• 여성건강간호학회지
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• 제9권3호
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• pp.213-223
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• 2003

Purpose: This study was conducted to identify the effects of a prepared childbirth education on the knowledge and delivery participation levels of the spouses of primiparas. Method: The study's subjects were a convenience sample of 126 spouses, consisting of an experimental group of 74 educated for prepared childbirth for 10 hours. This study was measured by using a 41-item measurement instrument for knowledge of childbirth that was devised from Kang's(1981) instrument and a 23-item measurement instrument for measuring delivery levels which was developed through clinical experiences. The data gathered as analyzed by using SPSS WIN10.0. Result: There were no significant differences between the experimental group and the control group in homogeneity concerning the general characteristics of the spouses of primiparas. The first hypothesis, which stated that the level of knowledge of childbirth in the experimental group who received prepared childbirth education would be higher than in control group, was statistically supported by the Compared Independent Sample t-test(t=17.92, p=.000). The second hypothesis, which stated that the level of participation of delivery in the experimental group who received prepared childbirth education would be higher than in the control group, was also statistically supported (t=28.87, p=.000). The third hypothesis, which stated that there would be a correlation between the level of knowledge and the level of participation in the experimental group who received prepared childbirth education, showed a high positive correlation(r=.810, p=.000). Conclusion: The above results indicate that the increase of knowledge through prepared childbirth education in the spouses of primiparas has a high correlation with delivery partici- pation levels which engenders physical and moral support for primiparas at delivery. Additionally, a varied prepared childbirth education acts as an effective means to increase under- standing and support for primiparas couples who experience tension, anxiety and fear due to an unprepared delivery in Korea.

• 여성건강간호학회지
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• 제26권4호
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• pp.358-366
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• 2020

Purpose: This study investigated levels of childbirth fear and related prenatal factors (self-confidence for childbirth, prenatal depression, knowledge about childbirth, and spousal support) among pregnant women in South Korea. Methods: A correlational study design was used to explore levels of childbirth fear and related prenatal factors in 200 pregnant women over 28 weeks of gestation. A self-administered questionnaire was used to measure fear of childbirth and related factors, such as self-confidence for childbirth, prenatal depression, knowledge about childbirth, and spousal support. Results: One-third of the pregnant women were aged 35 years and older. Sixty-one percent of women were nulliparae, but only 26.0% had experienced prenatal education. The mean score for fear of childbirth was 66.99 out of 165. The prevalence of fear of childbirth was 72.0%, and childbirth fear was severe in 26.5% of the participants and moderate in 45.5%. Fear of childbirth was negatively related to self-confidence (r=-.45, p<.001), but positively related to prenatal depression (r=.21, p=.002). Two significant predictors were found to explain the fear of childbirth. Higher self-confidence for childbirth was associated with less severe fear of childbirth (β=-.44, p<.001), while higher prenatal depression was associated with more severe fear of childbirth (β=.13, p=.038). Conclusion: The level of fear of childbirth was higher among pregnant women with lower self-confidence and higher prenatal depression. Reasonable evidence should be provided for implementing prenatal and childbirth classes to reduce pregnant women's depression and to increase their confidence.

• 여성건강간호학회지
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• 제9권3호
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• pp.235-244
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• 2003

Purpose: To examine the difference of physical discomfort and childbirth satisfaction between postpartum women with and without having taken Epidural Analgesia. Method: The subjects were divided into one group of 128 primipara taken Epidural Analgesia and the other of the same 70 women who were not taken it. Data were collected by questionnaires of their own physical discomfort and birth satisfaction at postpartum 1 to 2 days in OBGY hospitals, and data were analyzed using SPSS Program. Result: Women having taken epidural analgesia appealed higher physical discomfort than those without it in the lower limbs exercise discomfort, difficult urination, urinary retention, nausea & vomiting, whereas appeared vice versa in breast pain. Among indicators for childbirth satisfaction, women having taken epidural analgesia preferred the same delivery method later again more than those without it. Conclusion: It is confirmed that the method of epidural analgesia is not an absolute way to control labor pain, rather stir physical discomfort after childbirth and does not fully increase the women's childbirth satisfaction. Therefore, it is proposed that nurses should provide the pregnant women the right knowledge and information, thereby enabling them to select the useful method of childbirth to their own course of childbirth and health-recovering after the delivery.

• 여성건강간호학회지
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• 제18권2호
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• pp.135-148
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• 2012

Purpose: The purpose of this study was to explore the meanings of 'Natural childbirth' from experiences of Korean women who gave birth to a baby in the midwifery using a feminist approach. Methods: This paper is a qualitative research study and applies a feminist epistemology and methodology to the experiences of women who gave birth in midwifery. The data were collected by individual in-depth interviews with eleven participants. Results: Two main themes emerged from the feminist content analyses and each main theme had three sub themes. A. transformation of control and knowledge on childbirth and the body 1) refusing coercive medicalization and building a new normality, 2) specific expectations about biological health and maternity rather than a return to nature, 3) the subject of pregnancy and childbirth, B. 'natural childbirth' practice as a new embodied discipline 1) helpers to support mothers, midwives, 2) helping the body to do 'natural childbirth', 3) from isolated labor to cooperative reproduction. Conclusion: These results indicate that women desired to practice being a subject, consultation with professionals, self-discipline and named actors except for women as 'other subjects' in childbirth.

• 한국산학기술학회논문지
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• 제14권6호
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• pp.2880-2888
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• 2013

본 연구는 듀라터치 분만교육이 분만자신감, 분만지식, 부부관계 만족도에 미치는 효과를 규명하고자 시도되었다. 대상자는 경기도 Y시에 소재한 보건소에서 2012년 10월부터 11월까지 주 1회 4번 듀라터치 분만교육을 받은 임산부 27명과 경기도 W시에 위치한 D병원에서 2012년 10월부터 2012년 11월 산전 진찰을 받은 대조군 28명을 대상으로 연구했는데, 그 결과는 다음과 같다. 듀라터치 교육을 받은 실험군이 대조군보다 분만자신감(t=-2.81, p=.007)과 분만지식정도(t=3.50, p=.001)에서 통계적으로 유의미하게 높았으나 듀라터치 교육을 받은 실험군과 대조군 간에는 부부관계 만족도는 유의미한 차이가 없는 것으로 나타났다(t=0.23, p=.818). 분만자신감과 부부관계 만족도에서 통계적으로 높은 상관관계를 나타냈다(r=314, p=.005).

• 한국융합학회논문지
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• 제11권8호
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• pp.279-285
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• 2020

임산부의 출산 경험에 따른 구강보건에 대한 지식 및 실천도를 확인하고, 구강건강관리 실천도에 영향을 미치는 요인을 파악하고자 한다. 대전광역시 소재 산부인과에 내원 중인 임산부를 대상으로 2019년 3월 2일부터 30일까지 자기기입식 설문조사를 실시하였다. SPSS WIN(ver 19.0) 프로그램을 이용하여 임산부의 구강건강관리에 대한 지식도와 실천도는 출산 경험에 따라 t-test를 실시하였고, 실천도에 영향을 미치는 요인은 다중회귀분석을 실시하였다. 연구결과, 구강건강관리에 대한 지식도는 전신건강행위 문항에서 '출산 무경험인 임부'가 '출산 경험이 있는 임산부'보다 높게 나타났다. 임산부의 구강건강관리 실천도에 영향을 미치는 요인으로 교육수준, 임신 전 구강검진 및 치료 경험, 임신으로 인한 구강상태 변화 경험, 임산부의 구강건강관리 지식도로 나타났고, 설명력은 26.9%이었다. 따라서 임산부의 구강보건교육 대상 범위 확대와 실천율을 향상시킬 수 있는 구강보건교육 프로그램 개발이 필요하다.

• 부모자녀건강학회지
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• 제20권2호
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• pp.67-79
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• 2017

Purpose: This research aimed to study the awareness of marriage, childbirth, fertility and high-risk pregnancy among university students. Methods: 250 university students from Seoul and Gyeonggi-do completed questionnaires regarding their awareness on marriage, childbirth, fertility, and high-risk pregnancy. Results: The average age of participants was 22.5. The ideal marriage age was 29.8. 201 (80.4%) participants had an intention of getting married, and 160 (60.4%) answered they should have children. The ideal age of first childbirth was 30.4 and last childbirth was 35.1. There were 126 (50.4%) with prior education regarding high-risk pregnancy, subfertility or infertility. The score of needs for education associated with pregnancy was 7.6 out of 10. The average correct answer rate of awareness of fertility issues was 30.7%. There were significant differences between men and women, 25% of men and 38% of women overestimated the age at women are most fertile. Only 23.7% of men and 25.9% of women knew the correct age when there was marked decrease in women's fertility. Conclusion: Awareness of a lack of marriage, childbirth, fertility, and high-risk pregnancy may influence future family planning and health. These results can be used to plan programs or education for marriage, pregnancy, and childbirth.

• 여성건강간호학회지
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• 제9권3호
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• pp.299-308
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• 2003

Purpose: This study was designed to identify nurses' perceptions and educational intentions regarding natural childbirth control (NCC) methods. Method: The participants were 313 nurses working at three general hospitals in Seoul. They were asked to complete a questionnaire composed of scales measuring knowledge and perceptions childbirth control methods, awareness of bodily changes in ovulation phase, perceptions of fetal life, which were developed by the author. Also, Chang's (2002) Sexual Autonomy Inventory was utilized. The data were analyzed by the SAS program. Results : Methods of condom and rhythm were considered to be more useful for childbirth control than other methods. Only 34-54% of them knew exactly about the NCC methods using menstrual cycle, body temperature, and mucus. The mean scores of sexual autonomy and awareness of bodily changes in ovulation phase were 3.8 and 3.4 out of 5, in respect. Educational intention was different statistically by the age, marital status, future intention to use NCC methods, and perception of educational need for NCC methods. Conclusion : Nurses' perceptions and educational intentions regarding NCC were low, especially in nurses who were married. It is recommended to encourage nurses to learn NCC methods for clients education.

• 한국콘텐츠학회논문지
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• 제18권10호
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• pp.657-668
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• 2018

이 연구의 목적은 비혼모가 되기 전 삶과 출산 전 양육비혼모 삶의 경험에 대하여 구조와 본질을 심층적으로 알아보고 이해하기 위함이다. 비혼모 10명을 대상으로 심층개별면담을 통하여 자료를 수집한 후, Colazzi의 현상학적 연구방법을 이용한 질적 연구를 하였다. 연구결과 '상처로 얼룩진 시절' 주제모음은 비혼모가 되기 전 어린 시절 단절된 가족관계와 가족기능의 해체로 인하여 부모에게 버림받거나 보호받지 못한 삶의 경험으로 나타났다. '위태로운 일상' 주제모음은 비혼모들의 이른 학업중단과 가출은 위태로운 생활로 이어졌다. 또한 무분별한 성문화와 낮은 성인식, 태도는 성을 일찍 경험하는 것으로 나타났다. '당혹스러운 임신사실' 주제모음은 비혼부의 피임 거부와 비혼모의 부정확한 피임지식과 피임방법 사용은 원치 않은 임신으로 나타났다. 마지막 주제모음 '힘들게 결정한 출산'은 임신사실을 너무 늦게 인지하여 어쩔 수 없는 출산을 선택하기도 하지만 생명의 소중함을 느껴 낙태를 거부하고 출산을 결정하는 것으로 나타났다. 이상의 연구결과를 바탕으로 비혼모를 대상으로 성교육을 강화 할 뿐 아니라 남성을 대상으로 정확한 피임지식과 방법을 제공하는 성교육 실시의 필요성을 논의하였다.

• 부모자녀건강학회지
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• 제14권1호
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• pp.36-44
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• 2011

Purpose: This study was conducted to explore foreign immigrant mothers' experiences of pregnancy, childbirth, and child rearing. Methods: Ten married female migrants were selected by a purposive and snowball sampling method. Data were collected during the period from September to November, 2009 by individual in-depth interviews and all interviews were audio-taped and transcribed verbatim. Results: Ten categories were induced: In pregnancy and childbirth domain, social support-request help to their own parents, social support-depending on husband and mother's in law, Enduring emesis-gravidarum in strange environment were extracted. In Chid-rearing domain, child-rearing overburden, lack of self-confidence on maternal role, child-rearing difficulties due to language barrier, lack of information and education on child-rearing, lack of accessibility to public health care services, expectation of child's assimilation in Korea, financial strain in child-rearing. Conclusion: This study provides basic knowledge regarding married female migrants' experiences related to pregnancy, childbirth, and child rearing. The findings of the study will help health professionals designing effective interventions for married female migrants with difficulties related to child care, parenting, rearing.