• 한국실내디자인학회논문집
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• 제14권5호
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• pp.18-25
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• 2005

This study examined the current space usage of postpartum care center and postpartum mother's assessment of postpartum care center. This study was conducted questionnaire web survey. 220 women who used postpartum care center were surveyed. The data were analyzed by using SPSS Program for Win 12.0. Frequency, percentage, mean were used. The major findings were as follows: The postpartum care center was consisted of 5 areas such as living area, sanitary area, public area, service area and administration area. Living and public area were mainly occupied, but service area was insufficient. The users showed high satisfaction with mother room, and low satisfaction with nursing room and shower room. The users complained of size of mother room, collaboration with others in shower room and toilet. The users wanted guest meeting room for users' privacy of living room. The users wanted service area such as massage room, fitness room, physical care roon.

• 한국융합학회논문지
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• 제11권12호
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• pp.409-418
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• 2020

본 연구는 저소득층 산모의 산후조리를 돕는 공공산후조리원의 경제성을 평가하여 향후 공공산후조리원 확대의 타당성을 제시하고자 하였다. 이를 위해 8개의 공공산후조리원 중 현재 운영 중인 6개를 대상으로 고정비용, 변동비용, 그리고 운영 현황에 대한 자료를 정보공개 포털을 이용하여 수집하였다. 분석방법으로는 순편익과 편익/비용 비로 분석하였고, 조리원 이용 산모수 감소에 따른 산모실 회전율을 지표로 민감도 분석을 하였다. 분석결과, 총비용은 37억 1,339만원, 총 편익은 55억7,896만원으로 추계되어, 편익/비용 비는 1.50로 1보다 큰 값을 나타냈고, 순편익은 18억 6,557만원으로 경제적 타당성이 있는 것으로 평가되었다. 민감도 분석에서는 산모실 회전율 17.4인/1실 경우 B/C는 1.42이고, 15.4인/1실 경우는 1.26으로 추계하였다. 따라서 지방자치단체가 준비 중인 공공산후조리원의 개원은 경제적으로 타당성이 있는 것으로 평가되었다. 이에, 공공산후조리원의 효과적인 확대 운영을 위한 다양한 지원방안과 민간산후조리원과의 협력 방안을 마련하기 위한 후속 연구를 제안한다.

• 한국환경보건학회지
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• 제32권1호
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• pp.36-45
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• 2006

The aim of this study is to examine size-based concentration and genera of airborne fungi distributed in public facilities such as hospital, kindergarten, day-care center and postpartum nurse center and to provide fundamental data in order to prevent respiratory diseases caused by exposure to airborne fungi. Culturable total and respirable concentrations of airborne fungi averaged to $382\;cfu/m^3\;and\;292\;cfu/m^3$ in hospital, $536\;cfu/m^3\;and\;347\;cfu/m^3$ in kindergarten, $334\;cfu/m^3\;and\;266\;cfu/m^3$ in day-care center, and $371\;cfu/m^3\;and\;289\;cfu/m^3$ in postpartum nurse center, respectively. The ratio of respirable to total concentration of airborne fungi in the investigated public facilities was ranged from $55\%\;to\;70\%$ but there was no significant difference among them (p>0.05). The mean I/O ratio of culturable total and respirable concentrations were 0.56 and 0.64 in hospital, 0.72 and 0.91 in kindergarten, 0.33 and 0.45 in day-care center, and 0.63 and 0.73 in postpartum nurse center, respectively. Indoor concentration of airborne fungi did not correlated significantly with indoor temperature and relative humidity (p>0.05) but had a significant positive correlation with $CO_2$ concentration (p<0.01) and surrounding condition (p<0.05). Penicillium spp., Cladosporium spp., and Aspergillus spp. were estimated to over $95\%$ of total airborne fungi identified in the investigated public facilities.

• 대한간호학회지
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• 제31권5호
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• pp.932-947
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• 2001

The purpose of this study was 1) analyze the current state of Sanhojoriwon; and 2) to suggest the new model for the community based mother infants health care delivery system: strategies of TMIC are related to Public Health policy, cost-effectiveness, mother infant care provision of medical professionalism, and so on. Method: Forty-seven workers from seventeen Sanhojoriwon participated to analyze several aspects of Sanhojoriwon. Using a questionnaire developed at Korean Sanhojori Research Forum (KSARF), such as the traditional and medical concept of the Sanhojori, postpartum care, Korean traditional postpartum care, job description on women and infant care at Sanhojoriwon, professional management, health care policy and the educational need. Results: Based on the descriptive study results, the TMIC, the community based transitional mother infants care center was suggested as a new model for the cyclic public health care system related on the reproductive health, using an already existing related center, Sanhojoriwon. Also, several strategies were presented on the TMIC.

• 보건의료생명과학 논문지
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• 제8권2호
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• pp.143-154
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• 2020

본 연구는 오마하체계를 이용하여 보건소 방문간호사의 간호업무 수행도와 필요도를 조사한 서술적 조사연구이다. 방문간호사의 간호업무는 '개인위생', '통증', '약물요법', '영양', '신체활동', '위생', '수면과 휴식양상', '구강건강', '정신건강', '인지'순으로 수행도가 높았다. '성생활', '산후', '수입', '가족계획', '임신', '영성', '학대', '생식기능', '방임', '말과 언어' 순으로 간호업무 수행도가 낮았다. '성생활', '학대' '방임', '생식기능' 문제는 문제의 사정 및 적극적 개입을 위한 교육적 지원이 필요하다. '산후', '임신', '가족계획' 등의 문제는 출산지원을 위한 지역의 정책방향에 따라 방문간호사의 역량 강화가 필요하다. '수입', '주거', '지역사회자원과의 의사소통'은 보건복지 연계 및 정부와 지방자치단체의 정책적 지원이 필요하겠다. 본 연구결과는 방문간호사의 역할규명 및 역할확대를 위한 기초자료로 활용할 수 있을 것으로 본다.

• 한국산업보건학회지
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• 제16권1호
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• pp.1-10
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• 2006

Concentration and identification of airborne bacteria in the regulated public facilities were examined with the six-stage cascade impactor. Geometric mean total and respirable concentrations of airborne bacteria were $404cfu/m^3$ and $194cfu/m^3$ in hospital, $931cfu/m^3$ and $358cfu/m^3$ in kindergarten, $294cfu/m^3$ and $134cfu/m^3$ in day-care center, and $586cfu/m^3$ and $254cfu/m^3$ in postpartum nurse center, respectively. As a result, culturable total and respirable concentrations of airborne bacteria were significantly highest in kindergarten and lowest in day-care center (p<0.05). The ratio of respirable to total concentration of airborne bacteria in the investigated public facilities was ranged from 30% to 40% but there was no significant difference among them (p>0.05). The mean I/O ratio of culturable total and respirable concentrations were 0.58 and 0.66 in hospital, 0.71 and 0.83 in kindergarten, 0.28 and 0.41 in day-care center, and 0.63 and 0.78 in postpartum nurse center, respectively. Day-care center showed the lowest I/O ratio of culturable total and respirable concentration of airborne bacteria (p<0.05) but a significant difference was not found among other facilities. Indoor concentration of airborne bacteria did not correlated significantly with indoor temperature and relative humidity (p>0.05) but had a significant positive correlation with $CO_2$ and surrounding condition (p<0.05). Staphylococcus spp., Micrococcus spp., Corynebacterium spp., and Bacillus spp. were dominant genera and amounted to over 95% of total airborne bacteria identified in the investigated public facilities. Size distributions of four dominant genera did not observed inconsistently regardless of type of public facility.

• Child Health Nursing Research
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• 제17권2호
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• pp.69-73
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• 2011

Purpose: This study was designed to identify mother and infant related factors that influence child-care stress among the mother of newborn infants. Methods: Data were collected through self-administered questionnaires and descriptive statistics, correlation and multiple regression were used to analyze the data. The data survey was conducted with 957 conveniently selected mothers of infants when they visited a public health center in Seoul to have their children immunized. Results: The average item score for the Childcare Stress Inventory was 38.03, for the Edinburgh Postnatal Depression Scale, 9.31 and for the Degree of Bother Inventory, 23.42. The CSI was positively correlated to EPDS (r=.44, p<.001) and DBI (r=.40, p<.001). Also these two variables explained 30.0% of CSI in infants' mothers. Conclusion: These findings are expected to expand the understanding about postpartum mothers' child-care stress and can contribute to the development of comprehensive interventions based on community health nursing.

• 대한간호학회지
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• 제34권5호
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• pp.722-728
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• 2004

Purpose: This study was designed to determine the predictors of postpartum depression. Method: One hundred-sixty one women within one year after delivery from one public health center located in the northern area of Seoul were used in this study. The instruments were a survey of general characteristics, the Edinburgh Postnatal Depression Scale, recent life events index, perceived social support from family, Quality of marriage index, parenting stress index, and Rosenberg's self-esteem inventory. Data was analysed using descriptive statistics, Pearson correlation coefficients, and logistic regression. Result: The average item score of the EPDS was 6.67. 12.4% of respondents, who scored above a threshold 12, were likely to be suffering from a depression of varying severity. The fitness of the model for explaining postpartum depression from six variables, plan for pregnancy, family support, quality of marital relation, perceived social support, life events, childcare stress, and self-esteem, was statistically significant and the predictive power of these variables was 90.9%. The significant predictors of postpartum depression were family support and child care stress. Conclusion: Further research is needed to identify the prevalence rate of postpartum depression using more reliable sampling methods from a large general population. Nursing interventions need to be developed for promoting family support and reducing childcare stress.

• 부모자녀건강학회지
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• 제5권1호
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• pp.75-89
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• 2002

This study was conducted to compare the emotional state between the mothers with low-birth-weights and mothers with normal infants, and to analyze the effects of home visiting for the low-birth-weights in one city. Data were collected from 51 mothers with low-birth-weights and 90 mothers with normal infants to compare emotional state, and from 26 mothers with low-birth weights to evaluate the effect of home visiting care. Summaries of results were as follows; 1. In mothers with low-birth-weights, social support form others was significantly lower than those of mothers with normal infants. Although the differences were not significant, mothers with low-birth-weights have more stress and child rearing burden, and less maternal self-esteem than those of mothers with normal infants. 2. Mothers with low-birth-weights, the more burden, postpartum depression, and the less husbands' support they felt. When they had lower maternal self-esteem and lower husbands' support, child rearing burden was higher. Also there was significant negative correlation between maternal self-esteem and postpartum depression. 3. In mothers with low-birth-weights, the score of post-intervention stress, care-giving burden, and postpartum depression were somewhat decreased, and maternal self-esteem was increased than pre-intervention data, although they were not statistically significant. 4. Mothers' satisfaction on the home-visiting care was considered to be high. In summary, mothers with low-birth-weights had lower social support even though they experienced more stress than mothers with normal infants. Therefore, public health nurse in community should pay more attention to them.

• Child Health Nursing Research
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• 제12권3호
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• pp.314-321
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• 2006

Purpose: The purposes of this descriptive survey study were to describe postpartum depression level and to identify the influence of postpartum depression on maternal role confidence, parenting stress and infant temperament, in order to develop a base for nursing intervention programs for mothers who have postpartum depression. Method: Data were collected from 183 mothers of infants who visited one public health center in Goyang city. The instrument used for this study was a self-report questionnaire to identify the postpartum depression (BDI), maternal role confidence, parenting stress (PSI) and infant temperament (WBL). Results: Of the mothers 42.1% were in the normal range for postpartum depression, 33.3% in the mild group and 24.6% were in the moderate to severe group. There were significant differences in parenting stress, and infant temperament according to level of postpartum depression. There were correlations between maternal role confidence (r=-0.13), infant temperament (r=-0.20), parenting stress (r=0.51) and postpartum depression, and weak negative correlation between parenting stress and infant temperament (r=-0.30). Conclusion: Postpartum depression in the infant period when the mother's role is very important and the effect is not only on the mother's role but also on the infant's growth. It is essential to assess and provide immediate care to mothers who have postpartum depression.