• Clinical and Experimental Pediatrics
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• v.49 no.10
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• pp.1050-1055
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• 2006

Purpose : As a result of advances in neonatal intensive care and perinatal care, neurodevelopmental outcomes of very low birth weight infant(VLBWIS) is expected to lead to improvement. The aim of this study was to report neurodevelopmental outcomes and risk factors of neurologic impairment of very low birth weight infants during the past 10 years. Method : We performed a retrospective study of 447 newborn infants below 1,500 gm admitted to neonatal intensive care unit of Taegu Fatima Hospital between Janury 1996 and December 2004. Infants were subdivided into group 1(Jan. 1996 to Dec. 1998), group 2(Jan. 1999 to Dec. 2001), and group3(Jan. 2002 to Dec. 2004). We analyzed epidemiologic data to study changes of neurodevelopmental outcomes and risk factors of neurologic impairment. Result : The incidence of cerebral palsy and developmental delay decreased significantly in periods 2 and 3(vs period 1; cerebral palsy 10 percent, developmental delay; 18 percent, P<0.05). Periventricular leukomalacia incidence decreased in period 3(vs period 1; 14.5 percent, P<0.05). The overall survival rate of VLBWIS increased significantly in period 2 and 3(vs period 1; 90.0 percent, P<0.05). The risk factors of neurologic impairment are long-term ventilator care(above 1 wk), low Apgar score, low gestational age and low birth weight. Conclusion : In the most recent 10 years, neurologic impairments of VLBWIS significantly decreased, as a result of advances in neonatal intensive care and perinatal care.

• Neonatal Medicine
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• v.17 no.1
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• pp.94-101
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• 2010

Purpose:In recent years, Korea has showed a steady increase in the frequency of teenage birth, while the overall birth rate has declined. As the teenage birth is known as a high risk pregnancy itself, we examined perinatal complications of teenage mothers and whose neonates in aspects of medical problem, and social status and support. Methods:We examined the perinatal characteristics of teenage mothers and whose babies, who were hospitalized at Korea University Ansan Hospital from January 2004 to July 2009 using medical records retrospectively. Twenty-seven teenage mothers and their 28 babies were enrolled in this study. Results:Teenage mothers were all unmarried and showed high rates of preterm labor, maternal anemia, and unexpected delivery. Among them, 11 (40.7%) were from families that were separated. Eleven mothers (40.7%) did not have any antenatal care. There were high rates of prematurity and low birth weight (60.7% and 64.3%, respectively). The complication included: respiratory distress syndrome, patent ductus arteriosus and necrotizing enterocolitis. Fourteen babies (51.9%) were not going to be brought up by their biological parents. Conclusion:Teenage pregnancy had high rates of preterm labor and associated complications, often caused by the lack of proper antenatal care. Babies from unmarried mothers were likely to be adopted and this could be a social burden. Therefore, to reduce unplanned teenage pregnancy and births, sex education and social supports should be provided to all teenagers.

• Journal of Preventive Medicine and Public Health
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• v.9 no.1
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• pp.129-138
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• 1976

The causes and problems underlying deaths in perinatal period are often similar and might be expected to yield to same type of preventive measures. This is one of the reasons for attempting to develop a reporting of perinatal mortality and its related matters. This study aims at figuring out the biologic risk factors onto the perinatal death. Considering stillbirth and early neonatal mortality separately, considerable associations between stillbirth and reproductive history of women, are observed, ana it is found that prematurity is the the far most important factor in the early neonatal mortality.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.4
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• pp.2179-2188
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• 2014

During pregnancy, the woman experiences physical and psycho-social changes. Such changes and other factors may become stress for the pregnant woman, making it difficult to maintain healthy and happy pregnant period. In this study, we identify factors for the stress, marital intimacy, family support, and fatigue, in order to provide the foundation for developing intervention programs and improve the quality of nursing. The subjects of there search were 185 pregnant women. Stress had a negative correlation with marital intimacy and family support, and positive correlation with fatigue. Family support, fatigue, adjustment to change due to pregnant, and breastfeeding experience were the influencing factors on the stress of pregnant women. A stress management program for pregnant women needs to be designed to help them with their physical and psychological adjustments. The program will be more effective when accompanied by the family support.

• The Journal of the Convergence on Culture Technology
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• v.6 no.2
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• pp.1-8
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• 2020

The purpose of this study was to explore the experience of choosing the best days for childbirth and to understand the nature and meaning of the experience. The qualitative method of data collection was used, and in-depth face-to-face interview were conducted. Participants included four women who had given the day of birth set as the desired date. Van Manen's phenomenological method was adopted to analyze data. Four theme clusters emerged from the analysis: "The first gift to my baby"; "Collaboration with others for my baby"; "Choosing a date for childbirth such as blueprint of child"; and "Complex feelings." Our findings helped in understanding the experience of Korean women in choosing the best days for childbirth. Health care providers should offer appropriate advice and show sufficient empathy as well as emotional support by considering cultural expectations.

• Journal of Digital Convergence
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• v.19 no.5
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• pp.469-477
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• 2021

This purpose of this study was to survey pregnancy stress, self-esteem and depression in pregnant women and to identify factors influencing depression. Data were collected 154 pregnant women. Data were analyzed using ANOVA, t-test, Scheffe's test, Stepwise Regression Analysis, Pearson's correlation coefficient. There was statistically significant difference in pregnancy stress on variable such as planned pregnancy. There were statistically significant difference in self-esteem on variables such as religion, occupation, gestational age. There was statistically significant difference in depression on variables such as planned pregnancy. Pregnancy stress was positively correlated with depression. depression was negatively correlated with self-esteem. Self-esteem was negatively correlated with pregnancy stress. Factor influencing depression were self-esteem, planned pregnancy, pregnancy stress, which explained 30.2%. Findings provide useful information for further studies in antenatal care of pregnant women. Therefore, to promote emotional support of pregnant women, it is necessary to standardized antenatal education program.

• Journal of Korean Public Health Nursing
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• v.36 no.1
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• pp.75-89
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• 2022

Purpose: Domestic violence is an important issue encountered in nurses' home visitation programs. This study analyzed the types of domestic violence and associated interventions provided by nurses in a prenatal and early childhood home visitation program in Korea. Methods: For 24 families who experienced domestic violence in the Seoul Healthy First Step Project, registration information and home visit nursing records were analyzed through directed qualitative content analysis. Results: Physical violence was found in all 24 cases, followed by emotional violence, coercive control, financial abuse, and sexual violence. Twenty-two interventions derived from existing nurse-family partnership (NFP) program strategies were identified in the nursing practices of the Seoul Healthy First Step Project. Conclusion: In a prenatal and early childhood nurses' home visitation program in Korea, various approaches and interventions were provided to nurses to address domestic violence. However, differences in the level of interventions provided by nurses were found, implying a need to educate and support nurses to address domestic violence in-home visitation programs.

• Journal of Industrial Convergence
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• v.22 no.5
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• pp.137-153
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• 2024

This study synthesized the literature to identify parental psychosocial impact and related factors on newborn bloodspot screening (NBS) process. A scoping review, using the framework proposed by Arksey and O'Malley (2005), was conducted. A literature search was performed of electronic databases (PubMed, CINAHL, RISS, KISS, DBpia) from 2000 to 2023. In total 749 published articles were identified, and 32 articles were included for the final analysis. Almost studies were descriptive studies using survey or interviews and only one intervention study to reduce negative psychosocial impacts was identified. Parents were experiencing negative psychosocial impacts, particularly related to how positive results were initially communicated and had difficulties accessing timely and reliable information. Findings identified that knowledge, quality and satisfaction of education and communication, information sources and providers as related factors of parental psychosocial impacts. Prenatal and postpartum repeated education, providing timely and reliable information, effective communication between health care providers and parents were key to mitigate negative psychosocial impacts. Nurses can play important roles to improve quality on NBS.

• Korea Journal of Hospital Management
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• v.10 no.1
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• pp.93-114
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• 2005

The prenatal care is the preventive medical service to help the pregnant mother deliver the healthy baby. It's regular examines give some chances to check-up the healthy conditions. This thesis concentrates on the CRM system to support an effective prenatal care system and prove the effectiveness of it. As CRM is the adapted management related to the customer's own information, it is important to develop the CRM model classified by the patients characteristics. A general hospital in Busan operated the CRM system to carry out the effective prenatal care and there is an analysis to ensure the effectiveness of CRM system for the pregnant women in our maternity ward. The results can be summarized as follows: 1) According to the comparisons with the CRM system, we can conclude the system is desirable. (1) Maternal Age : In the age distribution, the prenatal visit frequency, triple marker freqency, oral GTT and targeted ultrasonography in the experimental group in 30 to 34 years old is higher on the whole. For over 35 years old group, the higher frequency comes out in the oral GTT and targeted ultrasonography and for 25 to 29 years old group the different figure shows just in the targeted ultrasonography. (2) Area of residence: There is a clear difference in all the items in Busan and near area but no sign of difference in prenatal visits and oral GTT in other residencial area. Especially in the targeted ultrasonography the higher figure shows in the experimental group located in the both areas. The targeted ultrasonography is known as the specific examination which should be examined by the specialists, on the contrary the other examinations can be operated in the small clinic. So the public information and seminars related with ultrasonography increases the check-up frequency. The clinic requests some ultrasonographical examinations to the specialists in general hospital. (3) Parity: The clear difference shows that the CRM system causes the prenatal visit frequency to become higher in experimental group. The figure is 9.7 times and 8.6 times each. This is opposite that the past study said multiparity reduced the average prenatal visits. But the result of CRM is considered as the method to help the multiparity understand the importance of the prenatal care. (4) Obstetrical history: In the experimental group of the spontaneous delivery group, the figure is higher in the prenatal visit frequency, triple marker, oral GTT and targeted ultrasonography but the Caesarean section delivery group has higher figure in targeted ultrasonography. (5) In the first check-up, the rate of targeted ultrasonography in under 16 week pregnancy, in the 16 week pregnancy to 32 week pregnancy and the over 32 week pregnancy in the experimental group is upper than the compared one. For the oral GTT, there is a difference in under 16 week pregnancy but no difference in prenatal visits and triple marker. 2) The analysis of characteristics of prenatal care through the decision tree resulted in the fact that the most important variable is the residential area. After the delivery frequency is following, the obstetrical history and maternal age are in order. It is the same result in the triple marker and oral GTT. Consequently it is the same order of important variables in CRM system. The effectiveness of CRM system is proved in this study. The CRM system is a marketing method to control and lead the customers through the segmentation of customer data. It increases the new customer aquisition, maintenance of loyal customers, augmentation of customers value, activation of potential customers and creation of life time customers. So eventually it can enlarge the customers value. The medical institution should make efforts to establish the data base enforced by the customer's information on the underlying ordinary data system to carry out the CRM system effectively. In addition, it should develop the a variety of marketing strategy in order to set up one to one marketing satisfying the needs of individual patients.

• Korean Journal of Occupational Health Nursing
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• v.1
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• pp.17-29
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• 1991

본연구는 보건관리자로서의 산업간호사의 역할을 뒷받침 할 수 있는 근무조건을 파악하기 위한 기초조사연구이며 산업간호사의 근무조건 개선에 기여코저 한다. 연구방법은 1991년 3월부터 4월까지 서울, 인천, 경기 지역에 위치한 산업장의 건강관리실에 근무하는 산업간호사 131명을 대상으로 설문지를 이용하여 전화 또는 산업간호사회를 통해 자료를 수집하였다. 조사 결과는 다음과 같다. 1) 조사대상의 일반적 특성 서울, 경기, 인천지역에 상시근로자수가 300인 이상에 근무하는 산업간호사 배치율은 49.3%로 나타났다. 조사대상의 지역별 분포는 서울이 61개사업장이었고 인천 경기의 순이었다. 또한 산업간호사의 교육수준은 전문대졸이 84.0%이었고, 연령별 분포는 20대가 65.7%이었으며, 규모는 500~999사이가 42.7%였고, 노조가 있는 사업장은 73.3%인 것으로 나타났으며 산업간호사 1인이 근무하는 곳이 90.7%였고 보건관리자가 간호사뿐인 곳이 63.3%이며 1000명이상 근로자를 가진 산업체중 31.9%가 전임산업의나 산업위생사 없이 간호사 혼자서 근무하는 것으로 나타났다. 2) 근로조건 산업간호사는 주당근무시간이 44시간이하인 경우가 59.6%였고, 1부제 근무만하는 경우가 93.1%였으며, 월차휴가는 94.7%가 사용할 수 있었으며, 보수는 기본급이 25~40만원 사이가 69.5%였고 면허수당은 43.8%만 받는 것으로 나타났으며 상여금은 년 600%를 받는 산업장이 42%였고 총급여액이 35~55만원을 받는 경우는 전체의 67.3%를 차지하였다. 또한 연장근로인정여부는 일부만 인정하거나 인정하지 않는 경우가 61.8%였고, 과거경력 은 34.4%가 인정하지 않았고 승진은 66.4%가 불가능한 것으로 나타났다. 산업간호사가 별정직이나 촉탁으로 취업한 경우가 35.1%였고 일반 고졸이나 전문대졸 대우를 받고 있는 경우가 68.9%였다. 또한 전문단체활동 지원정도는 대한간호협회나 산업간호사회지원이 95 %를 넘었으며 산업간호사가 원하는 것 모두 지원하는 경우가 68.7%였으며 회비와 참석 모두를 지원하는 경우가 83.7%였다. 3) 모성보호 산업간호사중 81.7%가 결혼 후 근무가 가능했으며, 94.7%가 생리휴가를 사용할 수 있는 것으로 나타났다. 그리고 산전산후휴가는 76.3%가 사용할 수 있었다. 그러나 결혼후 근무나 산전산후휴가는 명문화되어 있었으나 실제로 이용한 경우는 없는 것으로 나타났다. 본 연구결과는 산업간호사의 근무시간, 전문단체활동지원은 비교적 좋은 조건이나 보수를 비롯 승진이나 대우, 모성보호에 대한 개선여지가 있음을 보여주었다. 따라서 결혼후 지속근무, 산전산후 휴가제 등이 보장되어야 전문직으로서의 산업간호사 인력확보, 활용이 용이할 것으로 기대된다. 더불어 전문단체의 조직적 활동과 연구, 행동적인 지원이 계속되어져야 할 것을 제언하는 바이다.