• 부모자녀건강학회지
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• 제13권2호
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• pp.78-85
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• 2010

Purpose: The purpose of this study was to examine the pain reducing effects of the dextrose-coated pacifier on venipuncture in premature infants. Methods: The design of this study is a nonequivalent control group pretest-posttest design and a crossover trial. The analysed cases were 40 premature infants (20 in experimental group and 20 in control group) in neonatal intensive care unit of a University Hospital, Gyeongnam Province, Korea. The data were collected from April to October, 2009. The experimental treatment was carried out nursing 20% dextrose-coated pacifier on venipuncture for IV injection. The instruments were $O_2$ saturation and heart rate on pulse oxymeter monitor to measure physiologic pain responses, and NIPS to measure behavioral pain responses. Collected data were analyzed with $x_2$ test, t-test using SPSS program. Results: The effects of the 20% dextrose-coated pacifier were found in the physiologic (only heart rate) and behavioral pain response on venipuncture. Conclusion: These finding is suggested that the dextrose-coated pacifier could be an effective nursing intervention for reducing pain on venipuncture in premature infants.

• 기본간호학회지
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• 제18권2호
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• pp.160-167
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• 2011

Purpose: The purpose of this study was to identify the effects of an oral stimulation program on premature infant's transition from tube feeding to bottle feeding, decrease in desaturation during feeding, and early discharge. Methods: This quasi-experimental study was performed in one neonatal intensive care unit (NICU) of an university hospital. The control group data (n=69) were obtained from June 2008 to May 2009, and the experimental group data (n=67), from June 2009 to May 2010. The oral stimulation program (OSP) was provided daily before feeding for the experimental group until transition to bottle feeding was completed. Results: The OSP group began bottle feeding earlier and were on complete bottle feeding earlier than control group. Discharge delay due to feeding desaturation was lower than for the control group. Conclusion: The results indicate that OSP for premature infants was helpful in transition from tube feeding to bottle feeding and early discharge and thus can contribute health and development in premature infants.

• Clinical and Experimental Pediatrics
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• 제61권10호
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• pp.315-321
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• 2018

Purpose: To investigate the effectiveness of transient intubation for surfactant administration and extubated to nasal continuous positive pressure (INSURE) for treatment of respiratory distress syndrome (RDS) and to identify the factors associated with INSURE failure in extremely premature infants. Methods: Eighty-four infants with gestational age less than 28 weeks treated with surfactant administration for RDS for 8 years were included. Perinatal and neonatal characteristics were retrospectively reviewed, and major pulmonary outcomes such as duration of mechanical ventilation (MV) and bronchopulmonary dysplasia (BPD) plus death at 36-week postmenstrual age (PMA) were compared between INSURE (n=48) and prolonged MV groups (n=36). The factors associated with INSURE failure were determined. Results: Duration of MV and the occurrence of BPD at 36-week PMA were significantly lower in INSURE group than in prolonged MV group (P<0.05), but BPD plus death at 36-week PMA was not significantly different between the 2 groups. In a multivariate analysis, a reduced duration of MV was only significantly associated with INSURE (P=0.001). During the study period, duration of MV significantly decreased over time with an increasing rate of INSURE application (P<0.05), and BPD plus death at 36-week PMA also tended to decrease over time. A low arterial-alveolar oxygen tension ratio (a/APO2 ratio) was a significant predictor for INSURE failure (P=0.001). Conclusion: INSURE was the noninvasive ventilation strategy in the treatment of RDS to reduce MV duration in extremely premature infants with gestational age less than 28 weeks.

• Journal of Chest Surgery
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• 제27권8호
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• pp.705-707
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• 1994

birth-weight infants during the recovery phase of respiratory distress syndrome and has been associated with long-term pulmonary sequelae. The importance of surgical and medical abolition of left-to-right shunting in symptomatic neonates is established. Four preterm infants with birth weights under 1, 500gm with a PDA unresponsive to pharmacological closure underwent ligation. Two of preterm infants survived to be discharged and are developing normally. One infant has died due to respiratory distress syndrome, septicemia and necrotizing enterocolitis during hospital stay and other infant died due to septicemia after hospital discharge with follow-up for 6 months.

• 임상간호연구
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• 제15권3호
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• pp.157-170
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• 2009

Purpose: This quasi-experimental study was conducted to investigate the effects of supportive nursing management on postpartum depression in the mothers with premature infants. Methods: The subjects were 21 mothers who delivered premature babies in a university hospital. The experimental group of 10 mothers was provided with supportive nursing management program by nurses in neonatal ICU and the control group of 11 mothers was provided with usual management only. The designed programs were given 4 times to the experimental group while their babies were hospitalized, and telephone consultation was provided 3 times after discharge. The stress, anxiety, identity, support from their husbands & family members, and postpartum depression were measured 3 times using Edinburgh Postnatal Depression Scale (the 4th day of premature's hospitalization, the day of discharge and the day of 4 weeks after discharge). Results: There was no significant difference in general characteristics and the influential factors of postpartum depression between the two groups, so they were homogeneous. There was no significant difference in depression (F=0.01, p=.917). However there was significant difference over time (F=6.74, p=.003) and the interaction between measurement time and treatment (F=3.59, p=.037). Conclusion: The supportive nursing management on postpartum depression of mothers with premature infants is considered effective and useful in reducing postpartum depression. Further research is warranted to investigate paternal depression and the program's long-term effects.

• Clinical and Experimental Pediatrics
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• 제50권6호
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• pp.543-548
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• 2007

목 적 : 현재 우리나라에서 가장 많이 사용되고 있는 재태 연령에 따른 출생시 체중, 신장, 두위의 정상 신체 계측치의 기준은 Lubchenco 등에 의해 1960년대에 발표된 것으로 2000년대에 출생한 우리나라 미숙아들에게는 맞지 않는 부분이 많으리라 예상되어 이를 2000년도 이후로 출생한 본원의 미숙아들의 출생시 신체 계측 자료와 비교 분석해 보고자 본 연구를 시행하였다. 방 법 : 2000년 1월부터 2006년 8월까지 본원에서 출생한 재태 연령 26주에서 35주까지의 미숙아 1,010명을 대상으로 하였으며 이들의 재태 연령에 따른 출생시 체중, 신장, 두위의 신체 계측치의 백분위수를 Lubchenco 등의 기준과 비교 분석하였다. 결 과 : 본 연구에서 저자들이 측정한 재태 연령별 출생 체중은 90백분위수가 조사한 전체 재태 연령에 걸쳐 Lubchenco 기준보다 현저하게 작았으며 특히 30주 미만인 경우 Lubchenco 기준의 75백분위수 정도에 해당하였고 10백분위수는 전체 조사 재태 연령에서 Lubchenco 기준보다 크게 나타났다. 저자들이 측정한 재태 연령별 출생 신장과 두위는 90백분위수가 조사한 전체 재태 연령에 걸쳐 Lubchenco 기준보다 현저하게 작아서 Lubchenco 기준의 75백분위수 정도에 해당하였고 10백분위수는 전체 조사 재태 연령에서 Lubchenco 기준보다 크게 나타났다. 결 론 : 40년 전에 만들어진 Lubchenco 기준을 현재의 우리나라 미숙아들에게 적용하는 것은 무리가 있으며 이로 인해 자궁 내 발육 지연 또는 부당 경량아나 부당 중량아들이 과소평가될 위험이 있다. 이러한 과소평가로 인해 진단과 치료가 늦어져서 사망률과 유병율이 높아질 수 있음을 감안해 볼 때 저자들의 미숙아들의 신체 계측치 기준이 미숙아의 사망률과 유병율 감소에 도움이 될 수 있을 것으로 기대된다.

• Child Health Nursing Research
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• 제7권2호
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• pp.236-244
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• 2001

We studied the effects of nonnutritive sucking(NNS) on lingual lipase activity and body weight under bottle feeding with 17 premature infants hospitalized. NNS was applied to nine infants and other eight infants comprised the control group. Pacifiers were applied to the experimental group for 5 minutes before and after bottle feeding. The treatment took approximately 20-25 minutes each time including bottle feeding time and was applied 7 times a day at intervals of 3 hours and for consecutive ten days. Lingual lipase activity and body weight were measured on the first, third, seventh and tenth day. Results and Conclusion : 1. Lingual lipase activity was low at 30 minutes after feeding and then began to increase reaching its highest level at 120 and 180 minutes after the feeding in both group. 2. Lingual lipase activity in the experimental group was not higher than that of the control group on the third, seventh and tenth day. 3. Body weight increased in experimental and control groups as days passed, while it was not significantly different between groups. These results lead to conclusion that among premature infants under bottle feeding, NNS is not effective in increasing the lingual lipase for fat digestion and NNS is not also effective for increasing body weight. The application of NNS to premature infants under bottle feeding needs considerable judgement for promoting well-being of nursing goals.

• Clinical and Experimental Pediatrics
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• 제60권8호
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• pp.248-253
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• 2017

Purpose: Vitamin D plays a key role in immune function. Vitamin D deficiency may play a role in the pathogenesis of infections, and low levels of circulating vitamin D are strongly associated with infectious diseases. In this study, we aimed to evaluate the effects of low vitamin D levels in cord blood on neonatal sepsis in preterm infants. Methods: One hundred seventeen premature infants with gestational age of <37 weeks were enrolled. In the present study, severe vitamin D deficiency (group 1) was defined as a 25-hydroxyvitamin D (25(OH)D) concentration <5 ng/mL; vitamin D insufficiency (group 2), 25(OH)D concentration ${\geq}5ng/mL$ and <15 ng/mL; and vitamin D sufficiency (group 3), 25(OH)D concentration ${\geq}15ng/mL$. Results: Sixty-three percent of the infants had deficient levels of cord blood vitamin D (group 1), 24% had insufficient levels (group 2), and 13% were found to have sufficient levels (group 3). The rate of neonatal sepsis was higher in group 2 than in groups 1 and 3. Conclusion: There was no significant relationship between the cord blood vitamin D levels and the risk of neonatal sepsis in premature infants.

• Child Health Nursing Research
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• 제11권4호
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• pp.481-489
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• 2005

Purpose: The purpose of this study was to investigate the effects on weight of premature infants when Yakson therapy was conducted by mothers and also to measure role confidence and role satisfaction of the mothers. Method: A non-equivalent control group non-synchronized design was used. The data were collected from January to July, 2005. Thirty preform infants and mothers were assigned to either an experimental (15) or a control group (15). Yakson therapy consists of three phases: laying on of hands, caressing by hands, and laying on of hands again, each phase taking 5 minutes. Yakson therapy was provided to infants in the experimental group for 15-minutes 5 times a day far 15 days. Infant weight, mothers' role confidence and satisfaction with role were measured for both groups. Results: Compared to the control group, weight gain of infants in the experimental group (t=2.05, p=.049) was significantly increased after 15 days. The experimental group also had significantly higher scores in mothers'.ole confidence (t=1.98, p=.038). Conclusion: The results suggest that Yakson therapy can be used to increase weight gain in preform infants and improve the role confidence of mothers.

• Child Health Nursing Research
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• 제11권1호
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• pp.125-131
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• 2005

Purpose: This study was done to evaluate the effects of massage on the level of stress hormone in the urine in preterm infants. Method: The design was a nonequivalent control group pretest-posttest design quasi experimental study. Fifty-eight preterm infants were assigned to the experimental(31) or control group(27). The data were collected from March 2002 to August 2003. The massage stimulation was provided to infants in the experimental group for 15-minutes twice a day for 10 days. On day 1 and day 10 of the study, a 24 hour-urine sample was collected for norepinephrine, epinephrine, and cortisol assays. In data analysis, SPSSWIN 10.0 program was utilized for descriptive statistics, ANOVA and t-test. Results: General characteristics of the two groups showed no significant differences, thus the two groups were found to be homogenous. The 24 hour-urine cortisol of the massage group (t=4.61, p=.000) was significantly reduced compared to the control group after 10 days. Conclusions: The results suggest that the massage stimulation can be used to reduce 24 hour-urine cortisol in preterm infants. Therefore, massage provided in the incubator is recommended for reduction of stress in preterm infants who are hospitalized in neonatal intensive care units.