• 대한간호학회지
• /
• 제1권1호
• /
• pp.103-110
• /
• 1970

It is important to point out that the percental mortality rate of the multiple pregnancy is almost twice of the single pregnancy due mainly to their prematurity and the mothers of twins will also be suffered from the plural births to nurse and take care of them. We therefore studied the incidence, the sex ratio, the types of deliveries, the complications and the percental mortality rate of the twin deliveries in order to promote the development of our field of maternal and child nursing. We selected our materials from the 112 patients who had been admitted and delivered twins in the department of OB. & Gyn. of the S.N.U. Hospital from Jan. 1962 to Dec. 1969. The abstructed results of this study were as follows. 1. The incidence of twins among 7, 731 births was 1:69 2. The occurrence of twins from elder multigravida was 4 to 6 times higher than younger primigravida mothers under 35 years of age. 3. The generational length of 45.5% of all twins was under 38 weeks and the mean birth weight of 1st and 2nd twins were 2, 354.7gm and 2, 215.8gm respectively. 4. The sex ratio of twins was 99 males and 124 females. 5. Presentation of twins: 59 cases (52.69%) were in both vertex. 37 cases (33.03%) in vertex plus breech. 15 cases (13.39%) in both breech and one case (0.89%) in transverse presentation. 6. For the types of deliveries Spontaneous deliveries were in 90 babies (40.6%) Breech extraction in 60 babies (26.3%) Vacuum used in 33 babies (15.0%) Cesarean section in 33 babies (9.8%) Forceps in 9 babies (4.2%) and others such as version and destructive measures in 9 babies (4.1%) 7. Intervals between the 1st and 2nd delivery were analyzed and 93% of 2nd twins were delivered within minutes after 1st delivery. 8. The main complications of twin deliveries were totemic (45.5%), second was postmarital hemorrhage (19.6%) and third was hydrations (7.1%) 9. The mean percental mortality of 1st and 2nd twins was 12.52% and 16.96% respectively of which main cause of death were their prematurity.

• 한국응급구조학회지
• /
• 제6권1호
• /
• pp.87-102
• /
• 2002

Injury has now replaced disease as the biggest single cause of death in children after their first birthday. Each day child dies from preventable, unintentional injury and the medical cost of these injury is increasing remarkably. It is necessary to develope injury prevention models to explain, predict, manage, evaluate and analyze the information about accident. The purpose of this paper is, firstly, to investigate parent's actions regarding safety measures at home and secondly, to identify the influencing factors of parents' safety behaviors. The selection of such factors is guided by the theoretical framework of the Pender's Health Promotion Model. Method ; The questionnaire was developed on the basis of other investigations, through pilot testing, peer review, and review by field health workers. The questionnaire was completed by 231 mothers of young children. Data was collected between April and May 2002. Variable Use of three different domains of safety behavior, safety habits, supervision and perception of safety devices, were listed. Mothers were self reported on internal locus of control, mother & child relationships, and marital intimacy. Also the elements of the Health Promotion Model: perceived benefit, barrier, threat, and self-efficacy, were surveyed. Results & discussion The results indicate that most parents take considerable action to reduce household hazards. The constructs derived from the Model were statistically significant differences for a small part of the variables on parental behavior to reduce hazards in the home, such as age, education, economic status, self-efficacy, perceived benefit, internal locus of control. Future studies ought to include social influences, such as expectations, perceived norms, knowledge, and child-related variables, relevant to parental safety measures in their home.

• 가족자원경영과 정책
• /
• 제15권3호
• /
• pp.131-151
• /
• 2011

This study attempted to estimate the level of perceived lack of time in Korean society, to link it to time management and to identify the possible association that accounts for time shortage. I employed the gender perspective in order to reveal the dynamics and complexity of the perception of a lack of time in the population. The sample for the study was drawn from the 1999 and 2009 Korean time diary data collected by the Korean National Statistical Office. From the original data, I selected a sample of second shift families(men and women who are presently working and raising children) living in metropolitan areas(including Seoul and six major urban areas in Korea). The dependent variable was time pressure measured by a single-item question on a four-point likert scale. The results of the study showed that working mothers perceived a greater time shortage as compared to working fathers. The time use pattern showed change during the periods, indicating that people worked fewer hours in paid labor and enjoyed more leisure hours and personal care hours. However, on average, people seemed to have experienced a greater time lack in 2009 as compared to 1999. The results from the ordered logistic regression model revealed that even though there were similarities in the impact of relevant factors, men's perception of a lack of time was more closely linked with their work role and social status, while for women, this perception was influenced by work and family duties. This indicates that Korean working mothers and fathers are facing a double jeopardy of time shortage in terms of combining their work and family roles. As a result, the level of time pressure by gender is converging toward a "never enough" phase. These findings generated policy implications and detailed suggestions.

• 치과방사선
• /
• 제23권1호
• /
• pp.103-114
• /
• 1993

The purpose of this study was to determine whether any difference existed in craniofacial morphology between parents of children with cleft lip and/or palate and parents of children without cleft lip and/or palate as well as the characteristics of craniofacial morphology in parents of children with cleft lip and/or palate. Thirty three measurements of the various regions of cranium and face were obtained from lateral cephalometric radiograms in parents of 28 children with cleft lip and palate, 18 children with cleft lip, and 22 children with cleft palate. There were 28 couples and 40 single parents in this sample. There were 92 individuals including 41 males and 51 females. The measurements were compared with those in control subjects, including 40 adult males and 40 adult females, who had no history of craniofacial abnormalities. The total sample was compared for the sex independently. The obtained results were as follows. 1. In the cranium, both parents of cleft children had significantly shorter posterior cranial base length(S-Ba). 2. In the upper face, a significantly shorter anteroposterior length of maxilla(A'-Ptm'), particularly in the anterior region (A'-K), anterior facial depth(A-SBaL), posterior facia! height(Ptm'-SNL) and relation of subnasale to the cranial base (∠BaN'Sn) were noted in fathers of cleft children. But, all measurements were not found to be significantly different between experimental group and control group in all mothers. 3. In the lower face, both parents of cleft children showed a significantly greater Y axis angle(∠NSGn) and ramal plane angle(∠SNL-RP) in fathers of cleft children. Thus both patents showed a posteriorly rotation of mandible. The thickness of the lower lip(B-B') was significantly thicker in fathers of cleft children. 4. In the facial profile, a significantly shorter posterior facial height(S-Go) and greater angle of soft tissue facial convexity (∠BaN'Pog') were noted in the fathers of cleft children. But, all measurements were not found to be significantly different between experimental group and control group in all mothers.

• 한국콘텐츠학회논문지
• /
• 제22권7호
• /
• pp.253-263
• /
• 2022

본 연구는 베이비부머 세대의 어머니(1955-1963년생)를 둔 에코부머 기혼 여성(1979-1992년생) 382명을 대상으로 사회인구학적 배경변인, 부모-자녀 분화, 결혼안정성, 심리적 복지감 간의 관계를 살펴보았다. 그 결과 친정 어머니와의 월 평균 접촉 빈도가 많을수록 어머니와의 친밀감(연결성)이 높았다. 결혼지속년수가 높을수록 결혼안정성은 낮았고, 교육수준이 높고, 월평균 가구 소득이 높을수록 자기수용성이 높았다. 또한 맞벌이 가정의 여성이 외벌이 가정의 여성에 비해, 친정 어머니로부터 자녀 양육 도움을 받는 기혼 여성이 도움을 받지 않는 여성에 비해 타인과 신뢰할만한 관계를 형성하거나 만족감을 나타내지 못했다. 어머니와 잘 연결되어 있거나 친밀감이 높은 사람은 결혼안정성이 높았고, 결혼안정성이 높은 사람은 심리적 복지감이 높았다. 부모-자녀 분화 수준이 높은 기혼 여성은 자기수용성이 높을 뿐만 아니라, 타인과의 관계 또한 긍정적인 경향이 있었다.

• Journal of Preventive Medicine and Public Health
• /
• 제20권2호
• /
• pp.322-330
• /
• 1987

출생시 체중변화의 양상과 산모의 연령 및 출산순위와의 관계를 알아보기 위하여 1977년 1월부터 1986년 12월까지 부산시내 1개 종합병원에서 총 14,346건의 분만 가운데 20주이후에 출생한 단태아 13,634명을 대상으로 산실의 분만대장에서 신생아의 출생순위분포, 산모의 연령분포, 신생아의 체중분포와 평균체중, 산모의 연령과 출산순위에 따른 저 체중아와 과체중아의 출생을, 유산경험율과 사산율을 조사하였다. 신생아의 평균체중은 1979년에는 남아 3074gm, 여아 2985gm에서 1986년에는 남아 3266gm, 여아 3210gm 으로 증가하였고, 저체중아의 발생율은 1977년 7.2%에서 점차 증가하여 1980년에는 10.4%였으나 그후 점점 감소하여 1986년에는 6.5%였다. 과체중아의 발생율은 2,9%에서 4.6%사이로 평균 3.9%였으며 특별한 변화 양상은 볼 수 없었다. 유산을 경험 한 산모의 비율은 1979년에 51.6%에서 1986년에는 45.1%로 감소하였고, 사산율도 1977년에는 2.6%에서 1986년에는 1.5%로 감소했다. 이와같은 변화에는 가족계획 실천율의 증가와 결혼연령의 상승으로 $25{\sim}34$세사이 산모의 1과 2순위 출생아가 차지하는 비율이 증가한 것이 크게 영향을 미친 것으로 생각되며, 과체중아의 비율은 늘지 않고 오히려 저체중아의 출생율은 감소되어 전체적으로 신생아의 건강이 향상되고 있는 것으로 나타났다.

• 한국보육지원학회지
• /
• 제7권3호
• /
• pp.1-20
• /
• 2011

긍정적 경험, 긍정적 특질, 긍정적 조직의 복원에 대한 과학적 연구를 목적으로 하는 긍정 심리학에서는 인간의 문제를 규명하고 해결함에 있어 약점만큼이나 강점을 강조하고 고통받는 사람들의 상처를 치료해야하는 만큼 건강한 사람들의 삶의 질을 향상시켜야 할 필요가 있음을 제안한다. 따라서 우울이나 불안 등과 같은 부정적 측면보다 희망이나 행복과 같은 긍정적 측면에 초점을 두려 노력한다. 이러한 긍정 심리학적 측면에서 볼 때 경제적으로 어려운 저소득층 어머니를 대상으로 한 연구는 대부분 우울이나 스트레스, 불안, 거부적 양육행동, 부부갈등 등 부정적 측면에 초점을 둘 뿐 저소득층 어머니에게 내재되어 있는 안녕감이나 따뜻함, 애정성, 안정성, 희망 등과 같은 긍정적 요인은 상대적으로 간과했다고 볼 수 있다. 긍정적 정서나 성격 등 개인 안에 내재하고 있는 '긍정성' 속에 내포하고 있는 유연성과 통합성, 위기 대처 능력 등을 고려해 볼 때, 경제적 취약함이라는 부정적 환경 속에서도 나타나는 저소득층 어머니의 긍정성은 궁극적으로 저소득층 아동의 건강한 성장과 발달 측면에서 매우 중요한 문제라 할 수 있다. 이에 이 연구에서는 경제적으로 어려움에 처한 저소득층 어머니를 대상으로 애정적 양육 행동, 성인애착, 심리적 안녕감 등 개인의 긍정성에 초점을 두고 어머니의 애정적 양육행동에 대한 성인애착의 영향이 심리적 안녕감에 의해 매개되는가를 저소득층 어머니 101명과 중산층 어머니 238명을 중심으로 살펴보았다. 연구결과 저소득층 어머니의 애정적 양육행동은 중산층 어머니의 경우처럼 안정된 성인애착에 의해 유의하게 설명되나 안정된 성인애착의 영향은 부분 매개 효과를 보이는 중산층 어머니와 달리 심리적 안녕감에 의해 완전 매개 되는 것으로 나타났다. 이는 저소득층 어머니의 애정적 양육행동 향상을 위해 중산층 어머니보다 심리적 안녕감 증진에 보다 많은 관심을 기울일 필요가 있음을 시사하는 것이다.

• Journal of Preventive Medicine and Public Health
• /
• 제22권2호
• /
• pp.276-282
• /
• 1989

모성연령 및 출산순위의 변화가 출생시 체중에 미치는 영향을 알아보기 위하여 부산시내 1개 대학병원, 5개 종합병원,1개 병원, 1개 의원, 1개 조산소에서 분만된 1977년 7,786건과 1987년 8,671건의 단태아를 대상으로 산실의 분만대장에서 출생시 체중, 모성연령 그리고 출산순위를 조사하였다. 모성 연령은 1977년에 25-29세가 56.4%, 30-34세가 18.8%였으나 1987년에는 25-29세가 65.1%, 30-34세가 21.6%로 증가하였으며, 24세이하군과 35세 이상군의 출생아 비율은 감소하였다. 출산순위별 분포는 1977년에 1,2순위 출생아가 각각 56.9%, 28.8%였는데 1987년에는 각각 59.9%, 36.8%로 증가한 반면 3,4순위는 1977년에 10.6%, 3.6%에서 1987년에 각각 2.8%, 0.5%로 감소하였다. 저 체중아 출생률은 1977년에 5.3%였는데 1987년에는 4.0%였고, 이 가운데 직접표준화법을 응용하여 추정한 모성연령 및 출산순위별 변화가 저체중아 출생률 감소에 기여한 것은 10.7% 이었다. 나머지 89.3%는 모성 연령 및 출산순위별 저 체중아 출산률의 감소에 기인한 것이다.

• 한국사회복지학
• /
• 제61권1호
• /
• pp.81-107
• /
• 2009

본 연구는 레질리언스 관점에서 '순직군인 배우자가 여성한부모로서 사회역사적 맥락에서 겪게 된 재적응 경험은 어떠한가? 순직군인 배우자의 삶에서 '순직'의 의미와 본질은 무엇인가?'라는 연구 질문을 가지고 순직공군조종사 부인으로 구성된 자조집단 ${\bigcirc}{\bigcirc}$ 회에 참여하여 여성한부모의 경험을 심층면담과 참여관찰로 탐구하였다. 현상학적 이론과 분석방법을 통해 순직의 의미와 본질을 살펴보았으며 사회역사적 맥락 속에서 순직공군조종사부인의 특수한 취약성에 관한 경험을 연구하고자 하였다. 연구분석에 따르면 연구 참여자는 배우자의 순직과 함께 잃어버린 자신의 정체성을 찾고자 고군분투해 오면서 스스로 만족한 삶을 살았다고 확신한다. 특히 자조 집단의 참여와 활동은 자신들을 의식해 주기를 바라고, 정체성을 찾기 위한 노력의 일환으로 나타났다. 이러한 과정 속에서 '순직'에 대한 죽음의 가치와 평가, 과거에 대한 역사성은 레질리언스 보호요인 중 '신념 체계'가 되어 순직군인 부인들의 삶에 중요한 존재 의미로 나타났다. 연구 결과에 대한 논의는 유가족을 비롯한 군인과 그 가족들에 대한 국가 정책과 보훈처 및 군 조직에서 보다 실질적인 사회복지실천 서비스를 응용할 수 있는 유용한 자료가 되기를 기대한다.

• Journal of Preventive Medicine and Public Health
• /
• 제41권5호
• /
• pp.355-363
• /
• 2008

Objectives : Most studies about multiple roles and women's health suggested that combining with paid job, being married and having children was more likely to improve health status than in case of single or traditional roles. We investigated whether there was better health outcome in multiple roles among Korean women coinciding with previous studies of other nations. Methods : Data were from the 2005 Korea National Health & Nutritional Examination Survey, a subsample of women aged 25-59 years (N=2,943). Health status was assessed for self-rated poor health, perceived stress and depression, respectively based on one questionnaire item. The age-standardized prevalence of all health outcomes were calculated by role categories and socioeconomic status. Multiple logistic regression was used to assess the association of self rated health, perceived stress, and depression with multiple roles adjusted for age, education, household income, number of children and age of children. Results : Having multiple roles with working role was not associated with better health and psychological wellbeing. Compared to those with traditional roles, employed women more frequently experienced perceived stress, with marital and/or parental roles. Non-working single mothers suffered depression more often than women with traditional roles or other role occupancy. Socioeconomic status indicators were potent independent correlates of self-rated health and perceived stress. Conclusions : Employment of women with other roles did not confer additional health benefit to traditional family responsibility. Juggling of work and family responsibility appeared more stressful than traditional unemployed parental and marital role in Korean women.