• 한국보건간호학회지
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• 제8권2호
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• pp.101-113
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• 1994

Maternity means all the women who are capable to conceive. In the aspect of health and medical care. however. it means the women who are now in pregnancy or have already given birth to a baby or are in a period of being recoverd from physiological changes occurred by pregnancy. According to the rapidly changing social structure. both the Quality and Quantity of the capacity of childbirth experienced by women are changing. Our society. having established a great economical growth by virtue of the highly developing and growing industrialization and urbanization. stimulates the women's advance into society and thereby increasing the number of employed women. When the women's participation in society is increased. their age of marriage is also affected. Which means there are a decrease of the capacity of childbirth in terms of quantity and a trend for women to have less children and to deliver a baby in their old age in terms of quality. On the contrary. since the number of multipara who want to have a baby in their old age is increasing. as a counter functional effect to the political project of decrease of a birth rate. concern has been focussed on childbirth in old age in the present study. And also such kind of the childbirth may be danger to the health of both mother and baby. Therefore the present study intended to provide some basic data of health education in the part of the health management of both mother and baby in the general hospital. based on understanding the realities of childbirth in. old age and things related to them. To achieve such a purpose of the present study. an analytical study by means of SPSS. was done using the data of 269 clinical records on both the newborn .babies and their mothers who had been supported by public general hospitals located in Seoul for 3 years from Jan. 1. 1991 to Dec. 31. 1993. Some significant results from the analytic study are as follows: 1. It appeared that the average age of normal. natural delivery was 33.8 years old and the average age of delivery through the cesarean operation was 35.4 years old. 2. It appeared that danger factors to childbirth women were types of the delivery and placental extrusion and danger factors to newborn babies are not so outstanding. 3. It appeared that the variables of the childbirth capacity which showed a significant difference according to each age group of women were the number of pregnancy. number of still birth, and number of existing children. That is. the age group of 'more than 35 years' had more frequency of experience In all 3 variables than the age group of 'less than 35 years'. 4. It appeared that the variables of the childbrith capacity which showed a significant difference a according to the sex of a newborn baby were number of pregnancy, number of still birth, and number of existing children. That is, the age group of 'more than 35 years' had more frequency of experience in all 3 variables than the age group of 'less than 35 years'. 5. It appeared that the health index of newborn babies which showed a significant difference was only 5 minute APGAR. That is, the health index 9.46 in the age group of 'more than 35 years' was less than an index of 9.72 in the age group of 'less than 35 years'. 6. Since a counter correlation of -0.10, as Pearson Correlation Coefficient, was showed between the age of childbirth mothers and the weight of newborn babies, it indicated that the higher age of childbirth woman, the lesser the weight of newborn baby. 7. It appeared that the number of women who had confirmed the sex of their baby before their delivery were 45 women, $67.2\%$ of total 67 women who had delivered a baby. and the expected sex by women in childbed was male with $73.1\%$ of total childbirth women expecting male birth and with their expression of feeling of female delivery. very regretful' by $39.3\%$ of total childbirth women. The results as shown above may indicate that instead of the possibility of danger to both the mother delivering a baby in old age and the baby delivered, the expectation of getting a son motivates childbirth in old age. As a conclusion, in a dimension of general hospital as well as national reform. it is required that a program of health education for childbirth in late maternal age have to be developed in the part of the health management of both mother and baby in the near future.

• 여성건강간호학회지
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• 제20권2호
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• pp.163-172
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• 2014

Purpose: The purpose of this study was to determine the stress, depression, and fetal attachment of pregnant women who underwent infertility treatment, and to identify factors associated with fetal attachment. Methods: As a correlation survey design, data were collected from 136 pregnant women who underwent infertility treatment. Data were analyzed using ${\chi}^2$-test, t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression. Results: Stress, depression, and fetal attachment averaged $3.01{\pm}0.60$ (range of scale 1~5), $10.02{\pm}6.51$ (out of a possible 63), and $3.64{\pm}0.55$ (range of scale 1~5), respectively. Level of fetal attachment was higher when mother's age was less than 35, having other children, and having prenatal education experience. Lower score of depression and client's age less than 35 were significant factors affecting fetal attachment. Conclusion: Infertility is a life-affecting trauma for the individual, and personal and social changes due to infertility cause physical and psychological difficulties even after a successful pregnancy with infertility treatment. Therefore, prenatal management programs need to be developed giving consideration to the emotional and physical changes in order to promote physical and psychological stability in the women pregnant following infertility treatment.

• Child Health Nursing Research
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• 제13권1호
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• pp.73-80
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• 2007

Purpose: As a result of dramatic advances in the medical and surgical management of congenital heart disease (CHD), many babies born with cardiac anomalies today can expect to reach adulthood. The main purpose of this study was to examine the relationship between parenting stress and personal resources of mothers of children with CHD. Method: Fifty-one mothers of children with CHD were recruited at the pediatric cardiac outpatient clinic from July 14th to September 25th 2006. Abidin's parenting stress index/short form (PSI/SF) and Brandt and Weinert's personal resource questionnaire (PRQ) were used. PSI has 3 sub-concepts; parental role distress, dysfunctional parent-child interaction, and difficult child. PRQ has 4 sub-concepts; intimacy, social integration, worth, and assistance. Data were analyzed using SPSS 13.0 version. Results: Correlation analysis showed that parenting stress was significantly related to 'intimacy', 'social integration', and 'worth' of mothers. Multiple regression analysis showed that parenting stress was significantly related to personal resource of mother and information by internet. Conclusion: Mothers who felt they had supportive friends and family, high self esteem, and social integration reported lower parenting stress. Also, internet may be an effective method to provide information and share experience for mothers of children with CHD.

• Child Health Nursing Research
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• 제10권1호
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• pp.117-125
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• 2004

Purpose: The research was conducted to investigate the experience of maternal role attainment of mothers of premature infants admitted in NICU and to conceptualize the phenomena. Method: The grounded theory method was utilized for data collection and analysis. 8 mothers of premature infants were selected and in-depth interview was performed. Paradigm model was utilized for data analysis and presentation. Result: The central category was 'unstable maternal identity'. The properties of the core phenomena was 'ambivalent feeling to baby' 'negative emotion' 'commitment to baby'. The loss of control due to premature delivery was the causal condition. contextual condition was the 'perceived threats' due to severity of the premature infant and uncerainty of the baby's life. The mother's health status, economic status, and familial and social support was recognized as intervening conditions during the process of maternal role attainment. The strategic action/interactions were emotion-focused coping, reappraisal of the situation, problem-focused coping, and information seeking. The consequence was the maternal role attainment with competence and expectation. Conclusion: The process of maternal role attainment was affected by threats due to severity of the baby and intervening factors and interaction strategy. Further research is recommended to develop adequate intervention method during the process of maternal role attainment.

• 보건교육건강증진학회지
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• 제27권3호
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• pp.75-84
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• 2010

Objectives: This study investigates factors influencing the perpetrations of sexual violence while dating among college students. Methods: With a correlational survey design, a self-report survey was conducted and collected 1,132 responses from college students with dating experiences. Methods including descriptive statistics, t-test, ANOVA, pearson correlation coefficients, and multiple regression were used to analyze data. Results: Compared to college students with no perpetrations of sexual violence, college students with perpetrations of sexual violence had significantly higher scores in father's violence, mother's violence, gender role stereotype, and sexual violence permissiveness. On the other hand they had significantly lower scores in sexual assault recognition than the compared group. A multiple regression model result forecasted parents' violence, sexual assault recognition, sexual violence permissiveness, and gender as prediction indicators of perpetrations of sexual violence. Conclusion: To prevent sexual violence while dating, domestic violence should be decreased through parents education and counseling from childhood. High-risk groups should be detected by surveying socio-psychological variables including experience of domestic violence, sexual assault recognition, and sexual violence permissiveness. It need to develop and implement sexual violence prevention programs to accurately inform and aware sexual violence.

• 비교문화연구
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• 제21권
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• pp.31-52
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• 2010

Even though Chilean writer Roberto $Bola{\tilde{n}}o^{\prime}s$ novel Amulet was inspired by a historical account, it significantly rewrites the story as well as redefines the people who witnessed the history. This novel focuses on the Uruguayan poet Auxilio Lacouture, the self-anointed "mother of Mexican Poetry". She is trapped in a bathroom at the UNAM in Mexico City for thirteen days while the army storms the campus for the repression of the student movement, which was decreed by the sinister Díaz Ordaz and culminated in the holocaust of Tlatelolco. In the space isolated from the outside world, Auxilio attempts to reconstruct the past and to describe the future through an illogical exercise of times. In the meantime, her temporal recollections finally approach the definition of a generation whose historical experience is crucially marked by the key year of 1968, when the novel is set. The only one who remained on the campus, she defends the university's autonomy only by reading and writing poetry. The novel ends in a scene densely imbued with allegorical imagination, by which the author endeavors to justify her generation, more concretely, "the peoples without history", as defined by bohemian poets. The protagonist represents, in some sense, an allegory of the innocence and truth of the history. Her existence per se manifestly demonstrates the power of literature because the literature within this novel in short becomes the most resilient amulet resisting the political violence in an era of increasing madness.

• 여성건강간호학회지
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• 제6권3호
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• pp.439-452
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• 2000

This study sought to figure out women's needs during early postpartum for developing adequate nursing intervention toward postpartal women's healthy adaptation. A convenience sample of 89 women who are in the early postpartal period and admitted in a university hospital located in Seoul, Korea was studied from July 1, 1999 to August 13. 1999. 1. The age group of 26-30 years was 52.8% and the level of education above high school 91%. 67.6% of women had no job, 62.9% had experienced one time of delivery, and 52.8% had no experience of abortion. 2. 31.5% of women received prenatal education, 44.9% only postpartal education. 77.5% of women planned breast-feeding, and 53.9% of women had an experience of breast-feeding during hospital stay. For the feeling of confidence related to the self-care, 27% only expressed 'yes. I have' and 59.5% 'just a little bit'. For the feeling of confidence related to the baby rearing, 29.2% only expressed 'yes. I have' and 60.7% 'just a little bit'. 3. The rate of postpartal women's mother as a preferred non-professional care giver was the highest, 75.3%. The rate of the style of Sanhujori highly preferred and planned at this time was at postpartal women's maiden home or her home with mother, 58.4%, 47.7% respectively. It shows that women still wish to have traditional Sanhuiori at home. 4. The mean of nursing need of postpartal women was 4.25% and it means that universally the degree of nursing need during postpartum is still high. General nursing need (4.29) was higher than that of traditional Sanhujori (4.09), however, the need of Sanhujori is still high. 5. Specifically, the degree of nursing need according to the category of needs was 'educational need for baby rearing,' 4.43; 'emotional-psychological care', 4.41; 'environmental care,' 4.31; 'self-care,' 4.14; and 'physical care,' 3.85 in rank. The educational need core of the specific method about Sanhuiori (4.35) was second to the highest among 15 items of self-care. 6. The related factors to the degree of nursing need were age to physical care; educational level, plan of breast feeding and experience of breast feeding during hospital stay to emotional-psychological care; and the feeling of confidence in baby rearing to environmental care. 7. There was highly positive correlation between the degree of traditional Sanhujori need and general care need(r=.77). This result strongly reflects that there is a necessity of professional care givers' capability to consider the integrative care reflecting the socio-cultural need for women's healthy adaptation during postpartum. It provides a challenge to the professional care givers to research further on the effects of Sanhuiori on the health status, health recovery after abortion or delivery from the various aspects through the cross-sectional and longitudinal research for the refinement of the reality of Sanhuiori not only as cultural phenomenon but as an inseparable factor influencing on women's postpartal healthy adaptation and for the appropriateness of intervention and quality of care for desirable health outcome.

• 여성건강간호학회지
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• 제7권2호
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• pp.188-202
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• 2001

This study was designed to investigate the effect of one-to-one labor support on labor pain, labor stress response, childbirth experience and neonatal status for primipara by a quasi experiment (nonequivalent control group pretest-posttest design), from April 30, 1999 to February 20, 2000. The subjects of this experiment consisted of eighty two primipara with single gestation, full term, uncomplicated pregnancies. Forty one were in the experimental group and forty one in the control group. Their mean age was 25.95 years, their mean gestation period was 39.9 weeks. A caring package of one-to-one labor support had three components. Physical support consisted of massage, back pressure, touch. Emotional support was provided by a continuous nurse's presence, acceptance and encouragement. Informational support involved teaching breathing skills, relaxation skills and knowledge about the labor process. Data assessed labor pain, pulse rate and blood pressure to measure labor stress response. Also, in measuring the value of labor stress response, plasma epinephrine, plasma norepinephrine and serum cortisol were measured. In the 24 hours after birth, the data for the postpartum mother's childbirth experiences was collected. Umbilical cord arterial blood pH, one minute and five minute Apgar score were measured after birth. Data was analyzed by t-test, $x^2$-test, repeated measures ANOVA, ANCOVA with SAS Program. The results were as follows; 1. Labor pain was significantly low in the experimental group(P=.016). 2. No significant group effects were found, but significant time effects were found for plasma epinephrine, norepinephrine, serum cortisol, pulse rate and blood pressure. 3. The childbirth experience of the experimental group was significantly more positive than the control group (P = .005). 4. The umbilical cord arterial blood pH of the experimental group was significantly higher than the control group(P=.014). There was no significant difference between the two groups in neonatal one minute and five minute Apgar scores. In conclusion, these findings indicate that one-to-one labor support could be effective in decreasing labor pain, and increasing positive childbirth experiences, also increasing the neonatal umbilical cord arterial blood pH for primipara. So, one-to-one labor support could be applied as an effective nursing treatment for primipara.

• 한국가정과교육학회지
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• 제27권1호
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• pp.67-83
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• 2015

본 연구는 청소년들의 윤리적 소비행동을 정착시키기 위해 청소년들의 윤리적 소비행동 경향을 알아보고 사회심리적 요인과 윤리적 소비교육 경험이 청소년 소비자의 윤리적 소비행동에 미치는 영향력을 살펴보았다. 이를 위해 서울과 경기도 지역의 청소년을 대상으로 온라인과 오프라인을 통해 자료를 수집하였으며, 최종 552부를 분석에 사용하였다. 주요 연구결과는 다음과 같다. 첫째, 청소년 소비자의 윤리적 소비 행동에 대한 일반적 경향의 평균값이 2.61(SD=0.81)에서 3.08(SD=0.75)로 나타나 상대적으로 낮은 수준으로 나타났다. 둘째, 인구통계학적인 변인에 따른 청소년 소비자의 윤리적 소비행동의 차이를 살펴본 결과, 공정무역제품 소비의 경우, 종교가 있는 집단, 계층인식이 중상층이상 집단, 부의 학력이 대학원이상 집단이, 기부와 나눔은 종교가 있는 집단, 계층인식이 중상층이상 집단, 부의 학력이 대학원이상 집단, 모의 학력이 대학이상 집단이, 환경친화적 소비에서도 종교가 있는 집단, 계층인식이 상층이상 집단, 모의 학력이 전문대졸이상 집단이 상대적으로 윤리적 소비행동 수준이 높은 것으로 나타났다. 종교, 계층인식, 부와 모의 학력이 청소년 소비자의 윤리적 소비행동에 영향을 미치는 요인임을 알 수 있다. 셋째, 위계적 회귀분석을 통하여 청소년 소비자의 윤리적 소비행동에 미치는 사회심리적 요인과 윤리적 소비교육 경험의 영향을 살펴본 결과, 공정무역제품 소비는 윤리적 소비자교육, 환경친화적 가치, 물질주의, 절약성, 대중매체 순으로 상대적 영향력이 나타났다. 기부와 나눔에 대한 상대적 영향력은 물질주의, 윤리적 소비자교육, 대중매체와 환경친화적 가치 순으로 나타났다. 로컬소비는 환경친화적 가치, 소비자교육, 물질주의, 대중매체, 절약성 순으로 상대적 영향력이 나타났다. 환경친화적 소비의 상대적 영향력은 환경친화적 가치, 물질주의 순으로 나타났다. 이상의 연구결과를 통해, 청소년 소비자의 윤리적 소비행동의 정착과 함양을 위하여 가치 지향적 윤리적 소비교육의 필요성이 제기된다.

• 한국사회복지학
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• 제64권1호
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• pp.325-355
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• 2012

본 연구는 ADHD 아동을 양육하는 어머니들의 체험을 통한 본질의 의미를 탐구하고자 하였다. 면접은 2010년 4월부터 2011년 4월까지 약 12개월동안 14명의 ADHD 아동 어머니를 대상으로 2~3회에 걸쳐 현상학적 연구로 진행되었다. 그 결과 강점관점으로 본 ADHD 아동 어머니들의 양육경험의 본질은 '완주를 위해 자신과 싸우는, 원하지 않는 마라톤'을 위해 달려가는 것으로 해석되었다. 이러한 어머니의 강점관점으로서의 경험 본질은 '그래도 이쁜 내새끼와 함께하기 위한 힘을 찾아가는 여정'인 마라톤이었으며 그 경험은 시 공간적으로 8가지로 구성되었다. 처음 아이의 독특한 행동들을 겪으며 '혼란의 연속'속에서 'ADHD진단의 먹먹함'을 경험하지만 '엄마라는 운명'에 아이를 위한 총체적 노력을 기울이게 된다. 그 과정에서 '총알이며 은총인 선생님의 말'에 절망과 감사함을 경험하면서 엄마들은 원하지 않은 마라톤의 대열에 합류하게 된다. 포기할 수도 없는 완주를 향해 달려가는 외로운 전투를 하면서도 내아이를 위해, 나를 위해 '그래도 긍정적으로' 살기로 한다. 하지만 자식을 위해 자신을 독려하지만 쉬운 과정은 아니다. 그럼에도 아이로부터, 가족으로부터, 전문가들로부터 도움을 받으며 '버텨내는 힘'을 얻게 된다. 평범하지 않은 아이를 키우는 게 힘들고 '현재진행형이지만 그래도 이쁜 내새끼를 위하여' 오늘도 엄마는 아이와 함께 완주를 위해 달려가고 있는 것이다. '도착점'이 다시 '출발점'이 된다하더라도 달려갈 수밖에 없는 마라톤을 하고 있는 것이다. 이러한 경험적 근거를 기반으로 하여 ADHD 어머니와 아동을 위한 사회복지실천과제를 제언하였다.