• Child Health Nursing Research
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• 제20권4호
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• pp.247-254
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• 2014

목적 본 연구의 목적은 산전 임부를 대상으로 태아애착, 태교실천, 피로 및 사회적 지지 정도를 확인하고 태아애착에의 영향 요인을 파악하는 데 있다. 방법 대상자는 월평균 분만 100건 이상의 여성전문병원에 산전관리를 위해 외래를 방문한 임부 중 임신합병증을 동반하지 않은 건강한 임부 211명이다. 일반적 특성에 따른 태아애착의 차이를 비교하였으며 태아 애착을 평가하기 위한 Maternal-Fetal Attachment Scale, 태교실천은 Mun과 Choi (2002)의 도구, 피로를 측정하기 위해 Milligan 등(1997)이 개발한 Fatigue Symptom Checklist 및 Curry 등(1994)의 사회적지지 측정도구를 사용하였다. 수집된 자료는 SPSS WIN 18.0 프로그램을 이용하여 기술통계, t-test, ANOVA, Pearson's correlation coefficients, Stepwise multiple regression analysis를 이용하여 분석하였다. 결과 임부의 태아애착 정도는 $93.74{\pm}13.69$점(점수범위 25-125점)이었으며 산과력, 모유수유 경험 및 태교 경험에 따라 유의한 차이를 보였으며, 초임부, 모유수유 경험이 없는 경우, 태교 경험이 있는 경우 태아애착 정도가 유의하게 더 높았다. 임부의 태아애착은 태교실천(r=.71, p < .001), 피로(r=.15, p =.032), 사회적 지지(r=.38, p <.001)와 정적 상관관계에 있었고 태교 실천 정도는 사회적 지지 정도와 유의한 정적 상관관계를 보였다(r=.40, p <.001). 임부의 태아애착에 영향을 미치는 요인으로는 태교실천(${\beta}=.67$), 피로(${\beta}=.21$), 사회적 지지(${\beta}=.13$) 순으로 나타났으며 설명력은 55.2%였다. 결론 임부의 태아애착 증진을 위해 태교실천 및 태교실천 프로그램 효과를 입증하는 하나의 근거자료로 활용될 수 있을 것이며 임부의 피로를 단순히 임신증상으로 인식하는 수준에서 벗어나 이를 태교실천을 통해 중재하는 것이 필요할 것이다. 또한 사회적 지지를 통해 태교실천을 더욱 더 잘 실천함으로 태아애착이 증진될 수 있을 것이다.

• 디지털융복합연구
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• 제16권9호
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• pp.197-206
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• 2018

본 연구의 목적은 임부의 자아존중감, 신체상 및 태아애착행위 정도를 측정하고 그 관계를 규명하며, 태아애착행위의 영향요인을 파악하여 산전교육프로그램 개발을 위한 기초 자료를 제공하는데 있다. 본 연구는 188명의 임부를 대상으로 하여, 자료분석은 t-test, ANOVA, Scheffe's test, Pearson's correlation coefficient, Stepwise Regression Analysis를 이용하였다. 대상자의 자아존중감은 평균 $30.85{\pm}4.71$점으로, 종교 유무, 수입에 따라 유의한 차이가 있는 것으로 나타났다. 대상자의 신체상은 평균 $79.26{\pm}11.32$점으로, 계획된 임신 여부에 따라 유의한 차이가 있는 것으로 나타났다. 대상자의 태아애착행위는 평균 $74.09{\pm}11.62$점으로, 종교 유무, 계획된 임신 여부에 따라 유의한 차이가 있는 것으로 나타났다. 대상자의 태아애착행위는 자아존중감, 신체상과 유의한 수준의 정적 상관관계가 있는 것으로 나타났으며, 자아존중감은 신체상과는 유의한 수준의 정적 상관관계가 있는 것으로 나타났다. 태아애착행위에 영향을 주는 요인은 신체상, 종교, 계획된 임신이었다. 독립변수들의 상대적인 영향력은 신체상, 종교, 계획된 임신 순이었다. 본 연구결과는 임부의 태아애착증진을 위한 산전교육에 유용한 자료로 활용될 수 있을 것이며, 향후 임부의 태아애착행위증진을 위한 표준화된 간호중재프로그램 개발이 필요하다.

• 한국산학기술학회논문지
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• 제16권3호
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• pp.2020-2028
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• 2015

본 연구는 Mercer의 어머니되기 이론적 모델에서 제시한 태아애착행위의 영향 변수(임신스트레스, 자존감, 결혼적응도, 자아통제감, 산전우울)를 고려하여 임부의 태아애착행위에 영향을 미치는 요인을 파악하기 위해 수행되었다. 산전검사를 위해 산부인과와 보건소에 방문한 임부 140명을 대상으로 2014년 8월 23일에서 11월 25일에 걸쳐 자가보고식 형태의 설문조사를 하였다. 자료는 SPSS 20을 이용하여 평균과 표준편차, t-test, ANOVA, Pearson의 상관관계, 단계적 회귀분석을 통해 분석되었다. 연구결과는 다음과 같다. 태아애착행위는 30세 이하 임부에서 31세 이상 임부보다 유의하게 높았고(t=2.79, p=.004), 초임부에서 경임부보다 유의하게 높은 것으로 나타났다(F=3.27, p=.041). 태아애착행위는 임신스트레스(r=-0.22, p=.009)와 역상관관계를 보였고, 자존감(r=0.45, p<.001), 결혼적응도(r=0.42, p<.001), 자아통제감(r=0.24, p=.005)과는 정상관관계를 나타냈다. 임부의 태아애착행위에 영향을 미치는 요인은 자존감, 결혼적응도, 나이로 밝혀졌으며, 전체 모형의 26.1%를 설명하였다. 본 연구결과는 산전관리를 통해 임부의 자존감과 결혼적응도에 대한 이해 및 사정이 필요하고, 고령 임부의 태아애착행위 증진 중재의 개발 및 적용이 필요함을 시사한다.

• 스트레스연구
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• 제25권2호
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• pp.145-154
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• 2017

임부들의 심리적 안정과 태아와의 건강한 관계는 주산기 적응에 중요한 것으로 알려져 있다. 본 연구에서는 정신건강과 대인관계 개선에 효과적인 것으로 알려져 있는 자비명상을 임부용으로 개발하기 위하여 탐색적 예비연구를 진행하였다. 효과성과 개선점을 파악하기 위해 4주 자비명상 프로그램 참가자(n=8)들의 스트레스, 우울, 태아애착, 마음챙김 및 자기자비를 기저선과 사후에 측정하였으며, 포커스 그룹 인터뷰를 바탕으로 현상학적 분석을 실시하였다. 결과는 자비명상이 임부의 심리적 안정과 태아와의 관계에 긍정적인 영향을 줄 가능성이 나타났으며, 회기구성 및 가정수련 보강방안 등의 보완점들을 발견할 수 있었다. 본 연구가 임부용 자비명상 개발을 위한 이해의 폭을 넓히고, 추후 연구들을 촉진할 것이라 기대한다.

• 대한간호학회지
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• 제32권4호
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• pp.529-538
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• 2002

The purpose of this study was to identify whether the maternal-fetal attachment is related to choose the rooming-in of postpartum women. Method: This is a retrospective descriptive study. The data was collected from April 1 to May 31, 2001. Subjects who had NSVD were 68 mothers who opted the rooming-in and 98 mothers who did not choose the rooming-in at one hospital in Seoul, Korea. The research questionnaire consisted of 14 items on general characteristics, and 24 items on maternal fetal attachment developed by Cranley(1981). Result: 1. There was significant statistical difference in general characteristics between rooming-in and non rooming-in groups in prenatal class attendance, and husband attendance during the delivery. 2. There was significantly higher level of maternal fetal attachment score in the rooming-in group. 3. There was higher level of maternal fetal attachment score in the group which had participated in childbirth education than the group which didn't had participated. Conclusion: It could be concluded that the maternal fetal attachment is identified as a significant factor choosing the rooming in for postpartum women. Therefore it is needed to increase maternal fetal attachment of pregnant women before making decision for whether they choose the rooming-in or non-rooming in after delivery.

• 여성건강간호학회지
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• 제7권1호
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• pp.7-17
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• 2001

The purpose of this study was to evaluate the effects on maternal-fetal attachment and self efficacy for delivery using the Taekyo-oriented prenatal class. This class is for 2 hours/week for 4 weeks. The program covers the contents of fetal growth and development including their responding ability, the importance of the uterine environment, sharing the motive and purpose of pregnancy, sharing experiences about pregnancy, sharing of prejudices against delivery, training of maternal-fetal interaction, understanding delivery, relaxation breathing techniques, maternity exercises, writing letters or prayers to the baby, and declaration of loving the baby. This study took place from March 4th to June 15th, 2000, in a university hospital and community care center, and was done by with a pretest-posttest design, with 55 pregnant women who were within 32-36 weeks pregnant and who agreed to participate in this study. Data was measured twice by self-report by the Cranley's Maternal-fetal Attachment Scale(MFAS, 1981), and the Shin's(1997) Self Efficacy for Delivery Scale at the beginning and at the completion of the class. Data was analyzed by SAS. The study results were: 1. The score of maternal-fetal attachment was significantly increased after the Taekyo perspective prenatal class than before the class. (t=7.389, p=0.000) 2. The score of self efficacy for delivery was significantly increased after the Taekyo perspective prenatal class than before the class. (t=8.885, p=0.000) The above results proved that the present Taekyo perspective prenatal education program was effective in increasing maternal-infant attachment and self efficacy for delivery. Therefore, it is concluded that the existing prenatal class should include Taekyo perspective elements. However, further study is needed to compare the effects with preexisted prenatal class.

• Child Health Nursing Research
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• 제25권4호
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• pp.398-405
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• 2019

Purpose: This study was conducted to examine the relationships among the perceptions and practice of taegyo (a traditional set of practices and beliefs related to healthy fetal development) and maternal-fetal attachment in pregnant women. Methods: The participants were 136 pregnant women who visited a public health center or maternity hospital for prenatal care. The collected data were analyzed using descriptive statistics, the t-test, analysis of varience, and Pearson correlation coefficients with SPSS version 22.0. Results: The mean age of the pregnant women was $32.24{\pm}3.99$ years. The mean scores for perceptions of taegyo, practice of taegyo, and maternal-fetal attachment were $3.96{\pm}0.53$, $3.74{\pm}0.64$, and $3.94{\pm}0.49$, respectively. Perceptions of taegyo were significantly correlated with the practice of taegyo (r=.72, p<.001), and maternal-fetal attachment (r=.55, p<.001). A significant correlation was also found between the practice of taegyo and maternal-fetal attachment (r=.65, p<.001). Conclusion: Perceptions of taegyo affected the practice of taegyo, and had a positive effect on maternal-fetal attachment. These findings suggest that primary care nurses at hospitals and public health centers should provide nursing intervention programs to improve the perceptions of taegyo, the practice of taegyo, and maternal-fetal attachment.

• 부모자녀건강학회지
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• 제9권2호
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• pp.128-139
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• 2006

The purpose of this study was to compare the differences of anxiety-depression and maternal fetal attachment between pregnant women with preterm labor and normal pregnant women. The number of subjects was 132 convenienced sample. The sample were 66 pregnant women with preterm labor admitted in clinics and 66 normal pregnant women visited OB outpatient department at 1 general hospital in Busan. The data were collected by a self-reported questionnaire from Aug. 1st to Oct, 31th. 2006 and were analyzed with t-test, ANOVA, chi-square test using SPSS/Win PC+ 12.0. The research results were as follows: 1. The general characteristics between normal and preterm pregnancy were homogeneous. 2. It was significantly differed according to anxiety-depression between two groups, but it was not significantly differed according to maternal fetal attachment. 3. There were negative correlations with anxiety-depression and maternal fetal attachment. In conclusion, the special program should be created for each pregnant women and ante-natal nursing service may assessed and consulted on anxiety-depression and maternal fetal attachment, and needed the development of professional and educational nursing intervention on anxiety-depression and maternal fatal attachment enhancement in prenatal health care.

• 여성건강간호학회지
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• 제20권2호
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• pp.163-172
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• 2014

Purpose: The purpose of this study was to determine the stress, depression, and fetal attachment of pregnant women who underwent infertility treatment, and to identify factors associated with fetal attachment. Methods: As a correlation survey design, data were collected from 136 pregnant women who underwent infertility treatment. Data were analyzed using ${\chi}^2$-test, t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression. Results: Stress, depression, and fetal attachment averaged $3.01{\pm}0.60$ (range of scale 1~5), $10.02{\pm}6.51$ (out of a possible 63), and $3.64{\pm}0.55$ (range of scale 1~5), respectively. Level of fetal attachment was higher when mother's age was less than 35, having other children, and having prenatal education experience. Lower score of depression and client's age less than 35 were significant factors affecting fetal attachment. Conclusion: Infertility is a life-affecting trauma for the individual, and personal and social changes due to infertility cause physical and psychological difficulties even after a successful pregnancy with infertility treatment. Therefore, prenatal management programs need to be developed giving consideration to the emotional and physical changes in order to promote physical and psychological stability in the women pregnant following infertility treatment.

• 여성건강간호학회지
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• 제25권2호
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• pp.182-193
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• 2019

Purpose: The purpose of the study was to identify effects of anxiety, social support, and Taegyo practice toward maternal-fetal attachment in pregnant women having an abortion. Method: Participants included 99 pregnant women having an abortion, who participated in this study. Collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation, and multiple regression with the SPSS WIN 23.0 program. Results: Maternal-fetal attachment was significantly negatively correlated with anxiety, and significantly positively correlated with social support and Taegyo practice. Spousal support and Taegyo practice, explained 43.8% of participants' maternal-fetal attachment. Conclusion: Results indicate that less anxiety and more social support, and Taegyo practice in pregnant women having an abortion, were associated with stronger maternal-fetal attachment. To strengthen the maternal-fetal attachment of pregnant women having an abortion experience, it would be necessary to develop and implement the Taegyo program, focusing on practicing Taegyo-related encouragement. Additionally, it is recommended that nursing intervention is provided, to encourage families to participate in the Taegyo practice together throughout the gestational period, and to maintain a positive relationship among partners.