• 문화기술의 융합
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• 제4권1호
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• pp.111-117
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• 2018

본 연구는 여성들에게 분만시 발생하는 회음부 손상과 산후 우울증의 관련성을 확인하기 위해 시도되었다. 분만 후 여성들의 산후 우울 수준은 분만1일째 $6.67{\pm}4.34$점, 분만 2주일째 $7.41{\pm}4.77$점, 분만 6주일째 $7.77{\pm}5.27$점으로 높지 않았지만, 경한 산후 우울(EPDS>9)로 의심되는 여성이 분만 1일째는 전체의 26.1%, 분만 2주일째는 33.8%, 분만 6주째는 41.4%로 증가되었다. 산후 2주와 6주에는 회음부 절개술로 발생되는 걷거나 앉을때의 불편감이 산후우울에 직접적인 상관관계를 보여주었다. 따라서 분만시 시행하는 회음부 절개술에 의한 회음부 손상 관리를 산후 우울 예방차원에서 우선적으로 중요하게 다루어져야 할 필요가 있다.

• 여성건강간호학회지
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• 제7권3호
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• pp.393-406
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• 2001

The purpose of this study was to find out women's need and level of knowledge about episiotomy, pain and discomfort related to episiotomy on a cross-sectional survey design. The subjects were 102 postpartal women agreed on oral consent. 34 postpartal women admitted at obstetric ward of H university hospital, 34 postpartal women admitted at 2 Sanhujoriwons, and 34 women within one year afterbirth. They were selected in Seoul, Korea. Data were collected from July, 1 to September 30, 2000, by a structured questionnaire. The instrument used for this study was a questionaire consisted of 5 items of general characteristics, 12 items of obstetric characteristics, 10 items of level of knowledge (Chronbach $\alpha$ .8176), 8 items of need of education(Chronbach $\alpha$ .8836), 3 items of pain (Chronbach $\alpha$ .9252), and 3 items of discomfort (Chronbach $\alpha$ .8092). The data were analyzed by the SPSS/PC+ program using t-test, ANOVA and Scheffe test as a post hoc and Pearson Correlation Coefficient. The results of the study were as follows; 1. 63.2% of respondents had right answer on 6-8 items among 10 items. Only 4.4% of women got right answer on 10 items all. 2. The need of education was high(4.45%) on all items and the range of score was $4.25{\sim}4.64$. 3. The strength of pain was the highest within one week afterbirth(5.93/10) and became lower in 8-14 days afterbirth(2.55). And after 15days of postpartum, the pain level became to the lowest level(1.08). However, pain was delayed until more than one month afterbirth. 4. The level of discomfort was the highest one week afterbirth(6.88/10) and became lower in 8-14 days afterbirth(4.20). And after 15days of postpartum, the discomfort level became to the lowest level(2.47). Universally, the degree of discomfort was higher than pain. 5. There was a strong positive correlation between discomforts and pain ($r=.752^{**}$) and weak positive correlation between discomforts and the level of educational need($r=.308^*$). In conclusion, women have a right to choose whether she will have episiotomy or not according to her decision making based on the comprehensive knowledge of episiotomy before they get episiotomy with consent process and explanation in detail. Women health care providers like nurses have a responsibility to do conscious raising and empowerment for women so that they could lead themselves to choose given medical treatments for women's health and wellbeing and the quality of life in her life cycle.