• 제목/요약/키워드: 모아 상호작용

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모아상호작용 중재에 관한 국내 연구논문의 통합적 고찰 (Integrative Review of Nursing Intervention Studies on Mother-Infant Interactions)

  • 박선정;김신정;강경아
    • 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.

어머니의 영유아에 대한 애착에 영향을 미치는 요인 -영유아와 어머니의 특성, 사회적 지지, 모아상호작용을 중심으로- (Factors Influencing Maternal Attachment to Infant-Toddler -Focusing on Infant-Toddler and Maternal Characteristics, Social Support and Mother-Child Interaction-)

  • 황영희;박선정
    • 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.

학령전기 아동과 어머니의 상호작용, 아동 건강 상태, 건강 관련 삶의 질 및 사회적 발달 간의 관계 (Relationship between Preschool Child-Mother Interaction, Child's Health Status, Health-Related Quality of Life, and Social Development)

  • 박성희
    • 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.

미숙아 어머니와 만삭아 어머니의 모아상호작용과 모성정체감 인지에 대한 연구 (A Study Mother-Infant Interaction and Maternal Identity in Mother-Infant dyads of Premature and Full-term infants)

  • 권미경;한경자
    • 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.

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학령전기 아동 어머니의 모아상호작용에 대한 인식 (Recognition of Mother-Child Interaction by Preschoolers' Mothers)

  • 박성희
    • 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.

통합감각자극이 저체중아의 성장 및 모아 상호작용에 미치는 효과 (The Effects of Multimodal Sensory Stimulation Combined with Chiropractic Therapy on Growth and Mother-Infant Interaction in Infants with Low Birth Weight)

  • 장군자
    • Child Health Nursing Research
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    • 제13권1호
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    • pp.33-42
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    • 2007
  • Purpose: This study was conducted to investigate the effects of multimodal sensory stimulation on growth and mother-infant interaction in infants with low birth weight (LBW). Method: A non-equivalent control group time-series study design was used. The participants were 38 LBW infants and their mothers (19 in the intervention group and 19 in the control group). The data were collected from September 1, 2003 to March 31, 2004. For the mothers in the intervention group, this researcher instructed mothers in the multimodal sensory stimulation therapy, in turn the mothers used these techniques on their infants once a day during the 4-week research period. The researcher measured weight, length, and head circumference of the LBW infants once a week for 4 weeks and made a film of the mother playing with the infant for 5 minutes in the last week of the research period. Results: Compared to the control group, LBW infants in the intervention group showed significant increases in weekly weight gain (F=3.82, p=.012) and had significantly higher scores for mother-infant interaction (t=3.93, p>.000). Conclusion: The results suggest that multimodal sensory stimulation therapy can be used to increase the growth of LBW infants and improve mother-infant interaction.

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감각자극이 모아 상호작용, 모성자존감 및 영아기질에 미치는 효과 (The Effects of Sensory Stimulation on Mother-Infant Interaction, Maternal Self-Esteem and Infant Temperament)

  • 장군자
    • Child Health Nursing Research
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    • 제11권1호
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    • pp.117-124
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    • 2005
  • Purpose: The purpose of this study was to investigate the effects of sensory stimulation conducted by primiparas on mother-infant interaction, maternal self-esteem and infant temperament. Method: A non-equivalent control group post-test study design was used. The data were collected from December 1, 2001 to March 30, 2003. The participants were 39 primiparas with normal birth weight infants. They were divided into two groups, 20 mothers in the intervention group and 19 in the control group. The mothers in the intervention group were given instruction on sensory stimulation by the researcher, and the mothers, in turn, used this technique on their infants twice a day during the first 2 months of life. Both groups were measured for maternal self-esteem and infant temperament using the maternal self-report inventory (MSRI) and What My Baby Is Like (WBL) and a film was made of the feeding situation when each infant was between 8 and 10 weeks of age. Results: Compared to the control group, the experimental group had significantly higher scores in mother-infant interaction, maternal self-concept and infant temperament. Conclusion: This suggests that sensory stimulation conducted by primiparas may improve the mother-infant interaction, maternal self-esteem and infant temperament.

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초산모의 감각자극 프로그램이 영아의 성장 및 수유시 모아 상호작용에 미치는 효과 (Effects of Sensory Stimulation Program Conducted by Primipara on the Physical Growth and Mother-Infant Feeding Interaction for Full Term Infant)

  • 김미예;장군자;김선희
    • 대한간호학회지
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    • 제34권5호
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    • pp.820-828
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    • 2004
  • Purpose: The purpose of this study was to identify the effectiveness of sensory stimulation program administered by primipara on the physical growth and mother-infant feeding interaction for the first 6 months of infancy. Method: Data were collected from December 1, 2001 to June 30, 2003. A total of 35 mothers and their infants were assigned to a control(n=17) and an experimental(n=18) group. Mothers in the experimental group received education related to sensory stimulation program and administered to their infants twice a day for 6 months. Both groups were measured the weight, length, head circumference and chest circumference of infants at 6 weeks, 10 weeks, 14 weeks, 18 weeks, and 22 weeks and the mother-infant feeding interaction at 6 weeks, 10 weeks through the home visiting. Result: Compared to the control group, the experimental group had significantly larger increases in head circumference for intervention period. In addition to, the experimental group showed significantly higher score in mother-infant interaction than control group. Conclusion: These data suggested that sensory stimulation program administered by primipara may improve the physical growth of full term infant and mother-infant feeding interaction.

한국 영유아와 어머니의 모아상호작용 구조모형 (Model Structure for Mother-Child Relationship for Korean Infants and Toddlers and Their Mothers)

  • 박선정;강경아;김신정
    • 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.

경락마사지가 신생아의 체중과 모아상호작용에 미치는 효과 (Effects of Meridian Massage on Weight in Infants and on Mother-Infant Interaction)

  • 조결자;백승남
    • 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.

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