• 모자간호학회지
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• 제4권1호
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• pp.33-40
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• 1994

모유수유 유무와 아기의 신체적, 정서적 발달과의 관계, 모유수유 성공에 영향을 주는 요소, 모유수유를 성공시키기 위한 전략 등 모유수유를 증진시키기 위한 연구는 많이 이루어 졌다. 이에 비하여 모유수유가 어머니의 모성행위, 어머니의 만족에 미치는 영향 등 모유수유 유무가 어머니의 정서에 미치는 영향에 관한 조사는 거의 이루어지지 않은 실정이다. 그러나 많은 모성간호사들은 모유수유 어머니가 인공수유 어머니보다 아기 양육에 더 자신감을 갖고 있고, 어머니로서의 역할에 더 만족한다고 믿고 있다. 또한 피치못할 사정으로 인공수유를 하는 어머니들 스스로도 모유수유를 하지 못함 때문에 아기에 대한 죄의식을 갖고 있을 수 있다. 그래서 생후 4개월된 아기를 갖고 있는 어머니를 대상으로 모유수유 유무와 어머니의 모성역할 긴장과 모성역할 획득 정도에 차이를 연구하였다. 연구결과 모유수유 유무에 따라 모성역할 획득정도에 차이가 없었으며, 모성역할 긴장에도 차이가 없었다. 또한 남편의 지지와 친척 및 친구의 지지를 공변량으로 처리하여 모유수유 유무에 따라 모성역할 획득정도에 차이를 알아 본 결과 모유수유 유무에 따라 모성역할 획득 정도에 차이가 없었고, 모성역할 긴장 역시 차이가 없었다.

• 여성건강간호학회지
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• 제3권2호
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• pp.282-295
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• 1997

The purpose of this study is to investigate the effect of an educational program on parturient women's feeding behavior One hundred and twenty seven mothers who delivered in one general hospital in Seoul participated in the study, 66 mothers of whom were assigned to experimental group and 61, to control group. The data collection was done from April 20 to June 30 in 1997 and the educational program was applied to the experimental group on the third postpartum day and telephone calls were made on the fourth and the twelfth postpartum week to investigate feeding behavior after discharge. The collected data were analyzed by means of Chi-square test and descriptive statistics. The results are as follows : 1. Breast-feeding rate of the experimental group was higher than that of the control group($x^2$=6.578, p=.043). 2. Background variables affecting feeding behavior were age and feeding plan(age: $x^2$=8.660, p=.070, feeding plan : $x^2$=25.762, p=.000). 3. The insufficient milk supply was the main cause of discontinuing breast-feeding and others were mother's job, baby's jaundice and diarrhea, baby's refusal to suck breastmilk. In conclusion, the breast-feeding educational program which was applied in this study is effective in the promotion of breast-feeding.

• 여성건강간호학회지
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• 제7권3호
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• pp.382-392
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• 2001

The purpose of this study is to investigate breast-feeding and breast-feeding health behavior among korean first-time mothers and to provide basic data for promoting breast- feeding. Data were collected by interview or self report from 444 first-time mothers who visited health clinic center in the area of metropolitan, medium or small city, countryside. and whose infants were under 12 months old from January 2001 to February 2001. The results show that breast-feeding was 31.5% in a week after childbirth, 25.8% in 4 weeks after childbirth, 22.7% in 2 months, 17.8% in 3 months, 14.3% in 6 months, 2.5% in 12 months after childbirth. Breast-feeding rate was very low in Korea and the duration of breast-feeding was very short. Breast-feeding health behavior did not show significant differences by general characteristics of the subjects except area. The subjects in the health clinic center with MCN project did better breast feeding health behavior than the subject in the health clinic center without MCN project. To raise breast-feeding rate, several strategy could be suggested. Systemic education about importance and advantages of breast-feeding and desirable breast-feeding method should be provided to pregnant women and postpartum women. Childbirth leave in the work should be prolonged, and supportive facility such as nursery room should be installed for working mothers. Hospitals should follow the guideline of 'Baby Friendly Hospital Initiative' which was provided by UNISEF and WHO, including rooming-in after delivery.

• 대한소아치과학회지
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• 제34권3호
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• pp.383-389
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• 2007

중증 유아기 우식증의 유병률과 섭식행위요인을 연구하기 위하여, 익산시 취학 전 어린이 672명을 대상으로 상악 유전치 우식 유병률을 조사하고, 어린이의 보육자들을 대상으로 섭식행위요인 등에 관한 질문지 조사를 시행하였다. 연구대상 어린이의 상악 유전치 우식 유병률은 34.5%이었다. 수유 중 잠드는 습관이 있을 때, 젖병에 시거나 단 음료를 넣어 먹이는 습관이 있을 때, 노리개젖꼭지를 무는 습관이 있을 때, 상악 유전치 우식 유병률이 유의하게 더 높았다(p<0.05). 출생체중, 모유수유기간, 젖병사용기간, 빨대컵으로 먹는 습관은 상악 유전치 우식 유병률과 유의한 연관성이 나타나지 않았다. 모유수유기간이 길수록 수유 중 잠드는 습관이 많았으며, 노리개젖꼭지를 무는 습관이 적었다. 젖병사용기간이 길수록 노리개젖꼭지를 무는 습관이 많았다. 수유 중 잠드는 습관이 있을 때 젖병에 시거나 단 음료를 넣어 먹이는 습관이 많았고, 빨대컵으로 먹는 습관이 많았으며, 노리개젖꼭지를 무는 습관이 많았다. 젖병에 시거나 단 음료를 넣어 먹이는 습관이 있을 때 빨대컵으로 먹는 습관이 많았고, 노리개젖꼭지를 무는 습관이 많았다. 빨대컵으로 먹는 습관이 있을 때 노리개젖꼭지를 무는 습관이 많았다.

• 여성건강간호학회지
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• 제7권4호
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• pp.657-665
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• 2001

여성건강은 개인 뿐만 아니라 가족, 사회, 국가적으로 대단히 중요하다. 왜냐하면 미래사회의 자원인 인간을 출산하고 양육하는 것과 직접적으로 관련이 있기 때문이다. 여성은 스스로 자신의 몸을 지키고 건강행위를 위한 결정을 할 수 있어야 한다. 특히 출산과 관련하여 여성은 자신의 건강을 유지 증진 할 수 있는 능력이 있어야 한다. 한나라의 발전수준은 모자보건의 수준으로 결정하며 영아 사망률과 모성사망률은 국가 발전의 수준을 대표한다. 본 연구는 한국의 여성과 어린이 건강 실태를 살펴보았다. 모성사망률과 영아사망률은 여성의 산전간호 수진률의 증가와 영아 예방접종률의 증가로 점차 감소하고 있다. 그러나 모유수유률의 감소와 영아의 사고발생률이 증가하는 것은 자라나는 어린이의 건강을 위협한다. 어린이 사고는 환경과 돌보는 어른들의 부주의에 의해서 발생되는 경우가 대부분이므로 어린이 사고를 방지하고 모유수유률을 증가시키는 예방전략이 필요하다. 여성의 흡연, 음주, 약물의 사용이 증가하는 것과 여성폭력이 증가하는 것은 여성건강을 위협하는 중요한 요인이다. 또한 식습관 장애와 같은 잘못된 건강행위는 여성의 건강을 위협할 뿐 아니라 자녀출산에도 부정적인 영향을 미친다. 여성과 어린이의 건강을 유지 증진하기 위해서는 여성이 여성으로서의 인식을 가지고 건강관리기관을 찾고 건강관리를 할 수 있는 능력을 가져야 한다. 그러므로 간호사를 비롯한 의료인은 여성이 스스로 판단하고 결정하고 자가간호 할 수 있는 힘과 의지와 정보를 제공해야 한다. 이를 위해 여성건강전문간호사가 필요하다. 또한 국가와 사회단체(NGO)가 함께 여성건강이 국가적인 사업임을 인식하고 지원과 관심을 기울여야 한다.

• 부모자녀건강학회지
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• 제12권1호
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• pp.15-24
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• 2009

Purpose: This study was conducted to investigate the performance level of breastfeeding health behaviors and general characteristics of breastfeeding mothers related to breastfeeding health behaviors. Method: 123 breastfeeding mothers whose infants are between 5-7 months of age participated in this study. Data was collected during a Breastfeeding Infant Contest held in September 2007 in Changwon-si, Gyeongsangnam-do. Health behaviors related to breastfeeding were measured in Likert scale 5 including 20 questions developed by Park et al., and the collected data was analyzed with descriptive statistics, T-test and ANOVA using SPSS program. Result: The performance level on breastfeeding health behaviors scored $3.73{\pm}.35$ on average (5.0 in full score). The score showed that there were significant statistical differences only in the knowledge of breastfeeding between groups. The score of 'enough' knowledge group was higher than that of 'a little short' knowledge group (t=2.071, p=0.045). Conclusion: The performance level on breastfeeding health behaviors was related to the knowledge of breastfeeding in breastfeeding mothers. Therefore, it is necessary to enhance education on breastfeeding health behaviors for mothers of newborns in the hospital and to have a reevaluation process on their performance at the time of revisiting.

• Child Health Nursing Research
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• 제26권2호
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• pp.277-285
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• 2020

Purpose: This study aimed to identify factors-both infant-related and maternal-associated with pressure to eat as a feeding practice among mothers with infants. Methods: This study used a cross-sectional design and included 163 mothers of infants aged 2~12 months. Of the 180 self-reported questionnaires that were distributed, 163 (91%) were included in the data analysis. Multiple regression analysis was used to identify the factors associated with pressure to eat as a feeding practice among the mothers. Results: Infant's temperament (β=-.17, p=.035), mother's body mass index (β=-.16, p=.048), and concern about the infant being underweight (β=.30, p=.001) were associated with pressure to eat as a feeding practice among mothers. The explanatory power of these variables in the predictive model was 19.2%. Conclusion: Educational programs should be developed for improving mother's awareness of cues from infants with difficult temperament. In addition, educational interventions regarding the correct evaluation of infant's weight are needed to relieve mother's concern about their infant's being underweight. These interventions might be helpful to reduce the prevalence of pressure to eat as a feeding practice among mothers with infants.

• 대한간호학회지
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• 제27권4호
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• pp.796-806
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• 1997

The majority of studies on breastfeeding consists of descriptive correlational studies identifying the incidence and correlates of breastfeeding. The theory of planned behavior has been shown to yield great predictive power for behavioral goals over which individuals have only limited control such as improving school grades and weight loss. The purpose of this study was to test the "theory of planned behavior" in the prediction of breastfeeding of mothers who delivered vaginally, One hundred mothers who delivered vaginally in one general hospital in Seoul and one general hospital and three private hospitals in Taejeon participated in this study. The instruments used for data collection in this study were developed by the researchers following the guidelines suggested by Ajzen & Fishbein(1980) and Ajzen & Madden(1986). The instruments included measurement of attitude, subjective norm, perceived behavioral control and intention. The collected data were analyzed using descriptive statistics, Pearson product moment correlation, hierachical multiple regression and logistic regression. The results are as follows ; 1. Intention to breastfeed correlated significantly with attitude, subjective norm and perceived behavioral control. Both attitude and subjective norm did not make a significant contribution to the prediction of intention, but the addition of perceived behavioral control to the regression equation greatly improved the model's predictive power, increasing the R²from .05 to .52. 2. Intention to breastfeed alone had a significant predictive effect on actual breastfeeding, resulting in a regression coefficient of .16(X²=8 60, p<.01), but when perceived behavioral control was added to the equation, intention was not a significant predictive variable and only perceived behavioral control showed significant predictive power on actual breastfeeding, resulting in a regression coefficient of .12(X²=4.69, p<.05). In sum, breastfeeding behavior lent only partial support to the second version of the theory of planned behavior, and because perceived behavioral control had a strong effect on intention to breastfeed and actual breastfeeding, It would be desirable to develop nursing intervention programs which focus on strengthening the perceived behavioral control for the promotion of breastfeeding.

• 대한간호학회지
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• 제43권3호
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• pp.399-408
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• 2013

Purpose: The study was done to construct and test a structural model to explain primipara breastfeeding behavior. Methods: The participants were 213 primiparas on postpartum wards. Data were analyzed using the PASW 18.0 and AMOS 19.0 programs. Results: Fitness statistics for the hypothetical model were appropriate ($x^2$=38.50, p=.070, GFI=.96, RMSEA=.05, AGFI=.93, NFI=.95, TLI=.97, CFI=.98, PNFI=.57, $x^2/df$=1.43). Breastfeeding behaviors were directly influenced by intention to breastfeed, perceived effectiveness of breastfeeding, and the amount of supplementary feeding. The amount of supplementary feeding had the largest direct impact on breastfeeding behavior. The largest total effect on breastfeeding behavior was intention to breastfeed. The environment of the maternity hospital indirectly influenced breastfeeding behavior. These factors explained 18.9% of variance in the primipara breastfeeding behavior. Conclusion: The results of the study indicate that in order to promote primipara breastfeeding the amount of supplementary feeding immediately after the birth should be limited and an environment that encourages exclusive breastfeeding in the hospital should be provided. The results also suggest it is necessary to provide nursing interventions that increase the intention to breastfeed and the perceived effectiveness of breastfeeding.

• 여성건강간호학회지
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• 제18권2호
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• pp.98-107
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• 2012

Purpose: This study was done to identify the effects of self-breast pumping on breastfeeding rates and, the degree of breast milk fullness among primiparous women giving birth by cesarean section. Methods: The study design was a non-synchronized posttest control group experiment with repeated measures. The participants were 60 women, 31 in the experimental group who used a manual pump 5 times a day after exclusive breastfeeding and 29 in the control group who breastfed exclusively with no other interventions. Results: While self-breast pumping did not improve breastfeeding rates or the degree of breast milk fullness at any of the time points studied, breastfeeding rates continued to remain high till 12 weeks postpartum in both groups. Conclusion: Although some modifications in research methods will be required to identify the effects of breast pumping and exclusive breastfeeding, both these approaches can be used as interventions to improve breastfeeding rates and breast milk quantity.