• 문화기술의 융합
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• 제2권4호
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• pp.45-48
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• 2016

임산부의 건강은 태아의 건강으로 연결되기 때문에 산전 산후관리가 매우 중요하다. 따라서 임산부와 태아의 건강에 대한 잠재적인 건강문제를 미리 예방하여 체계적인 관리가 필요하다. 임산부 신생아 건강은 육아 및 가족들의 건강관리에 대한 책임으로 여성 자신뿐 아니라 가족전체의 건강과 안녕에 영향을 미치고 있어 임산부 신생아의 건강관리는 사회적으로 관심을 가져야 할 시급한 문제이다. 본 논문에서는 모바일 앱(app)을 이용하여 출산전후의 올바른 태교방법과 애착형성방법을 사용자에게 제공하고자 연구 되었다. 육아일기 및 태아일기 작성, 올바른 태교 및 산후조리 방법소개, 출산 예정일과 비상연락 기능을 제공하여 산모와 태아를 동시에 관리 할 수 있다는 장점을 가지고 있다.

• 여성건강간호학회지
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• 제4권2호
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• pp.258-270
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• 1998

The purpose of this study was to investigate the mother's knowledge level of breastfeeding's benefit and rationale of breastfeeding's benefit. The subjects were 98 mothers who within 3 days after childbirth in 2 obstetric clinic in K city and N city from April 7 to May 10, 1996. Data were collected by a questionnaire developed by researchers. This study was statistically analyzed according to Frequency, ANOVA, Pearson Correlation Coefficient. The result of this study was as follows : 1. Mean score of mother's knowledge level of breastfeeding's benefit was ranged from $0{\sim}19$. Mean score of breastfeeding's benefit was 10.28. Mean score of rationale of breastfeeding's benefit was 8.57. Mean score of rationale of breastfeeding's benefit and rationale of breastfeeding's benefit was not high. 2. General characteristics and feeding characteristics were significantly related to mother's knowledge level of breastfeeding's benefit as follows : mixed feeding method in planning feeding method(F=3.33, p<.05) 3. General characteristics and feeding characteristics were significantly related to mother's knowledge level of rationale of breastfeeding's benefit as follows : mixed feeding method in planning method(F=3.96, p<.05), mixed feeding method in previous feeding method(F=3.16, p<.05). 4. A positive correlation between mother's knowledge of breastfeeding's benefit and rationale of breastfeeding's benefit was statistically significant(r=.86, p<.001).

• 여성건강간호학회지
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• 제15권4호
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• pp.353-361
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• 2009

Purpose: This study aimed to provide fundamental information about childbirth and antenatal care for pregnancy women and to find differences in mother's antenatal care and delivery service satisfaction between vaginal delivery and cesarean section. Methods: This study was conducted in 4 residential areas and a study sample of 184 postpartum mothers who agreed to collect data. Data was collected from September 1 to October 20 2007 and a structured questionnaire were recruited by the survey. The data was analyzed by t-test and chi-squire test using SPSS/WIN 12.0. Results: There was a significant difference in delivery place between vaginal delivery and cesarean delivery. Only 10.7% of vaginal delivery group delivered in general hospitals, however 24.5% of the cesarean section group delivered in general hospitals. Early antenatal care also showed statistical difference in mode of delivery. 43.5% of vaginal delivery mothers visited hospitals for the detection of pregnancy but 28.3% of cesarean section mothers did that. Vaginal delivery mothers more satisfied with her own delivery method and suggested a vaginal delivery to others. Conclusion: These results suggest that cesarean section mother's sensitivity of early antenatal care was less than vaginal delivery mother. Satisfaction related to delivery care services were higher in the vaginal delivery group.

• 응용통계연구
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• 제27권5호
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• pp.755-771
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• 2014

등방성(isotropy)은 공분산 모형(covariance model)에 기반으로 공간 예측(spatial prediction)이라 불리우는 크리깅(kriging) 을 용이하게 수행하기 위한 주요 가정 중의 하나로 알려져있다. 공간 과정에서 등방성이 충족되지 않는 경우에는, 보다 신뢰성 예측을 생성하기 위해 비등방성 공분산 모형(covariance model)과 관련된 모수들(각도 및 비율)를 추정해야 한다. 본 논문에서는 여러 방향의 기하학적 비등방성 모형(geometrically anisotropic covariance models)의 가중 평균으로 표현되는 확장된 형태의 기하학적 비등방성(geometrically extended anisotropic) 공분산모형을 제안한다. 연구에 관심이 되는 모수를 추정하기 위해 최대우도추정법(maximum likelihood estimation method)을 이용하였다. 제안한 모형의 성능을 평가하기 위해 등방성 공분산모형과 기하학적 비등방성 모형을 고려한 모의실험을 수행하였다. 또한 확장된 기하학적 비등방성 모형을 적용한 미세먼지 농도자료 분석을 실시하였다.

• 한국간호교육학회지
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• 제18권1호
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• pp.95-101
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• 2012

Purpose: This study aimed to analyze the impact of advanced maternal and paternal age on perinatal outcome in Korea. Methods: We conducted a retrospective study involving 1,622 Korean women who delivered at M Woman Hospital from January to December 2010 and their spouses were included. We obtained obstetrics database which included demographic characteristics, medical and obstetrics history, course of the current pregnancy and advised perinatal outcome. Multivariable logistic regression was used to adjust for potential confounding variables. Results: Women giving birth age 35 or older were statistically significant in paternal age, gravidity, spontaneous abortion experience, method of conception, method of delivery, and multiple gestation compared to women aged <34 years. After adjusting for the confounding effects of maternal characteristics, women aged 35 or older were at increased risk for cesarean section delivery (adjusted OR 1.6, 95% CI 1.22-2.13) and preterm birth (adjusted OR 2.2, 95% CI 1.03-4.63). Conclusion: In this population of Korean women, advance maternal and paternal age is independently associated with specific adverse perinatal outcome, especially preterm birth and cesarean section delivery.

• 여성건강간호학회지
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• 제17권2호
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• pp.118-125
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• 2011

Purpose: This study was done to identify effects of fatigue and postpartum depression on quality of life in early postpartum mothers. Methods: The data were collected from 130 mothers at four general hospitals in J and M metropolitan cities. Instruments used to collect the data for the study were the Fatigue Scale developed by Pugh (1993); Postpartum Depression Scale developed by Cox, Holden & Sagovsky (1987), and the Quality of Life Scale developed by Hill, Aldag, Hekel, Riner, G., & Bloomfield (2006). Results: Results showed that the mean for fatigue was 56.74, the mean for postpartum depression was $8.00{\pm}4.37$ and mean for quality of life was 19.78. The quality of life variable showed statistically significant differences for the variable: age (F=3.20, p=.026). The relationship between fatigue and quality of life showed a significant negative correlation (r=-.44, p<.001). The relationship between postpartum depression and quality of life also showed a negative correlation (r=-.42, p<.001). The relationship between postpartum depression and fatigue showed a positive correlation (r=.59, p<.001). These factors explained 23% of the variance in quality of life. Conclusion: The results indicate that it is necessary to develop nursing intervention programs to improve quality of life in for early postpartum mothers.

• 대한간호학회지
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• 제29권3호
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• pp.507-517
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• 1999

The purpose of this study is to understand home care needs for parturient women and neonates up to the postpartum period. Methodology : The design of this study is a cross-sectional survey study. The subjects of this study are 88 postpartum mothers who delivered a first baby during the period from December 1996 to July 1997. Data collection was done with a structured questionnaire by mailing. Data were collected at the point of six months after delivery. A structured questionnaire composed of items related to home care needs. Data analysis was done with descriptive statistics. The study results are as follows : .The highest need was personal hygiene(93.2%) for the parturient women, and the peak period was the two week period after delivery. .The most frequent maternal needs regarding neonates were cord care (72.4%) during the first week, elimination(67.9%) during the first two weeks, baby crying(88.3%) and sleeping pattern(71.5%) at one month after delivery, and baby temperament(30.4%) at sixth months after delivery. .The mothers requested home care methods such as written material for self health care (35%) and counseling(34%) and direct home visits (5%) for neonate care. - Conclusion : The most important period for home health care needs was one week after delivery, and the health care needs for neonate temperament, behavior and sleeping pattern rose rapidly at the period of 6 months after delivery. Therefore it could be concluded that the postpartum home care should be done by those, written material should be enhanced for parturient women care, and counseling enhanced for neonate care.

• 대한간호학회지
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• 제42권4호
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• pp.517-524
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• 2012

Purpose: To compare and confirm the impact of prepregnancy body mass index on pregnancy outcome in women with a singleton conceived by assisted reproductive technology and spontaneously conceived pregnancy. Methods: A sample of 165 and 247 pregnant women with and without assisted reproductive technology were retrospectively recruited from electronic medical charts of C hospital. Results: There were significant differences between the two groups for maternal age, paternal age, length of marriage, prepregnancy body mass index, parity, spontaneous abortion experience, and preterm delivery. A prepregnancy body mass index of ${\geq}25$ was associated with higher risk for maternal and neonatal complication in the assisted reproductive technology group. Conclusion: The results indicate that a higher prepregnancy body mass index is associated with increased risks for adverse pregnancy outcomes for women using assisted reproductive technology. So these women need appropriate care to compensate for the risk.

• 한국보육지원학회지
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• 제1권1호
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• pp.83-101
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• 2005

조산 및 발달지연 등으로 발달장애의 가능성이 높은 고위험집단으로 진단된 132명의 영아를 대상으로 인구통계학적, 산전, 출산시 변인 및 산후 발달지표 등이 Bayley영아발달검사(BSID) 수행에 미치는 영향을 살펴보았다. 인구통계학적, 출생전후의 관련정보 및 영아기의 발달특성을 알기 위해 영아발달 질문지와 병원 의무기록지를 사용하였고, Bayley영아발달검사를 개별적으로 실시하였다. 인구통계학적 변인과 BSID의 인지발달지수(MDI), 동작발달지수(PDI)간의 상관 및 평균비교분석결과 산모의 학력이 높을수록 MDI 및 PDI가 높게 나타났다. 산전(prenatal) 관련변인과 발달간의 관계분석시 산전 산모의 질환과 임신중 약물복용여부는 각각 MDI 및 PDI와 부적 상관을 보였다. 출산시(perinatal) 관련변인에서는 저체중 출산, 인큐베이터, 산소호흡기의 사용 및 조산여부가 MDI 및 PDI와 정적 상관을 보였으며 출산시 질환은 PDI에 부적 영향을 미쳤다. 산후 발달지표 중 옹알이, 첫말의 발달은 BSID의 MDI 및 PDI와 정적 상관을 보였으며, 질환은 PDI와 부적 상관을 나타났다.

• 가정∙방문간호학회지
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• 제8권1호
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• pp.38-49
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• 2001

The purpose of this study was to evaluate the self care focused home nursing' care outcomes of parturient women following Cesarean sections, The subjects included 56 parturient women following a cesarean section, and they were randomly assigned to an experimental group or a control group, The experimental group included women who were discharged early from the hospital. 4-5 days after having a cesarean section. Home nursing care for the experimental group consisted of stitch removal. wound care and education for parturient women. Home nursing care was provided for 2-3 days after early discharge. The outcomes of self care focused home nursing care were measured by self-care competency. Data collection was done by a self-reported questionnaire and by a telephone interview 2-3 days after discharge from the hospital(control) or after home care (experimental) from December, 20, 1998 to June, 10, 1999. The questionnaire consisted of 25 items on 9 self-care domains. Data was analyzed by a t-test. and as $x^2$-test. The study results were as follows: 1. The general characteristics of both groups were similar except for the total number of pregnancies, and whether or not they wanted the pregnancy at this time. 2. The self-care competency scores for the experimental group receiving self care focused home nursing care were higher than the scores for the control group(t=2.361. $p{\le}.05$). 3. There was no significant difference in the rate of OPD visiting, readmission, or emergency room use between the two groups. We concluded that self care focused home nursing care is effective in promoting the self-care competency of parturient women following Cesarean sections. It is suggested that further study is needed with a larger sample to be able to generalize these results.