• Clinical and Experimental Pediatrics
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• 제60권3호
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• pp.70-76
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• 2017

Purpose: This study investigated self-food restriction during breastfeeding, reviewed the literature showing the effect of maternal diet on the health of breast-fed infants, and explored the validity of dietary restrictions. Methods: Questionnaire data were collected from breastfeeding Korean mothers who visited the pediatric clinic of Cheil General Hospital & Women's Healthcare Center from July 2015 through August 2015. The survey included items assessing maternal age, number of children, maternal educational attainment, household income, degree of difficulty with self-food restriction, types of self-restricted foods, dietary customs during breastfeeding, and sources of information about breastfeeding. Results: The questionnaire was completed by 145 mothers. More than a third (n=56, 39%) had discomfort from and usually avoided 4-5 types of food (mean, 4.92). Mothers younger than 40 years had more discomfort (odds ratio [OR], 12.762; P=0.017). Primiparas felt less discomfort than multiparas (OR, 0.436; P=0.036). Dietary practices were not influenced by maternal educational attainment or household income. The most common self-restricted foods were caffeine (n=131, 90.3%), spicy foods (n=124, 85.5%), raw foods (n=109, 75.2%), cold foods (n=100, 69%), and sikhye (traditional sweet Korean rice beverage) (n=100, 69%). Most mothers (n=122, 84.1%) avoided foods for vague reasons. Conclusion: Most mothers restricted certain foods unnecessarily. Literature review identified no foods that mothers should absolutely avoid during breastfeeding unless the infant reacts negatively to the food.

• 한국보육지원학회지
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• 제8권3호
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• pp.229-247
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• 2012

본 연구의 목적은 걸음마기 자녀를 둔 어머니의 양육지식, 양육행동과 양육스트레스와의 관계를 알아보는 데 있다. 구체적으로, 어머니의 아동발달에 관한 지식과 자녀발달을 위해 행하는 양육행동과의 관계를 살펴보고, 이러한 지식과 행동의 수준의 차이에 따라 지각되는 양육스트레스에 차이가 있는지를 규명해 보고자 하였다. 연구대상은 서울, 경기, 충청, 영남, 호남 지역에 거주하는 18~36개월 영아기 자녀를 둔 어머니 145명을 대상으로 하였다. 자료 분석을 위하여 빈도, 백분율, 평균, 표준편차, Pearson's 적률상관계수, 일원변량분석을 실시하였다. 연구 결과, 자녀발달과 관련된 어머니의 양육지식과 양육행동 간에는 유의미한 관계가 나타나지 않았으나, 양육행동과 양육스트레스 간에는 유의미한 부적 관계가 나타났다. 영역별 양육행동 중 인지발달에 관한 어머니의 양육행동이 양육 스트레스와 부적 상관을 보였다. 집단별 비교에서도 영역별 적합한 양육행동을 많이 행하지 못하는 하위집단이 중상위 집단에 비해 유의미하게 양육스트레스를 높게 지각하고 있었다.

• Journal of Preventive Medicine and Public Health
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• 제12권1호
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• pp.107-120
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• 1979

In order to determine the knowledge of, attitudes to, and practice of housewives toward health care in a rural area, a survey with questionnaire was carried out with 87 housewives who were sampled randomly from 6 villages in Sudong Myun, from April 16th to 21st, 1979. The following results were obtained. 1. Of the housewives studied, 61.5% knew that B.C.G. is a vaccine for T.B prevention and 12.3% knew that D.P.T. is a vaccine for diphtheria, pertussis, and tetanus. 2. The vaccination rate of the children under six-year of the housewives studied was: polio 83.1%, B.C.G. 75.4%, D.P.T. 66.2%, and measles 55.4% respectively. 3. The vaccination rate was higher in children in the area near from the health subcenter than in there of the area further away. 4. Out of 87 respondants, 87.5% knew one or more methods of contraception for spacing children. These were: loop 69.0%, oral pill 66.7% and condom 14.9% respectively. 5. Out of 87 respondants, 82.2% knew the methods of contraception for sterilization. These were: laparascopy 87.5% and vasectomy 16.9%. 6. Out of 87 respondants those who had experience using contraceptive methods were 70.1% and present users were 47.1%. 7. Contraception practice rate was higher in the group of housewives having middle school education or above than those having primary school education or less. 8. Functions of the health subcenter listed by respondants were: patients care 72.4%, family planning 31.0%, vaccination 23.0%, T.B. control 3.4%, health education 3.4%, infant birth delivery assistance 1.1% respectively. 9. Housewives who knew that there is a village health voluntary worker in their own village were 63.2%(55), and 58.2% of those who knew appreciated her activities. 10. Purposes of expenditure of Myun community health development funds listed by respondants were: aid for patient care 34.5%, aid for health subcenter operation 16.1%, and aid for Myun health development 6.9% respectively. 11. It seems that both of the distance from the health subcenter and the utility rate level of the village health voluntary worker are co-related to the B.C.G. vaccination rate of children. 12. It seems that both of the distance from the health subcenter and the utility rate level of the village health voluntary worker are not co-related to the rate of contraception practice.

• 한국보육지원학회지
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• 제9권6호
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• pp.369-389
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• 2013

본 연구는 영아기 자녀를 둔 어머니의 양육지식과 양육스타일의 관계를 살펴보고자, 사회인구학적 변인 및 양육지식 수준에 따른 양육스타일의 차이를 분석하였으며 양육스타일에 대한 사회인구학적 변인과 양육지식의 상호작용효과를 분석하였다. 본 연구는 육아정책연구소 주관으로 구성된 한국아동패널(2009) 2차년도 자료를 이용하여 누락된 응답문항이 있는 대상자를 제외한 13~18개월 영아와 26~39세의 어머니를 대상으로 1,637개의 자료를 분석에 사용하였다. 연구결과 사회인구학적 변인의 수준에 따라 양육스타일에 통계적으로 유의한 차이가 나타났다. 출생순위가 첫째아인 경우, 어머니의 학력이 고졸 이하보다 전문대졸 이상일수록, 월 평균 가구 소득이 200만원 이하보다 301만원 이상일수록 긍정적인 양육스타일을 보이는 것으로 나타났다. 또한 양육지식 수준에 따른 어머니의 양육스타일의 차이를 살펴본 결과 양육지식이 '상'인 집단이 '하'인 집단보다 긍정적인 양육스타일을 보이는 것으로 나타났다. 마지막으로 양육스타일에 대한 사회인구학적 변인과 양육지식의 상호작용 효과를 살펴본 결과, 출생순위가 첫째아이고 높은 양육지식을 가진 경우, 어머니 학력이 고졸이고 낮은 양육지식을 가진 경우 다른 집단과의 상호작용효과의 차이가 크게 나타났다.

• 한국산학기술학회논문지
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• 제18권10호
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• pp.454-461
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• 2017

본 연구목적은 가정에서 발생한 유아의 안전사고 유형을 조사하고, 부모의 변인에 따른 안전지식의 차이를 검증하는 것이다. 연구대상은 전북 I시 유치원과 어린이집의 만3-5세 자녀를 둔 부모 총 226명이다. 연구도구는 선행연구 및 문헌을 참고하여 연구목적에 적절하게 수정 보완한 질문지를 사용하였다. 수집된 자료는 SPSS 21.0 프로그램을 이용하여 빈도분석, 기술통계, 일원변량분석 및 Duncan 사후 검증을 실시하였다. 본 연구의 결과는 첫째, 유아기 자녀를 둔 거의 대다수의 가정에서 안전사고가 발생하였고, 6개월 동안 평균 1.78회 정도 안전사고가 일어났다. 유아의 안전사고는 넘어지거나 미끄러지는 사고, 충돌 및 충격에 의한 사고, 협착이나 끼임 사고, 추락사고, 찔림과 베임 사고, 화상, 이물질 삼킴과 흡입사고 순으로 발생되었다. 둘째, 부모 모두 '평균 정도 수준'의 안전지식을 가지고 있었다. 어머니의 연령에 따라 '추락'과 '응급처치' 영역에서 안전지식에 차이가 있었다. 또한 전업주부인 어머니가 취업한 어머니보다 전반적인 안전지식과 '화상'에 대한 안전지식이 높았다. 아버지의 연령에 따라 '화재' 영역에서 안전지식의 차이가 있었다. 이러한 연구결과를 토대로 부모의 안전지식을 향상시킬 수 있는 부모안전교육 프로그램이 개발되고, 지속적으로 운영될 필요가 있다.

• 아동학회지
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• 제5권
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• pp.65-80
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• 1984

The purpose of this study was the description of general trends in feeding, weaning and toilet training in agricultural and fishing communities in Korea, where the traditions are better preserved; thereby to present useful material for improving child rearing practices. The results of this study showed that: 1) Breast-feeding is the dominant form of nursing. The mother nurses freely whenever the baby wants to be fed. The mother caresses the baby while she nurses him. The nursing period is relatively long, up to 1 and a half years. 2) Generally, the time of weaning starts late - between 9 months and 18 months. Many mothers apply a bitter tasting solution to their nipples to aid weaning. The many things give a baby foods, the recipe for which the acquire knowledge from his family and acquaintances. 3) Toilet training generally starts after 1 full year. Potties are commonly used. The infant is reminded of its error whenever it makes a mistake and cleanliness is stressed. Urination and defecation are taught to be dirty things. In summary, discipline is not strict enforced but given naturally as the infants grow: This was interpreted in terms of the traditional way of life and geographical characteristics.

• 간호행정학회지
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• 제6권1호
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• pp.135-146
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• 2000

The purpose of this study was to develope, based on the Nursing Intervention Classification (NIC) system. a set of standardized nursing interventions which had been validated. and their associated activities. for use with nursing diagnoses related to home health care for women who have had a caesarian delivery and for their newborn babies. This descriptive study for instrument development had three phases: first. selection of nursing diagnoses. second, validation of the preliminary home health care interventions. and third, application of the home care interventions. In the first phases, diagnoses from 30 nursing records of clients of the home health care agency at P. medical center who were seen between April 21 and July 30. 1998. and from 5 textbooks were examined. Ten nursing diagnoses were selected through a comparison with the NANDA (North American Nursing Diagnosis Association) classification In the second phase. using the selected diagnoses. the nursing interventions were defined from the diagnoses-intervention linkage lists along with associated activities for each intervention list in NIC. To develope the preliminary interventions five-rounds of expertise tests were done. During the first four rounds. 5 experts in clinical nursing participated. and for the final content validity test of the preliminary interventions. 13 experts participated using the Fehring's Delphi technique. The expert group evaluated and defined the set of preliminary nursing interventions. In the third phases, clinical tests were held at in a home health care setting with two home health care nurses using the preliminary intervention list as a questionnaire. Thirty clients referred to the home health care agency at P. medical center between October 1998 and March 1999 were the subjects for this phase. Each of the activities were tested using dichotomous question method. The results of the study are as follows: 1. For the ten nursing diagnoses. 63 appropriate interventions were selected from 369 diagnoses interventions links in NlC., and from 1.465 associated nursing activities. From the 63 interventions. the nurses expert group developed 18 interventions and 258 activities as the preliminary intervention list through a five-round validity test 2. For the fifth content validity test using Fehring's model for determining lCV (Intervention Content Validity), a five point Likert scale was used with values converted to weights as follows: 1=0.0. 2=0.25. 3=0.50. 4=0.75. 5=1.0. Activities of less than O.50 were to be deleted. The range of ICV scores for the nursing diagnoses was 0.95-0.66. for the nursing interventions. 0.98-0.77 and for the nursing activities, 0.95-0.85. By Fehring's method. all of these were included in the preliminary intervention list. 3. Using a questionnaire format for the preliminary intervention list. clinical application tests were done. To define nursing diagnoses. home health care nurses applied each nursing diagnoses to every client. and it was found that 13 were most frequently used of 400 times diagnoses were used. Therefore. 13 nursing diagnoses were defined as validated nursing diagnoses. Ten were the same as from the nursing records and textbooks and three were new from the clinical application. The final list included 'Anxiety', 'Aspiration. risk for'. 'Infant behavior, potential for enhanced, organized'. 'Infant feeding pattern. ineffective'. 'Infection'. 'Knowledge deficit'. 'Nutrition, less than body requirements. altered', 'Pain'. 'Parenting'. 'Skin integrity. risk for. impared' and 'Risk for activity intolerance'. 'Self-esteem disturbance', 'Sleep pattern disturbance' 4. In all. there were 19 interventions. 18 preliminary nursing interventions and one more intervention added from the clinical setting. 'Body image enhancement'. For 265 associated nursing activities. clinical application tests were also done. The intervention rate of 19 interventions was from 81.6% to 100%, so all 19 interventions were in c1uded in the validated intervention set. From the 265 nursing activities. 261(98.5%) were accepted and four activities were deleted. those with an implimentation rate of less than 50%. 5. In conclusion. 13 diagnoses. 19 interventions and 261 activities were validated for the final validated nursing intervention set.

• 한국산학기술학회논문지
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• 제18권7호
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• pp.500-509
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• 2017

본 연구는 농촌지역 다문화가정의 이유식 실태와 지식, 태도 등을 살펴보고자 2015년 12월부터 2016년 3월까지 설문조사로 진행되었으며 92명을 최종 대상으로 하였다. 조사내용으로는 가구 및 아기에 대한 일반적인 특성, 이유식 실태, 이유식에 대한 지식, 태도, 실천 등이었다. 이유식 지식 평균점수는 3.79였고, 태도 평균점수는 4.07이었으며, 실천군은 25.0%였다. 이유식 지식에서는 총 자녀수가 2명 이상, 아기 어머니의 학력이 높은 경우, 출신국적이 중국 또는 일본, 한국어 능력이 상급, 아기 아버지의 학력이 높은 경우, 결혼생활 기간이 6년 이상, 아기 할머니와 동거하지 않는 경우, 이유식 주담 당자가 아기 어머니인 경우, 이유식 상담 및 교육을 받은 경우에서 높았다(p<0.05). 이유식 태도에서는 총 자녀수가 2명 이상, 아기 어머니 한국어 능력이 상급, 이유식 주담당자가 아기 어머니인 경우와 이유식 상담 및 교육을 받은 경우에서 높았다(p<0.05). 이유식 실천에서는 아기 어머니 출신국적이 일본과 캄보디아인 경우, 직업이 없는 경우, 이유식 주담당자가 아기 어머니인 경우에서 높았다(p<0.05). 이유식 실천에 따른 지식과 태도 점수를 보면, 이유식 실천군에서 지식(p<0.001) 및 태도가 미실천군보다 높았다. 다문화가정의 영유아 이유식 실천을 위해서 우선 이유식 주담당자인 아기 어머니를 대상으로 한국어 능력을 향상시키는 것이 중요하며, 주변 동료 지지자를 활용해서 이유식과 관련된 올바른 정보를 제공하는 것이 요구된다. 또한 다문화가정의 문화를 이해하면서 출신국적에 따른 차별화된 맞춤형 교육 및 서비스 제공이 필요하다.

• 한국산학기술학회논문지
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• 제17권3호
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• pp.407-413
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• 2016

본 연구는 어머니의 구강보건지식과 유아구강관리 행태를 파악하여 효과적으로 수행할 수 있도록 하여 유아구강건강을 향상시키기 위해 시도되었다. 연구대상은 D시의 198명의 어머니를 대상으로 설문조사를 하였으며, 자료 분석은 SPSS/PC 20.0을 이용하여 기술통계, 상관관계 Pearson's correlation coefficients으로 분석하였다. 본 연구의 결과를 비추어 볼 때, 구강질병은 심각한 문제라고 인식하고 있었으며, 치과의사에게 정기적으로 방문하는 것은 매우 중요하다고 인식하였다. 아이의 충치가 진행되는 것으로부터 지킬 수 있다는 확신에 대한 인식에 따른 구강보건지식의 상관관계는 어떠한 항목에서도 유의성을 보이지 않았다(p>0.05). 1년에 한 번씩 아이를 치과에 데려갈 수 있을지에 대한 확신에 대한 구강보건지식의 상관관계는 불소가 치아에 효과적이다 라는 구강보건지식과 처음 치과에 방문 시기에서 음의 상관관계를 보였다. 또한, 아이가 치통을 느낄 때 치과에 데려갈 수 있을지에 대한 확신에 대한 구강보건지식의 상관관계는 유아용 음식과 음료에는 설탕이 무첨가되어 있다는 지식과 상관관계를 보였다 (p<0.05). 본 연구는 구강건강지식 및 인식도를 향상시켜 유아구강건강을 증진시키고 자하는 방안을 모색하는 기초자료로 활용될 수 있을 것이다.

• 대한간호학회지
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• 제5권1호
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• pp.112-132
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• 1975

When Korean family planning services began as a part of the National Policy in 1962, the annual population growth was 3.0%. This growth rate has been decreased to 2.0% during last ten year period. And it seems imperative that all hospitals, as well as related organizations, should participate in family planning in order to contribute to achieving the National goal of 1.5% population growth by 1976, the end of the Third Five Year Economic Development Plan. Nurses should be considered the most important human resources in charge of the core of family planning services in any setting. For the family planning services in the general hospital setting, nurses as a core members contribute much as change agent, motivators, counsellors, educators etc. A nurse can work with patients and their relatives when she is equipped with relevant knowledge and skills. Fur the more family planning cannot be ignored even in hospital setting where more comprehensive nursing care is needed Thus, the general objective of this study is to provide baseline data for better programming of In-service education in family planning so that effective hospital family planning nursing services can be made a part of comprehensive nursing care contributing to the national population program and human welfare. In order to meet the general objective, this study has the following specific objectives : 1. To find out the general characteristics of the clinical nurses working in Y Hospital 2. To evaluate their attitudes and practices of family planning 3. To assess their knowledge, attitudes and practices of population and family planning as professional nurses. 4. To examine and compare data collecting methods for the planning of an In-service Educational Program 5. To explore the contents to be included in this In-service Education Program. The study population randomly selected one hundred nurses working in Y Hospital A cross-sectional survey with questionnaires developed for this study was chosen for the study method. To collect reliable data, the questionnaires were distributed to and answered by the study population in a controlled situation. X²test and t-test was employed in analyzing the data. The findings of this study are as follows: 1. Y Hospital nurses had a lower ideal number of children (X=2.02) and showed no strong preference for male children, and 74% of them expressed the desire to use permanent methods of birth control 2. of this thirty Y Hospital nurses who were married 66.7% stated they were already practicing contraceptive methods. Most of them preferred male methods of contraception. 3. According to objective evaluation about knowledge of various aspects of population and family planning, respondents from collegiate programs significantly knew better the subjects on the average than did respondents from diploma programs of nursing. 4. There was a marked difference in the results of self-evaluation and objective evaluation in their family planning knowledge. It was found that the self-evaluation family planning knowledge seemed to be unreliable. Accordingly, the objective test methods appeared to be more reliable in the evaluation of knowledge levels. 5. The subject areas needed to be included in In-service education for the Hospital family planning services in Y Hospital are 1) rhythm methods, 2) tubal-legation, 3) family planning effects of contraceptives, 4) population growth, 5) demographic traction, 6) population structure and 7) infant mortality facts. In addition, 1) various oral contraceptives, 2) basal temperature method, 3) laparoscopic female sterilization, 4) interfering factors of family planning, 5) anatomy and physiology of the female reproductive organs were additional areas to be taught to respondents from 3-year diploma schools of nursing. Demographic transition was one subject area in which the four-year graduates need further study. 6. Population problems guidance and counselling in family planning instruction in the theory and practice of contraceptives should be included in future In-service Education Programs in order to provide more effective hospital Family Planning Services, stated 77.0% of the respondents.