• Title/Summary/Keyword: Apgar scores

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Analysis of Factors Affecting Family Function (일부지역 주민의 가족기능과 관련요인 분석연구)

  • 정영숙
    • Journal of Korean Academy of Nursing
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    • v.20 no.1
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    • pp.5-15
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    • 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).

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Effects of Maternal Serum B vitamins, Homocysteine Concentrations and the 5, 10-Methylenetetrahydrofolate Reductase (MTHFR) Polymorphism on Pregnancy Outcomes (임신부의 혈청 비타민 B 수준과 혈중 호모시스테인 수준 및 MTHFR 유전자형이 임신 결과에 미치는 영향)

  • 김기남;김영주;박혜숙;장남수
    • Journal of Nutrition and Health
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    • v.36 no.4
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    • pp.389-396
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    • 2003
  • Maternal nutritional status has been shown to influence pregnancy outcomes. And the elevated maternal plasma homocysteine concentrations have been associated with adverse pregnancy outcomes. We investigated the effects of maternal serum levels of B vitamins and homocysteine, and the C677T MTHFR (5, 10-methylenetetrahydrofolate reductase) polymorphism on pregnancy outcomes. In 177 pregnant women of 24-28 wks of gestation, the MTHFR gene mutation, serum B vitamins and homocysteine concentrations were measured, and their pregnancy outcomes were investigated from medical records. The birth length, and 1- and 5-min Apgar scores of neonates in the T/T mothers were 45.4 $\pm$ 9.3 cm, 7.6 $\pm$ 3.2 and 8.5 $\pm$ 3.8, respectively, which were significantly lower than those in the C/T (48.6 $\pm$ 3.3 cm, 9.0 $\pm$ 0.2, 10.0 $\pm$ 0.2) or the C/C mothers (49.4 $\pm$ 1.9 cm, 9.0 $\pm$ 0.2, 10.0 $\pm$ 0.0). The birth weight, birth length and the gestational age of neonates at delivery from hyperhomocysteinemic mothers whose homocysteine levels higher than 15 $\mu$ mol were 2.5 $\pm$ 1.3 kg, 43.9 $\pm$ 9.0 cm, 35.4 $\pm$ 6.3 wk, respectively, which were significant lower than those from normohomocysteinemic mothers (3.1 $\pm$ 0.6 kg, 48.8 $\pm$ 3.6 cm, 38.5 $\pm$ 2.5 wk). The birth weight and birth length of neonates in mothers whose PLP levels were below the median were significantly lower than those from mothers with the PLP levels above the median. The 1- and 5-min Apgar scores of neonates were lower in mothers with the T/T MTHFR genotype than those with the C/T or C/C only when the serum PLP levels were below the median. The 1-, 5 min Apgar scores and birth length of neonates were lower in mothers with the T/T MTHFR genotype than those with the C/T or C/C only when the serum FMN levels were below the median. In conclusion, maternal B vitamin status, homocysteine and the C677T MTHFR genotype seem to have played an important role on pregnancy outcomes.

A Comparative Study on Birth Outcomes between Korean Women and Immigrant Women (한국여성과 결혼이주여성의 출산결과 비교)

  • Kim, Moon-Jeong
    • Women's Health Nursing
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    • v.17 no.4
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    • pp.407-414
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    • 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.

Common functional Problems during Pregnancy and Association with Nutritional Status and Weight of Newborns (임신기의 입덧 및 변비 증상과 임신부의 영양상태 및 신생아 체중과의 관계)

  • 최봉순;이인숙;신정자;박명희;정효지
    • Korean Journal of Community Nutrition
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    • v.8 no.2
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    • pp.138-148
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    • 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)

Impact of Self-esteem, Family Function and Social Support on Stress in Undergraduate Students (자아존중감, 가족기능 및 사회적 지지가 대학생의 스트레스에 미치는 영향)

  • Ha, Ju-Young
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.17 no.2
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    • pp.259-266
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    • 2010
  • Purpose: The purpose of this study was to investigate self-esteem, family function, and social support which might influence stress in college students. Method: Data were collected from October 15 to December 20, 2007 when 411 students completed a questionnaire which included Self-esteem scale, Family APGAR questionnaire, Multidimensional Scale of Perceived Social Support and Global Assessment of Recent Stress scale. The collected data was analyzed with the SPSS Win 14.0 statistics program. Results: The scores for stress showed significantly negative correlations with the scores for self-esteem (r= -.394, p<.001), family function (r= -.215, p<.001), and social support (r= -.249, p<.001). Self-esteem, family function and social support by friends were significant predictors and accounted for 18.5% of the variance in stress in undergraduate students. Conclusion: Future stress management programs for undergraduate students should be developed to reinforce self-esteem, family function and social support by friends.

Cohabitation, Loneliness, and Family Function among University Students (대학생들의 혼전 동거 경험과 외로움 및 가족기능에 관한 연구)

  • Kim, Hae-Ran;Kim, Kye-Ha
    • Korean Journal of Adult Nursing
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    • v.22 no.5
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    • pp.509-518
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    • 2010
  • Purpose: The purpose of this study was to examine the state of unmarried cohabitation and to compare the differences of loneliness and family function among university students with cohabitation experience and those with no experience in Korea. Methods: A convenience sample of 213 university students was recruited from three universities located in G city and the Chonnam area of Korea. Data collection methods included: (a) a demographic questionnaire, (b) a questionnaire related to cohabitation, (c) UCLA scale: 20 items on a 4-point scale (c) Family APGAR questionnaire: 5 items on a 3-point scale. SPSS/WIN 17.0 was used for descriptive analysis, ${\chi}^2$ test, t-test, and Pearson correlation. Results: In this study, 21.1% of the subjects had experiences of unmarried cohabitation. The cohabitation experience was related to gender, age, and monthly income. There was significant differences in family function between the two groups. Loneliness scores were significantly correlated with family function scores in the non-cohabitation group. Conclusion: To improve sex life of the university students, healthcare providers including school nurses may consider family function.

Comparing Nutrition Knowledge, Eating Habits, and Neonatal Health Status of Primipara for Pregnant Women of Advanced Maternal Age Compared to Those of Younger Ages (고령 초산모와 비고령 초산모의 임신영양지식, 식습관 및 신생아 건강상태 비교)

  • Lee, Sun-Ok;Park, Kyung-Yeon;Han, Mi-Jung
    • Women's Health Nursing
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    • v.21 no.4
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    • pp.253-261
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    • 2015
  • Purpose: The aim of this study was to examine differences in nutrition knowledge, eating habits during pregnancy, and neonatal health status between primipara for pregnant women of advanced maternal age in comparison to those under the age of 35. Methods: This study used a comparative survey design. Data were collected through self-report questionnaires and patients medical records. A total of 127 participants, mothers after delivery were recruited from metropolitan city B. Results: Primipara in advanced maternal age (n=32) reported significantly higher scores of eating habits (Z=-2.96, p=.003) than younger ages (n=95). There were no significant differences in scores of pregnancy nutrition knowledge (Z=-0.44, p=.660), duration of gestation (Z=-0.28, p=.778), neonatal birth height (Z=-0.10, p=.924), neonatal birth weight (Z=-0.28, p=.777), Apgar score 1 minute (Z=-0.53, p=.599) and 5 minutes (Z=-0.23, p=.816) between two groups. Conclusion: It concludes that age is not the obstacle to the best nutritional status of women and their newborns.

The Influencing Factors on Adolescent's Self-Efficacy (청소년의 자기효능감 영향 요인)

  • Jeon, Eun-Young
    • Journal of East-West Nursing Research
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    • v.11 no.2
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    • pp.116-123
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    • 2005
  • Purpose: The purpose of this study was to analyze the influencing factors on adolescent's self-efficacy. Method: This was a descriptive study. The data were collected from 7th through 12th graders(N=1710) enrolled in middle schools(N=873) and high schools(N=837) in the metropolitan area of Daegu. The instruments had used for this study were the self-efficacy, the life event checklist, and Family APGAR. The data were analyzed using frequency, t-test, Pearson correlation coefficient, and multiple regression analysis. Result: Pearson correlation analysis revealed that there were negative correlations between the self-efficacy and the stress. However, in case of the subjects who recorded higher scores at self-efficacy they showed higher scores at family function. Stepwise multiple regression analysis revealed that powerful predictors of adolescent's self-efficacy were family function and relations of schoolmate. Conclusion: From these results, we can find that the family function and relations of schoolmate were actual factors theta affected the self-efficacy of adolescents. Accordingly, affirmative emotion in family, harmonic communication among family members and sharing housekeeping works is recommended as a useful method in order to enhance the family function, and then the self-efficacy of adolescence will be increased.

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An Experimental Study on the Effects of Nursing Care According to Change of Position During Labor (분만과정중 산모 체위변경에 따른 간호효과의 실질적 연구)

  • 조원분
    • Journal of Korean Academy of Nursing
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    • v.8 no.1
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    • pp.139-151
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    • 1978
  • This study is to observe the effects of nursing care according to change of position for comfort during labor and safe delivery of newborn infants and perturbment women. Fifty antepartal primipara with labor pain who were admitted to the delivery room of H University Medical Center from September 1, 1976 to November 15, 1976 (Estimate Delivery Confinement) were selected for this investigation. Among the 50 parturiencys, the experimental group (28 primipara) were placed in 30 degree upright sitting position and the control group (22 primipara) were placed in the supine position. following placement, both groups were observed. The summarized findings of the study were as follows; 1. There was a noticeably significant difference in the duration of the first stage of labor (defined as 4 cm. dilatation of the cervical os with the fetal presenting part engaged to full or 10 cm. dilatation) , between the two groups. For women in the 30 degree upright sitting position, the first stage of labor was close to 33.66 minutes shorter. than for the women in the supine position. (t : 32.79, D.F : 48, p<0.0,i) 2. Although slight differences were observed between the Apgar Scores of the newborn infants of primipara in the two groups, these were not significant. The mean Apgar Score among the newborn infants of primipara in the 30 degree upright sitting position was 9.64 compared with 9.04 for the newborn infants of primipara in the supine position, a difference of 0.6. (x$^2$= 2.44, D.F : 2, p〉0.05) 3. There was a significant difference in the conformability of the perturbment women between the two groups because the shortened duration of the first stage and the high level of comfort score calculated for six factors (body activity, serving bed pan, serving kidney basin, pushing, deep breathing and perturbment women's feelings), that affect nursing care.

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The Effects of Labor Support Behaviors (LSB) One-to-one Application and Partner's Delivery Participation on the Delivery Satisfaction and Delivery Results among Mothers Who Delivered Premature Birth and Low Birth Weight Infant (조산 및 저출생체중아를 분만한 산부의 Labor Support Behaviors의 일대일 적용 및 배우자의 분만참여에 따른 분만만족도와 분만결과 비교)

  • Park, Kwang Hee;Lee, Se Hwa;Jin, Bo Kyung;Won, Jin Suk
    • Journal of Korean Clinical Nursing Research
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    • v.17 no.2
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    • pp.239-250
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    • 2011
  • Purpose: This study was aimed to evaluate the effects of Labor Support Behaviors (LSB) one-to-one application and partner's delivery participation on the delivery satisfaction and delivery results among mothers who delivered premature birth and low birth weight infant. Methods: The data were collected from 30 mothers in the experimental group and 27 in the control group from April 23, 2009 to April 22, 2010. The collected data were analyzed using percentage, mean, standard deviation, $x^2-test$ (Fisher's exact test) and t-test with SPSS. Results: The satisfaction levels of the experimental group and the control group women were $3.73{\pm}0.43$ and $3.72{\pm}0.34$ as mean values, respectively, showing not statistically different (t=0.07, p=.945). None showed less than 7 point of Apgar score at 1 minute in the experimental group while 5 out of 27 did (18.5%) in the control group, which was statistically meaningful. Also, the emergent cesarian section cases were 3 out of 33 (9.1%) in the experimental group and 5 out of 32 (15.6%) in the control group, demonstrating lower emergency cesarian section rate in the experimental group than the control group, but showing not statistically different ($x^2=0.643$, p=.475). Conclusion: The results of this study show that LSB one-to-one application and partner's participation has affirmative effects on 1 minute Apgar scores of newborns.