• 한국보육학회지
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• 제18권4호
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• pp.1-25
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• 2018

본 연구에서는 보육교사에 대한 만 2세 영아의 애착 안정성과 또래놀이 과정을 사례 연구를 통해 탐구해 보고자 하였다. 이를 위하여 서울특별시에 소재한 가정 어린이집을 다니는 4명의 만 2세 영아를 연구 참여자로 선정하였다. 참여한 영아들은 애착 Q-set를 통해 측정한 보육교사에 대한 애착 안정성에서 안정애착과 불안정애착을 형성한 영아 각각 2명이었다. 본 연구는 2018년 4월 12일부터 7월 19일까지 36회에 걸쳐 자유선택활동 시간에 참여관찰을 하였다. 비디오 촬영 전사본, 교사 면담 전사본, 보육계획안, 현장 일지 등이 분석과 해석에 활용되었다. 보육교사에 대한 영아의 애착 안정성과 또래놀이를 놀이의 흐름에 따라 시작 전개 마무리 과정으로 살펴본 결과는 다음과 같다. 또래놀이의 시작에서 영아가 또래를 놀이에 초대할 때, 안정애착영아는 적합한 놀이 파트너를 선정 하거나 구체적인 놀이 행동을 요구하지만 불안정애착영아는 즉흥적으로 놀이 파트너를 선정하거나 불분명하고 미숙하게 또래를 놀이에 초대하며 서로 다른 모습을 보여주고 있었다. 또한 또래가 진행 중인 놀이에 들어가기에서 안정애착영아는 놀이 맥락을 파악하지만, 불안정애착영아는 놀이 맥락에 대한 파악 없이 진행 중인 놀이에 들어가는 것으로 나타났다. 전개에서 안정애착영아는 상호보완적으로 협조를 하고 놀잇감을 공유하며 놀이를 진행하였지만, 불안정애착영아는 협조를 하기 보다는 자신의 의사만 표현하고 또래와 놀잇감을 공유하는 것을 어려워할 뿐 아니라 또래갈등이 빈번히 발생함에 따라 보육교사의 중재를 필요로 하였다. 또래놀이의 마무리에서 안정애착영아는 또래와 공동의 끝맺음을 보였으나, 불안정애착영아는 또래와 함께 마무리를 하지 못하고 또래와의 갈등으로 인해 또래놀이가 단절되거나 보육교사와의 놀이로 변화되는 것으로 나타났다. 본 연구의 결과는 보육교사에 대한 만 2세 영아의 애착 안정성과 또래놀이의 관계에 대한 이해를 도움으로써 보육교사의 역할에 대해 생각해볼 수 있는 기초자료가 될 것이다.

• Child Health Nursing Research
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• 제26권2호
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• pp.296-308
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• 2020

Purpose: The purpose of this study was to identify the noise level and frequency experienced by premature infants receiving incubator care in the neonatal intensive care unit (NICU). Methods: The participants were 20 premature infants receiving incubator care in the NICU of a university hospital in Daejeon Metropolitan city. The noise level was measured using a professional sound-level meter (ET-958, FLUS, Shenzhen, China) based on a noise classification table developed by the author. The data were analyzed with descriptive statistics, the t-test, analysis of variance, and Pearson correlation coefficients using SPSS for Windows version 22.0. Results: The average noise level experienced by premature infants receiving incubator care in the NICU was 51.25 dB (range: 45.0~81.7 dB). The frequency of noises was highest for factors related to nursing activities (40.3%), followed by human factors (29.1%), machine alarm sounds (20.1%), incubator operation (6.6%), and internal environmental factors (3.9%). Conclusion: According to the above results, the noise level experienced by premature infants receiving incubator care in the NICU exceeded the recommendations of the American Academy of Pediatrics. Therefore, it is necessary to develop an interventional program to reduce noise in the NICU, and to conduct follow-up studies to verify its effectiveness.

• 부모자녀건강학회지
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• 제4권1호
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• pp.35-55
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• 2001

Recently attention has been focused on the effects of early intervention, or its lack, on both normal and preterm infants. Particularly numerous studies suggest that premature infants are not necessarily understimulated but instead are subjected to inappropriate stimulation. Developmental support and sensory stimulation have become clinical opportunities in which nursing practice can impact on the neurobehavioral outcome of premature infants. Developmental care has been widely accepted and implemented in neonatal intensive care units across the country. Increasingly, attention and concern in caring for low-birth-weight infants and premature infants has led clinicians in the field to explore the effects of a complex of interventions designed to create and maintain a developmentally supportive environment; to provide age-appropriate sensory input; and to protect the infant from inappropriate, excessive and stressful stimulation. The components of developmental care include modifications of the macro-environment to reduce NICU light and sound levels, care clustering, nonnutritive sucking, and containment strategies, such as flexed positioning or swaddling. Sensory stimulation of the premature infants is presented to standardize the modification of a developmental intervention based on physiologic and behavioral cues. The most appropriate type of stimuli are those that are sensitive to infant cues. Evaluation of infant physiological and behavioral responds to specific intervention stimuli may help to identify more appropriate interventions based on infants' cues. A critical question confronting the clinician is that of determining when the evidence supporting a change in practice is sufficient to justify making that change. There are acknowledged limitations in the current studies. Many of the studies examined had small sample sizes; used nonprobability sampling; and used a phase lag design, which introduces the possibility of threats to internal validity and limits the generalizability of the results. Although many issues regarding the effects of developmental interventions remain unresolved, the available research base documents significant benefits of developmental care for LBW infants in consistent outcomes, without significant adverse effects. Particularly, although the individual studies vary somewhat in the definition of specific outcomes measured, instrumentation used, time and method of data collection, and preparaion of the care providers, in all studies, infants receiving the full protocol of individualized developmentally supportive care had improvements in some aspect of four areas of infant functioning: level of respiratory or oxygen support, the establishment of oral feeding; length of hospital stay, and infant behavioral regulation. In summary, based on the available literature, individualized developmental intervention should be incorporated into standard practice in neonatal intensive care. And this implementation needs to be coupled with ongoing research to evaluate the impact of an individualized developmental care programs on the short- and long-tenn health outcomes of LBW infants.

• 중환자간호학회지
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• 제4권1호
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• pp.25-35
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• 2011

Purpose: The purpose of this study was to evaluate the actual outcomes of early discharge program for extremely low birth weight (ELBW) infants. Methods: Medical records of 122 ELBW infants admitted in the neonatal intensive care unit from January 2000 to June 2006 and those of their 112 mothers were analyzed retrospectively. Results: After being applied early discharge program to ELBW infants' mothers, their infants' lengths of stay, gestational age and body weight at discharge, duration of completion of oral feeding, number of emergency room visits after discharge were decreased and number of breast milk feeding was increased. Conclusion: Early discharge program for ELBW infants can be an effective intervention for parents and their ELBW infants contributing to neonatal nursing practices.

• 한국학교보건학회지
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• 제8권2호
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• pp.315-326
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• 1995

This study was performed to find variables which affect oral health care of infants. The subjects were 439 infants and their mothers who live in suburban area. Oral examinations for the infants were conducted and the questionnairs were given to infants' mothers. Toothbrushing frequency, oral hygiene score, the percentage of filled teeth among decayed teeth, and dental treatment experience of infants were used as dependent variable, respectively. Demographic, socio-economic variables and the other variables which might affect oral health care of infants were used as independent variables. Correlation analysis and analysis of variance were used for the independent variables of toothbrushing frequency, oral hygiene score, and the percentage of filled teeth among decayed teeth of infant. Chi-Square and Student's t-test were used for the dependent variables of dental treatment experience of infant. The obtained results were as follows; 1. Toothbrushing frequency of mother and internal locus of oral control of mother were the factors which affect toothbrusing frequency of infants. 2. Oral health belief of mother was the factor which affect oral hygiene score of infants. 3. Age of infant was the factor which affect the percentage of filled teeth among decayed teeth. 4. Age of infant and educational level of infant's mother were the factors which affect the infants' consumption of dental treatment.

• Child Health Nursing Research
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• 제9권1호
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• pp.96-106
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• 2003

Advances in neonatal care system and research have resulted in an increased survival rate among low birth weight infants in the industrialized countries. Recent Korean neonatal mortality and morbidity statistics, and current status of Korean neonatal intensive care facilities were reviewed here for the sake of future improvement and research. Morbidity statistics revealed that perinatal diseases accounted for 80％ of the death of premature infants implying the possibility of its reduction by the vigorous prenatal care service in future.On the basis of extensive studies of nutritional support and growth rate of premature infants, commercial formulas for premature infants have been developed and various aspects of feeding techniques are standardized. However, problem of growth deficit of premature infants remains unsolved as medical problem. NICU specialists are challenged with the tasks of prenatal education or provision of care that minimizes the neurodevelopmental problems seen in preterm infants, various short-term outcome researches have been reported and those are reviewed here to promote research interest in the field of neonatal nursing. Systemic long-term outcome studies are also awaited in Korea for the formulation of welfare policy in future. Nursing science has to embrace all these interdisciplinary studies as their own research field in collaboration with neonatologist, nutritionist, rehabilitation therapist, social workers and teachers.

• Child Health Nursing Research
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• 제26권1호
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• pp.11-22
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• 2020

Purpose: The purpose of this study was to evaluate the effects of an education program for mothers of late-preterm infants on parenting confidence, breastfeeding rate, and infants' growth and readmission rate. Methods: The participants were 53 mothers of late-preterm infants (26 in the experimental group and 27 in the control group). The experimental group was administered the late-preterm care education program while the control group received standard care. The program consisted of two sessions during hospitalization after birth, one session at the time of discharge, and telephone and social networking service consultations at weekly intervals for the month following discharge. The collected data were analyzed using the t-test, x² test, and repeated-measures analysis of variance. Results: Parenting confidence and the breastfeeding rate were significantly higher in the experimental group than in the control group. However, there was no significant difference in the late-preterm infants' growth and readmission rates between the experimental and control groups. Conclusion: A care education program for mothers of late-preterm infants can be a useful nursing intervention in clinical practice.

• 한국보육지원학회지
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• 제12권1호
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• pp.123-142
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• 2016

본 연구는 영아의 어린이집 이용에 대한 보육교사들의 태도를 탐색하고, 이들의 보육신념을 분석하여 영아무상보육에 대한 보완 및 개선점을 제시하였다. 연구참여자는 영아반 보육교사 26명이며, 자료수집을 위해 개별심층면접을 실시하였다. 연구결과, 영아반 보육교사들은 취업모의 어린이집 이용을 불가피한 것으로 여기지만 전업주부의 어린이집 이용에 대해서는 부정적인 태도를 보였다. 연구참여자들은 영아무상보육 이후 어린이집을 이용하는 영아의 양적팽창과 함께 어머니들이 주양육자로서 수행해야하는 역할을 공보육에 의존하는 경향이 높아졌다고 지적하였다. 보육교사들은 영아기에 적합한 양육환경에 대한 신념을 밝히면서, 영아의 주양육자로서 어머니가 수행해야하는 역할의 중요성을 강조하였다. 또한, 어린이집을 이용하는 어머니와 보육교사 간의 양육 파트너십이 양질의 보육에 필수적임을 설명하고, "제2의 어머니"로서 영아반 보육교사의 정체성을 피력하였다. 본 연구는 영아무상보육 시행 이후 서비스 제공의 핵심 주체인 보육교사들이 보육현장에서 경험한 변화들을 분석함으로써 향후 개선되어야 할 방향을 제시하는 것에 의의가 있다.

• 한국실내디자인학회논문집
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• 제18호
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• pp.59-65
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• 1999

As women's economic participation increases, the problems of day care appears seriously in Korea. The government made of nurture law for infants in 1991 and drove more establishment day care center, However, currently only 7.3% of 1.86 million infants, of working mother's infants under age 5, are caring. The employers supporting day are facilities which have many advantages such as enable women's economic participation stability of mental state, but the number of such facilities was recorded as 114 in 1996. therefore, the support for the facilities are demanding in terms of quantity but it is required improvements of in terms of quantity because infants are easily influenced by their environment. This study aims to provide infants of employers more efficient and better interior environment for day care and education facilities. By analyzing actual condition of plans and space utilization of selected facilities were cases and found out the problems in the selected facilities. The study of study identified are explained. 1. The object of study identified are explained. 2. Relevant theories and studies on environmental structure of infant day care. 3. The present conditions of infant day care are investigated and analysed with selected facilities as cases. 4. The concept and basic direction of design was made based on above researches.

• 지역사회간호학회지
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• 제15권4호
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• pp.628-638
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• 2004

Purpose: The purpose of this study was to examine the effect of follow-up care on the social support, self-esteem and maternal confidence in mothers of low birth weight infants. Method: This study applied a quasi-experiment study method to examine the pre-post intervention effects. Eighty-eight mothers whose infants were below 2.5kg of Low birth weight were studied. The period for the data collection was from July to December in 2003. Self Reported Survey and Face to Face Interview by the highly trained home Visiting Nurses were used for this study. Result: Most of the participants reported statistically significant improvements in the score of social support, self-esteem and maternal confidence after they received the intervention. Conclusion: Longitudinal study for the mothers of low birth weight infants might reveal more comprehensive findings. Moreover, follow-up care, which is linked with community health care services, is needed to continue the post hospital care services. Additionally, qualified and professional intervention programs should be provided to consider the characteristics of mothers of low birth weight infants.