• 지역사회간호학회지
• /
• 제30권3호
• /
• pp.377-389
• /
• 2019

Purpose: Group-based interventions help the members of the parent group work together to share their parenting stress, provide opportunities for them to support each other emotionally and informatively, and allow them to achieve what they want to accomplish. The purpose of this study is to investigate and synthesize the outcome of a parenting support program for infant and toddler parents. Methods: Published randomized control trials were identified through Ovid-Medline, Embase and CINAHL DB. Eligible studies include articles published between 2008 and 2018 in English in the randomized controlled trial design in which parenting support programs were implemented for infant and toddler parents group. Results: A total of 11 studies was selected for this review. These programs reported large level of effect size for parenting, and middle level effect size for parent's psycho-social outcomes and child development. There were many programs conducted for parents with infants between 13 and 24 months, and the frequency of programs provided for 2 hours a week was high with 9 to 12 sessions. Most programs were facilitated by trained professionals including nurses and social workers except two programs led by lay persons. Conclusion: This review demonstrates that group-based parenting support programs have positive effects on parenting, parent's psychosocial health and infant development. To disseminate the effective group-based parenting support programs, further research is needed to confirm the long term effect and develop nurse's role as a group facilitator.

• 한국산학기술학회논문지
• /
• 제15권5호
• /
• pp.2678-2688
• /
• 2014

본 연구의 목적은 아버지의 자녀가치, 양육신념, 양육참여가 영아의 발달특성에 어떠한 영향을 미치는지 살펴보고 변인들의 설명력을 알아보는데 있다. 연구대상은 2010년도에 출생한 영아 1,802명과 그의 아버지이며 이를 대상으로 한 육아 정책연구소 한국아동패널 3차년도 데이터를 사용하였다. 자료의 분석은 SPSS 18.0을 이용하여 상관분석, 다중회귀분석을 실시하였으며 연구결과는 다음과 같다. 아버지의 자녀가치는 영아의 문제해결능력, 소근육 활동에 영향을 미치고 영아의 대근육 활동에는 아버지의 변인들이 영향을 미치지 않았으며 영아의 의사소통, 개인-사회성에 영향을 미치는 독립변인은 아버지 양육참여로 나타났다.

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

• 가정과삶의질연구
• /
• 제30권3호
• /
• pp.165-177
• /
• 2012

This study examined the effect of social support on infant mother's parenting behavior and mediating effects of parenting stress and depression between social support and maternal parenting behavior. Participants were 2078 mothers of infant (4-10 month) in Korea. Data were analyzed by Structural Equation Model. Major findings were as follows: First, social support showed direct effect on maternal parenting behavior. That was the more mother receive social support, mother show responsive and warmer parenting behavior on infant. Second, maternal parenting stress mediated the effect of social support on maternal parenting behavior. That was the more mother receive social support, the less mother experience parenting stress, which in turn contribute to responsive and warm parenting behavior. Third, Maternal depression didn't mediate the effect of social support on maternal parenting behavior. However, social support and maternal parenting stress showed direct effects on maternal depression. This research suggest the needs for development of diverse social support policies and program to help mothers reduce maternal parenting stress and depression.

• 대한간호학회지
• /
• 제20권2호
• /
• pp.153-173
• /
• 1990

One of the important tasks for new parents. especially mothers, is to establish warm, mutually affirming interpersonal relationships with the new baby in the family, with the purpose of promoting the healthy development of the child and the wellbeing of the whole family. Nurses assess the quality of the behavioral characteristics of the maternal-infant interaction. This study examined the relationships between primiparas pereptions of their delivery experience and their maternal infant interaction. It compared to delivery experience of mothers having a normal vaginal delivery with those having a casearean section. The purpose was to explore the relationships between the mother's perceptions of her delivery experience with her maternal infant interaction. The aim was to contribute to the development of theoretical understanding on which to base care toward promoting the quality of maternal-infant interaction. Data were collected directly by the investigator and a trained associate from Dec. 1, 1987 to March 8, 1988. Subjects were 3 random sample of 62 mothers, 32 who had a normal vaginal delivery and 30 who had a non-elective cesarean section (but without other perinatal complications) at three general hospitals in Seoul. Instruments used were the Stainton Parent -infant Interaction Scale(1981) and the Marut and Mercer Perception of Birth Scale(1979). The first observations were made in the delivery room (for vaginally delivered mothers only), followed by day 1, day 2, day 3, and 2 weeks, 4 weeks, 6 weeks and 8 weeks after birth, for a total of 7-8 contacts(Cesarean section mothers were observed on days 4 and 5 but the data not used for analysis). Observations in the hospital were made during the hour prior to scheduled feedings. The infant was placed beside the mother. Later contacts were made at home. Data analysis was done by computer using as SPSS program and indulded X² test, paired t-test, t-test, and Pearson Correlation coefficient ; the results were as follows. 1. Mothers who had a normal vaginal delivery tended to perceive the delivery experience more positively than cesarean section mothers(p＝0.002). The finding supported the hypothesis I that perception of delivery would vary according to the method of delivery. Mothers' perceptions of birth were classified into three dimensions, labor, delivery and the bady. There was a significantly different and positive perception by the vaginally delivered mothers to the delivery experience(p＝0.000) but no differences for labor or the bady according to the delivery method(p＝0.096, p＝0.389), 2. Mothers who had a normal vaginal delivery had higher average maternal-infant interaction scores(p＝0.029) than mothers who had a cesarean section. There were similar higher scores for the 1st day(p＝0.042), 2nd day (p＝0.009), and the 3rd day(p＝0.006) after delivery but not for later times. The findings supported the hypothesis Ⅱ that there would be differences in maternal-infant interaction for mothers having vaginal and cesarean section deliveries. However these differences deccreased section deliveries. However these differences decreased over time . by eight weeks the scores for vaginal delivery mothers averaged 8.1 and for cesarean section mothers, 7.9. 3. The more highly positive the pereption of the delivery experience, the higher the maternal-infant interaction score for all subjects(F＝.3206, p＝.006). The findings supported the hypothesis Ⅲ that there would be correlations between perceptions of delivery and maternal-infant interaction. The maternal infant interaction was highest when the perception of the bady and deliery was positive(r＝.4363, p＝.000, r＝.2881, p＝.012). No correlations between perceptions of labor and maternal-infant interaction were found(p＝0.062). 4. The daily maternal-infant interaction score for the initial contact after birth to 8 weeks postpartum had the lowest average score 5.20 and the highest 7.98(in a range of 0-10). This subjects group of mothers needed nursing intervention to promote their maternal- infant interaction. The daily scores for the maternal-infant over the period of eight weeks. However, there were significantly different increases in maternal-infant interaction only from the first to second day(p＝0.000) and from the fourth to sixth weeks after birth(P＝0.000). 5. When the eight items of maternal-infant interaction were evaluated separately, “Expresses feelings about her role as mother” had the highest average score, 1.64(ina range of 0-3)and “Speaks to baby” the lowest, 0.9. All items, with the possible exception of “Expresses feelings about her role as mother”, suggested the subjects' need of nursing intervention to promote maternal-infant interaction. 6. There were positive correlations between certain general charateristis, namely, both a higher economic status(p＝0.002) and breast feeding(p＝0.202) and maternal - infant interaction. There were positive correlations between a mother's confidence in her role as a mother and the perception of the birth experience(p＝0.004). For mothers who had a cesarean section, a positive perception of the birth experience was related to the duration of her marriage(p＝0.010), a wanted pregnancy (P＝0.030) and her confidence in her role as a mother(p＝0.000). Pereptions of birth for mothers who had a normal vaginal delivery were positive than those for mothers who had a cesarean section. The level of maternalinfant interaction for mothers delivered vaginally was higher than for cesarean section mothers. The relationship between perception of birth and materanalinfant interaction was confirmed. Cesarean section has an impact on the mother's perceived experience of birth which, in turn, is positively related to maternal-infant in turn, is positively related to maternal-infant interaction. Nursing intervention to enhance maternal-infant interaction should begin in prenatal classes with an exploration of the potential impact of cesarean section on the perceptions of the birth experience and continue throughout the perinatal and post-natal periods to promote the mother's ability to control with this crisis experience and to mobilize social support. Nursing should help transform a relatively negatively perceived experience into an accepted, positively perceived and self affirming experience which enhances the maternal-infant relationship.

• 가정과삶의질연구
• /
• 제32권5호
• /
• pp.193-205
• /
• 2014

The purpose of this research is to gather basic data to make nursery teachers' role clear and to suggest a way to improve their expertise by investigating their sensitivity and expertise. To fulfill this aim, this research was performed by targeting 180 nursery teachers responsible for infant classes in national, public, and private nursery schools. To measure the nursery teachers' sensitivity, Gerber's (2003) teacher sensitivity indicator is used. And to measure the efficacy of teaching play, the indicator, which was developed by E. Shin, Y. Yu and H. Park (2004), was used through modification and complement. Also for measuring the teacher's expertise, research data were collected by the generalized and modified questionnaire which was used in H. Yoon's (2010) research. The results of the analysis of collected data show that the teacher group with higher sensitivity in the infant class shows meaningfully higher professional ethics, higher performance, and higher recognition of expertise than the teacher group with lower sensitivity. And the teacher group with higher awareness of the efficacy of play shows higher professional ethics, higher performance, and higher recognition of expertise than the teacher group with lower sensitivity. too. Also, the results of the analysis of the correlation between the infant teacher's sensitivity, efficacy of teaching play, and recognition of expertise show that the teacher's sensitivity has a static correlation with the total points of social necessity, professional ethics, fairness, teacher's performance, and recognition of expertise. When we generalize the research results, we find that positive sensitivity and higher efficacy of teaching play make the infant class teacher's expertise recognition higher.

• 한국보육학회지
• /
• 제18권3호
• /
• pp.21-34
• /
• 2018

본 연구의 목적은 어머니의 양육효능감과 정서표현성이 영아의 사회정서발달에 어떠한 영향을 미치는지를 알아보는 것이다. 연구대상은 S시 G구에 소재한 어린이집에 다니고 있는 영아들과 그들의 어머니 269명으로 질문지를 사용하여 자료를 수집하였다. 자료는 SPSS WIN 16.0 프로그램을 사용하여 빈도분석, t검증, ANOVA 검증, $Scheff{\acute{e}}$사후 검증, Pearson 적률상관분석, 중다회귀분석을 실시하였다. 연구결과 첫째, 어머니의 양육효능감, 정서표현성, 영아의 사회정서발달을 살펴본 결과 연령, 양육참여시간, 학력에 따른 유의한 차이가 있었다. 둘째, 어머니의 양육효능감, 정서표현성이 영아의 사회정서발달에 영향을 미치는 것으로 분석되었다. 결론적으로 어머니의 양육효능감, 정서표현성은 영아의 사회정서발달에 영향을 미치는 것을 확인할 수 있으며, 본 연구는 영아가 사회 정서적으로 건강하게 자랄 수 있도록 어머니의 양육효능감을 높이고 긍정적 정서표현성을 나타낼 수 있는 다양한 교육 프로그램이 필요함을 시사한다.

• 한국산학기술학회논문지
• /
• 제20권6호
• /
• pp.448-459
• /
• 2019

본 연구는 유아의 또래 상호작용 유형에 대한 유아의 내적 변인(성별, 기질, 발달)과 환경적 변인(교수효능감, 교수-유아 상호작용, 교실환경)의 차이를 알아보는데 목적이 있다. 본 연구를 위해 수집된 자료는 SPSS 22.0 프로그램을 이용하여 기술통계, 신뢰도분석, 상관분석, 군집분석, t-검증을 실시하였다. 이에 따른 결과는 다음과 같다. 첫째, 유아의 또래 상호작용은 유형간 성별에 대한 차이가 나타났다. 둘째, 유아의 또래 상호작용은 유형 간 기질과 언어발달 및 인지발달에 차이가 있었다. 셋째, 유아의 또래 상호작용은 유형 간 환경적 변인인 교수효능감, 교사-유아 상호작용, 교실환경에서 차이가 있었다. 이러한 결과로 유아가 긍정적 또래 상호작용을 할수록 유아의 사회성 기질은 또래 상호작용을 건강하게 유도할 것이며, 언어발달과 인지발달도 긍정적 발달과정으로 유도할 것이라고 사료된다. 또한 본 연구에서는 유아의 또래 상호작용을 살펴봄에 있어서 유아가 소유한 내적 변인에 속하는 성별과 기질, 언어와 인지발달, 그리고 환경적 변인인 교수효능감, 교사-유아상호작용, 교실환경이 지니는 의미를 알아보았다. 또한 유아의 또래 상호작용을 살펴봄에 있어서 긍정적 부정적 또래 상호작용을 세분화하여 구체적으로 알아본 데 그 의의가 있다고 사료된다. 그러나 유아의 개인적 변인과 환경적 변인에 속하는 모든 분야를 살필 수 없어 한정된 범위에서 변인을 결정한 점이 본 연구가 가지는 제한점에 해당되기도 한다.

• Neonatal Medicine
• /
• 제15권2호
• /
• pp.123-133
• /
• 2008

Purpose: The purpose of this study was to determine the outcomes of extremely low birth weight infants (ELBWI) who were born at the Asan Medical Center and evaluate the recent status of neonatal intensive care and associated problems. Methods:We retrospectively evaluated 120 inborn ELBWI who were admitted to the NICU of the Asan Medical Center between 2003 and 2006. The survival rate, neurodevelopmental outcomes, maternal and infant factors, and infant mordibities were evaluated and the relationships with survival and catch-up growth were investigated. Results:The survival rate of the ELBWI was 82% at a mean gestational age of 27+2 weeks, and with a mean birth weight of 801.3${\pm}$129.0 g. The duration of hospitalization was 85.7${\pm}$27.2 days, the duration of O2 use was 43.9${\pm}$35.4 days, and the duration of ventilatory support was 20.9${\pm}$20.9 days among the survivors. The incidence of respiratory distress syndrome, chronic lung disease, severe intraventricular hemorrhage, and periventricular leukomalacia were 41.8%, 61.2%, 3%, and 4%, respectively. The mean mental developmental index and psychomotor development index of Bailey Scales of Infant Development (II) at follow-up were 83.4${\pm}$18.2 and 83.3${\pm}$20.3, respectively. Among the infants who had >18 months of follow-up, 50.8% had catch-up growth at 12 months. Conclusion:The survival rate of ELBWI has improved; however, the morbidities remain high, thus indicating further efforts must be implemented to reduce morbidity and improve neurodevelopmental outcomes.

• International Journal of Advanced Culture Technology
• /
• 제8권1호
• /
• pp.1-12
• /
• 2020

Pierre Robin syndrome is characterized by micrognathia, glossoptosis, and cleft palate. Infants with Pierre Robin syndrome causes feeding difficulty, upper airway obstruction, and other symptoms. This study aims to examine the effects of applying dysphagia treatment to infants with Pierre Robin syndrome. The study participant was an infant who was born four weeks premature and referred for dysphagia treatment approximately 100 days after birth. At the initial assessment, the infant showed oral sensory sensitivity, a high level of facial and masticatory muscle tension, and a low stability of the chin and cheeks with almost no normal "sucking-swallowing-breathing" pattern. We set the baseline period and intervention period using the AB design. During the baseline period, non-nutritive sucking training using a rubber nipple was conducted without implementing an oral stimulation intervention. During the intervention period, non-nutritive sucking training and an oral stimulation intervention were performed. After the intervention period, the infant's daily oral intake and oral intake per time significantly increased compared to that during the baseline period. We observed that the oral intake time of the infant decreased during the intervention period compared to that in the baseline period, which indicated an improvement in control over the chin, tongue, and lip movements, a change in muscular tension, and stabilization of the "sucking-swallowing-breathing" pattern. We provided dysphagia treatment before breastfeeding, it was positive effects such as normal development of the infant, transition from tube feeding to bottle feeding, and enhancement of overall oral motor function.