152
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• 1989

대구시 남구 보건소 모자 보건 센터의 조산원들이 고위험 임부로 판정하여 타의료 기관으로 의뢰한 것이 어느 정도 타당한지를 알아 보기 위해 1985년 4월 1일에서 1987년 3월 31일 사이에 분만을 위해 모자 보건 센터를 방문한 임부 6,017명을 대상으로 센터에 도착하는 즉시 본 연구를 위한 전임 요원이 일반적 특성과 산과력을 면접 조사하고 임신 결과를 추적 조사하였다. 추적 조사가 가능했던 5,820명 가운데 704명(12.1%)이 의뢰되었는데 분만 결과가 불량(사산, 저체중아, 신생아 사망)했던 경우는 의뢰된 임부 가운데 4.4%로 센터에서 분만한 임부의 2.2%보다 유의하게 높았으며 (p<0.01) 조산원들의 임상적 소견으로 의뢰 여부를 판정한 것이 분만 결과와의 일치율은 86.5%였다. 의뢰 이유는 조기 파수(46.5%)와 아두 골반 불균형(20.2%)이 가장 많았는데 이들도 제왕 절개 분만율이 각각 10.1%, 17.6%로 대부분 정상아를 분만하였다. 임산 소견을 제외한 임부의 특성과 산과력으로 임신 결과를 판별 분석한 결과 재태기간이 가장 높은 판별 계수(0.88)를 보였고 그 다음이 출산 회수(0.37), 임부의 교육 수준(0.30)의 순이었으며 이 세가지 요인으로 임신 결과를 옳게 판정할 수 있는 비율이 65.6%로 조산원들이 판단하 일치율보다 낮았다. 조산원들이 임상적 경험에 의해 고위험 산모를 판정하고 있는 것은 타당한 것으로 평가되나 그들의 판정 기준을 체계적으로 조사한 결과와 임부의 일반적 특성과 산과력을 모두 독립 변수로 하고 불량한 임신결과에 꼭 필요한 제왕 절개 분만, 임신 및 분만의 합병증을 포함하여 종속 변수로 한 판별 분석을 한다면 우리 나라 모자 보건센터에 적합한 위험치 사정표를 개발할 수 있을 것이다.

• 여성건강간호학회지
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• 제24권2호
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• pp.196-208
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• 2018

Purpose: To identify the characteristics and health-care needs of high-risk pregnant women in maternal-fetal intensive care units (MFICU). Methods: A mixed-methods design was adopted. Data were collected from 78 high-risk pregnant women admitted to the MFICU. Qualitative data included ten participants' experiences with hospitalization and childbirth, which were analyzed using mixed content analysis. Quantitative data were analyzed using at-test and one-way ANOVA testing. Results: The average score for pregnancy and childbirth health-care needs was 3.54 points. Average score by area was before-admission health care (3.70), health care of baby (3.67), health of childbirth (3.61), postpartum health (3.51), and pregnancy health care during hospitalization (3.48). Qualitative results showed diverse feelings and experiences of high-risk pregnant women and their need for health care, which was expressed in three themes and 11 sub-themes. Conclusion: Nurses should recognize high-risk mothers' feelings and needs for pregnancy and childbirth-focused health care to help patients accept their vulnerability and cope positively.

• 대한간호학회지
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• 제29권4호
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• pp.940-950
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• 1999

One hundred two high-risk women(HRW) and 115 low-risk women(LRW) were studied at post-partal hospitalization and at 1, 4, and 8 months after giving birth to determine whether they would differ in the achievement of perceived maternal acquisition and whether predictors of maternal acquisition would differ for the two groups over time. The subjects were 102 HRW and 115 LRW, all in the above 27 weeks, admitted to two hospitals and to two clinic in the Kyoungnam area between July 1, 1998 and May 4, 1999. The data were analyzed by a SPSS program and the results are as follows ; 1) Predictors of Maternal role acquisition in the HRW were fetal attachment, maternal attachment, state anxiety, relationships of partner, social support in the early postpartum, maternal attachment, relationships of partner, depression, infant's health status in the postpartal 1 month, relationships of partner, self-esteem, educational degree in the postpartal 4 month, and maternal attachment, social supports in the postpartal 8 month. 2) Predictors of Maternal role acquisition in the LRW were fetal attachment, social supports, perceived experience about labor and delivery in the early postpartum, maternal attachment, sense of mastery in the postpartal 1 month, sense of mastery, experience with infants, relationships of partner in the postpartal 4 month and maternal attachment, experience with infants, social supports in the postpartal 8 month. 3) The hypothesis that HRW would score significantly lower on maternal competency than LRW was rejected. 4) The hypothesis that maternal acquisition would be significantly related to maternal attachment was accepted.

• 여성건강간호학회지
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• 제23권1호
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• pp.33-41
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• 2017

Purpose: The purpose of this study was to investigate the effect of aroma inhalation therapy on stress, anxiety, depression, and an autonomic nervous system reaction in high-risk hospitalized pregnant women. Methods: A quasiexperimental study used a non-equivalent control group non-synchronized design. Fifty high-risk hospitalized pregnant women were selected as participants on delivery room and maternity ward at university hospital. Twenty-five were selected for the experimental group while 25 were assigned to a control group. Neroli essential oil was used for aroma therapy and was already identified as not being hazard to pregnant women. It provided emotional stability from previous study. The participants inhaled Neroli 2 minutes, 3 times (9 am to 10 am, 4 pm to 5 pm, just before sleep) a day. A total of 15 sessions were held from the day of the preliminary investigation. Pre and post written survey and measuring an autonomic nervous system reaction were collected from both groups. Results: The data were analyzed by $x^2$ test, t-test, and paired t-test. There was a statistically significant difference in stress (t=-3.98, p<.001) between the experimental group and the control group. Conclusion: These findings indicate that aroma inhalation therapy is effective as a nursing intervention for the stress relief of hospitalized high-risk pregnant women.

• 여성건강간호학회지
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• 제16권3호
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• pp.234-244
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• 2010

Purpose: This study determined the level of stress and type of coping style of spouses with high-risk pregnant women. Methods: Subjects were 102 spouses with high-risk pregnant women at 6 hospitals in Seoul and Gyeonggi province from January to August, 2009. The tools for this study were stress scale and coping scale. The data were analyzed by t-test, ANOVA, Scheffe's test and Pearson's correlation coefficient. Results: The average score of subjects stress was 2.18 and coping score was 2.46 point out of 4.00. The highest score of stress categories was 2.44 point in emotional problems and the lowest score was 1.72 in communication and support resources. The stress level was significant differences according to length of marriage, number of hospital visits, satisfaction with marriage relationship, hospitalization days and gestational age respectively. Spouses tended to use an active coping style (2.60) rather than a passive coping style (2.31). There were significant differences according to mother's age and gestational age in active coping and educational level in passive coping. Conclusion: Considering the level of stress coping style and characteristics of high-risk pregnant women's spouses, a nursing intervention should be provided to help them alleviate stress and to encourage active coping.

• 여성건강간호학회지
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• 제26권2호
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• pp.180-190
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• 2020

Purpose: The purpose of this study was to identify the effects of a supportive program on uncertainty, anxiety, and maternal-fetal attachment in high-risk pregnant women. Methods: The participants were 59 high-risk pregnant women admitted to the maternal-fetal intensive care unit. The control group (n=30) received usual treatment and antenatal care, while the experimental group (n=29) received an additional supportive program. Uncertainty, anxiety, and maternal-fetal attachment were measured in both groups prior to the intervention and at 3 days and 10 days after the intervention (or at discharge). Data were analyzed with the t-test, chi-square test, repeated-measures analysis of covariance, and the Greenhouse-Geisser correction in SPSS version 23.0. Results: A supportive program including information provision, nutritional care, emotional care, and exercise care was developed from the literature. All variables except women's length of stay were found to be homogeneous the between experimental and control groups in the pre-test. Length of stay was calculated as a covariate for testing hypotheses. There was a significant difference in state anxiety over time between the two groups, while there were no differences in uncertainty or maternal-fetal attachment. Conclusion: This supportive program was identified as an effective nursing intervention on state anxiety in high-risk pregnant women during their stay in the maternal-fetal intensive care unit. It is suggested that nurses could apply this program to alleviate high-risk pregnant women's state anxiety, and that this program could be modified to be more effective on uncertainty and maternal-fetal attachment in high-risk pregnant women.

• 여성건강간호학회지
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• 제28권4호
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• pp.338-347
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• 2022

Purpose: The incidence of high-risk pregnancies is increasing in Korea as the birth age increases due to late marriage. Maternal-fetal attachment is an important factor that affects children even after childbirth, but it is difficult for high-risk pregnant women to form maternal-fetal attachment. The current study aimed to explore whether taegyo practice (i.e., pregnant women's efforts for fetal good growth and development), self-esteem, and social support influenced the degree of maternal-fetal attachment in women with high-risk pregnancies. Methods: The participants included 226 pregnant Korean women at ≥20 gestational weeks, hospitalized with 15 high-risk pregnancy conditions as defined by the Ministry of Health and Welfare. Recruitment via convenience sampling was done at four sites in Busan, Korea. Surveys were distributed and collected from February 1 to 28, 2022. Data analysis was conducted using descriptive statistics, the t-test, one-factor analysis of variance, Pearson correlation coefficients, and hierarchical multiple regression. Results: On average, participants were 33.97±4.23 years of age and at 31.65±6.23 gestational weeks. Preterm labor (35.4%) and gestational diabetes (21.0%) were the most common high-risk conditions. Maternal-fetal attachment was positively correlated with taegyo practice (r=.70, p<.001), self-esteem (r=.53, p<.001), and social support (r=.53, p<.001), all with statistical significance. Taegyo practice (β=.50, p<.001) and social support (β=.17, p=.030) explained 53% of variance in maternal-fetal attachment in women with high-risk pregnancies. Conclusion: Nurses caring for women with high-risk pregnancies during hospitalization can use these findings by promoting taegyo practice and enhancing social support to increase maternal-fetal attachment.

• 여성건강간호학회지
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• 제2권1호
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• pp.88-105
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• 1996

The purpose of this study was to find out physical and emotional status, and nursing needs of the pregnant women who were hospitalized by premature labor. The research respondents were 96 from four university hospitals located in Seoul, from June 30, 1996 to September 15, 1995. The research instrument was consisted of 14 items of physical status(discomforts) (Cronbach's=0.86), 17 items of emotional status (Cronbach's=0.89), 33 items of nursing needs (Cronbach's=0.94), and they were measured by 5 level of Likert Scale. The data were analyzed by frequency, percentage, mean standard deviation, ANOVA, Pearson correlation coefficient as the statistical techniques in the program of SPSS/$PC^+$. The findings were as follows : 1. The perception of physical status was mainly about physicl discomforts during the hospital stay. It included four categories about 'absolute bed rest' 3.48, 'hospital foods' 3.38, 'health care teams' 2.93, 'hospital environment' 2.83 in order of mean of discomforts. The most discomfortable one was "malodor by not doing personal hygiene." The next one was "urination and defecation on the bed using bedpan." 2. The perception of the emotional status was about negative mood related to 'fetus', 'hospitalization' perse, 'personal situation.' The highest score of negative mood was "I am afraid that the baby's condition will be bad if I deliver it before full term." The next one was "I am anxious about whether my baby will be in incubator if I deliver it before full term." 3. The highest mean score among items of nursing needs was "Nurses observe whether the labor come or not with concerns." The next one was "Nurses observe the fetal movement and check up the fetal heart sound." The lowest one was "Nurses help me when I need bedpan." 4. Nursing needs were consisted of four categories : professional, educational, emotional, and physical. The mean score of them was high in professional, educational, emotional, and physical need in order. 5. The physical status was related to "Experience of treatment for maintenance of pregnancy" and "Experience of hospitalization by premature labor". The emotional status was related to "Type of delivery" and "Type of habitation." 6. In the correlation of physical and emotional status, it showed positive correlation between them. The higher score of physical discomfort, the higher score of negative mood(r=0.5113, p=0.0001).