• 여성건강간호학회지
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• 제18권2호
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• pp.75-84
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• 2012

Purpose: This study was done to identify the effects of individual postpartum breast-feeding education on adaptation, attitude and practice of breast-feeding in primiparas. Methods: A quasi-experimental nonequivalent design was used to examine the effects of individual postpartum breast-feeding education among primiparas. The data were analyzed using $x^2$-test, Fisher's exact test and paired t-test. Results: There was a significant difference in breast-feeding adaptation (t=-12.94, p<.001), breast-feeding attitude (t=-2.71, p=.011) and breast-feeding practice ($x^2$=16.47, p<.001) between the group education (experimental group I) and individual education after group education (experimental group II). Conclusion: The results indicate that individual education on breast-feeding compared to group education has more positive effects on increasing breast-feeding adaptation, attitude and practice in primiparas. This result also indicates that many primiparas should be given opportunities of various types of education to improve breast-feeding practice such as individual approaches and postpartum breast-feeding education programs.

• 가정간호학회지
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• 제3권
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• pp.39-52
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• 1996

This study presents results of surveys conducted Incheon area using structured questionaire developed by researcher to determine the degree of knowledge, attitude and practice of breast feeding of mothers of infant. The suvjects were mothers of 84 Childs, 1-6 months of age. Results were as follows : 1. More than half of the subjects started breast feeding and breast-bottle feeding(61.9%) 2. Duration of breast feeding was under one month (9.6%), 1-2months(13.7%), 3-4months(5.5%), 5-6months(23.3%) and had continued breast feeding until they were questioned. 3. The 40.5% of mothers'never got information of breast feeding and 21.4% of mother got information of breart feeding through T. V. or radio. 4. Degree of mothers' knowledge of breast feeding was significantly correlated with mothers' attitude of breast feeding (r=.47, p<0.01) and degree of mothers' attitude of breast feeding was significantly correlated with mothers' practice of breast feeding(r=.34, p<0.01).

• 여성건강간호학회지
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• 제13권3호
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• pp.149-156
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• 2007

Purpose: This study aimed to elucidate the prevalence of breast feeding and maternal psychosocial predictors affecting the breast feeding practice at six months postpartum. Method: One hundred and sixty one mothers at six months postpartum were conveniently recruited in two public health center in Jeju-city. Subjects completed a well-structured questionnaire regarding the feeding types of the child, maternal self-esteem, the Edinburgh Postnatal Depression Scale (EPDS), husband support, and marital adjustment scale. The data was analyzed using the $X^2-test$, t-test, Pearson correlation coefficients, and logistic regression. Result: The prevalence of breast feeding at six months postpartum was 29.9%. Predictors of breast feeding practice identified by the logistic regression analysis include first feeding type after delivery, marital adjustment, readiness for maternal role and work state. Conclusion: The prevalence of breast feeding practice was lower than WHO desired at six months postpartum. Therefore, the findings support the need for breast feeding education including interventions focused on improving readiness for maternal role and marital adjustment.

• 여성건강간호학회지
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• 제8권3호
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• pp.424-434
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• 2002

Background & purpose Since the 1970's the rate of breast-feeding has decreased significantly. The Korean National Institute of Health reported that the rate of breastfeeding was 68.9% in 1982 and 14.1% in 1997. There are many influencing factors including: the lack of education and information on breast feeding, lack of faith in breast feeding, increment of the rate of working, lack of encouragement by supporters in difficult situations, and nurses' low level of knowledge about breast feeding. Such a lack of knowledge and support of breast-feeding at home by family members create another dilemma to the problem of breast-feeding. If problems arise and family members are unable to provide assistance due to the deficiency of knowledge, mothers show a tendency to abandon breast-feeding. The purpose of this research is to find out the rate of breast-feeding practice by time sequence of 1 week, 6 weeks and 12 weeks after birth and influencing factors on breast-feeding practice centered on the postpartal women who were 3discharged from one hospital, which is located in Seoul and provides simple breast-feeding education and continuous postnatal telephone consultation. Methodology The subjects of this research were 54 women who gave birth in a hospital located in Seoul from 1 March 2000 to 31 April 2000. After birth the subjects were educated individually about breast-feeding and telephone consultations were conducted. On the 1st week, 6th week, and 12th week, the subjects were surveyed about their breast-feeding practice rates and methods by telephone. Results 1) Complete breast-feeding rate: Within one week after birth, the subjects showed 64.2% complete breast-feeding rate. Within 6 weeks, 39.6%, and 12 weeks, 34.1%. 2) Partial breast-feeding rate: Within one week after birth, the subjects showed 32.1% partial breast-feeding rate. Within 6 weeks, 39.6%, and 12 weeks 15.1%. 3) Complete bottle-feeding rate Within one week after birth, the subjects showed 1.9% complete bottle-feeding rate. Within 6 weeks of giving birth 15.1%, and 12 weeks 17.0%. These results show that individual education about breast-feeding and continuous postnatal telephone consultation influenced on the practice of breast-feeding. On considering the reality of the hospital situation in which nurses could not operate education program due to the work-load, it is necessary to find out selectively those mothers who are unable to breast feed and provide education individually and continuous support by telephone follow up. Futhermore, the active role of lactation nurse specialist and their efficient management of breast-feeding for the successful practice is required.

• 임상간호연구
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• 제20권2호
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• pp.147-161
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• 2014

Purpose: This study was aimed to modify and adapt the previously developed, high-quality enteral tube feeding guidelines for the usage in clinical settings in Korea. Methods: Guideline adaptation process was undertaken according to the guideline adaptation manual version 2.0 developed by NECA (Kim, et al., 2011) and the standardized methodology for nursing practice guideline adaptation (Gu, et al. 2012). Results: The modified and adapted enteral tube feeding guidelines were consisted of 11 domains and 95 recommendations. The domains and numbers of recommendations in each domain were: 4 on general issues, 2 on enteral nutrition indication and discontinue, 6 on enteral nutrition device selection, 12 on enteral tube feeding device insertions, 3 on enteral nutrition formular and choices, 16 on enteral tube feeding start and progress, 20 on enteral tube feeding maintenance and management, 15 on monitoring enteral tube feeding administration, 10 on prevention of error, 5 on medication administration, and 2 on documentation and report. There were 16.1% of the recommendations marked as A grade, 17.8% of B grade, and 66.1% of C grade. Conclusion: The adapted enteral tube feeding nursing practice guideline is to be added to the evidence-based practice guidelines for fundamentals of nursing practice. The guideline is hoped to be disseminated to nurses nationwide in order to improve the efficiency of enteral tube feeding practice.

• 여성건강간호학회지
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• 제4권3호
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• pp.416-428
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• 1998

In Korea, breast-feeding practice has been decreased since 1980's. The purpose of this study was to determine the factors that influence breast-feeding practice. The total numbers of study subjects were 139 mothers in their postpartum one week. The study was carried out for the period of three months from June 17 to August 26, 1998. The tool for breast-feeding problem was developed by Kearney et. al(1990). The data were analyzed by SAS and the results were as follows ; 1. The reported breast-feeding problems were nipple pain, demand of frequent feeding, prolonged feeding, milk leakage, experience of difficulty in breast feeding. 2. Breast-feeding problem defined were prolonged feeding, baby's whimpering after breast-feeding, nipple pain, experience of difficulty in breast feeding, difficulty of breast feeding due to mother's general discomfort.

• Child Health Nursing Research
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• 제26권2호
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• pp.277-285
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• 2020

Purpose: This study aimed to identify factors-both infant-related and maternal-associated with pressure to eat as a feeding practice among mothers with infants. Methods: This study used a cross-sectional design and included 163 mothers of infants aged 2~12 months. Of the 180 self-reported questionnaires that were distributed, 163 (91%) were included in the data analysis. Multiple regression analysis was used to identify the factors associated with pressure to eat as a feeding practice among the mothers. Results: Infant's temperament (β=-.17, p=.035), mother's body mass index (β=-.16, p=.048), and concern about the infant being underweight (β=.30, p=.001) were associated with pressure to eat as a feeding practice among mothers. The explanatory power of these variables in the predictive model was 19.2%. Conclusion: Educational programs should be developed for improving mother's awareness of cues from infants with difficult temperament. In addition, educational interventions regarding the correct evaluation of infant's weight are needed to relieve mother's concern about their infant's being underweight. These interventions might be helpful to reduce the prevalence of pressure to eat as a feeding practice among mothers with infants.

• 여성건강간호학회지
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• 제8권1호
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• pp.116-123
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• 2002

The purpose of this study was to investigate the relationship between knowledge of breast feeding and practice of feeding pattern. A sample of 117 mothers who have the babies between age from 1 month to 12 months were selected from one university hospital and one public heath care center in J city. The data were collected with the questionnaire during the period from the January. 5, 2002 through January. 30, 2002. Analysis was done by using frequency, percentage, t-test, analysis of variance, and scheffe test. The results of this study can be summarized as follows. Comparision of the method of feeding by general characters. Income state, rearing (p=.019), rearing supporters(p=.026), infant age(p=.03) have shown significant difference as the variables affecting Breast practice rate. Breastfeeding rate were 24.8%, mixedfeeding type, 14.5%, milkfeeding type, 60.7%. The mean of knowledge on breastfeeding by feeding patterns were the highest in the group of breastfeeding. There was statistical significance between the group of breast feeding and milkfeeding(p=.000). In the conclusion, this study revealed that knowledge of breastfeeding promoted practice of breastfeeding. Therefore, to promote practice of breastfeeding, it is necessary that nurses provide adequate information about knowledge of breastfeeding.

• 한국산학기술학회논문지
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• 제14권7호
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• pp.3310-3318
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• 2013

본 연구의 목적은 개별적 모유수유증진 프로그램이 모유수유 태도와 모유 수유 실천에 미치는 효과를 검정하고자 시행되었다. 연구 설계는 비동등성 대조군 전후 시차설계의 유사 실험 연구로, 연구 기간은 2011년 6월 1일부터 9월 30일까지 이었다. 참여자는 일개 모자보건센터에 산전관리를 위해 내원한 임신 32주 이상의 임신부 64명(실험군; 32, 대조군; 32)을 대상으로 하였다. 수집된 자료는 SPSS 프로그램을 이용하여 빈도, 백분율, $x^2$-test와 t-test로 분석하였으며, 결과는 다음과 같다. 개별적 모유수유증진 프로그램을 제공 받은 실험군은 대조군보다 모유수유 태도 점수와 모유수유 실천율이 더 높았고, 시간 경과에 따른 두 그룹 간 모유수유실천 정도는 통계적으로 유의한 차이가 있었다. 결론적으로, 본 연구에서 사용한 개별적 모유수유 증진 프로그램은 모유수유 태도를 변화시키고, 모유수유 실천율 상승을 위한 효과적인 간호중재인 것으로 확인되었다.

• 대한지역사회영양학회지
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• 제4권4호
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• pp.489-495
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• 1999

This study was conducted to investigate the weaning practice of 198 infants in Taejon city in October, 1998. Information on infant feeding and weaning practices were obtained by interviewing mothers in gynecologist and pediatric clinics located in Taejon. The results obtained were as follows : In the survey 37.4% of the infants were breast-feeding, while 31.3% of them were bottle-feeding and 29.3% of them were mixed-feeding. The reason for bottled-feeding was due either to the lack of breast-milk secretion or motner’s job. The educational level of the mother and maternal job affected the feeding methods before weaning. Lower rates of breast-feeding were found among mothers witn a lover level of education. The breast-feeding rate was lower in full-time and part-time job worker groups than in housewife. There was no significant difference in the feeding methods according to family income. Among the subjects, 71.5% of infants began to be weaned within 7 months. The onset of weaning was delayed in the full-time worker group. There was no significant difference in the onset time of weaning according to feeding method, the educational level of the mother, and family income. 60.6% of infants received fruit juice and 29.6% of them received cereals for first-given-supplementary food. ‘For baby’s nutritional status’ was the most common motivation for the onset of weaning. Commercially prepared foods were used more than home-made food for supplementary food.