• 대한간호학회지
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• 제31권5호
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• pp.932-947
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• 2001

The purpose of this study was 1) analyze the current state of Sanhojoriwon; and 2) to suggest the new model for the community based mother infants health care delivery system: strategies of TMIC are related to Public Health policy, cost-effectiveness, mother infant care provision of medical professionalism, and so on. Method: Forty-seven workers from seventeen Sanhojoriwon participated to analyze several aspects of Sanhojoriwon. Using a questionnaire developed at Korean Sanhojori Research Forum (KSARF), such as the traditional and medical concept of the Sanhojori, postpartum care, Korean traditional postpartum care, job description on women and infant care at Sanhojoriwon, professional management, health care policy and the educational need. Results: Based on the descriptive study results, the TMIC, the community based transitional mother infants care center was suggested as a new model for the cyclic public health care system related on the reproductive health, using an already existing related center, Sanhojoriwon. Also, several strategies were presented on the TMIC.

• 여성건강간호학회지
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• 제6권4호
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• pp.632-642
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• 2000

본 연구는 산후 모유수유 권장교육이 초산모의 모유수유 실천에 미치는 효과를 확인하기 위한 비동등성 대조군 전후설계에 의한 유사 실험연구이다. 연구대상은 대구 시내에 소재한 3차병원, 2차병원 및 1차병원에서 1999년 10월 25일부터 12월 25일 까지 분만하고, 분만 후 모유수유를 계획한 미 취업 초산모로 실험군 83명, 대조군 88명으로 총 171명이었다. 연구절차는 연구대상자에게 분만 후 3일 이내에 일반적 특성, 산과적 및 수유 관련 특성과 모유수유에 대한 지식 모유에 대한 태도를 자가 보고식 설문지로 사전조사 하였다. 사전 설문지 조사 후 대조군에게는 일반간호만 실시하였고, 실험군에게는 모유수유 권장교육을 실시하였다. 사후조사는 산후 2주, 4주, 8주, 12주, 16주, 20주에 모유수유 지속 유, 무 및 모유수유 중단 시 그 이유에 대해 전화를 이용하여 조사하였으며 결과는 다음과 같다. 1) 모유수유 지속정도는 산후 2주, 4주 8주, 12주에서는 실험군의 모유수유 실천율이 대조군 보다 통계적으로 높게 나타났다(p<0.05). 그러나 산후 16주, 20주에서는 모유수유 실천율은 실험군이 대조군 보다 높았지만 통계적으로 유의한 차이는 없었다. 모유수유 완전 중단시점은 산후 2주, 4주, 8주, 12주, 16주, 20주 모든 시점에서 실험군의 모유수유 중단율이 대조군 보다 낮게 나타났고, 통계적으로 유의한 차이를 보였다(P<0.05). 산후 4주에서의 모유수유 중단율이 실험군 25.5%, 대조군 36.8%로 두군 모두 가장 높았다. 3) 모유수유 중단 이유 중 가장 많은 것은 모유량 부족으로 실험군 65.5%, 대조군 50.7%이었다. 이상의 연구결과를 통해 산후 초산모에게 제공한 모유수유 권장 교육이 모유수유실천에 긍정적인 영향을 미치는 것으로 나타난 것을 토대로 다음과 같은 제언을 하고자 한다. 첫째, 영아에게 적정 기간까지 모유수유를 성공적으로 지속시키기 위해서는 산후 모유수유 교육 뿐 만아니라 산전을 포함하여 퇴원 후에도 지속적인 모유수유 강화 교육이 이루어져야 할 것이다. 특히 산후 3-4주 사이에 재교육이 이루어지는 것이 효과적이므로 교육 시 이를 반영해야 할 것이다. 둘째, 모유수유 중단 요인으로서 가장 많은 비율을 차지하는 모유량 부족에 대한 연구가 더욱 많이 이루어져야 할 것이며, 이를 위한 중재방법에 대한 연구가 이루어져야 할 것이다.

• 한국콘텐츠학회논문지
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• 제20권11호
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• pp.525-533
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• 2020

본 연구는 10주간의 복합운동프로그램 참여가 산후비만여성들의 대사증후군관련인자(HDL-C, TG, Glucose, 혈압, 허리둘레) 및 아디포사이토카인(Leptin, Adiponectin)에 어떠한 영향을 미치는지 알아보았다. 연구대상자는 출산 후 40개월 이내 여성 총 14명으로 복합운동군 7명, 통제군 7명으로 배정하였다. 복합 운동 프로그램은 리듬운동을 적용한 유산소운동과 근력운동을 실시하였으며 주 2회, 80분간, 10주간 실시하였다. 자료처리를 위해 Mann Whitney U-test, Wilcoxon test, Spearman 상관분석을 실시하였다. 연구 결과, 대사증후군 관련인자에서 운동 실시 전, 후모든 항목에서 그룹 간 차이가 나타나지 않았다. 그룹 내 차이에서는 복합운동군에서 HDL-C 유의한 증가를 보였으며 TG, Glucose, 허리둘레에서는 유의한 감소를 나타냈고 통제군에서는 TG, Glucose에서 유의한 증가를 나타냈다. 아디포사이토카인의 결과를 보면, 그룹 내 차이에서만 복합운동군이 Adiponectin에서 운동 후 유의한 증가를 나타나냈다. 대사증후군 관련인자와 아디포사이토카인과의 상관을 보면 HDL-C, Glucose가 Adiponectin과 상관이 있는 것으로 나타났다.

• 여성건강간호학회지
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• 제4권2호
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• pp.145-161
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• 1998

This correlational study sought to find the relationship among women's health status and the level of importance & performance of postpartal care. One hundred thirty three women who live in Seoul and rural area including hospitalized in a general hospital and midwifery clinic were studied from 1st April, 1998 to 25th April, 1998 for 25 days. Data analysis consisted of frequency, percentage, Pearson Correlation Coefficiency, t-test, ANOVA and Sheffe test as a post hoc, using SPSS. The results of analysis were as follows ; mean age of respondents was 31.9 years and mean number of children was 1.8. The most of family type was nuclear family and lived int apartment. Mean frequency of pregnancy was 2.7 times and most women delivered at local clinic, general or University hospital. Mean period of after delivery was 53.7 month. The level of importance and performance of traditional postpartal care (Sanhujori) was more higher than hospital postpartal care. The level of importance, performance of postpartum care and health status had significant relationship. The higher level of importance was, & the higher level of performance was higher, and the higher degree of health status. The factors related to health status were postabortal sahujori period after abortion, nuclear family, the evaluation of sahujori, whether women and followed the caregiver's advice well or not and whether they have physical symptoms or not, at the level of $5{\sim}0.1%$ of significance statistically. The factors related to the level of importance of postpartal care were the number of child, present health status and health status of pre-post of delivery, deliver place and the opinion of effective postpartum care method at the level of $5{\sim}0.1%$ of significance statistically. The factors related to the level of performance of postpartal care were delivery place, the opinion of whether they can do at the hospital or not and whether they have physical symptom or not at the level of $1{\sim}0.1%$ of significance statistically. In conclusion, this finding reconfirmed the relationship among women's health status and the postpartal care. It provides a challenge to the health professional caregivers to research continually and repeatedly and confirm the conceptual model of Sanhujori, reestablish effective and integrative postpartal caring system which contains oriental and western paradigm for women's life long health toward the 21C.

• 대한간호학회지
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• 제46권6호
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• pp.780-792
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• 2016

Purpose: This study was conducted to develop a customized birth control program and identify its effects on attitude, subjective norm, behavioral control, intention, and behavior of contraception among immigrant postpartum mothers. Methods: In this experimental study, Vietnamese, Filipino or Cambodian married immigrant postpartum mothers were recruited. They were assigned to the experiment group (n=21) or control group (n=21). The customized birth control program was provided to the experimental group for 4 weeks. Results: The experimental group showed a significant increase in the score of attitude, subjective norm, behavioral control, intention, and behavior of contraception. Conclusion: Findings in this study indicate that the customized postpartum birth control program, a systematic and integrative intervention program composed of customized health education, counseling and telephone monitoring, is able to provide effective planning for postpartum health promotion and birth control behavior practice in married immigrant women.

• 융합정보논문지
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• 제8권6호
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• pp.1-7
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• 2018

본 연구는 산욕기 산모의 삶의 질 에 영향을 미치는 요인을 파악하기 위해 시도 되었다. 본 연구는 D광역시 지역에 거주하는 출산 후 6-8주 이내의 여성 113명을 대상으로 한 서술적 조사연구이며 자료는 SPSS 21.0 프로그램을 이용하여, 기술통계, ANOVA, t-test, Pearson's correlation coefficient 및 Multiple regression analysis를 실시하였다. 자료수집은 2018년 8월부터 2018년 9월까지 하였다. 본 연구결과는 다음과 같다. 삶의 질에 가장 큰 영향요인은 양육스트레스(${\beta}=-.646$, p<.001), 피로(${\beta}=-.329$, p=.009)순으로 확인되었다. 양육스트레스(r=-.647, p<.01), 산후우울(r=-.826, p<.01), 피로(r=-.760, p<.01)는 삶의 질과 유의미한 상관관계를 보였다. 출산 후 산모는 공허감, 산후우울감 등 정서적 기분변화를 느끼는 경우 삶의 질 저하로 이어지기 때문에 산욕 기간 동안 신체적, 정신적 건강관련 간호중재 프로그램을 개발하는 것이 필요할 것이다.

• 여성건강간호학회지
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• 제5권2호
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• pp.230-246
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• 1999

The purpose of this study was to identify the degree of hardiness, knowledge of menopause, menopausal management of the middle aged women to identify the variables that show differences in the hardiness, knowledge of menopause and menopausal management of middle aged women and to investigate the relation ship among hardiness, menopausal knowledge and menopausal management of the middle aged women. The subjects were 132 middle-aged women and belonged to the age between 40 and 60. They were selected in Pusan, Korea. Data were collected from Oct. to Nov., 1998 by means of a structured questionnaire. The instruments used for this were the hardiness scale developed by Song In Sook and Song Ae Ri and the menopausal management scale developed by Song Ae Ri. The results were as follows 1. The mean score of hardiness was 2.83, in minimum score 1.24 tomaximun score 5.04. The mean score of knowledge of menopausal was 0.68, in minimum score 0.21 to maximum score 0.71. the mean score of menopausal management was 2.26, in minimum score 1.35 to maximum score 3.18. 2. In the relation between social demographic and hardiness there were significant differences in the health condition, income, supportive person. In relation between social demographic and menopausal knowledge there were significant differences in the health condition, family members. In the menopausal management there was significant differences in the marital state. 3. There was significant correlation between the hardiness and menopausal management of middle aged women (r=-0.208, p=0.017). 4. There was not significant correlation between the knowledge of menopause and menopausal management (r=0.001, p=0.992). These findings suggest the need to develop nursing strategy to improve the power of hardiness in middle aged women. hardiness is important to improve the menopausal management of middle aged women.

• 여성건강간호학회지
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• 제8권4호
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• pp.506-520
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• 2002

The purpose of this study is to research the degree of recognition & performance of traditional postpartal care for postpartal women and to provide the basic data for improvement of service in a postpartum care center. The respondents of this study were 100 women of 6 postpartum care centers within a C province from Oct. 20 to Dec. 10, 2000. The instruments of measure were used for collecting data on the degree of recognition & performance of traditional postpartal care developed by the researcher. Data analysis consisted of frequency, percentage, mean, standard deviation, paired t-test, t-test, ANOVA which are calculated by Scheffe test and Cronbach's alpha which is used as a reliance level by using a SPSS-PC+. The results of the study were as follows:1. The average score for the degree of recognition of traditional postpartal care(Sanhujori) for postpartal women was $3.09{\pm}.31$, and they recognized that it was important. The methods which were ranked were as follows; Protecting the body from a harmful state, invigorating the body by the argumentation of heat and avoidance of cold, handling with whole heart, and keeping clean, resting without working, eating well. 2. The average score for the degree of performance of traditional postpartal care (Sanhujori) for postpartal women was $2.81{\pm}.31$, and they performed that it was important, too. The methods which were ranked were as follows; Protecting the body from a harmful state, invigorating the body by the augumentation of heat and avoidance of cold, eating well, handling with whole heart, and keeping clean, resting without working. 3. There were significant differences statistically (paired-t=-8.39, p=.000) of the degree of recognition & performance of traditional postpartal care(Sanhujori) for the postpartal women. The degree of recognition was higher than the degree of performance. So, the recognition of traditional postpartal care (Sanhujori) was higher than the performance of it. 4. There were no statistical differences of the degree of recognition & performance of traditional postpartal care(Sanhujori) among the postpartal women's age, religion, job, educational background, delivery frequency, delivery method or the sex of baby. So, the Characteristics of the respondents were not influenced as far as the degree of recognition & performance of traditional postpartal care(Sanhujori). 5. There were significant differences statistically of the degree of performance of traditional postpartal care(Sanhujori) among the 5 postpartum care centers except 1 postpartum care center(p<.01). So, the recognition of traditional postpartal care(Sanhujori) was higher than the performance of traditional postpartal care(Sanhujori) in the 5 postpartum care centers. But there was performed as good as recognition in only 1 postpartum care center.

• 한국콘텐츠학회논문지
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• 제18권5호
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• pp.230-240
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• 2018

본 연구는 산후 1개월 및 6개월 완전모유수유율을 파악하고 이에 영향을 미치는 요인을 파악하기 위해 수행하였다. 본 연구는 서술적 조사연구로, 연구자료는 2015년 전국 출산력 및 가족보건복지실태 조사 원시 자료를 이용하였다. 연구대상자는 조사 완료된 기혼여성 중 2013년 1월부터 조사시점에 추산 후 6개월이 경과한 2015년 2월 사이에 자녀를 출산한 1,839명이었다. 자료분석은 SPSS 25.0 프로그램을 이용하여 기술 통계분석, 카이제곱분석 및 다중로지스틱분석을 실시하였다. 연구결과 분만 후 1개월 및 6개월 완전모유수유율은 각각 54.0%, 9.4%로 월령이 증가함에 따라 완전모유수유율이 감소하였다. 산후 1개월 완전모유수유율에 영향을 미치는 요인은 산모의 나이, 아기의 출생순위, 분만형태, 분만 후 1시간 이내 모유수유 여부였으며, 산후 6개월 완전모유수유율에 영향을 미치는 요인은 산모의 나이, 거주지역, 아기의 출생순위, 산후 1개월 완전모유수유 여부였다. 본 연구결과 완전모유수유에 영향을 미치는 요인은 출산 후 시기에 따라 다른 것으로 확인되었다. 따라서 완전모유수유율 향상을 위해 출산 후 각 시기별 완전모유수유에 영향을 주는 요인을 고려한 맞춤형 중재가 필요하다.

• 여성건강간호학회지
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• 제5권3호
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• pp.410-419
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• 1999

This study sought to figure out women's functional status after childbirth under the Sanhujori. Functioal status was defined as the women's readiness to assume infant care responsibilities and resume her usual activities including household, social and community, self-care and occupational activity. A convenience sample of 211 women who are in the postpartal period of the range from 1 week to 3 months above and residing in Seoul. Korea was studied from January, 1997 to December, 1998 for two years. Mean age of respondents was 29.9 years and mean of the present postpartal period was 7.5 weeks. The present postpartal period was of 5-8 weeks 26.5%, 3-4weeks 26.1%, 9-12 week 23.7% and below 2 weeks 7.1%, 32.7% of women had a job and the mean period of return to job was 2.76 weeks. During Sanhujori the non professional care giver was family members from women's maiden home 73.5% and only 2% of husband. The period women needed for the recovery from now was 5.39 weeks and it means that women need 12.9weeks for recovery after childbirth. For the present subjective health status after childbirth, bad was 20.2%, good 18.3 and average 61.5% and for the recovery status, completely recovered 29.5%, slightly 61.8% and rarely 8.7%. The mean of functional status at the 7.5weeks was baby care activity 3.65, household 2.57, self-care 2.46, occupational 2.44 and social 1.53 in rank. Except baby care the functional status was generally low or very low. The related factors to the functional status were the period and subjective evaluation of Sanhujori women experienced, the present period of postpartum, and subjective feeling of recovery. This result strongly reflects the effects of Sanhujori culture and Sanhujori per se on women's postpartal life including functional status and reconfirmed the relationship between health status and the experience of Sanhujori after delivery as the previous findings from various study showed. It provides a challenge to the professional care givers to research further on the effects of Sanhujori on the health status, health recovery after abortion or delivery from the various aspects through the cross-sectional and longitudinal research for the refinement of the reality of Sanhujori not only as cultural phenomenon but as an inseparable factor influencing in women's postpartal healthy adaptation and for the appropriateness of intervention and quality of care for desirable health outcome.