• 제목/요약/키워드: Maternal role.

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유아 어머니와 외할머니 세대의 자녀관련 인식 비교: 이상적 자녀 수, 자녀의 성별에 대한 선호도, 노후부양에 대한 기대, 긍정적 자녀가치와 부정적 자녀가치를 중심으로 (Comparison of Attitudes toward Children among Mothers of Young Children and Maternal Grandmothers: With Specific Focus on Ideal Number of Children, Gender Preference, Expectation Old Age Security and Positive and Negative Values of Children)

  • 박영신 ;김의철 ;김미숙
    • 한국심리학회지 : 문화 및 사회문제
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    • 제18권1호
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    • pp.127-152
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    • 2012
  • 이 연구의 주된 목적은 유아 어머니와 외할머니 세대의 자녀와 관련된 인식을 비교 분석하는데 있다. 이를 위해 이상적인 자녀 수, 자녀의 성별에 대한 선호도, 노후부양에 대한 기대, 자녀가치를 중심으로 집단별 비교를 하였다. 또한 유아 어머니와 외할머니 세대집단별로 현재의 자녀 수에 영향을 미친 긍정적이고 부정적인 자녀가치 인식을 분석하였다. 최종 분석대상은 총 442명으로서, 유아 어머니 집단 221명과 그들의 어머니인 외할머니 집단 221명이었다. 유아 어머니와 외할머니의 평균 연령은 각각 35.36세, 63.27세였다. 측정도구는 김의철, 박영신, 권용은(2005)의 질문지에 토대하여 연구자가 제작하였으며, Cronbach α=.78-.91이었다. 분석결과는 다음과 같다. 첫째, 이상적인 자녀 수에 대한 인식에서 유의한 차이가 있었는데, 유아 어머니는 2명을, 외할머니는 4명을 가장 많이 지적하였다. 이상적인 아들 수에 대한 인식에서도 유아 어머니는 1명을, 외할머니는 2명을 가장 많이 지적하였다. 둘째, 자녀의 성별에 대한 선호도에서, 유아 어머니는 아들이든 딸이든 상관없다는 인식을, 외할머니는 아들이 1명은 있어야 한다는 인식을 가장 많이 하였다. 또한 한 자녀만 낳을 때, 유아 어머니는 아들이든 딸이든 상관없다는 반응이 대부분이었으나, 외할머니는 반드시 아들을 원한다는 반응이 거의 반수에 가깝게 가장 많았다. 셋째, 외할머니가 유아 어머니보다 아들의 노후부양에 대한 기대가 높았다. 그러나 두 집단간에 딸의 노후부양에 대한 기대에서는 차이가 없었다. 넷째, 유아 어머니와 외할머니 집단은 긍정적 자녀가치와 부정적 자녀가치에서도 매우 유의한 차이가 있었다. 자녀를 가지면 좋은 점으로서, 유아 어머니는 외할머니보다 심리적 즐거움이나 행복과 같이 개인적 측면, 가족 결속력의 증진이나 가족공동체의 형성과 같은 가족관계적 측면을 더욱 강조하였으며, 외할머니는 유아 어머니보다 가문을 잇는다든가 노후대책과 같은 사회적 측면을 더욱 강조하였다. 한편 자녀를 가지면 어려운 점으로서, 유아 어머니는 외할머니보다 부모역할 부담과 같은 개인적 측면을 더욱 강조하였으며, 외할머니는 유아어머니보다 가정불화나 가족관계 악화와 같은 가족관계적 측면을 더욱 강조하였다. 다섯째, 현재 자녀 수에 영향을 미친 자녀가치를 분석한 결과, 유아 어머니 집단 경우에 경제적 부담과 같은 부정적 자녀가치가 의미있는 변인으로 작용하였다. 반면에 외할머니 집단 경우에는 가문을 이음과 같은 긍정적 자녀가치가 영향력 있는 변인으로 나타났다.

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암환아 어머니의 사회적지지와 부담감 (Social Support and burden in mothers of children with cancer)

  • 백소희;박인숙
    • Child Health Nursing Research
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    • 제2권1호
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    • pp.27-54
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    • 1996
  • The purpose of the study was to identify the degree of social support and burden in mothers of children with cancer, and to determine a strategy of an effective social support utility for burden relief in these mothers. The subjects of this study were consisted of mothers of cancer children, registered at a'C'University affiliated hospital in Taejon. The data was collected from July 1 to August 31, 1994. Three instruments were used to collect the data : a semi-structured interview questionnaire which was developed by the researcher was used to identify the content of the mother's burden, a Visual Analogue Scale(VAS) that had a 10cm horizontal line was used to measure the degree of mother's burden and the PRQ part I & part Ⅱ were used to measure the degree of mother's social support. The content of mother's burden collected through in depth interviews was analyzed using content analysis. Also burden and social support data were analyzed by SAS program. The result of this study were summarized as follows : 1. The data on burden content from the interview were categorized as psychological, physiological, family interaction with maternal role, financial burden and personal interaction with social relational burden. 2. The degree of burden measured by VAS had a mean of 8.04(range from 0.5 to 10). 3. The score for social support measured by PRQ part Ⅱ had a mean of 88.9(range from 71 to 113). The highest scores was for reassurance of worth. The lowest score was for opportunity for nuturance. Most of the 15 mothers received the greatest amount of support from their sisters, spouse, friends, neighbors, relations, priest were perceived as eaningful resource person. 4. The correlation coefficient of burden and social support was somewhat negative correlation but no statistical significance(r=-.072). Therefore, a further study is necessary to repeat the qualitative research for exploring factor to be affected family caregiver's burden according to disease proceeding stage. On the basis of the results from this study, future research will be promoted valid and reliable tool development. Through this study, nurses understand and assess the individual psychologic burden and further it would be recommendated to produce professional education program for pediatric oncologic specialist nurse.

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간호학 전공 여대생이 인지한 분만의 의미에 대한 연구 (A Nursing College Women's Meaning of Labor and Delivery : Phenomenological Method)

  • 여정희
    • 여성건강간호학회지
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    • 제7권2호
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    • pp.203-211
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    • 2001
  • A women's meaning about labor and delivery may influence the process of childbirth and performance of the maternal role. Therefore, negative meaning about the birth experience may have a negative impact on the childrearing. The purpose of this study is to explore the meaning of labor and delivery for the strategies of nursing intervention in positive childbirth experience. The data were collected through the in-depth interviews of 10 nursing college women on Jeju Island from October 2000 to January 2001. The interviews were conducted by investigator in the class room after school hours. Each interview lasted for about 30 minutes on average. Subjects were interviewed one at a time. The interviews were recorded with the consent of the subject. The data were analyzed by means of Giorgi's phenomenological analysis methods and catagorized according to the similarities of its contents. The investigator read the data repeatedly to identify the themes and the main meanings. Eight main meanings were identified as follows : 1)pain 2) shame and disgust 3)load 4)naturality 5)unreality 6)happiness 7)anxiety 8)maturity. Under these main meanings there were seventeen themes. I. Pain : (a) It's too painful (b) I don't want to deliver II. Shame and Disgust : (a) I am shameful (b) I am hateful III. Load : (a) I don't feel free (b) I have responsibility IV. Naturality : (a) It's in order to obtain a child (b) It's natural for women (c) It's a destiny of women V. Unreality : I don't feel real VI. Happiness : (a) I am glad (b) I am happy (c) It's miraculous VII. Anxiety : (a) I am anxious (b) I am worried VIII. Maturity : (a) I understand parents (b) I feel great. The results of the study will provide basic data for positive childbirth experience.

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임신부의 불안 공포의 원인과 정도에 관한 연구 (A Study on Fear and Anxiety of Pregnant Women)

  • 강정희
    • 대한간호학회지
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    • 제10권2호
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    • pp.1-12
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    • 1980
  • The process of having baby including pregnancy, labor and birth; is considered as crises of life cycle. It is noted that most pregnat women experience fear and anxiety through the gestational period and this may effect to the health of the baby and the mother. Therefore, we, nurses must focuse on this fear and anxiety of pregnant women and make an effort to relieve their emotional discomfort. This study was conducted to determine the pregnant women's intensity of fear and anxiety during pregnancy thus to provide some information for maternal care in terms of antenatal care. The specific objectives of this study are : 1. to determine what are the most frequently experienced fear and anxiety and how frequently the pregnant women perceive them as a fearful and anxious experience. 2. to find out the relations between the intensity of fear and anxiety of pregnancy and the demographic characteristics of the subjected women During the period May 15,1980 to June 4,1980,212 pregnant were asked to question are by trained student mures who visited to 4 obstetric clinic for antenatal care in C-city. The questionare were designed and and scheduled by author which covers 38 items about fears and anxiety during pregnancy and each item was answered by 5 seales according to it's intensity. The result analysed as percentile , mean and S.D. statistically and obtained as rollows 1) The mean age was 27,4 years, the proportion of women completed high school are 45.3%, and 51.4% has no religion 2)68.6% seplied“positive”response about fears and anxiety during pregnancy. 3) Fear relevant to pain, particularly during labor noted most frequent rate. 4) Social factors may relate to the intensity of the fears or anxiety further more socioeconomic problem take important role and affects to the expectant women, 5) Primigravida noted more fears and anxiety about pregnancy compared to multigravida and more in-tensity during aerly half gestational period than late. Majority of pregnant women have experienced fear and anxiety attendant upon pregnancy and so nurse can help the patient to be able experience 1ha difficult adjustment to be course of pregnancy and be able to get good result both fetus and mother through antenatal care.

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Activated Leukocyte Cell Adhesion Molecule: Expression in the Uterine Endometrium during the Estrous Cycle and Pregnancy in Pigs

  • Kim, Min-Goo;Shim, Jang-Soo;Seo, Hee-Won;Choi, Yo-Han;Lee, Chang-Kyu;Ka, Hak-Hyun
    • Asian-Australasian Journal of Animal Sciences
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    • 제24권7호
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    • pp.919-928
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    • 2011
  • The pig exhibits true epitheliochorial placentation, where the fetal membrane maintains attachment throughout pregnancy but does not invade into the maternal uterine endometrium. Accordingly, the expression and function of cell adhesion molecules are very important for embryo implantation and the establishment of pregnancy. In our recent microarray analysis, we found that activated leukocyte cell adhesion molecule (ALCAM) was expressed in the uterine endometrium during pregnancy in pigs. To better understand the roles of ALCAM in the establishment and maintenance of pregnancy, we examined ALCAM expression in the uterine endometrium during the estrous cycle and pregnancy in pigs. Real-time RT-PCR analysis showed that ALCAM was differentially expressed in the uterine endometrium during the estrous cycle and pregnancy, with the highest levels on D12 of pregnancy. ALCAM mRNA was localized to the luminal and glandular epithelial cells and to the trophectoderm of conceptuses during early pregnancy. The steroid hormones estrogen and progesterone had no effect on ALCAM expression in an endometrial explant culture study. Further, we found that ALCAM expression in the uterine endometrium from gilts with somatic cell nuclear transfer-derived embryos was not different from that in gilts with embryos from natural mating. ALCAM was expressed in a pregnancy stage- and cell type-specific manner in the uterine endometrium and conceptuses during pregnancy. These findings suggest that ALCAM may play a role in the establishment of pregnancy. Further analysis of ALCAM will provide insight into the implantation process and establishment of pregnancy in pigs.

Sperm Injection into Maturing and Activated Porcine Oocytes

  • Kim, Bong-Ki;Lee, Yun-Jung;Cui, Xiang-Shun;Kim, Nam-Hyung
    • 한국동물번식학회:학술대회논문집
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    • 한국동물번식학회 2001년도 춘계학술발표대회
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    • pp.41-41
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    • 2001
  • Chromatin configuration and microtubule assembly were determined in porcine maturing and activated oocytes following intracytoplasmic sperm injection. Microtubule localization was confirmed using a mouse monoclonal antibody to $\alpha$-tubulin and detected using a fluorescent labeled goat anti-mouse secondary antibody. DNA was stained with propidium iodide. The image of microtubules and chromatin was captured using laser scanning confocal microscope. In germinal vesicle stage oocyte, sperm chromatin remained condensation and sperm derived microtubules were not observed at 8 to 12 h after sperm injection. At 24 h after injection, the sperm nucleus developed to the metaphase chromatin along the metaphase structure of female nucleus. In some metaphase I stage oocytes, sperm chromatin decondensed at 8 h to 12 h after injection, sperm aster was seen soon after sperm injection. At 24 h after sperm injection into metaphase I stage oocyte, male chromatin developed to the metaphase chromatin while female chromatin extruded first polar body and formed the metaphase chromatin. At 12 to 15 h after sperm injection into preactivated oocytes, condensed sperm nucleus was located in close proximity of female pronucleus. However, the condensed nucleus did not fuse with female pronucleus. In preactivated ocytes, injected sperm remained condensation, a few sperm organized small microtubular aster. Instead, maternal derived microtubules were organized near the female chromatin, which seem to move condensed male chromatin near to the female pronucleus. These results suggest that sperm nuclear decondensing activity and nucleation activity of centrosome during fertilization are cell cycle dependent. In absence of male functional centrosome, female origin centrosome takes over the role of microtubule nucleation for nuclear movement.

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산후 우울 경험에 관한 연구 -근거 이론적 접근- (The Experience of the Postpartum Depression : A Grounded Theory Approach)

  • 배정이
    • 대한간호학회지
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    • 제26권1호
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    • pp.107-126
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    • 1996
  • The Purpose of this study was to build a substantive theory about the experience of postpartum depression. The qualitative research method used was rounded theory. The interviewees were eight others who had experienced postpartum depression. The data were collected through in-depth interviews with audiotape recording done by the investigator over a period of twelve months. he data were analyzed simultaneously by a constant comparative method in which new data were continuously coded into categories and properties according to Strauss and Corbin's methodology. Analysis the grounded data resulted in 28 concepts being identified. Eight categories emerged from the analysis. The categories were regret, loss of freedom, isolation of oneself, heartache, loss, emotional upset, avoidance, recovery. These substantive categories are consistent with precious research results. Causal conditions included : regret, loss of freedom. Phenomena : heartache, loss, emotional upset. Context : isolation oneself. Intervention condition : avoidance. Action/interaction strategies : desire for recovery. Consequences : recovery. These categories were synthesized into the core concept-The process of filling the empty loss of self. The process of the experienced postpartum depression was ① change after delivery, ② searching for a reason for depression, ③ effort to recover from postpartum depression, ④ recovery from postpartum depression and return to previous life. The process of recovery from postpartum depression was proceeded by ① support from others, especially husband, ② resolution of stressful life events, ③ reconstructing of life goals and resolution strategies, ④ acceptance of depression and seeking psychiatric treatment. Seven hypotheses were derived from the analysis. ① Mothers who experienced stressful life event and economic problem are more depressive. ② Mothers who have conflict with parents are more depressive. ③ The more somatic symptoms, the more depression. ④ Social support facilitates recovery from postpartum depression. ⑤ Mothers who have lower self-esteem are more depressive. ⑥ Mother's role overload disturbs recovery from postpartum depression. ⑦ Ideal maternal identity facilitates recovery from postpartum depression. Through this substantive theory, nurses can understand the importance of postpartum depression management.

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몽골 구강악안면외과의 역사와 현황 (THE HISTORY AND PRESENT SITUATION OF MONGOLIAN ORAL & MAXILLOFACIAL SURGERY)

  • 허진영;게나착도르지;이충국
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제26권6호
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    • pp.684-687
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    • 2000
  • Mongolia is a huge, landlocked, middle-Asian country bordering Russia in the north, and China in the south. Mongolia was under socialism from 1921 to 1990, and its political system has started moving toward capitalistic democratism in 1990. The history of the Mongolian Oral & Maxillofacial Surgery can be divided into four periods; the incipient period($1956{\sim}1971$), the period of early development($1971{\sim}1981$), the period of active development($1981{\sim}1991$), and the period of reformation($1991{\sim}$). Mongolian Oral & Maxillofacial Surgery had been developed by the cooperation of Soviet Union and Eastern European countries before the 1990s, but the role of Korea, Japan, and western countries has been increasing from the 1990s. In Mongolia Oral & Maxillofacial Surgery is well recognized to the people and is considered as one of the specialized medical field. There are specialized departments of Oral & Maxillofacial Surgery in State Central Hospital, Child & Maternal Research and Clinical Center, and Oncology Center in Ulaanbaatar. Now, the basic knowledge and surgical technique of the Mongolian Oral & Maxillofacial Surgeons are satisfactory. But because of the difficult social and economic situation, there is a shortage of surgical instruments and materials, and acquirement of new knowledge is not easy. In 1998 the Mongolian Association of Oral & Maxillofacial Surgeons was established and its members want to have international relationship to keep up with the new medical information. Mongolia and Korea have ethnic, linguistic and cultural similarity, so the interchange and cooperation between Mongolian and Korean Oral & Maxillofacial Surgeons are recommended to make a beautiful one-world.

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고령임산부의 임신과 출산 건강관리 요구 (Advanced Aged Women's Needs for Pregnancy and Childbirth Care)

  • 민혜영;정금희
    • 여성건강간호학회지
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    • 제21권4호
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    • pp.332-341
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    • 2015
  • Purpose: Advanced aged pregnancy may be related with health problems so that more aggressive health care is necessary for these women. This study aimed to provide the basic data for developing nursing intervention programs to enhance the health of pregnant women and their new-born babies and by identifying the advanced aged women's need for pregnancy and childbirth. Methods: It is the cross-sectional descriptive study to identify the advanced aged women's need on pregnancy and childbirth. Subjects were pregnant women 35 years or older and postpartum women. Total number of subjects was 95. Measurement tool is self-reporting survey that consisted of 67 items with four-point Likert scale, which was completed during October to November 2014. Results: Average score was 3.44 out of maximum 4 on the care need on pregnancy and childbirth. Average scores according to category were as follows: baby rearing and parental role, 3.55; preconception care, 3.49; delivery care, 3.47; postpartum care 3.42; and prenatal pregnancy, 3.39. The degree of needs on pregnancy and childbirth was different according to delivery experience (t=-2.49, p=.014). Conclusion: Prenatal and postpartum nursing interventions were completed regardless of pregnant women's age until now; however, new nursing intervention programs are necessary to prevent the risk of advanced aged pregnancy, to provide the preconception care, and to increase the infant care and family support.

Repercussions of Breastfeeding by Diabetic Women for Breast Cancer

  • Franca, Eduardo Luzia;Franca-Botelho, Aline Do Carmo;Franca, Juliana Luzia;Ferrari, Carlos Kusano Bucalen;Honorio-Franca, Adenilda Cristina
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권11호
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    • pp.6233-6239
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    • 2013
  • Diabetes represents a serious health problem. In the diabetic state, alterations in metabolism, increased susceptibility to infections and immunological changes occur. The suppression of the immune response has been identified as a relevant factor that contributes to the increase in the rate of infections in these patients. At the same time, breast cancer is the most frequent malignant tumor in women. The molecular and cellular mechanisms underlying cancer development have revealed that immune cells functionally regulate epithelial cancer development and progression. Breastfeeding has been hypothesized to reduce the risk of breast cancer. However, early systematic reviews have not yielded consistent findings for this association. The demand for human milk is increasing due to the promotion and consumer acceptance of the health benefits of consuming a natural product rich in bioactive components. However, due to changes in glucose metabolism, the components of the milk from diabetic women are modified depending on the time of evaluation. In this literature review, we summarize important new findings revealing the paradoxical role of breastfeeding in preventing the onset of breast cancer in diabetic mothers. We hypothesized that the milk component production in diabetic mothers is affected by changes in glucose metabolism. Therefore, adequate maternal glycemic control and an adequate duration of breastfeeding for diabetic mothers are crucial to ensure that the immunity components are able to confer protection against breast cancer.