• Child Health Nursing Research
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• v.3 no.1
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• pp.5-18
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• 1997

This study was designed to compare the educational needs of the mothers of LBW infant and normal neonate for development of the educational program. The subjects for this study were 37 mothers of LBW and 60 mothers of normal neonate at 3 general hospitals in Seoul and Inchon. The data were collected during the period from July to November, 1996. The Educational Need for Infant Care was measuerd by questionnaire that has developed by researchers. The data were analized by descriptive statistics, non-paired t-test, ANOVA, ANCOVA using SPSS PC/sup +/. The results were as fellow : 1) The educational needs of the mothers of LBW infant were higher than the mothers of normal neonate(F=14.50, P=.000). 2) There were significant associations between the educational needs of the mothers of LBW infant and delivery history(nullipara. or multipara. ) and caregiver of postpartum(t:-2.08, P=.045 ; F=3.94, P=.0282). 3) There were significant associations between the educational needs of the mothers of normal neonate and numbers of children and caregiver of postpartum(F=5.53, P=.0064 ; F=3.22, P=.0480) .4) The educational need by content was signs, symptomes and management of disorders (i. g. cyanosis, seizure, fever, vomiting etc.) were higher than general care of baby(i. g. feeding, diaper change etc.) at two groups. In conclusion, when the nurses teaching the method of infant care to mother, there sholud be in consideration of delivery history and caregiver of postpartum. Also, its educational contents must be Included of signs, symptomes and management of disorders.

• Women's Health Nursing
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• v.27 no.4
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• pp.307-317
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• 2021

Purpose: The purpose of this study was to develop and test the validity and reliability of the Korean version of the Perinatal Infant Care Social Support (K-PICSS) for postpartum mothers. Methods: This study used a cross-sectional design. The K-PICSS was developed through forward-backward translation. Online survey data were collected from 284 Korean mothers with infants 1-2 months of age. The 19-item K-PICSS consists of functional and structural domains. The functional domain of social support measures infant care practices of postpartum mothers. Exploratory factor analysis (EFA) and known-group comparison were used to verify the construct validity of the K-PICSS. Social support and postpartum depression were also measured to test criterion validity. Psychometric testing was not applicable to the structural social support domain. Results: The average age of mothers was 32.76±3.34 years, and they had been married for 38.45±29.48 months. Construct validity was supported by the results of EFA, which confirmed a three-factor structure of the scale (informational support, supporting presence, and practical support). Significant correlations of the K-PICSS with social support (r=.71, p<.001) and depression (r=-.40, p<.001) were found. The K-PICSS showed reliable internal consistency, with Cronbach's α values of .90 overall and .82-.83 in the three subscales. The vast majority of respondents reported that their husband or their parents were their main sources of support for infant care. Conclusion: This study demonstrates that the K-PICSS has satisfactory construct validity and reliability to measure infant care social support in Korea.

• Women's Health Nursing
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• v.23 no.3
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• pp.210-220
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• 2017

Purpose: The aims of the study were to develop mobile application for postpartum care of first-time mothers and to validate it's effect. Methods: Using a nonequivalent control group pretest-posttest design, 52 first-time mothers were recruited (26 each in experimental and control) and the experimental group used the mobile application for 6 weeks after delivery. Postpartum self-care knowledge and confidence, infant care knowledge and confidence, and postpartum depressive mood (Edinburgh Postnatal Depression Scale) were measured before discharge from the hospital and 6 weeks later. Results: Women who have used the postpartum care mobile application reported higher levels of postpartum self-care knowledge (p=.030) and confidence (p=.023) infant care knowledge (p=.001) and confidence (p=.004), while scores of postpartum depression (p=.021) were lower than those in the control group. Conclusion: The postpartum-care mobile application developed in this research may be effective in reinforcing knowledge and confidence for postpartum self-care and infant care and in reducing postpartum depressive mood.

• Child Health Nursing Research
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• v.30 no.3
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• pp.199-209
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• 2024

Purpose: This study aimed to assess the knowledge level of first-time mothers regarding digestive health issues in infancy and to examine the utilization of healthcare facilities for such problems. Methods: Data from 119 first-time mothers of infants under 6 months of age were analyzed. Descriptive statistics, t-test, and one-way analysis of variance (ANO-VA) were conducted using the SPSS software. Results: The average correct response rate for first-time mothers' knowledge of digestive health problems in infancy was 61.9%. The highest correct response rate was observed for infantile colic, while diarrhea had the lowest. Less than 50% of mothers received education on infant digestive health problems across all categories. Among digestive health problems in infancy, diarrhea exhibited the highest rate of healthcare utilization, whereas infantile colic had the lowest. First-time mothers' knowledge of digestive health problems in infancy varied based on maternal age (t=-3.66, p<.001), education level (t=-2.26, p=.026), and planned pregnancy (t=3.24, p=.002). Moreover, mothers who received education on infant digestive health problems demonstrated better overall knowledge of digestive health problems. Conclusion: The rate of education regarding digestive health problems during infancy among first-time mothers was < 50%. Furthermore, mothers educated on infant digestive health issues exhibited improved knowledge. Therefore, it is necessary to provide appropriate pre-education to primiparous common gastrointestinal health issues in infants.

• Korean Journal of Childcare and Education
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• v.12 no.1
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• pp.123-142
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• 2016

This study explores the attitudes of infant care teachers towards child care centers for infants, and suggests improvements for free child care services for infants, with regard to the teaching principles of said teachers. Individual in-depth interviews were conducted with 26 infant care teachers. Most of the infant care teachers agreed that working mothers, but not stay-at-home mothers, should use child care centers. They also argued that, because child care for infants is free, (1) mothers have become more dependent on public child care, (2) mother's perception of child care centers has changed, and (3) people have exploited child care services. According to the teaching principles of these teachers, optimal childrearing for infants should involve the following: First, mothers themselves should take care of infants aged 0 to 2 years at home, when possible. Second, mothers using child care centers should form a childrearing partnership with the centers' teachers, and thus closely cooperate with them. Third, the role of infant care teachers should be understood as that of "the second mother." The highlight of this study is that it investigated the changes child care teachers have experienced as main providers of child care services for infants since the implementation of free, universal infant care, and suggested directions for improving child care services.

• Journal of Home Health Care Nursing
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• v.8 no.1
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• pp.5-24
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• 2001

The purpose of this study was to develop a parenting intervention program and determine the efficacy of the program with low-birth weight infants and their mothers. Nine dyads for the experimental group and twelve dyads for the control group discharged from the Neonatal Intensive Care Unit of a University Hospital in Seoul were recruited for the study. For the intervention group, programmed education and support which focused on the maternal sensitivity of the infant's behavior. rearing environment. motherinfant interaction and infant care were given to each subject. Individual counseling and home visits were provided at discharge, one week after discharge. and one and three months of corrected age in every infant. Structured questionaires were administered and feeding interactions were videotaped and coded by a blinded certified observer. A Quasi-experimental design was conducted for this study. Postpartum depression, maternal self esteem. infant care burden, HOME. mother-infant interaction, and infant development were measured. Results were in favor of the intervention versus the control group. On the Beck depression inventory, intervention mothers showed decreasing trends in depressive symptom vs control mothers although, there were statistically no significant differences between the two groups at each time. The mean score of experimental group was 11.55(mild depression state) at discharge and became 8,6(normal state) at 1 month of corrected age. On the other hand, the mean score of the control group was 13.92(mild depression state) at discharge and became 14.0. Maternal self esteem in both groups improved over time. Infant care burden in both groups was also shown to increase over time. There was a significant difference between the two groups in HOME(p=.0340) at 3 months of corrected age. HOME scores of the experimental group and the control's were 31.10 and 25.58, respectively. Mothers' emotional and language responses were significantly high in the intervention group compared with the control group(p=.0155). Intervention group (53.33) showed a significantly high quality of motherinfant interaction compared with the in control group (42.80)(p =.0340). Intervention group mothers appeared have a better quality of mother-infant interaction behaviors. On the other hand, there was no statistical difference in the infant part between groups. Intervention group infants had higher trends in a general developmental quotient: although, there was no statistical difference between groups. The general developmental quotient of intervention infants was 102.56 and control's was 91.28. However, the developmental quotient of the domain of 'individuality-sociality' was higher in the intervention group infants compared with the control's(p=.0155). The concerns identified by parents revealed two domains of an infants' health management -knowledge and skills in caregiving of lowbirthweight-infants, characteristics of lowbirthweight infants, identifying a developmental milestone, coping with emergency situations and relaxation strategies of mothers from the infant care burden. Interview data with the mothers of low-birth weight infants can be used to develop intervention program contents. Limited intervention time and frequency due to time and cost limitations of this study should be modified. The intervention should be continuously implemented when low-birth weight infants become three years old. An NNNS demonstration appeared to be a very effective intervention for the mothers to improve the quality of mother-infant interactions. Therefore intervening in the mothers of low-birth weight infants as early after delivery as possible is desirable. This study has shown that home visit interventions are worthwhile for mothers only beyond the approach as an essential factor in ability of facilitating a growth fostering environment. In conclusion. the intervention program of this study was very effective in enhancing the parenting for the mothers of low-birth weight infants, resulting in health promotion of low-birth weight infants. The home-visit outreach intervention program of this study will contribute to the health delivery system in this country where there is a lack of continuous follow-up programs for low-birth weight infants after discharge from NICU, if it is activated as part of the home visit programs in community health systems.

• Korean Journal of Child Studies
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• v.22 no.1
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• pp.51-66
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• 2001

This study investigated whether infant child care experience, alone or in combination with mother/child factors, is associated with attachment security. Participants were forty 12-to 18-month-old infants and their mothers. Infants were observed in the Strange Situation to assess the pattern of infant-mother attachment; the Observational Ratings of the Caregiving Environment was used to assess the caregiving environment. Mothers were interviewed with the questionnaires and observed in the laboratory "living room". There were significant main effects of maternal sensitivity and responsiveness and of stability of care on attachment security and on insecure/avoidance. Significant interaction effects revealed that infants were more likely to be secure when high maternal sensitivity/responsiveness was combined with good quality child care, non-maternal care initiated prior to six months of age, or care by close relatives.

• Journal of Korean Academy of Nursing
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• v.37 no.6
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• pp.949-956
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• 2007

Purpose: The purpose of this study was to examine the effects of Kangaroo Care(KC) on anxiety, maternal role confidence, and maternal infant attachment of mothers who delivered preterm infants. Methods: The research design was a nonequivalent control group pretest-posttest. Data was collected from September 1. 2006 to June 20. 2007. The participants were 22 mothers in the experimental group and 21 in the control group. KC was applied three times per day, for a total of ten times in 4 days to the experimental group. Results: The degree of anxiety was statistically significantly different between the two groups but maternal role confidence and maternal infant attachment was statistically insignificant. Conclusion: This data suggests that KC was effective for mothers anxiety relief but it was not effective for maternal role confidence and maternal infant attachment of mothers. The implications for nursing practice and directions for future research need to be discussed.

• International Journal of Human Ecology
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• v.12 no.2
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• pp.109-117
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• 2011

This study examines the infant crying acoustic characteristics likely to arouse negative emotions and distress in mothers. We used samples of infant crying from three situations (hunger, pain, and the mother's absence) in six healthy infants over six months. We played the recordings of infants crying to 90 mothers in the care of infants and had them self-evaluate emotions and feelings. In addition, the sounds were analyzed acoustically through a CSL4400 to analyze frequency, energy, total expiratory time, and the number of the expirations. In this study, cries due to pain and the absence of the mother caused more unpleasant emotions and irritation in comparison to the infant sounds of hunger. In particular, crying from the absence of the mother caused the most distress. An analysis of these sounds showed that crying in the situations of pain and the absence of the mother were strong in frequency, high energy, and prolonged. These results suggest a relation between infant crying acoustical characteristics and the feelings of distress by the mother.

• Journal of Home Health Care Nursing
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• v.3
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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).