• 여성건강간호학회지
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• 제27권4호
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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.

• 기본간호학회지
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• 제18권1호
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• pp.54-62
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• 2011

Purpose: The purpose of this study was to test the effects of aroma inhalation on subjective quality of sleep, state anxiety, and depression of mothers who underwent a Cesarean section delivery. Methods: This study was designed as a nonequivalent control group quasi-experimental study based upon data acquired through a pre-post test. The experimental group (n=33) was given general obstetric nursing care plus dry inhalation method using lavender essential oil, in which each mother put one drop on a tissue and breathe near it for 5 minutes before going to bed. Then they put 1~2 drops on their pillow for 6 nights. The control group (n=34) was only given general obstetric nursing care. Data were collected using a questionnaire for measures of subjective quality of sleep, state anxiety, and depression by self-report. ${\chi}^2$-test, Fisher's exact test, t-test, and ANCOVA with SPSS/Win12.0 were used to analyze the data. Results: There were significant differences in subjective quality of sleep (p<.001), state anxiety (p=.049) and depression (p=.029). Conclusion: The results suggest that aroma inhalation method can be an effective nursing intervention to improve quality of sleep and decrease anxiety and depression in postpartum mothers suffering from stress related to a Cesarean section delivery.

• 한국임상수의학회지
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• 제34권5호
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• pp.374-376
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• 2017

This report describes a case of postpartum uterine rupture associated with retained placenta and sequential acute metritis, not dystocia. A 14-month-old Bichon Frise bitch presented with continuous vaginal bleeding. She delivered five puppies 3 days ago and expelled four placentas on the next day. After then, anorexia, acute depression with continuous vaginal haemorrhage developed. Plain radiography showed decreased serosal detail, and ultrasonography showed irregularly thickened uterine wall and ascites. Blood-tinged peritoneal fluid was an exudate with bacteria. Ovariohysterectomy was curative for the patient, and four full-thickness perforated holes were identified on both sides of the uterine horns.

• 한국임상수의학회지
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• 제25권1호
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• pp.37-39
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• 2008

A 2-year-old, intact female, mixed breed dog with depression, anorexia, poor mothering, and uterine prolapse was referred to the Haemaru Referral Animal Hospital. The prolapse(Y-shaped uterus) was detected on the fifth day of normal parturition(eight live pups). Depending on physical examination, bilateral uterine horns and uterine body were prolapsed into the vagina. The ovariohysterectomy was performed after the uterus with manual reduction through the vulva. In this case, uterine prolaspe was occurred in a primiparous bitch has been through normal parturition.

• 대한방사선기술학회지:방사선기술과학
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• 제35권3호
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• pp.237-248
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• 2012

출산 후 우울감이 있는 여성의 갑상선질환 빈도가 증가하면서 출산 후 우울증과 갑상선질환의 상관성 여부가 논의의 대상이 되고 있다. 본 연구는 출산 후 우울증의 유병률을 예측하고 초음파검사를 통한 갑상선질환과의 상관성에 대해 연구하고자 한다. 2010년 1월부터 2011년 11월까지 M산부인과에 내원한 출산 후 1년 이내의 환자 230명을 대상으로, 우울증 선별검사와 대상자의 일반적 특성을 조사하였고 갑상선검사는 초음파검사와 혈액검사를 하였다. 대상자 230명 중 비우울집단은 122명(53.0%), 우울집단은 108명(47.0%)이었다. 갑상선 초음파검사에서 갑상선의 크기변화가 있었던 27명 중 비우울집단은 4명 (14.8%)이었고, 우울집단은 23명(85.2%)이었다. 또한 갑상선 결절이 발견된 124명 중 비우울집단은 45명(35.8%)이었고, 우울집단은 79명(64.2%)이었다. 초음파유도하 미세침흡인검사 결과, 양성 33명 중 비우울집단은 15명(45.5%)이었고, 우울집단은 18명(54.5%)이었다. 갑상선염 3명 중 비우울집단은 1명(33.3%)이었고, 우울집단은 2명(66.7%)이었다. 악성 5명은 모두 우울집단에서만 나타났다. 초음파검사를 통한 갑상선의 크기변화, 갑상선 결절의 발생빈도 등 갑상선질환은 우울집단이 비우울집단에 비해 높게 나타났으며 유의한 차이가 나타났다. 갑상선 혈액검사 결과, 비정상적인 갑상선자극호르몬의 수치를 보였던 7명 중 비우울집단은 2명(28.6%)이었고, 우울집단은 5명(71.4%)이었다. 비정상적인 유리티록신의 수치를 보였던 9명 중 비우울집단은 4명(44.4%)이었고, 우울집단은 5명(55.6%)이었다. 갑상선 기능이상은 230명 중 5명이었고, 5명 중 비우울집단에서는 잠재적 갑상선항진증이 2명이었다. 우울집단에서는 잠재적 갑상선저하증이 1명, 잠재적 갑상선항진증이 2명이었고 혈액검사를 통한 두 집단의 유의한 차이가 나타나지 않았다. 본 연구는 출산 후 우울증과 초음파검사를 통한 갑상선질환의 상관성이 나타났으며, 본 연구의 객관적 결과들이 출산 후 우울증과 갑상선질환에 대한 폭넓은 인식과 예방 및 치료의 가이드라인을 제시할 수 있을것이라 사료된다.

• 여성건강간호학회지
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• 제22권4호
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• pp.254-263
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• 2016

Purpose: The purpose of this study was to identify effects of fatigue, depression and anxiety on quality of life in pregnant women with preterm labor. Methods: With a survey design, data were collected from 138 mothers who were admitted at a hospital in Seoul, between June 2014 and September 2015. Instruments used to collect the data for the study were: Fatigue Continuum Form, Depression anxiety stress scale (DASS-21) and maternal postpartum quality of life (MAPP-QOL). Results: The mean fatigue score was 68.30 with 50.7% of women being depressed and 79.7% of the 138 women being anxious. The mean quality of life was 18.92 with quality of life being associated with fatigue, depression and anxiety. Depression and fatigue explained 26% of the variance in quality of life. Conclusion: Depression and fatigue adversely affected women's quality of life. It is important to address appropriate management of depression and fatigue in order to improve quality of life in pregnant women with preterm labor.

• 대한간호학회지
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• 제41권6호
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• pp.733-741
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• 2011

Purpose: The purpose of this study was to identify factors influencing maternal identity of Korean primiparas. Methods: The data were collected by a self-report questionnaire in 2006. The participants were 210 healthy primiparous women who delivered at one of three medical centers and revisited the outpatient department for follow up between 4 to 6 weeks after childbirth. Data were analyzed using the SPSS WIN 17.0 program with descriptive statistics, t-test, one way ANOVA, Pearson correlation coefficient, and stepwise multiple regression. Results: Maternal identity was significantly correlated with Taekyo accomplishment, the culturally based prenatal preparation (p<.001). Transitional gratification to motherhood (p<.001), postpartum depression (p<.001), childcare stress (p<.001), infant temperament (p<.001), and social support (p<.001) were also significantly correlated with maternal identity. The stepwise multiple regression analysis showed that maternal identity was significantly predicted by transitional gratification to motherhood, infant temperament, childcare stress, and Taekyo accomplishment. These variables explained 31.0% of the variance of maternal identity. Conclusion: The results of this study suggest that postpartum nursing interventions to promote maternal identity should focus on reinforcing education and support for reducing childcare stress and infant difficulty, and increasing transitional gratification to motherhood. Also, prenatal encouragement and education for improving Taekyo accomplishment may be helpful to promote maternal identity after birth.

• 대한간호학회지
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• 제29권4호
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• pp.940-950
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• 1999

One hundred two high-risk women(HRW) and 115 low-risk women(LRW) were studied at post-partal hospitalization and at 1, 4, and 8 months after giving birth to determine whether they would differ in the achievement of perceived maternal acquisition and whether predictors of maternal acquisition would differ for the two groups over time. The subjects were 102 HRW and 115 LRW, all in the above 27 weeks, admitted to two hospitals and to two clinic in the Kyoungnam area between July 1, 1998 and May 4, 1999. The data were analyzed by a SPSS program and the results are as follows ; 1) Predictors of Maternal role acquisition in the HRW were fetal attachment, maternal attachment, state anxiety, relationships of partner, social support in the early postpartum, maternal attachment, relationships of partner, depression, infant's health status in the postpartal 1 month, relationships of partner, self-esteem, educational degree in the postpartal 4 month, and maternal attachment, social supports in the postpartal 8 month. 2) Predictors of Maternal role acquisition in the LRW were fetal attachment, social supports, perceived experience about labor and delivery in the early postpartum, maternal attachment, sense of mastery in the postpartal 1 month, sense of mastery, experience with infants, relationships of partner in the postpartal 4 month and maternal attachment, experience with infants, social supports in the postpartal 8 month. 3) The hypothesis that HRW would score significantly lower on maternal competency than LRW was rejected. 4) The hypothesis that maternal acquisition would be significantly related to maternal attachment was accepted.

• Asian-Australasian Journal of Animal Sciences
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• 제4권1호
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• pp.25-29
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• 1991

Performance and production of twenty lactating Holstein cows fed diets containing either soybean meal or fish meal as the primary protein source were compared in a continuous or split feeding scheme. At 1 wk prepartum four groups of five animals were placed on each experimental diet. Animals assigned to the continuous feeding scheme were continued on these diets for 10-wk postpartum. At 4 wk postpartum, the diets for the groups assigned to switching protein sources were changed. These treatments were continued for another 6 wk. Milk production and dietary intakes were recorded daily. Milk constituents were measured every 2 d. Cows weights, rumen fluid samples and jugular blood samples were collected weekly. Data showed no effect of early lactation diet on cow performance or milk characteristics. Overall, compared to the soybean meal diet, the fish meal diet lowered the milk fat percent and increased production of milk per unit of dry matter ingested. No differences were observed for volatile fatty acid content of rumen fluid, blood mineral content, milk protein, somatic cell count, 4%-fat corrected milk, dry matter intake, or body weight.

• 정신신체의학
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• 제16권2호
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• pp.103-111
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• 2008

연구목적 : 신체형 장애를 가진 한국 여성에서, 과연 산후조리를 잘 못한 것이 신체화 형성의 요인이 되는지를 알아보고자 하였다. 방법 : 대상자에게 반구조화된 설문지를 통하여 산후 조리와 관련된 내용에 대해 직접 면담하고, 이와 동시에 자가 평가 질문지를 작성하도록 하였다. 자가 평가도구로는 산후조리 평가지, SCL-90R의 SOM척도, 한국판 신체 증상목록, 산후병증상 평가지, Beck depression Inventory(BDI), State trait anxiety inventory(STAI), Visual analogue scale(VAS)을 사용하였다. 결과 : 환자군이 대조군에 비해 산후조리 기간이 짧았으며, 산후조리 평가 점수(K-DMP)가 낮았으며 본인이 평가한 산후조리의 만족도도 낮았다. 현재의 신체증상에 대한 이유에 대해 환자군에서는 43.9%, 대조군에서는 33.3%가 산후조리 때문이라고 답하였다. 산후조리 점수(K-DMP)와 신체화척도(SOM) 사이에는 유의미한 부적 상관관계를 보였다(Pearson correlation : r=-0.476, p<0.01). 다변량 회기 분석에서 현재 신체증상(SOM)에 대해 과거 산후 풍 정도와 산후조리 점수, 이 2가지 요인이 영향력을 가짐이 나타났다. 결론 : 부족한 산후조리는 이후의 신체화 형성과정에 영향을 주는 요인인 것으로 보인다.