• Title/Summary/Keyword: 산모

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Development of an Instrument to Assess the Quality of Childbirth Care from the Mother's Perspective (산모가 인지한 분만간호의 질 측정도구 개발)

  • Jeong, Geum Hee;Kim, Hyun Kyoung;Kim, Young Hee;Kim, Sun-Hee;Lee, Sun Hee;Kim, Kyung Won
    • Journal of Korean Academy of Nursing
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    • v.48 no.1
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    • pp.38-49
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    • 2018
  • Purpose: This study aimed to develop an instrument to assess the quality of childbirth care from the perspective of a mother after delivery. Methods: The instrument was developed from a literature review, interviews, and item validation. Thirty-eight items were compiled for the instrument. The data for validity and reliability testing were collected using a questionnaire survey conducted on 270 women who had undergone normal vaginal delivery in Korea and analyzed with descriptive statistics, exploratory factor analysis, and reliability coefficients. Results: The exploratory factor analysis reduced the number of items in the instrument to 28 items that were factored into four subscales: family-centered care, personal care, emotional empowerment, and information provision. With respect to convergence validation, there was positive correlation between this instrument and birth satisfaction scale (r=.34, p<.001). The internal consistency reliability was acceptable (Cronbach's alpha =.96). Conclusion: This instrument could be used as a measure of the quality of nursing care for women who have a normal vaginal delivery.

Effects of a Cultural Competence Promotion Program for Multicultural Maternity Nursing Care: Case-based Small Group Learning (다문화 산모 간호를 위한 문화적 역량증진 프로그램의 효과: 사례기반 소그룹 학습방법 적용)

  • Park, Myung-Sook;Kweon, Young-Ran
    • Journal of Korean Academy of Nursing
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    • v.43 no.5
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    • pp.626-635
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    • 2013
  • Purpose: The purpose of this study was to examine the effects of a cultural competence improvement program for maternity nurses. Methods: A quasi-experimental study using a non-equivalent control group pre and posttest design was used. Participants were 67 maternity nurses caring for multicultural pregnant women in G city. The cultural competence improvement program was developed based on the 3-D Puzzle Model and was provided using case-based small group learning methods for the experimental group (n=31). The control group (n=36) did not receive any intervention. Data were collected using self-report structured questionnaires at two time points: prior to the intervention and after the intervention and were analyzed with descriptive statistics, ${\chi}^2$-test, and t-test. Results: Compared to the control group, the experimental group reported significant positive changes for cultural knowledge (t=6.39, p<.001), cultural awareness (t=3.50, p<.001), and cultural acceptance (t=4.08, p<.001). However, change in cultural nursing behaviors (t=0.92, p=.067) was not significantly different between the two groups. Conclusion: Findings from this study indicate that a cultural competence improvement program with case-based small group learning is a useful intervention strategy to promote multicultural maternity care. Further, strategies to improve cultural nursing behavior should be developed to promote culturally congruent nursing care.

Three Cases of Prevention Therapy to Reduce Perinatal HIV Transmission (사람면역결핍바이러스 수직감염 예방치료 3례)

  • Lee, Jae Yo;Park, Hyang Mi;Hwang, Se Hee;Kim, Kyeung Eun;Shin, Hye Jung;Kim, Jae Yoon
    • Pediatric Infection and Vaccine
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    • v.18 no.1
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    • pp.85-90
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    • 2011
  • In 2008, the Joint United Nations Programme on HIV/AIDS (UNAIDS) estimated that about 430,000 children worldwide became infected with HIV, mostly through mother-to-child transmission (MTCT) during pregnancy, labor, delivery, or breastfeeding. The MTCT prevention program proved to be feasible and effective in reduction of perinatal HIV transmission. Three babies born from HIV-infected mothers were admitted to the National Medical Center in 2009. Only two women received antiretroviral (ARV) therapy during pregnancy, labor, and after delivery, and their infants received zidovudine (AZT) for 6 weeks. The outcome, after a follow-up period of 4 months to 16 months, was favorable in all patients. Thus, we emphasize the need for expansion of antenatal HIV screening of pregnant women, implemented for early HIV diagnosis and effective ARV therapy for reduction of perinatal HIV transmission.

Validity and Reliability of the Korean Version Scale for Measuring Maternal Satisfaction in Normal Birth (한국형 질분만만족 측정도구의 타당도와 신뢰도)

  • Kim, Sun-Hee;Lee, Yu-Jin
    • The Journal of the Korea Contents Association
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    • v.17 no.8
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    • pp.366-381
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    • 2017
  • This study was conducted in order to evaluate validity and reliability of the Korean version scale to measure maternal satisfaction in normal birth(KSMMS-normal birth). The SMMS-normal birth was administered to 205 postnatal women, together with the perception of birth experience scale. An exploratory factor analysis revealed six factors solution for the twenty three-item scale. Confirmatory factor analysis supported good convergent and discriminant validities, and factor correlations ranged from 0.11 to 0.57. The KSMMS-normal birth showed good concurrent validity with the perception of birth experience scale. The Cronbach alpha for the total scale was .91. It ranged between .80 to .90 for six subscales. The KSMMS-normal birth is reliable and valid instrument to measure maternal satisfaction. Therefore this scale can be used to assess maternal satisfaction in normal birth at hospital during the postpartum 2nd and 3rd day.

The Effect of Salinity, Temperature and Diet on Larval Growth and Survival of Metapenaeopsis dalei (Rathbun) (Decapoda: Penaeidae) (산모양깔깔새우 (Metapenaeopsis dalei) 유생의 염분, 수온 및 먹이조건에 따른 성장 및 생존율)

  • Chol Jung Haw;HONG Sung Yun;LEE Jong Hwa
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.34 no.4
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    • pp.378-383
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    • 2001
  • Larvae of Metapenaeopsis dalei (Rathbun) were successfully spawned and reared in the laboratory under controlled conditions. The experiments were designed to examine effects of salinity (20, 25, 30 and 35), temperature (21, 24 and $27^{\circ}C$ ) and food (five items) on larval development, survival and growth, Salinity affected larval survival, from $\%$ at 20, to $60\%$ at 35 (protozoea 1 to first postlarva), The highest survival rate was obtained at $35\%_{\circ}$. Temperature affected larval survival, from $46\%$ at $27^{\circ}C$ to $54\%$ at $21^{\circ}C$(protozoea 1 to first postlarva). The highest survival rate was obtained at $24^{\circ}C$. Mortality was the highest from protozoea 1 to protozoea 3, but decreased considerably for all temperatures once the mysis stage was reached. Larval growth was affected by different of food items. Phytoplankton (Isochrysis galbana) was the optimum food for the larval survival and the growth from protozoea 3 to first postlarva.

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A Study on the Home Health Care Need of Postpartum Mothers (산욕기 산모의 가정간호 요구도 조사)

  • Yang, Young-Ok;Choi, So-Young
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.10 no.2
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    • pp.148-157
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    • 2003
  • The purpose of this study was to provide the basic data for developing a program for effective intervention for home health care need of postpartum mothers and newborn babies. The subjects were 104 women. The data were collected from march, 2003 to June, using a 81 item questionnaire and analyzed by SPSS program for frequency, Mean, ANOVA. The results were as follow. 1. The mean of care needs of newborn babies was higher than that of physical demand of Postpartum mothers. The mean of physical demand of Postpartum mothers was $3.99\pm.42$. The mean of care needs of newborn babies was $4.11\pm.50$. 2. The most highest mean of physical demand of Postpartum mothers was wound care for caesarean section and episiotomy($4.53\pm.66$), and then breast engorgement care($4.38\pm.71$). The most highest mean of care needs of newborn babies was emergency care methods($4.58\pm.52$), and then infection control $4.51\pm.56$). 3. 66.3% of postpartum mothers positively desired consultation hospitals centered home care need during postpartial periods. 4. Influential variables of home health care need was postpartial periods. they wanted the first week after delivery, more freqently visiting of home care nurse. 37.5% of postpatial mothers wanted visiting within 1 weeks after delivery. 31.7% wanted 2 times/week. In conclusion, it is necessary to study to make a program in nursing of home health care for postpartum mothers, and to keep on studying repeatedly in order to raise the number of objects and to find related variables.

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Effects of a Maternal Care Program on Self-Efficacy and Postpartum Depression in Mothers with Preterm Babies (미숙아 출산 산모 돌봄 가정간호가 산모의 자기효능감과 산후 우울에 미치는 효과)

  • Cho, Young-Yi;Park, Young-Hea;Jang, Jung-suk;Lee, Jong-Eun
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.22 no.2
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    • pp.187-195
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    • 2015
  • Purpose: This study aimed to evaluate the effects of Maternal Care Program(MCP)-carried out by trained home care nurses on self-efficacy and postpartum depression in mothers with preterm babies. Methods: This study was a quasi-experimental study comparing the effects of an MCP on self-efficacy and postpartum depression before Participants were 34 mothers who were referred to the home care nursing center of the C University Hospital in Seoul from April 8 2014 to January 12 2015. Results: The average self-efficacy score was 97.24 points before and 123.26 points after receiving the program, showing a significant increase of 26.03 points (p<.001). Postpartum depression scores were 8.65 points before the program and 5.56 points after, showing a significant decrease of 3.09 points (p<.001). Conclusions: The normal development of preterm babies was confirmed-through regular physical examinations in the MCP. Professional services were provided by-education and consultation on problems related to child-rearing and health to deal with psychological and social problems as well as physical care to mothers by trained home care nurses.