• Child Health Nursing Research
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• 제20권1호
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• pp.11-19
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• 2014

목적 본 연구는 결혼이민자 산모를 대상으로 가정방문을 통한 간호중재 프로그램을 제공하고 그 효과를 규명하기 위한 것이다. 방법 편의표출 및 눈덩이표출을 통해 서울과 수원 지역의 중국, 베트남, 필리핀 결혼이민자 임부를 파악하여 비동등성 대조군 전후설계로 실험군 20명, 대조군 19명을 대상으로 하였다. 출산 후 퇴원하면 일주일 이내 가정방문하여 사전조사를 실시 후 실험군에 대한 중재를 제공하였으며, 산후 6주와 3개월에 다시 두 군 모두 가정방문을 통해 자료를 수집하고 실험군에는 중재를 제공하였다. 결과 실험군과 대조군의 영아돌보기 자신감에 대한 그룹과 시간 간의 상호작용 효과가 유의하여 실험군은 대조군보다 퇴원 후 5일 이내의 사전조사에 비해 산후 6주와 3개월 영아돌보기 자신감이 유의하게 더 증가하였다. 또한 실험군은 대조군보다 산후 3개월 영아 발달에 필요한 양육환경을 더 긍정적으로 조성하였으며 생후 6주와 3개월의 영아기질을 더 긍정적으로 인식하였다. 그러나 산후우울과 남편의 지지는 두 군 간에 유의한 차이를 보이지 않았다. 결론 본 연구를 통해 결혼이민자 산모에 대한 가정방문 간호중재 프로그램이 영아돌보기와 양육환경 조성에 긍정적인 효과가 있는 것으로 확인되었다. 현재 진행하고 있는 맞춤형 방문건강관리사업에서 결혼이민자 산모에 대한 중재 프로그램을 활성화할 것을 제언한다.

• 디지털융복합연구
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• 제20권5호
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• pp.891-895
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• 2022

본 연구의 목적은 모자동실에서 모유수유와 신생아 관리 등의 내용을 간호사가 산모를 1:1로 개별 교육한 군과 모자별실을 하면서 신생아실 내에서 모유수유와 신생아 관리에 관리 등의 내용을 단체 교육 받은 군 간의 영아돌보기 자신감과 모유수유 실천에 미치는 효과를 파악하기 위한 연구이다. 본 연구의 대상자는 모자동실을 이용한 산모 50명, 모자별실을 이용한 산모 50명이었다. 영아돌보기 자신감 점수는 모자동실 개별교육을 시행한 군이, 모자별실을 시행한 군보다 통계적으로 높아 유의한 차이가 있었다. 모자 동실이란 변수 외에 모유수유 실천에 영향을 줄 수 있는 변수를 찾기 위한 다각적인 연구가 이루어져야 할 필요가 있다. 모자동실제도 정착을 통하여 영아 돌보기 자신감이 증진되고 모유수유 실천의 장려가 이루어 질 것으로 사료된다.

• 여성건강간호학회지
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• 제4권1호
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• pp.84-102
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• 1998

In this study the levels and influencing characteristics of maternal identity and self confidence for caring the baby were identified during the immediate postpartum period. 114 primiparous women who delivered vaginally normal baby participated in the survey from August 1 to October 31, 1996. SD scale was to measure maternal identity which consisted of 11 items for mother and 6 items for baby. Likert scale was to measure self confidence for caring the baby (38 items). Cronbach's alphas for evaluating internal consistency as follows : .86 for maternal identity and .96 for self confidence scale for caring the baby. The study showed these results : 1. Mean score of maternal identity(82.03 : 52.65 for mother, 29.38 for baby) was considered relatively low. 2. Mean score of self confidence for caring the baby(113.91) was considered relatively low. 3. There were significant influencing characteristics of primiparous to maternal identity : age(total ; F=3.53, p=.0329, for mother ; F=2.60, p=.0719, for baby ; F=3.12, p=.0481), prenatal infant care preparation(total ; t=2.31, p=.0306, for mother ; F=2.62, p=.0160), knowledge about infant care during the hospitalization(for baby ; F=3.94, p=.02222), colostrum feeding(total ; t=1.95, p=.0541, for baby ; t=2.71, p=.0080), frequency of breast feeding during the hospitalization(for baby ; F=3.91, p=.0228)and feeding type after discharge(for baby ; F=3.18, p=.0456). 4. There were significant influencing characteristics of primiparous to self confidence for caring the baby : routine husband support(F=6.09, p=.0031), prenatal infant care preparation(t=2.04, p=.0574), knowledge about infant care during the hospitalization(F=3.15, p=.0467), education of breast feeding during the hospitalization(t=-1.79, p=.0850). 5. Correlation between maternal identity and self confidence for caring the baby was r=.37608(p=.0001). This study implies that special education programs for primipara are needed. For the future, this study suggest that maternal role variables need to be monitored through the home visiting follow up. Also intervention programs related to prenatal care, discharge education, home visiting follow up need to be developed and then evaluated their effectiveness.

• 여성건강간호학회지
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• 제23권3호
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• pp.210-220
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• 2017

Purpose: The aims of the study were to develop mobile application for postpartum care of first-time mothers and to validate it's effect. Methods: Using a nonequivalent control group pretest-posttest design, 52 first-time mothers were recruited (26 each in experimental and control) and the experimental group used the mobile application for 6 weeks after delivery. Postpartum self-care knowledge and confidence, infant care knowledge and confidence, and postpartum depressive mood (Edinburgh Postnatal Depression Scale) were measured before discharge from the hospital and 6 weeks later. Results: Women who have used the postpartum care mobile application reported higher levels of postpartum self-care knowledge (p=.030) and confidence (p=.023) infant care knowledge (p=.001) and confidence (p=.004), while scores of postpartum depression (p=.021) were lower than those in the control group. Conclusion: The postpartum-care mobile application developed in this research may be effective in reinforcing knowledge and confidence for postpartum self-care and infant care and in reducing postpartum depressive mood.

• 지역사회간호학회지
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• 제12권1호
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• pp.49-59
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• 2001

Purpose: This study was intended to develop the framework of public health center based 'Child growth and developmental clinic' and analyze the efficiency of services. This was the part of Mother-Child Health Guidance Project by the Public Health Center in Seoul. The purposes of this project were to improve children's health and development with early detection of developmental delay by screening test, and to assist and guide the parent for child care and rearing, so that children can reach their maximum potential. Method: Framework and standards for operation of 'Child growth and development clinic' were developed. We selected screening tool. developed parent education materials, and educated the personnel of public health center. Result: 243 children were enrolled for developmental screening, and we detect the children with developmental delay and referred them for further evaluation. The proportion of developmental delayed children was approximately 2% of the enrolled children. Also, we analyzed the characteristics of enrolled children, and their parental needs and attitude on child rearing. Some problems in operation of developmental clinic were discussed. Conclusion: Though we can found some limitations, we are confident that pubic health center can be charge of important role for improving child development for the majority. This study will be the basis of children's developmental clinic running by public health center.