• 부모자녀건강학회지
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• 제14권2호
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• pp.45-54
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• 2011

Purpose: The purpose of this study was to determine the effects of music therapy on postpartum stress and maternal attachment of puerperal women. Methods: The participants were puerperal women who agreed to participate in this study and through a convenience sampling, 84 puerperal women were recruited (40 in the experimental group, 44 in the control group). After measuring postpartum stress and maternal attachment, music therapy was provided to the experimental group over 60min, three times a week, and for 2 weeks. Then, postpartum stress and maternal attachment for the experimental and control group were measured again before discharge. The data were analyzed using the SPSS/WIN 14.0 program. Results: The first hypothesis that "the degree of postpartum stress for the experimental group who participated in music therapy would be lower than that of the control group" was accepted. The second hypothesis that "the degree of maternal attachment the experimental group who participated in music therapy would be higher than that of the control group" was accepted. Conclusion: These findings indicate that music therapy has positive influences on decreasing postpartum stress and increasing maternal attachment of puerperal women.

• 대한간호학회지
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• 제40권1호
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• pp.60-68
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• 2010

Purpose: The purpose of this study was to determine the effects of music therapy on postpartum blues and maternal attachment of puerperal women. Methods: The research design was a nonequivalent control group non-synchronized design. The participants were puerperal women who agreed to participate in this study and through a convenience sampling, 60 puerperal women were recruited (30 in the experimental group, 30 in the control group). After measuring postpartum blues and maternal attachment, music therapy was provided to the experimental group over 40 min, once a day, and for 8 days. Then, postpartum blues and maternal attachment for the experimental and control group were measured again on the 8th day. The data were analyzed using the SPSS WIN 12.0 Program. Results: The first hypothesis that "the degree of postpartum blues for the experimental group who participated in music therapy would be lower than that of the control group" was accepted (t=4.350, p<.001). The second hypothesis that "the degree of maternal attachment of the experimental group who participated in music therapy would be higher than that of the control group" was accepted (t=4.828, p<.001). Conclusion: These findings indicate that music therapy has positive influences on decreasing postpartum blues and increasing maternal attachment of puerperal women.

• 대한가정학회지
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• 제12권34호
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• pp.711-735
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• 1974

This paper aims at investigating the realities of puerperal period of Korean women, chiefly in the city of Seoul, on the basis of their living standard, schooling caree by age groups, to contribute to the improvement in health of mother and child. In this paper in which the writer, aming 492 women in Seoul a subject of this investigation and giving them 34 items of questionnaires, has studied their concern and practices to recover their health during a lying-in period, and drawn a conclusion as follows : Though their place of childbirth and food they take during the period are varied according to their standard of living, their practices and managements after parturition are true to the conventional usage which is far from modern scientific methods. Problems for the better management during puerperal period are : 1. to have expactent and nursing mothers better educated in their antenatal care ; 2. to let the family planners have more understanding about the problems of puerperal period ; 3. to make those who are concerned study on the problems interdependent between puerperal period and pregnancy and child birth.

• 대한간호학회지
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• 제8권1호
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• pp.152-162
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• 1978

The desire to maintain health is increasing, consequently the role of nursing which has as one chief aim the solving of man′s basic problems is more and more important. Today, in spite of a growing concern about the nursing activities which nurses provide for individual human having specific needs, clinically in fact, it is questionable that individual′s expectation of nursing activities agrees with nurse′s performance of nursing activities. In this study the importance and agreement of the importance of the nursing activities during the hospitalized puerperal period as viewed by women in the puerperal period and by nurses caring for them, were assessed. The present study was undertaken in an attempt to furnish the basic data for expediting the progress of research activities in this area and further to be helpful in planning maternity nursing practice. The study population defined and selected was nurses (13) caring for women in the puerperal period and doing duty on obstetric & gynecologic ward at Y. hospital, and the women in puerperal period (39) as sum of 3 women selected by each nurse during the period of May 13th-June 4th 1976. The study data was collected by the direct interview method based on the questionnaire which the investigator made out. The study result was analyzed by percentage, t - test. The findings can be summarized as follows: 1. General characteristics of nurses doing duty on puerperal ward: a. Nurses′average age was 24.8 years old. b. 84.6% had educational background of 4 years of college. c. 69.2% had a religion. d. 53.8% were married. e. 53.8% had clinical experience of 1 year -3 years. f, 61.5% did duty on puerperal ward during 1 year -3 years. g. 46.2% desired to do duty on obstetric ? gynecologic ward. 2. General characteristics of the women who were studied during their puerperal period: a. Women′s average age was 26.4 years old. b. 79.5% had educational background above high school. c. 56.4% had a religion. d. 84.6% had living standard above medium. e. 89.7% had no occupation. f, 53,8% had previous hospitalization experience. g. 56.4% had previous delivery experience. 3. Examining the importance of 39 nursing activities during puerperal period selected by investigator, studied group of women considered that the most important nursing activity was "Record precisely about condition, medical treatment and nursing activity results etc". Nurses considered that the most important nursing activity was "Notice whether having pain and care for that". Both groups considered that the least important nursing activity was "Talk with her about topics such as news, hobbies, other interests". 4. Examining the importance of nursing activities in 4 specific categories, studied group of women considered that the most important nursing activity in physical nursing category was "Be sure of safety measure to prevent accidents, injuries", and nurses considered that the most important nursing activity was "Make her sleep and rest sufficiently". Studied group of women considered that the most important nursing activity in psychological category was "Explain about medical treatment and nursing activity ahead of time so she knows what to expect" , and nurses considered that the most important nursing activity was "Explain about puerperal period so she understands". Studied group of women considered that the most important nursing activity in relation to medical care was "Record precisely about condition, medical treatment and nursing activity results etc.", and nurses considered that the most important nursing activity was "Observing, cleaning and protecting the perineum" Studied group of women considered that the most important nursing activity in nursing category in preparation for discharge was "Instruct about personnel hygiene during puerperal period", and nurses considered that the most important nursing activity was "Instruct self-care to protect the perineum". 5. The analysis of this study showed a significant amount of disagreement computed by subtracting the nurse′s score from the patient′s score. Studied group of women put greater importance on physical nursing category, psychological nursing category, nursing in relation to medical care, than the nurses. These results were statistically significant at 0.01 level.

• 아동학회지
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• 제29권1호
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• pp.115-131
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• 2008

Using the narrative method of qualitative research, this study of the puerperal period (6 weeks just after delivery) analyzed how mothers, after birthing their first child, changed from women to mothers. The survey of 8 mothers was implemented by personal interviews, talking on the phone, or chatting on the internet 5 to 7 times each over one year. Results showed that mothers first realized that they were changing from women to mothers by experiencing sudden physical changes through delivery and lactation and by such childrearing behaviors as feeding, bathing, and putting their child to bed. Mothers recognized this process was facilitated by relationships with others owing to their shared interest in the child.

• 대한한방부인과학회지
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• 제30권1호
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• pp.29-41
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• 2017

Objectives: We analyzed chief complaints of patients visiting Korean Gynecology clinic to figure out their characteristics and expand medical fields of Korean Gynecology. Methods: We analyzed chief complaints of 1,690 female patients who visited Korean Gynecology clinic of ${\bigcirc}{\bigcirc}$ University Hospital from 2013 to 2015. Results: 1. Average age of outpatients were $38.68{\pm}12.4$ and the age group distribution showed 30s were most (41.4%), followed by 40s, 20s, and 50s. 2. The season distribution showed patients were most in winter (28.0%), and least in summer (22.7%). 3. The disease distribution showed patients of puerperal disease were most (18.9%). 4. Patients of menstruation-associated disease were most in 20s and less, puerperal disease in 30s, supplemental and postoperative care in 40s, reproductive and endocrine disease in 50s, abnormal sense disease in 60s, and supplemental and postoperative in 70s and more. 5. The age group distribution of chief complaints showed cold hypersensitivity in hands and feet in 20s, and the season distribution showed puerperal winds in summer and cold hypersensitivity in hands and feet in winter. 6. The distribution of all chief complaints showed puerperal care were most (10.1%), and the percentage of all-kind care were high (29.9%). Conclusions: The clinical fields of Korean Gynecology can be expanded in general health care of women as well as treatment of diseases.

• 한국콘텐츠학회논문지
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• 제19권3호
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• pp.649-658
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• 2019

본 연구의 목적은 국내에서 수행된 산후우울 중재프로그램의 현황을 파악하고 효과를 알아보기 위함이다. 2018년 11월까지 보고된 국내 학술지 논문 중, 13편의 실험연구를 선별하여 최종 분석에 사용하였다. 연구대상자의 평균 연령은 26.9~34.4세로, 산모 또는 산모와 배우자를 대상으로 하였다. 표본크기는 실험군 6~39명 (평균 20.4), 대조군 5~40명 (평균 20.0)이었고, 중재프로그램의 구성은 0.5~12주/2~14회기/1회 당10~120분으로 이루어졌다. 모든 연구의 설계는 비동등성 대조군전후실험설계였다. 주요 종속변수인 산후우울, 피로도, 모성역할자신감은 메타분석 결과 모두 통계적으로 유의미한 중간 수준 이상의 효과크기를 가지는 것으로 확인되었다. 본 연구는 국내에서 산후우울을 중재하기 사용되는 다양한 실험연구들의 구성과 효과를 확인하였다. 이는 최적의 산후우울 중재프로그램을 구성하기 위한 구체적인 근거기반자료로 활용될 수 있을 것이다.

• 한국미생물·생명공학회지
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• 제6권1호
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• pp.41-46
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• 1978

진균류인 Aspergilus flavus의 대사생성물인 aflatoxin이 발암성물질이카는 것이 알려진 이래 비병원성 미생물이라고 ale어왔던 여러가지 미생물의 독성물질 생성여부에 관한 연구가 많이 이루어져 우리 식생활에 미생물독 즉 mycotoxin에 대한 문제는 더욱 중요하게 되였다. 본 실험에서는 토양에서 분리한 방선균속 균주가 생성하는 살어성물질의 기본적인 성질은 pH 3～7사이는 안정하였으나 PH 8이상에서는 매우 불안정하였으며 열에 대해서도 비교적 불안정한 물질이었으며 어종과 어체중에 따른 독성의 비교는 체중이 증가함에 따라 생존시간이 길었지만 버들붕어와 미꾸라지가 타어종에 비해서 본 독성물질에 대한 저항성이 매우 켰다. 일반적으로 미생물독의 생물에 대한 작용$^{(24~26)}$은 hemolytic necrotizing, proteolytic, neurotoxic, cardiotoxic, hepatotoxic, nephrotoxic 등을 들 수 있으나 대부분의 독성물질은 상기 독작용 가운데 한 두 가지로서 그 주인이 된다. 본 물질의 잉어에 대한 각 조직의 succinic dehydrogenase 활성에 대한 조해작용을 조사한 결과 근육, 심장, 뇌 조직에 강한 조해현상을 나타내었다. 본 독성물질생성에 대한 금속 ion의 영향을 조사한 결과 $Cu^{2＋}$, $Pb^{2＋}$의 첨가가 크게 관계한다는 것을 알았으며 기타 본물질성장에 carbohydrate, amino acid, vitamin이 미치는 영향을 조사해 보고자 하며 어류이외의 타 온혈동물의 조직에 본독성물질을 작용시켜 그 결과를 알고자 한다. 한편 본 물질이 잉어의 각 조직에 대한 succinic dehydrogenase 활성에 미치는 정도 및 본 물질생성에 미치는 금속염의 영향을 볼 때 송$^{19~22}$ 등이 분이한 물질과는 차이가 있음을 알았다.소되었다. Alkaline protease는 배양 24시간에서 48시간까지는 0.1%구와 0.5%구가 대조구보다 효소력이 높았고 그 이상의 인삼엑기스가 첨가된 처리구보다 효소력이 낮았다. 그러나 48시간 이후부터는 효소력은 인삼엑기스 첨가량 순으로 감소를 나타내었다. period of May 13th-June 4th 1976. The study data was collected by the direct interview method based on the questionnaire which the investigator made out. The study result was analyzed by percentage, t - test. The findings can be summarized as follows: 1. General characteristics of nurses doing duty on puerperal ward: a. Nurses′average age was 24.8 years old. b. 84.6% had educational background of 4 years of college. c. 69.2% had a religion. d. 53.8% were married. e. 53.8% had clinical experience of 1 year -3 years. f, 61.5% did duty on puerperal ward during 1 year -3 years. g. 46.2% desired to do duty on obstetric ? gynecologic ward. 2. General characteristics of the women who were studied during their puerperal period: a. Women′s average age was 26.4 years old. b. 79.5% had educational background above high school.

• 여성건강간호학회지
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• 제10권1호
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• pp.15-22
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• 2004

Purpose: This study was to examine the effect of postpartum exercise on mental health. Mental health comprises a 9 symptom dimension of Somatization, Obsessive-Compulsive, Interpersonal Sensitivity, Depression, Anxiety, Hostility, Phobic anxiety, Paranoid Ideation, and Psychoticism. Method: A non-equivalent pre-test, post-test control group study was conducted. Fifty-two puerperal women who were admitted to a postpartum ward of a mother-baby clinic in Pusan were recruited; 26 women were assigned to the experimental group and 26 women to the control group. Postpartum exercise was applied to the experimental group from postpartum day 3 for a period of 8 weeks while no exercise program was applied to the control group. Mental health with SCL-90-R was measured before and after exercise. Data was analyzed using mean, $x^2$-test, t-test, and ANOVA by SPSS 10.0. Result: The mental health status in the exercise group did not show a statistically significant decrease when compared to that of the control group. Conclusion: There is no effect of postpartum exercise on women's mental health during the first 8 weeks of the postpartum period. Further studies are needed for randomized clinical trials with a larger sample size.

• 대한한방내과학회지
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• 제25권3호
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• pp.640-647
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• 2004

Pregnancy related stroke is significant because it has dire impact on both mother and the fetus. Pregnant or puerperal women are reported to have about 13-fold more risk of stroke compared to non-pregnant women. Pregnancy-related stroke must be differentiated from stroke in elderly patients, because it is different in pathophysiological etiologies and recurrence rates and also diagnostic and therapeutic methods may affect the fetal health status. Because the VI cranial nerve manages lateral rectus muscles, it' s palsy causes sudden onset of double vision. The eyes turn medially. In this article, one case of paralytic strabismus resulting from pontine hematoma during puerperium is reported. It was treated with herb medicine and acupuncture. Symptoms improved. This case is submitted with a brief overview of related lit.