• Perspectives in Nursing Science
• /
• 제10권2호
• /
• pp.97-110
• /
• 2013

Purpose: This study sought to identify how initiating breastfeeding soon after birth affected breastfeeding practice. Methods: The subjects were mothers and newborns in Seoul's S. University Hospital maternity unit who elected to breastfeed. They were divided into an experimental group, which practiced an "early latching-on program" (latching-on within 30 minutes after birth), and a control group, which did not. Both groups' daily frequencies of breastfeeding and supplementary-glucose or bottle feeding were recorded. Results: The correlation between socio-demographic and medical characteristics and the breastfeeding rate was examined; 3 variables showed statistical significance: neonatal health anomaly, Apgar score after 1 minute, and Apgar score after 5 minutes. The difference in breastfeeding rates between the two groups was clear: the experimental group's rate was 1.93, while the control group's was 3.76 (t-statistic difference: 14.865), with the experimental group's rate during hospitalization being twice that of the control group (73.3% and 32.6%, respectively). Multiple regression analysis assessing the influence of the latching-on program yielded a t-statistic of -4.735 and a p-value of .000, indicating statistical significance. Conclusion: An early latching-on program's positive effect on the breastfeeding practice of mother's of newborns was demonstrated. Therefore, an early latching-on program could be a practical and effective nursing intervention for after mothers give birth.

• 대한간호학회지
• /
• 제20권1호
• /
• pp.5-15
• /
• 1990

The purpose of this study was to identify the degree of family function and to determine factors influencing family function. The subjects for this study were 451 adults and high school students among the general population from J city. Data were collected by questionnaire from Sept. 1 to Nov. 30, 1989. The measurement tool was the Family Function Questionnaire(APGAR) developed by Smilkstein. Data were analysed by statistical methods including Mean, S.D. t-test and ANOVA. The following results were obtained : 1. The mean Family APGAR score was 5.70$\pm$0.11, in a range from 0-10. 2. Scores from 0 to 6, which fall into the dysfunctional family range, were recorded for 266 families(59.6%) 3. Significant variables among general characterisics influencing family function were age, sex, marital status, educational levels. monthly income and occupation(p＜.001). 4. Significant variables among family characteristics influencing family function were family life cycle (p＜.01), utilization of family resources(p＜.01) and family atmosphere( p＜.001).

• Clinical and Experimental Pediatrics
• /
• 제46권2호
• /
• pp.183-187
• /
• 2003

목 적 : 태아시기의 장기간 스트레스는 부신의 호르몬 합성에 영향을 미치는 것으로 알려져 있다. 분만 동안의 급성 스트레스와 제대혈 코티솔간의 상관관계를 보고자 본 연구를 시행하였다. 방 법 : 총 58명의 신생아를 대상으로 분만 즉시 제대혈을 10 mL 채취하였고, $4^{\circ}C$에서 2,000 rpm으로 20분간 원심 분리하여 혈청을 분리한 후, 즉시 $-70^{\circ}C$에 냉동 보관하였다. 코티솔의 측정은 Coat-A-Count Cortisol Kit를 사용하여 RIA방법으로 측정하였다. 분만 스트레스와의 관계를 알아보기 위하여 재태 연령(34주 이하, 35-37주, 38주 이상), 분만방식(제왕절개 분만 vs 질식분만), Apgar 점수, 자궁수축 유무 등에 따른 코티솔 농도를 비교하였다. 결 과 : 제대혈 코티솔 농도는 재태 연령에 따라 증가하는 양상을 보였고(P<0.001), 제왕절개 분만 군보다 질식 분만 군에서 코티솔 농도가 통계적으로 유의하게 높았다(P<0.001). 자궁수축을 동반하는 경우가 동반하지 않았던 경우보다 코티솔 농도가 높았으며(P<0.05), 분만 진통시간이 길수록 코티솔 농도가 유의하게 높았다(P<0.05). 코티솔 농도는 1분 Apgar 점수가 낮았을 때 유의하게 낮은 농도를 보였다(P<0.05). 결 론 : 제대혈 코티솔은 분만스트레스와 밀접한 관련성이 있으며, 신생아의 출생 후 예후와도 관련이 있을 것으로 생각된다.

• 여성건강간호학회지
• /
• 제17권4호
• /
• pp.407-414
• /
• 2011

Purpose: The purpose of this study was to compare birth outcomes between Korean women and immigrant women. Methods: Medical records were reviewed retrospectively from 201 immigrant women and 201 Korean women who delivered babies at K women's hospital in U city from January 2006 to December 2009. Maternal outcomes related factors included nationality, age, obstetric history, delivery type, indications of cesarean section, and complications of pregnancy and delivery. Principal neonatal outcomes were birth weight, Apgar scores, and complications of newborns. Results: Immigrant women were younger and had fewer pregnancies, abortions, and surviving children than Korean women. The rate of primary cesarean section and its indication in immigrant women were not significantly different from Korean women. However, immigrant women's newborn were more likely to have low birth weight and meconium staining. Conclusion: The results of this study indicate less equity of immigrant women in women's health care, although immigrant women's babies had lower Apgar score and more meconium staining. Nurses should help immigrant women cope with labor process effectively to prevent adverse health outcomes for their newborns.

• 여성건강간호학회지
• /
• 제9권2호
• /
• pp.138-151
• /
• 2003

Purpose: In the study effects of San-Yin-Jiao (SP6) acupressure on anxiety and pulse during labor, and on neonatal status were examined. Method: The design was a randomized controlled clinical trial with a double-blind method. Data were collected before (pre) and after (post) treatment using structured questionnaire, anxiety scale, pulse rate, umbilical vein pH and Apgar scores. The experimental group received SP6 acupressure for the duration of each uterine contraction over a period of 30 minutes, but the control group received SP6 touch. Results: The anxiety scores between the two groups increased, but the increase was less in the SP6 acupressure group and the difference was statistically significant (p=0.019). Maternal pulse rate was not significantly different immediately after treatment (p=0.711), at 30 and at 60 minutes (p=0.140 ; p=0.108), but while the SP6 acupressure group had a stable pulse, the SP6 touch group showed an increased rate. There was no significant difference between the two groups for umbilical vein pH (p=0.124), and neonatal Apgar score at one and five minutes (p=0.387 ; p=0.979). Conclusion: These findings strengthen the belief that SP-6 acupressure can be used to relieve anxiety during labor with no side effects to either mother or baby.

• 대한지역사회영양학회지
• /
• 제8권2호
• /
• pp.138-148
• /
• 2003

Morning sickness during pregnancy is a very common functional problem with different kinds of symptom, but little data are available concerning the nutrition intervention program fur pregnant women in local area. A total of 152 pregnant women who had experienced morning sickness were surveyed to investigate the relationships between morning sickness, nutrient intakes and pregnancy outcome. The results showed that prevalent symptoms were nausea (68.4%), heartburn (59.2%), morning sickness (48.7%), vomiting (42.1%), and constipation (44.7%). The onset of the symptom occurred during the first 3 months (9.3 $\pm$ 2.3 weeks) ; 21.1% of the subjects was experienced two symptom at the same time. This significantly correlated with vomiting (p < 0.01), nausea (p < 0.001), morning sickness (p < 0.001), and heartburn (p < 0.01) with pregnancy weight. There were also correlations between the four symptoms and nutrient intakes. Mean birth weight of 21 newborns was 3.06 $\pm$ 0.42 kg, and the one and five minutes of Apgar scores were 7.74 $\pm$ 0.99 and 8.84 $\pm$ 0.69, respectively. There were negative correlations between vomiting and pregnancy outcomes (p < 0.05). Our data support that morning sickness, especially vomiting during pregnancy is associated with Apgar score and body weight of newborn. (Korean J Community Nutrition 8(2) : 138~148, 2003)

• 지역사회간호학회지
• /
• 제33권1호
• /
• pp.105-113
• /
• 2022

Purpose: The purpose of this study is to explore the roles and function of family in mediating the relationship between depression and quality of life of patients with Parkinson's disease (PD). Most studies have found that depression is particularly common in patients with PD and further associated with poor quality of life. Family function, as a mediator, is based on a strength orientation perspective that emphasizes not only their responsibilities and risks but also recuperative powers and growth potential. Methods: Overall 157 adults with idiopathic Parkinson's disease were enrolled in this study via outpatient clinic and completed a set of assessment to measure depression using BDI, family APGAR questionnaire, and patients' quality of life using PDQ-8. Hierarchical multiple regression analysis was conducted to examine the mediating role of family APGAR score in the relationship between BDI and PDQ-8. Results: Patients' depression, gait disturbance, duration of illness, and family function were statistically significant on quality of life. These factors accounted for 60% of the variance in quality of life. Family function has a partial mediating effect on the relationship between depression and quality of life. Conclusion: Findings from the study suggest that although PD patients' depression impacts their quality of life, by having strong family function, the extent to which depression impacts the quality of life can be favorably mitigated. Additionally, these outcomes have important implications for future model development regarding PD patients.

• 간호행정학회지
• /
• 제8권1호
• /
• pp.5-15
• /
• 2002

This study was attempted to help in explore new direction about classification of the severity of the pediatric patients admitted at NICU. Data were collected from 230 patients who admitted at Neonatal Intensive Care Unit of 3 University hospitals and 1 General hospital during 7 months period from september 1, 2000 to April 30, 2001. The results were as follows: 1. The degree of severity of the pediatric patients admitted at NICU shown ranged 1-102 and averaged 17.7. 2. With the respect to the severity of the pediatric patients admitted at NICU, there were statistically significant relation in passing day(s) to admission(r=-.153, p=.020), hospital day(s)(r-.501, p=.000), gestational age(r=-.354, p=.000), birth weight(r=-.280, p=.000), Apgar score at 1 min and at 5 min(4=-.340, p=.000; r=-.322, p=.000), present body weight(r=-.151, p=.023). 3. The severity of the pediatric patients according to general characteristics, there were significant difference in admitting day of the patients(t=2.339, p=.020), Apgar score at 1min and 5min(F=7.893, p=.000; t=3.568, p=.001).

• Child Health Nursing Research
• /
• 제26권3호
• /
• pp.348-356
• /
• 2020

Purpose: This study aimed to identify correlations between the status of the umbilical cord and neonatal health status. Methods: In total, 172 newborns were enrolled who were admitted to the newborn nursery with a gestational age of 35 weeks or older and a body weight of 2 kg or above. Data were collected on the basic personal information of the newborns, the diameter and soft tissue status of the umbilical cord, and neonatal health status after birth. Analyses were performed using t-test, analysis of variance, χ² test, and Fisher exact test. Results: Umbilical cord diameter exhibited a statistically significant difference by sex (t=2.71, p=.007). A thin umbilical cord diameter was associated with a 1-minute Apgar score less than 8 points (t=2.47, p=.015) and with being transferred to the intensive care unit (t=2.45, p=.015). Poor soft tissue status of the umbilical cord was associated with a 1-minute Apgar score of less than 8 points (χ²=16.68, p<.001) and with oxygen being supplied (χ²=4.81, p=.028). Conclusion: Assessing the umbilical cord diameter and status in newborns is an important tool for evaluating neonatal health status after birth, and this point also underscores the importance of professionals' careful observations in the newborn nursery.

• Clinical and Experimental Pediatrics
• /
• 제59권11호
• /
• pp.440-445
• /
• 2016

Purpose: This study aimed to identify prognostic factors of neurological outcomes, including developmental delay, cerebral palsy and epilepsy in late-preterm and term infants with perinatal asphyxia. Methods: All late-preterm and term infants with perinatal asphyxia or hypoxic-ischemic insults who admitted the neonatal intensive care unit of Inje University Sanggye Paik Hospital between 2006 and 2014 and were followed up for at least 2 years were included in this retrospective study. Abnormal neurological outcomes were defined as cerebral palsy, developmental delay and epilepsy. Results: Of the 114 infants with perinatal asphyxia, 31 were lost to follow-up. Of the remaining 83 infants, 10 died, 56 had normal outcomes, and 17 had abnormal outcomes: 14 epilepsy (82.4%), 13 cerebral palsy (76.5%), 16 developmental delay (94.1%). Abnormal outcomes were significantly more frequent in infants with later onset seizure, clinical seizure, poor electroencephalography (EEG) background activity, lower Apgar score at 1 and 5 minutes and abnormal brain imaging (P<0.05). Infants with and without epilepsy showed significant differences in EEG background activity, clinical and electrographic seizures on EEG, Apgar score at 5 minutes and brain imaging findings. Conclusion: We should apply with long-term video EEG or amplitude integrated EEG in order to detect and management subtle clinical or electrographic seizures in neonates with perinatal asphyxia. Also, long-term, prospective studies with large number of patients are needed to evaluate more exact prognostic factors in neonates with perinatal asphyxia.