• Title/Summary/Keyword: child care support

검색결과 670건 처리시간 0.022초

Xiang Study: an association of breastmilk composition with maternal body mass index and infant growth during the first 3 month of life

  • Peng, Xuyi;Li, Jie;Yan, Shuyuan;Chen, Juchun;Lane, Jonathan;Malard, Patrice;Liu, Feitong
    • Nutrition Research and Practice
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    • 제15권3호
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    • pp.367-381
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    • 2021
  • BACKGROUND/OBJECTIVES: This study aimed to establish a mother and child cohort in the Chinese population, and investigate human breastmilk (HBM) composition and its relationship with maternal body mass index (BMI) and infant growth during the first 3 mon of life. SUBJECTS/METHODS: A total of 101 Chinese mother and infant pairs were included in this prospective cohort. Alterations in the milk macronutrients of Chinese mothers at 1 mon (T1), 2 mon (T2), and 3 mon (T3) lactation were analyzed. HBM fatty acid (FA) profiles were measured by gas chromatography (GC), and HBM proteomic profiling was achieved by matrix-assisted laser desorption/ionization time-of-flight (MALDI-TOF) mass spectrometry (MS). RESULTS: During the first 3 mon of lactation (P < 0.05), significant decreases were determined in the levels of total energy, fat, protein, and osteopontin (OPN), as well as ratios of long-chain saturated FA (including C16:0, C22:0 and C24:0), monounsaturated FA (including C16:1), and n-6 poly unsaturated FA (PUFA) (including C20:3n-6 and C20:4n-6, and n-6/n-3). Conversely, butyrate, C6:0 and n-3 PUFA C18:3n-3 (α-linolenic acid, ALA) were significantly increased during the first 3 mon (P < 0.05). HBM proteomic analyses distinguished compositional protein differences over time (P = 0.001). Personalized motherinfant analyses demonstrated that HBM from high BMI mothers presented increased total energy, fat, protein and OPN, and increased content of n-6 PUFA (including C18:3n-6, C20:3n-6 and n-6/n-3 ratio) as compared with low BMI mothers (P < 0.05). Furthermore, BMI of the mothers positively correlated with the head circumference (HC) of infants as well as the specific n-6 PUFA C20:3n-6 over the 3 time points examined. Infant HC was negatively associated with C18:0. CONCLUSION: This study provides additional evidence to the Chinese HBM database, and further knowledge of FA function. It also helps to establish future maternal strategies that support the healthy growth and development of Chinese infants.

임신부부의 태교 실태조사 (A Survey on the Practice Taekyo Among Childbearing Couples)

  • 최연순;김현옥
    • 여성건강간호학회지
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    • 제1권2호
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    • pp.174-199
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    • 1995
  • This study examined the antenatal care known as Taekyo. The sample consisted of 795 women and 564 men who had be seen in the antenatal care unit, delivery room, or postpartal care unit of general hospitals in Korea between March 20 and April 22, 1995. Data were collected using the "Taekyo questionnaire for childbearing women" and "Taekyo questionnaire for husbands of childbearing women" developed by researchers. Data were self-reported. Data were analyzed using the SPSS PC+ program, and descriptive statistics, T-test, ANOVA, Pearson correlation coefficient were applied. The results of this study were as follows : 1. Encouragement to practice Taekyo was at a relatively high level. Items on Taekyo encouraging behaviors had a mean score of 3.51(33 items 5 point scale). According to the five categories of Taekyo encouraging behaviors, subjects indicated they practice "food intake(mean score 4.02)". "praying(mean score 3.78)", "cumulative virtuous deeds (mean score 3.58)". "mind and body management(mean score 3.47)", "maternal fetal interaction(mean score 3.15)". 2. The childbearing women's practices related to forbidden behaviors by Taekyo were relatively high. Item on forbidden behaviors by Taekyo had a mean score 3.71(43 items 5 point scale). According to the five categories of forbidden behaviors by Taekyo, subjects indicated they practiced "voluntary abstention of drugs(mean score 4.78)," avoiding behaviors(mean score 4.78)," avoiding behaviors(mean score 3.77), "good behaviors(mean score 3.71)", "taboo on fetal death tendency (mean score 3.53)", "taboo on certain intake(mean score 3.47)". 3. The practice score of husbands for childbearing women which related to Taekyo behaviors were relatively high. Item on Taekyo behaviors had a mean score 3.59(33 items 5 point scale). According to the six categories of Taekyo behavior, subjects indicated they practiced "mind and body management(mean score 3.94)", "praying(mean score 3.80)", "support of women’s practice related to Taekyo(mean score 3.66)", "good behaviors(mean score 3.58)", "continency(mean score 3.33)", "paternal fetal interaction (mean score 3.19)". 4. On the childbearing women's perception of Taekyo, most of the subjects(88%) had confidence in the positive effects of Taekyo on Child development. The result showed that the childbearing couples practiced Taekyo behavior relatively often and sincerely and most of the childbearing women had a positive perception of Taekyo's effect on prenatal child development.

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미숙아 부모를 위한 교육 관련 국내 연구논문의 통합적 고찰 (Integrative Review on Caring Education Papers for Parents with a Premature Infant)

  • 임미해;오진아
    • Child Health Nursing Research
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    • 제19권2호
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    • pp.120-129
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    • 2013
  • 목적 지속적인 의료기술의 발달로 미숙아의 치료, 양육 방법이 변화되어지고 있으며, 정보통신기술의 발달로 교육매체 역시 다양화 되어지는 시점에서 미숙아 부모를 위한 미숙아 돌봄 교육과 관련된 국내 연구 논문을 통합적으로 고찰하여 그 구성요소를 파악하고 각각에 대해 논의함으로써 향후 교육방법의 방향을 모색하고자 하였다. 방법 연구는 Whittemore와 Knafle (2005)이 제시한 통합적 고찰(integrative review) 방법으로 연구목적규정, 문헌검색, 데이터평가, 데이터 분석의 과정에 따라 체계적으로 탐색하고 논의하여 그 의미 있는 결과를 도출하였다. 엄격한 선정기준과 제외기준을 적용하여 4개의 국내 논문데이터베이스에서 1990년부터 2012년 10월까지 국내에서 발표된 논문 중 최종적으로 본 연구에 사용된 연구는 16편으로 확정하였다. 결과 통합적 고찰결과 미숙아 부모를 위한 미숙아 돌봄 교육의 구성요소로는 '교육자로서의 간호사와 학습자로서의 부모', '교육 내용과 교육 효과', 그리고 교육 매체, 시기, 장소를 포함한 '교육 환경'으로 분류되었다. 결론 미숙아 돌봄 교육을 위하여 부모와 가족교육을 전담하는 간호사 역할의 인정과 기관과 정부의 지속적인 관리와 지원과 함께 다학제적인 접근으로 각 양육자에 따른 맞춤형 교육이 되어야할 것이다. 향후 미숙아 돌봄 교육에서는 다양한 측면에서 교육의 효과를 측정할 수 있는 평가도구와 효율적인 교육매체의 개발과 효과적인 교육환경에서 미숙아 돌봄을 향상시킬 수 있는 프로그램의 개발을 제언한다.

텍스트마이닝을 활용한 연구동향 분석: 소셜네트워크서비스를 중심으로 (Research Trends Investigation Using Text Mining Techniques: Focusing on Social Network Services)

  • 윤혜진;김창식;곽기영
    • 디지털콘텐츠학회 논문지
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    • 제19권3호
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    • pp.513-519
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    • 2018
  • 본 연구의 목적은 소셜네트워크서비스 주제에 관한 연구동향을 조사하는 것이다. 연구의 목적을 달성하기 위해서 웹오브사이언스 데이터베이스에서 제목에 'Social Network Service(SNS)'를 포함하는 1994년부터 2016년까지 출판된 논문 초록 308편을 분석 하였다. 본 연구에서는 텍스트마이닝 기법 중에서 최근 많이 적용되는 토픽모델링기법을 활용하였다. 토픽모델링 분석결과 20개의 토픽(신뢰, 지지, 만족 모델, 조직 지배구조, 모바일 시스템, 인터넷 마케팅, 대학생 효과, 의견 확산, 고객, 정보보호, 건강관리, 웹 협업, 방법, 학습 효과, 지식, 개인 이론, 아동 지지, 알고리즘, 미디어 참여, 문맥 시스템)이 도출되었다. 또한 시계열회귀분석 결과 모든 토픽은 상승 추세로 나타났다.

건강가정지원센터 이용실태 및 활성화 방안 연구 - 경기도를 중심으로 - (A Study on the Use of Health Family Support Centers and Its Activation Plan - Focused to Gyeonggi-do -)

  • 양정선;김성희
    • 가족자원경영과 정책
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    • 제14권4호
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    • pp.213-237
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    • 2010
  • This study aimed at figuring out the current state of 26 family-health support centers in Gyeonggi-do, in order to prepare an activation plan for the centers. These centers are the main mediators of the family health operation. This study also aimed to understand the center users' satisfaction and demands. The results were as follows. First, a total of 65,794 participants from 9,960 businesses were processed. The majority had attended various integrated family services, followed by family counseling and/or family-friendly culture-establishing businesses. Second, the main users' profiles were as follows: average age, 41; average number of persons in the family, 3.78; education above foundation-level degree; diverse jobs that included special occupations; average monthly incomes of 3,390,000 won; and a middle-class living standard (as self-described by participants). Third, the users' main concern for their families was "financial difficulties," and they had an interest in education and counseling. Although they thought education and counseling were suitable solutions, they hesitated because they did not think their problems were serious enough to merit them. Fourth, the satisfaction level of their participation in their center's program was generally high, at 3.9-4.2 points. The majority of them said they would attend again in the future.

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가족정책 전달체계 전담인력의 역량강화를 위한 교육방안 모색을 위한 기초 연구 (A Study on the Education Plan for Empowerment of Healthy Family Specialists in the Family Policy Delivery System)

  • 박정윤;정지영;송혜림;조영희;이현아
    • 가정과삶의질연구
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    • 제33권2호
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    • pp.53-70
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    • 2015
  • The number of Healthy Family Support Centers has dramatically increased and the services for healthy families such as family education, family counsel, family culture and family care have increased during the past ten years since the Framework Act on Healthy Families was enacted. This growth is largely credited to Healthy Family Specialists. At a time when the family policy delivery system is changing, it is most urgent to enhance the capability of Healthy Family Specialists. In this study, we aim to investigate the current capability of Healthy Family Specialists and suggest the education plan for their empowerment. We collected data from 151 Healthy Family Support Centers by mail and e-mail in June 2014. There were total of 1,001 subjects for analysis(781 by mail and 220 by e-mail). We analyzed the capabilities of Healthy Family Specialist by service areas according to work-related characteristics and possession of a license. Our findings revealed that the capabilities of Healthy Family Specialist varied depending on the service year and whether or not having a licence. These results suggest that the education program for empowerment will provide a differentiated content according to the service year and whether or not having a license. This study contributes to a better understanding of Healthy Family Specialists' current capability and provides insights on how to enhance their capability in order to change the family policy delivery system.

산모의 모유수유 적응과 모유 내 면역물질에 영향을 미치는 심리사회적 요인 (Maternal Psychosocial Factors that Affect Breastfeeding Adaptation and Immune Substances in Human Milk)

  • 김은숙;정미조;김수;신현아;이향규;신가영;한지희
    • 여성건강간호학회지
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    • 제20권1호
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    • pp.14-28
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    • 2014
  • Purpose: This study was to identify relationships of maternal psychosocial factors including mother's mood state, childcare stress, social support and sleep satisfaction with breastfeeding adaptation and immune substances in breast milk, especially secretory immunoglobulin A (sIgA) and transforming growth factor-beta 2 (TGF-${\beta}2$). Methods: Data were collected from 84 mothers who delivered full-term infants by natural childbirth. Structured questionnaires and breast milk were collected at 2~4 days and 6 weeks postpartum. Data were analyzed using descriptive statistics, Pearson's correlation, multiple linear regression, and generalized estimating equation (GEE). Results: Scores for the breastfeeding adaptation scale were significantly related with child care stress, mood state and social support. Mother's anger was positively correlated with the level of sIgA in colostrum (p<.01). Immune substances of breastmilk was significantly influenced by time for milk collection (p<.001) and the type of breastfeeding (sIgA, p<.001, TGF-${\beta}2$, p=.003). Regression analysis showed that breastfeeding adaptation could be explained 59.1% by the type of breastfeeding, childcare stress, the Profile of Mood States, emotional support and sleep quality (F=16.67, p<.001). Conclusion: The findings from this study provide important concepts of breastfeeding adaptation program and explanation of psychosocial factors by immune substances in breast milk. Future research, specially, bio-maker research on breast milk should focus on the ways to improve breastfeeding adaptation.

자녀를 둔 어머니의 출산과정 경험 (An Ethnographic Research Study on Childbearing Process of Mother with Children in Korea)

  • 김영희
    • 여성건강간호학회지
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    • 제7권3호
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    • pp.271-283
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    • 2001
  • The childbearing process is a sociocultural phenomenon of a woman who gives birth to a child as well as a biological phenomenon. The purpose of this ethnographic research study was to explore the experience of childbearing process of mothers with children from pregnancy to the 3 months postpartum in Korea and to understand deeply the perspectives of childbearing women reflected on Korean sociocultural values. A convenient sample of 10 childbearing women were observed from January to October 2000 through field work in Seoul, Korea. Data analysis was accomplished under ongoing process. The results of this study were as follows : The mothers with children experienced self-reflection, family relation, and physical adaptation during pregnancy. In self-reflection, all mothers experienced universality and diversity in their self-discovering process. The universal experiences were maturation, life with family and priority on maternal value between being a mother and a woman. The diverse experiences were taking a dual role of working mother, emotional drift of a resigned mother, and disheartened life of a mother who has two daughters. In family relation, the foundation of the new marital relationship were attained during childbearing process and sexual life were changed for the benefit of a healthy mother and a healthy baby. All mothers established friendly relations with their mothers, but established friendly or conflicting or constraining relations with their mother-in-laws due to husband based family culture. In physical adaptation, the informants endured well the physical discomfort and recognized general appearance change. Also maternal-fetal interaction occurred and mothers realistically felt motherhood and accepted themselves as mother-to-be. The mothers prepared for the best delivery, look for a safe childbirth center, newborn goods, endorsed family coping during hospitalization and responded labor pain to make it more endurable, less painful, fast passed owing to labor recognition of the natural process to be a mother. After childbirth, they felt emancipation, satisfaction, accomplishment, more easiness, actually feeling as mother-to-be, emptiness, and showed response to the sex of newborn. Their Sanhujori practice was different according to the Sanhujori environment including provider, place, time in postpartum and reflected on Sanhubyung. The mothers felt actually mother-to-be and happiness during lactation regardless of feeding pattern. These mothers had a different maternal image about rearing subjecthood through their child-rearing experience. But all mothers felt need for family support and social support. The universal rearing response were actual feeling of mother-to-be, a strenuous experience, a pride on child-rearing, confusion, reflecting marital relationship, and wondering rivalry among children. In conclusion, mother of all with children went through self-discovery, self-reflection and made connections with the family as a mother and as a woman simultaneously during the childbearing process. Therefore it is suggested when harmony and balance between a mother and a woman is accomplished, the woman will lead a healthy and high quality of life. Also, this study sought to confirm the sociocultural factors affecting the childbearing process from the perspectives of the women with children. Therefore health care providers must understand deeply the childbearing women with children based on this finding of and try a integrative approach with new ideology of maternity with biocultural perspectives in a clinical setting.

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정맥주사 시 입원환아가 경험하는 동통에 대한 환아, 어머니, 간호사의 지각 (The Pain Perception of Children, Mothers & Nurses Experienced by Hospitalized Children at the Time of Intravenous Injection)

  • 김신정;김성희;유연엽;허용주;명지연;고은정;김광희;박선영;방문숙;염순림;박미라;정희숙;이세라;박소연
    • 부모자녀건강학회지
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    • 제9권1호
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    • pp.3-16
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    • 2006
  • Purpose: The purpose of this study was to provide basic data for hospitalized children under the condition of painful procedure. Method: The data were collected from July 15th to Oct 30, 2003 from 68 hospitalized children suffer from acute disease, 68 mothers take care of children, 14 pediatric ward nurses. To evaluate the degree of pain perception of children, mothers & nurses, face pain rating scale and behavior characteristic were used. Result: The result were as follows. 1) The pain perception score of children, mothers & nurses. child perceived highest as the score of 3.60 2) The most frequent behavioral characteristic children were 'crying(47.1%)' mothers were 'soothing the child(54.4%)' and nurses were 'support not to move(52.9%)' 3) The degree of pain perception of children, mothers and nurses according to subjects' general characteristics and painful procedure, there were stastical difference according to children's age, mothers age and duration of painful procedure 4) There were significant correlation between the degree of pain perception and behavioral characteristics of children, mothers & nurses. Conclusion: Nurses should not underestimate children's pain and need to provide knowledge and information to the child and their parents regarding painful procedure.

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장애아동 현금급여 및 현물급여정책이 장애아동 주양육자의 서비스 만족도에 미치는 영향 연구 (The Effects of disability in kind benefit and cash benefit policies on the main carer of a child with a disability service satisfaction)

  • 이영광;지은구
    • 예술인문사회 융합 멀티미디어 논문지
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    • 제7권2호
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    • pp.701-710
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    • 2017
  • 본 연구는 장애아동이 지원받는 현금급여와 현물급여정책이 주양육자의 서비스 만족도에 미치는 영향에 관하여 연구하였다. 장애아동을 대상으로 한 연구들을 살펴본 결과 주양육자의 양육스트레스, 양육부담 그리고 가족 구성원의 어려움 등에 관하여 연구가 이루어졌다. 그러나, 장애아동에게 지원되는 급여정책에 대한 연구는 미비하게 이루어졌으며, 급여의 유형별로 구분하여 주양육자의 서비스 만족도를 다룬 연구 역시 미비함을 발견하였다. 연구목적을 달성하기 위해 선행연구에서 보고하고 있는 변수(부모성별, 아동성별, 부모연령, 아동연령, 장애등급, 평균소득)가 서비스 만족에 미치는 영향을 살펴보았다. 그 결과 서비스 만족도에 영향을 미치는 주요한 변수는 부모연령, 아동연령, 아동성별이 통계적으로 유의미한 결과가 나타났다. 이는 신청절차, 경제적 부담, 지원 및 선정기준, 서비스량, 전반적 만족에 전반적으로 통계적으로 유의미한 결과를 보였다. 연구결과를 바탕으로 현금급여와 현물급여에 대한 함의는, 급여의 금액과 범위 확대, 장애아동의 연령을 고려한 맞춤형 서비스를 제공함으로써 궁극적으로 주양육자의 서비스 만족도를 높일 수 있을 것이다.