• Clinical and Experimental Pediatrics
• /
• 제45권6호
• /
• pp.700-711
• /
• 2002

대 상: 영아의 발달 장애를 조기에 발견하여 치료를 하기 위하여는 발달 장애의 가능성이 있는 영아뿐 아니라 모든 영아의 정기 검진에서 발달 선별 검사를 시행하는 것이 바람직하다. 본 연구에서는 이러한 발달 선별에 사용할 수 있고 결과를 점수화 할 수 있는 새로운 발달 선별 검사를 개발하고자 하였다. 방 법 : 1개월에서 4세의 아동에 사용할 수 있는 이화 영아 발달 선별 검사를 개발하고 이를 베일리 영아 발달 검사를 기본검사로 하여 동시에 104명의 영아에 시행하였다. 104명 중 건강한 아동은 94명, 발달 지연을 주소로 내원한 아동은 10명이였다. 이화 발달 선별 검사의 가상 합격선을 80, 85, 90점으로 하여 각각의 점수에서 민감도와 특이도, 예측가를 계산하였다. 결 과 : 이화 영아 발달 선별 검사의 합격선을 90점으로 하는 경우 민감도 83.3%, 특이도 93.5%, 예측가 62.5%로 비교적 안정된 결과를 나타내었다. 결 론 : 발달 선별 검사의 결과를 점수화 하는 데에는 문제가 있을 수 있지만 발달을 진단하기 위해서가 아니라 선별하기 위해서 사용한다면 이러한 위험을 피할 수 있을 것이며 앞으로 더 많은 수의 아동을 상대로 검사를 시행하여 보완할 필요가 있을 것이다.

• Child Health Nursing Research
• /
• 제22권3호
• /
• pp.199-206
• /
• 2016

Purpose: This study was conducted to monitor the development of Korean premature infant at six-month age and to explore factors related to developmental status of the premature infants. Methods: Participants were 58 premature infants whose corrected age was six-months old and their mothers. The developmental states of infants were followed-up with the Korean Prescreening Developmental Questionnaire (KPDQ-II). Clinical characteristics of the infants were identified from the medical records. Other characteristics including Edinburgh Postnatal Depression Scale, husband's support, social support, and mother-infant attachment were assessed using self-report questionnaires from the mothers. Results: Forty three percent of the infants were in the group of questionable status of development on the KPDQ-II. There were significant differences between the premature infants with normal developmental status and those with questionable developmental status depending on gender ($x^2$=5.03, p=.034), gestational age (t=2.59, p=.012), hospital stay (p=.013), revised Neurobiologic Risk Score (p=.005) and mother-infant attachment score (t=2.12, p=.040). Conclusion: Mother-infant attachment, as well as physiological state of premature infants, is an important variable in early development. Therefore, early monitoring for the development has to be done for physiologically vulnerable premature groups. Also, providing proper nursing support to improve maternal attachment needs to be considered.

• Human Ecology Research
• /
• 제58권1호
• /
• pp.105-120
• /
• 2020

This study helps infant teachers practice a constructivism-based teacher education program that supports infant mathematical inquiry activities and examines improvements in mathematical teaching knowledge, mathematical teaching initiatives, mathematical interaction, constructivism belief and mathematical teaching efficacy. Twenty two experiment group infant teachers and twenty two comparison group infant teachers were chosen at two workforce educare centers. The experiment group infant teachers participated in 18 sessions of a constructivism teacher training program for 8 weeks, but the comparison group infant teachers did not take part in the program. Pretest and post-tests were implemented for the mathematical teaching knowledge, mathematical teaching initiatives, mathematical interactions, constructivism belief and mathematical teaching efficacy in the experiment group. Independent sample t-test and ANCOVA were tested using Windows SPSS statistics 21.0. The homogeneity test for the experiment and comparison group revealed significant differences. ANCOVA was carried out after the pretest score was controlled as a co-variance. Significant differences were indicated in mathematical teaching knowledge, mathematical teaching initiative, mathematical interaction, constructivism belief and mathematical teaching efficacy. The results indicated that a constructivism-based teacher education program to support infant mathematical inquiry activities influenced improvements in mathematical teaching knowledge, mathematical teaching initiative, mathematical interaction, constructivism belief and mathematical teaching efficacy. This study proved the effects of the program based on constructivism theory content for the knowledge, skills and attitude about infant teaching of mathematical initiatives and practiced a program of exploration, investigation, application and assessment for infant teachers. The results can help infant teachers teach mathematical exploration activities and help activate infant mathematical exploration activities.

• Child Health Nursing Research
• /
• 제9권1호
• /
• pp.74-84
• /
• 2003

This study was designed to investigate effects of maternal education using Brazelton Neonatal Behavioral Assessment Scale(the following will be marked as NBAS) on the mother-infant interaction and infant behavior. The subjects of this study consisted of 48 pairs of normal mother and infant, 24 pairs for intervention group and 24 pairs for control group. The subjects were recruited from two general hospitals, and an OBGY clinic located in J city. The data were collected from July 30, 2001 to October 6, 2001. Prior to investigation and data collection, following operational hypotheses were set up in order to compare the investigative data against these operational hypotheses(H). H1: Intervention group will higher mother-infant interaction score than control group. H2: Intervention group infants will higher overall performance in infant behavior test score than control group infants. The results of this study were summarized as follows: 1. The mother-infant interaction score was 59.79 points in intervention group and 53.91 points in control group. The mother-infant interaction score of intervention group showed significant difference than control group. Therefore, hypothesis 1 was supported. 2. The infant behavior score of intervention group was significantly higher than control group, but partially. Therefore, hypothesis 2 was partially supported. 1) The social interaction(orientation) score was 46.58 points in intervention group and 43.50 points in control group. The orientation score of intervention group showed significant difference than control group. 2) The state regulation score was 26.79 points in intervention group and 25.33 points in control group. The state regulation score of intervention group showed significant difference than control group. In conclusion, present work demonstrated that maternal education using NBAS is an effective intervention method for promotion of mother-infant interaction and of infant behavior development. Author believes that many inexperience young mother may find NBAS-based maternal education beneficial for their nursing babies, therefore NBAS-based intervention is recommended to be adopted routinely as an integral part of neonatal nursing strategies.

• 여성건강간호학회지
• /
• 제1권1호
• /
• pp.5-27
• /
• 1995

One of the important tasks for new parents, especially mothers, is to establish warm, mutually affirming interpersonal relationships with the new baby in the family, with the purpose of promoting the health development of the child and the well-being of the whole family. Nurses assess the quality of the behavioral characteristics of the maternal-infant interaction. The purpose of this longitudinal descriptive correlational study is to investigate the changes of the mother - infant interactions from postpartum 1 day to postpartum 8weeks of the transition to parenthood. The aim was to contribute to the development of theoretical under standing on which to base care toward promoting the quality of maternal - infant interaction. Data were collect ed directly by the investigator and at rained from Jul, 1, 1990 to Jun 8, 1991, Subjects were a random sample of 44 mothers, 44 who had a normal delivery (but with out other perinatal complications) at four general hospitals in Seoul. Instruments used were the Stainton Parent-infant Interaction Scale (1981). The first observations were made in the delivery room, followed by day 1, day 2, day 3 and 2 weeks, 4 weeks, 6 weeks and 8 weeks after, birth, for a total of 8 contacts. Observations in the hospital were made during the hour prior to scheduled feedings. The infant was placed beside the mother. Later contacts were made at home. Data analysis was don by computer using as SPSS program and included, Paired t-test, t-test and Pearson Correlation coefficient ; the results were as follows. 1. The daily maternal-infant interaction score for the initial contact ofter birth to 8 weeks postpartum had the lowest average score 5.21 and the highest 8.02(in a range of 0-10). This subject group of mothers needed Extra nursing supporting to promote their maternal-infant interaction. 2. The daily scores for the maternal-infant interaction tended to rise, showing a gradual improvement over the period of eight weeks. However, there were significantly different increases in maternal-infant interaction only from the first to second day (p=0.000) and from the fourth to sixth weeks ofter birth.(p=0.000) 3. When the seven items of maternal-infant interaction were evaluated items of maternal-infant inter action were evaluated separately, "Care taking for the baby" had the highest average score, 1.60(in a range of 0-2) and "Speaks to baby" the lowest, 0.8. All items, suggested the subjects' need of nursing intervention to promote maternal-infant interaction 4. There were positive correlations between certain general characteristics, namely, both a higher economic status (p=0.027) and breast feeding (p=0.021) and maternal-infant interaction.

• 한국실내디자인학회논문집
• /
• 제17권1호
• /
• pp.130-137
• /
• 2008

The society changes very fast from the extended family system to the nuclear family system, as increasing a one-child family for the low birth-rate. Thus, it causes that the education, having been performed inside of the family group, is performed outside of the family nowadays such as an infant educational institution. Fundamentally, the space of educating infants must be considered their behavior and meet their needs. For infants, playing is not only studying, but also is related to physical, intellectual and emotional development. Therefore infants in a qualifiedly good playing environment, are easy to focus on their playing. But, variety of playing activities can help improve infants' development physically, socially, emotionally, linguistically and intellectually. So far, an infant educational institution has provided a general education than a special educationally considering their age and status of a development. However, it is necessary to provide an integrated and well-organized place for each infant because their playing is a studying and education that will be based of individuals' character when they are grown up. The objective of this thesis is to study on the new transition space for infants of their physical activities. For this study, at first, it is important to understand what are the points of well-built kindergarten around the world. They have the flexible space in common. The transition(flexible) space will be a solution for space for infants' development.

• 문화기술의 융합
• /
• 제3권4호
• /
• pp.59-66
• /
• 2017

본 연구에서는 영아 돌봄에서 활용되고 있는 IoT의 사례를 살펴보고 발전방안을 논하고자 하였다. 영아의 수면 수유 배변과 같은 일상적 돌봄을 지원하기 위하여 양말이나 옷, 기저귀에 센서를 내장하여 체온, 심박수, 체내 산소량, 기저귀의 가스와 습도를 측정하여 부모 스마트폰으로 전송하는 사물인터넷(Internet of Things:IoT)이 시판되고 있다. 그러나 IoT가 생산하는 영아의 건강정보에 대한 정확성 문제가 신뢰롭지 않은 현실에서 활용성이 강조되고 있는 현황이다. 또한 영아 돌봄을 지원하는 IoT개발에서 영아의 발달적 특성과 영아의 욕구가 반영되어야 할 필요가 있다. 사물인터넷 역할의 중요성이 강조되지만 영아발달에서 더 중요한 것은 접속보다 접촉이 먼저이며, IoT 활용 돌봄이 양육자가 아기와 눈을 맞추고 토닥이는 신체접촉을 대신할 수 없기 때문이다.

• 대한간호학회지
• /
• 제42권5호
• /
• pp.671-679
• /
• 2012

Purpose: This study was conducted to evaluate the effectiveness of a mother/infant-toddler health program developed to enhance parenting knowledge, behavior and confidence in low income mothers and home environment. Methods: A one-group pretest-posttest quasi-experimental design was used. Sixty-nine dyads of mothers and infant-toddlers (aged 0-36 months) were provided with weekly intervention for seven session. Each session consisted of three parts; first, educating to increase integrated knowledge related to the development of the infant/toddler including nutrition, first aid and home environment; second, counseling to share parenting experience among the mothers and to increase their nurturing confidence; third, playing with the infant/toddler to facilitate attachment-based parenting behavior for the mothers. Results: Following the programs, there were significant increases in parenting knowledge on nutrition and first aid. A significant improvement was found in attachment-based parenting behavior, but not in home safety practice. Nurturing confidence was not significantly increased. The program led to more positive home environment for infant/toddler's health and development. Conclusion: The findings provide evidence for mother-infant/toddler health program to improve parenting knowledge, attachment-based parenting behavior and better home environment in low income mothers. Study of the long term effectiveness of this program is recommended for future research.

• 한국미생물·생명공학회지
• /
• 제49권1호
• /
• pp.1-8
• /
• 2021

Human breast milk is a potential source of bacteria for the development of the intestinal microbiota of infants. Several species within the genera Lactobacillus and Bifidobacterium were demonstrated to shape the gut microbiota of infants. In this study, the bacterial diversity was investigated in the breast milk and feces of a mother-infant pair, and probiotic candidates were identified. Importantly, the novel L. gasseri EJL and B. breve JTL strains were isolated from breast milk and infant feces samples, respectively; their completed genome was resolved using de novo sequencing. In addition, the bacterial composition in the infant's feces at 1 week revealed the prevalence of Bifidobacterium and Streptococcus; a higher diversity was observed after 3 weeks. In particular, the abundance of Akkermansia was sharply increased at 7 weeks, further increasing thereafter, up to 15 weeks. Our results suggest that human breast milk and infant's feces are a source of probiotic candidates.

• 한국지역사회생활과학회지
• /
• 제17권3호
• /
• pp.3-14
• /
• 2006

The purpose of this study was to investigate the relationship between conversational function and question type in mothers' utterances and their infant's language development. The subjects were 20 infants from 1;07 to 1;11 years of age in Yanji, China. Each child's spontaneous natural speech during interaction with his/her mother was videotaped for about 30 minutes. The children and their mother's spontaneous utterances were transcribed and coded for the number of type and token of word, grammatical morpheme conversational function and type of question in mother's language input to her child. The result showed that mothers used questions as the most frequent conversational function with their infants. The number of questions in conversational function in mothers' utterances positively correlated with the type of word, type of morpheme and grammatical morpheme in infants' utterance. However, there was no correlation between mothers' language input and infant early language development.