• Child Health Nursing Research
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• 제20권2호
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• pp.75-86
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• 2014

목적 본 연구는 기존 문헌의 체계적인 고찰을 통해 국내에서 영유아를 대상으로 수행된 모아상호작용에 관해 보고된 중재 연구의 특성과 중 재내용을 분석, 평가하여 최적의 중재를 적용하기 위한 근거자료를 제공하고자 시도되었다. 방법 본 연구는 영유아를 대상으로 한 모아상호작용 중재 효과를 객관적으로 규명하기 위한 통합적 문헌고찰 연구이다. 결과 19편의 논문 중 18편(94.7%)이 비 무작위 대조연구(NRCCT)였고 1편은 단일군 사전사후설계연구이었다. 신생아 대상 논문이 9편, 미숙아 대상 논문이 5편, 장애 영아 대상 논문이 1편, 중환자실에 입원한 영아 대상 논문이 1편, 영유아를 대상으로 한 연구가 3편이었다. 모아상호작용에 적용한 중재연구를 내용 분석한 결과, 전신 마사지를 포함하여 총 6종류의 중재가 적용되었으며, 감각자극을 적용한 논문이 8편으로 가장 많았고, 교육 및 증진프로그램을 적용한 중재연구는 4편, 전신 마사지를 적용한 중재연구 3편, 캥거루식 돌보기를 적용한 논문 2편, 방문지원 1편, 음악요법 1편이었다. 결론 추후 연구에서는 대상자 수를 확대하여 통합적 문헌고찰에 적합한 연구설계를 적용할 필요가 있으며, 모아상호작용 중재효과의 지속시기에 대한 연구가 수행됨으로 모아상호작용 증진에 보다 적합한 간호 중재임을 증명할 수 있는 과학적인 근거가 축적될 수 있어야겠다.

• 한국산학기술학회논문지
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• 제19권6호
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• pp.231-239
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• 2018

본 연구의 목적은 영유아와 어머니의 일반적 특성, 사회적 지지 그리고 모아상호작용이 모아애착에 미치는 영향을 분석하는 것이다. 본 연구는 서술적 조사연구로 자료수집기간은 2016년 3월 1일부터 9월 30일까지였다. 영유아기의 자녀가 있는 어머니 215명을 대상으로 자가 보고형 설문지를 이용하여 일반적 특성, 사회적 지지, 모아상호작용 그리고 애착에 대한 자료를 수집하였다. 수집된 자료는 SPSS 24.0 프로그램을 이용하여 기술통계, 집단간 평균비교, 상관관계 그리고 다중회귀분석으로 분석하였다. 연구결과 영유아의 특성 중 성별(t=3.200, p<.002), 연령(t=4.037, p<.001)과 기질(F=4.614, p<.011)에 따라, 어머니의 특성 중 연령(F=18.028, p<.001)과 학력(F=4.241, p<.016)에 따라 애착의 평균값이 통계적으로 유의한 차이가 있었다. 애착은 사회적 지지(r=.507, p<.001) 및 모아상호작용(r=.571, p<.001)과 통계적으로 유의한 양의 상관관계가 있었다. 애착에 영향을 미치는 요인은 모아상호작용(${\beta}=0.361$, p<.001), 사회적 지지(${\beta}=0.309$, p<.001), 연령(30세미만)(${\beta}=-0.370$, p<.001) 그리고 결혼 기간(10년 미만)(${\beta}=-0.179$, p<.033)이었다. 애착에 중요한 영향을 미치는 사회적 지지와 모아상호작용을 높일 수 있는 중재 프로그램 개발이 필요할 것으로 생각된다.

• Child Health Nursing Research
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• 제20권4호
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• pp.255-263
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• 2014

목적 본 연구는 학령전기 동안의 모아상호작용과 아동의 사회적 발달, 건강 및 건강관련 삶의 질 간의 관련성을 살펴보고 향후 모아상호작용 중재 프로그램 개발 시에 기초자료를 제공하기 위하여 시도되었다. 방법 본 연구는 서술적 조사연구이며, 전북 지역에 거주하는 학령전기 아동과 어머니 230명을 편의 표출하여 자료 수집을 하였으며, 응답이 불충분한 설문지를 제외하고 최종 분석에 이용된 설문지는 총 209부였다. 수집된 자료는 SPSS 18.0 프로그램을 이용하여 분석하였다. 결과 학령전기 아동과 어머니의 상호작용은 5점 만점에 $3.96{\pm}0.55$점으로 나타났고, 하부 영역 중 아동 영역 점수가 가장 낮고 양자적 영역 점수가 높게 나타났다. 아동의 건강 상태는 5점 만점에 $3.75{\pm}0.62$점으로 나타났으며, 아동의 건강관련 삶의 질은 100점 만점에 $83.89{\pm}10.20$점으로 나타났다. 하부 영역 중 운동 기능, 긍정적 기분, 활력 영역에서 높게 나타났고, 문제 행동, 식욕 문제, 수면 문제 영역에서 낮게 나타났다. 아동의 사회적 발달은 24점 만점에 $19.66{\pm}3.57$점으로 나타났다. 모아상호작용, 아동 건강상태, 건강관련 삶의 질과 사회적 발달 간에는 모두 긍정적 상관관계가 나타났다. 결론 학령전기 아동의 건강한 성장과 발달을 위해서, 아동의 주양육자인 어머니와 아동 간의 관계의 질이 무엇보다 중요함을 인식하였고, 이에 대한 적극적 관심과 중재 프로그램 개발이 필요할 것으로 생각된다.

• 대한간호학회지
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• 제21권1호
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• pp.79-88
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• 1991

The study was conducted to examine Mother - Infant interaction and Maternal identity in two groups, that is, premature infant and its mother and full-term infant and its mother. For this purpose, the data were collected from 24 sample groups(12 for premature dyads and the remaining 12 for full-term dyads) by using observation method and questionnaires during July, 20 through September 30, 1987. The results are summerized as follows; 1. In terms of Mother - Infant Interaction, full-term dyads considerably stood out campared to that of premature dyads (u＝21, p＜0.01). 2. In terms of Maternal Identity, though full-term dyads showed somewhat high results, there was not a significant difference between two groups. 3. There was not a significant correlation between Mother-Infant Interaction and Maternal Identity.

• Child Health Nursing Research
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• 제18권1호
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• pp.36-42
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• 2012

Purpose: The purpose of this study was to explore recognition of mother-child interaction by preschoolers' mothers. Methods: Data were collected through in-depth interviews with mothers of 12 preschoolers. The data were analyzed following Downe-Wamboldt's content analysis methodology. Results: From the data, 170 significant statements were selected and were classified into 7 categories and three domains (maternal, child, dyadic). First, the maternal domain consisted of maternal sensitivity, acceptable responsiveness, and child developmental encouragement. Second, the child domain consisted of child's sensitivity, responsiveness, and initiative. Third, the dyadic domain consisted of mutuality. Conclusion: These results suggest that preschoolers' mothers recognize the significant qualitative aspects of interaction with their children. Based on these results, instruments for preschooler-mother interaction need to be developed.

• Child Health Nursing Research
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• 제23권3호
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• pp.268-278
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• 2017

Purpose: The purpose of this study was to set up a hypothetical model to explain causal relationships among influential variables in the mother-child relationship for Korean infants and toddlers and their mothers. The research was based on Barnard's (1978) mother-child relations model, and goodness-of-fit was examined. Methods: The participants were 207 mothers with infants or toddlers. Data were analyzed using SPSS and AMOS programs. Results: Regarding the influence of the variables on the mother-child relationship between infants and toddlers and their mothers, social support had a 75% explanation of mother-child relationships, and attachment had a 58% explanation of social support. Attachment had both direct and indirect effects on the mother-child relationships, and social support had direct and total effects on the mother-child relationships. Among child-related variables, child temperament had a moderating effect on the mother-child relationships. Conclusion: The findings indicate that the model has utility in developing effective nursing intervention methods to boost mother-child relationships between infants and toddlers and their mothers.

• Child Health Nursing Research
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• 제11권3호
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• pp.340-347
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• 2005

Purpose: This study was done to develop a new nursing intervention, Meridian Massage, and to investigate its effect on weight in infants and mother-infant interaction. Method: This study was conducted using a quasi experimental non equivalent control group pretest-posttest design. Thirty-one newborn infants from a postpartum Management Center were selected and assigned to two groups, experimental and control. Data were collected from February 1 to September 30, 2004. Infants in the experimental group (16) were given Meridian massage for 15 minutes daily for 6 days and weighed every day at 10 am. Using the Nursing Child Assessment Feeding Scale(1978), mother-infant interaction was determined before the treatment, after 1 week and 1 month after the massage. Results: Infants in the experimental group had a higher average weight than those in the control group and the difference was significant (Z=-2.29, p=.022). For mother-infant interaction, the experimental group had higher scores tHan the control group, and the difference was significant between both the two groups, and the 3 measurement times. Conclusion: The Meridian Massage in this study showed positive weight gain and positive mother-infant interaction. This study shows that meridian massage is an effective nursing intervention in improving infant development.

• Perspectives in Nursing Science
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• 제8권1호
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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.

• Child Health Nursing Research
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• 제17권2호
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• pp.120-126
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• 2011

Purpose: The purpose of this study was to explore the concept of Mother-Child Interaction (MCI). Methods: The concept analysis method described by Walker & Avant (2005) was used. Results: The attributes of MCI were as follows; 1) MCI involves positive or negative affective and verbal communication. 2) MCI involves mother, child, and dyadic activity. 3) MCI involves sensitivity, responsiveness, and child developmental stimulation. 4) MCI is reciprocal, goal-oriented partnership process. The antecedents of MCI are need for goal attainment, relationship, and child development (cognitive, physical, emotional, and social). The consequences of MCI are goal attainment, promotion of mother-child relationship, and promotion of child development. Conclusion: MCI is a reciprocal, goal-oriented partnership process and is an important concept in child development and health. Appropriate instruments to operationalize the concept need to be developed.

• Child Health Nursing Research
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• 제13권2호
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• pp.191-200
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• 2007

Purpose: This study was conducted to develop a mother-fetus interaction promotion program aimed at enhancing the sensitivity of primiparas, and to evaluate the effects of a mother-infant play interaction. Method: Participants were recruited from OB-GY clinic with postpartum take-care center (17 mother-infant dyads for intervention group and 17 dyads for control group). Data were collected from January 18 to August 5, 2005. For the intervention group, programmed education which focused on mother-fetus interaction in the 3rd trimester was given. For the two groups, home visiting or a postpartum care center was used for data collection of the mother-infant interaction which was conducted at postpartum 1 week and 1 month. Also mother-infant interactions during feeding were videotaped and two trained observers analyzed the tapes. Results: A significant difference was found in mother-infant interaction between the two groups (postpartum 1 week, t=6.10, P=0.000, 1 month t=6.69, p=.000). For variations in mother-infant interaction in the control group, a significant difference was found in between postpartum 1 week and 1 month (t=-2.564, p=.021). In subscale analysis, interactional behavior of the infant significantly increased in both groups. Conclusion: This study showed that the mother-fetus interaction promotion program aimed at promoting mother-infant interaction increase maternal sensitivity. Therefore, this study suggests that this nursing intervention to increase maternal sensitivity to the fetus should be broadly applied with primiparas, as it can be beneficial for formation of the mother-infant relationship, and for promotion of the social, emotional, and cognitive developments of the children.