• Perspectives in Nursing Science
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• v.8 no.1
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• pp.20-31
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• 2011

Purpose: The purpose of this study was to review the concept of Mother-Child Interaction (MCI) as well as its theoretical model and measurement methods. Methods: A review of related theories and research was done to identify the concept and present status of MCI measuring techniques. Results: The concept of MCI contains the two aspect of attachment and child rearing. MCI is unique in that it includes a dyadic process. The concept of MCI was developed based on attachment theory, Barnard's theory, and the goodness of fit model, MCI involves sensitivity, responsiveness, reciprocity, contingency, mutual satisfaction, and child developmental stimulation including positive and negative affection. Most instruments involved observation, especially in structured situations, and most were developed for mother-infant interaction. Conclusion: MCI is a reciprocal, goal-oriented partnership process and is an ongoing process during childhood. Instruments for measuring MCI for preschoolers as well as appropriate self-reporting instruments need to be developed for wide use in practice and in research.

• Women's Health Nursing
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• v.27 no.1
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• pp.27-39
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• 2021

Purpose: This study aimed to review recent findings from birth cohort studies on maternal and child environmental health. Methods: Birth cohort studies regarding environmental health outcomes for mothers and their children were investigated through a systematic review. A literature search was conducted in PubMed, CINAHL, the Cochrane Library, Embase, and RISS to identify published studies using the keywords using a combination of the following keywords: maternal exposure, environmental exposure, health, cohort, and birth cohort. Articles were searched and a quality appraisal using the Newcastle-Ottawa Scale for cohort studies was done. Results: A review of the 14 selected studies revealed that prenatal and early life exposure to environmental pollutants had negative impacts on physical, cognitive, and behavioral development among mothers and children up to 12 years later. Environmental pollutants included endocrine disruptors, air pollution (e.g., particulate matter), and heavy metals. Conclusion: This systematic review demonstrated that exposure to environmental pollutants negatively influences maternal and children's environmental health outcomes from pregnancy to the early years of life. Therefore, maternal health care professionals should take steps to reduce mothers' and children's exposure to environmental pollutants.

• Journal of Korean Public Health Nursing
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• v.35 no.2
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• pp.211-223
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• 2021

Purpose: The purpose of this study was to understand the reconstruction experience of mothers who had recently experienced a late-school age daughter's menarche by utilizing a hermeneutic phenomenological research methodology based on Parse's human becoming theory. Data were collected using purposive and snowball sampling methods to recruit the mothers of elementary fifth- and sixth-grade girls recently experiencing menarche. The data were analyzed using Parse's research methodology. As a result, the mothers' experiences appeared as "the process of reconstructing the menarche-related values created by themselves by facing the child's menarche experiences and related responses along with the change of era." The key concepts of there construction experiences of the mothers were "experiencing an ambivalent feeling of pity and pride," "celebrating her instead of expressing concerns," "giving a traditional lesson of protecting oneself to a new generation," and "feeling empathy as a woman and also alienation due to the generational gap." These findings reveal the important roles and competencies of community and school nurses in terms of achieving a healthy and positive reconstruction experience for mothers and their daughters. Also, it is necessary to develop educational programs for mothers who are about to encounter their daughters' menarche.

• Child Health Nursing Research
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• v.20 no.4
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• pp.255-263
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• 2014

Purpose: The purpose of this study was to examine relationship of preschool child and mother interaction, child's health status, health-related quality of life and social development. Also, it was intended to provide a basis for development of mother-child interaction programs. Methods: The present study was a descriptive research. Participants in this study were a convenience sample of 230 preschool children and their mothers. For the final analysis 209 questionnaires were used after eliminating questionnaires with incomplete responses. Data were analyzed using the SPSS 18.0 program. Results: The mean score for interaction between preschool child and mother was $3.96{\pm}0.55$ out of 5 points, for child health status, $3.75{\pm}0.62$ out of 5 points, for child's health-related quality of life, $83.89{\pm}10.20$ out of 100 points and for child's social development, $19.66{\pm}3.57$ out of 24 points. Positive correlations were found between interaction of preschool child and mother, child's health status, health-related quality of life, and social development. Conclusion: The results demonstrate the importance of the quality of the relationship between mother, the child's primary caregiver, and her child for the healthy growth and development of preschool children. It is suggested that intervention programs for preschool child-mother interaction should be developed using evidence based data.

• Journal of Korean Academy of Nursing
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• v.31 no.3
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• pp.417-431
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• 2001

Purpose: This study was conducted to evaluate the effectiveness of the maternal role education program for primiparas in mother-infant interaction, childrearing environment, and infant development. Method: A Non-equivalent control group time-series design was used. For the intervention group, programmed parenting education focusing on mother-infant interaction, home environment for infant development, and parent counseling and support was provided via home visits or telephone for twelve months. Result: Significant differences were found in the mother-infant interaction feeding scale at one and three months, but no differences were found in the teaching scale at six and twelve months between the intervention and control groups. Also, the difference in childrearing environment (HOME) between the two groups was significant at three, six, twelve months. In addition, the intervention group showed higher GQ in the Griffiths mental development scale at three and six months. In multiple regression analysis, 22.6% to 43.6% of infant development was explained by HOME, mother-infant interaction, and previous development. Conclusion: The maternal role education program proved to be effective in promoting mother-infant interaction, organizing the childrearing environment, and fostering infant development.

• Journal of Korean Academy of Nursing
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• v.12 no.2
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• pp.31-44
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• 1982

The purpose of this study was to analyze the relationship between maternal attachment and discharge against advice in high risk infants and determine the factors which affect discharge against advice. Data of this study were collected by means of reviewing the medical records of 127 in-patients who were diagnosed as high risk infants in admission and interviewing of the mothers of these patients was done by telephone. The high risk categories were neonatal hyperbilirubinemia, congenital anomaly, congenital heart disease, blood disorder, neonatal infection and birth injury. Maternal attachment was measured by deviding the subjects into 2 groups, the one the continuing treatment group and the other the discharge against advice group. Maternal attachment is determined by an interplay of maternal attitude and specific infant behaviors. Maternal attachment developes through continuous physical and psychological contact between mother and infants. Later it developes into maternal love. The results were as follows: 1. There was a significant association between maternal attachment and discharge against advice, that is, the attachment score was higher in the continuing treatment group. 2. Inspite of controlling medical insurance, severity of disease and the length of stay, it was found that there continued to be either a partially significant or fully significant relationship between maternal attachment and discharge against advice. Stepwise multiple regression revealed that maternal attachment was second in importance as a predictor of discharge against advice, which indicates that maternal attachment was a significant predictor of discharge against advice. 3. Stepwise multiple regression revealed that in 32.3％ of these cases the significant predictors of discharge against advice were length of stay, maternal attachment, delivery type, feeding type and income.

• Women's Health Nursing
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• v.21 no.4
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• pp.308-320
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• 2015

Purpose: The aim of this study was to determine the predictive factors for maternal role development for mothers of premature infants. Methods: A descriptive correlational study was conducted. A total sample of 121 mothers of premature infants following discharge from the neonatal intensive care unit were recruited using two strategies; an internet-based survey and an in-person data collection in a tertiary university hospital in Korea. A self-report questionnaire was used to collect data regarding personal, birth variables, marital intimacy, maternal attachment, maternal identity and maternal role development. Results: A hierarchical multiple regression analysis indicated that parity, maternal attachment, marital intimacy and maternal identity were predictors for maternal role development for mothers of premature infants, accounting for 70% of the variance. Among these variables, maternal attachment is the most powerful predictor for maternal role development. Conclusion: Nursing interventions during hospitalization to post-discharge education that includes parents of premature babies with positive interaction between couples strengthening marital intimacy and promotes maternal attachment that leads to integrate maternal identity should be considered by priority. Community-based family services such as home visits should be focused on maximizing the predictive factors for maternal role development in transition to motherhood that can contribute to maternal health as well as optimal growth and development of premature infants.

• Journal of Korean Academy of Nursing
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• v.15 no.2
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• pp.16-24
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• 1985

This study considered the problem of whether the method of Lamaze education changes maternal attitudes toward childrearing, material-infant interaction and is feasible for Korean culture in nineteen mother. infant dyads. Among those mothers, nine were assigned experimental group who received Lamaze education at the period of 7th and 8th month of gestation, and ten were assigned control group who received obstetric routine care. Maternal attitudes were assessed with selected items from Cohler's Maternal Atttiude Scale. Maternal Play Interaction Scale was used during play session to evaluate maternal sensitivity, infant response and mother-infant dyadic synchrony. There were no significant differences not only between the two groups, but also between the period of pre-lamaze education and post-delivery on the Cohler's maternal attitude scale. Experimental mothers and babies scored significantly higher on maternal sensitivity and infant response. But no differences in mother-infant, dyadic synchrony were found. This findings mean that the effect of the lamaza education on the maternal attitudinal change related to be needed the change of cognitive structure is delayed while the effect of that on the maternal infant behavioral response showed immediatly. Modification of Lamaze method is necessary for practical use in our sociocultural system.

• Women's Health Nursing
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• v.11 no.4
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• pp.265-272
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• 2005

Purpose: To investigate the effect of infant massage on stress, immune function and self-confidence in postpartum mothers. Method: From September, 2003 to February, 2004, 65 women who had delivered babies and were enrolled in the postpartum clinic were assigned to the experimental group or control group. In the experimental group, infant massage was given for 20 minute sessions twice a day from 4 days to 14 days after delivery. The instruments were Parental Stress Index, serum cortisol levels, WBCs, lymphocytes, and Self Confidence Scale. Results: Stress scores, WBCs and lymphocytes showed significant differences by the time, but there weren't significant differences according to the group and interactions between the group and the time. Cortisol and self-confidence scores showed significant differences by the time and the group. Conclusions: Applying massage to their newborn baby influenced cortisol levels of postpartum mothers. Therefore stress, cortisol, and immune functions in postpartum mothers should be generally screened and follow up studies are needed for the effective application of massage in postpartum mothers.

• 모자간호학회지
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• v.4 no.1
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• pp.24-32
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• 1994

Using data from the Korean National Health Survey conducted in the years 1989 and 1992, child and maternal ambulatory care utilization patterns were compared. Data from 3,002 families from the 1989 survey and 1,523 families from the 1992 survey which have a child 0-4 years old and mother in the same family were selected and used for the analysis. The results indicate that child medical utilization is closely accociated with maternal medical utilization, as measured by the number of visits to medical facilities. Maternal use appears to be a more powerful predictor of child use than any other family and maternal variables. These results confirm the result of the previous localized studies and suggest that intervention directed at the mother may be effective in ensuring equitable and efficient use of ambulatory services by childeren.