• Child Health Nursing Research
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• v.12 no.2
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• pp.204-214
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• 2006

Purpose:　The purpose of this study was to investigate the effects of Yakson therapy conducted by mother of preterm infants on the maternal attachment and attachment behavior. Method: A quasi experimental pre-post test design was used. The data were collected from January, 2005 to October, 2005. The participants were 30 mothers of preterm infants hospitalized in a neonatal intensive care unit (15 in the Yakson therapy group and 15 in control group). Yakson therapy consists of three phases: laying a hand, caressing by hand, and laying a hand again taking 5 minutes for each phase. Yakson therapy was provided to infants in the experimental group for 15-minutes 5 times for 15 days. Data were analyzed using the SAS program with x2-test, repeated measures ANOVA, and Fisher's exact test. Result: Compared to the control group, the experimental group had significantly higher scores in maternal attachment (F=5.54, p=.0258). And the attachment behavior of the experimental group was higher than that of the control group. Conclusion: The results suggest that Yakson therapy can be used to improve maternal attachment and attachment behavior.

• Korean Journal of Child Studies
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• v.21 no.4
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• pp.81-103
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• 2000

Two sub-standies were conducted to analyze attachment related variables in infants and characteristics of maternal behavior. The first study investigated the relationships among attachment related variables in infants. The sample consisted of 58 pairs of 11- to 13- months-old infants and their mothers. A significant relationship was found among attachment security, infant temperament and maternal sensitivity. There were differences between security scores of the easy and difficult infants. Securely attached infants were rated as easier temperamentally than insecurely attached infants. The second study analyze maternal behavior characteristics. Subjects were this 30 mothers whose children were between the ages of 2 months and 24 months. The results identified four types of maternal behaviors. This study suggests different method of assessing subjective attributes of individuals by introducing Q-methods to the field of child development.

• Women's Health Nursing
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• v.17 no.4
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• pp.317-327
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• 2011

Purpose: This study was conducted to analyze and clarify the concept of the effective breastfeeding. Methods: This study used Walker and Avant's process of concept analysis. Results: Effective breastfeeding is how to give infant adequate milk, which fulfills needs of mother and infant, from her breast so that they can be satisfied with the process and results. It included the effective breastfeeding properties as follows: feeding behaviors (positioning, latch on, and suckling), transferring a breast milk to an infant, mother-infant interaction, and satisfying their desires (satisfaction, comfort, mother's self-confidence, infant's adequate weight gain and defecation, adequate breastfeeding interval). The antecedent of effective breastfeeding were anatomical and functional normal breast, breastfeeding knowledge and steady-state of mother, and feeding desire, rooting reflex and normal oral cavity of infant. The consequences of effective breastfeeding were exclusive breastfeeding, infant and maternal health and wellbeing, and achievement of mother and infant attachment. Conclusion: The meaning of effective breastfeeding defined in this study will contribute to develop the effectiveness breastfeeding assessment tool and the nursing intervention for ineffective breastfeeding.

• Women's Health Nursing
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• v.19 no.1
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• pp.48-56
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• 2013

Purpose: The purpose of this study was to identify the influencing factors of mothers' confidence in their maternal role during the early postpartum period. Methods: Participants were 178 postpartum women who delivered at three specialized obstetrics and gynecology facilities and used the postpartum care facility in city B. Data were collected from February to April, 2012 using the scales of measurements of self-confidence in maternal role performance, maternal self-esteem, mother-to-infant attachment, social support, and childcare stress. Descriptive statistics, Pearson correlation coefficients, and stepwise multiple regression were used with the SPSS/WIN 18.0 program to analyze the data. Results: The scores for self-confidence in the maternal role showed significant negative correlations with the scores of childcare stress (r=-.40, p<.001). Parity and maternal attachment were significant predictors and accounted for 97.4% of the variance in self-confidence in the maternal role. Conclusion: To strengthen self-confidence in the maternal role of early postpartum mothers, prenatal class programs need to be complemented in order to reduce childcare stress and promote mother-to-infant attachment.

• Journal of Periodontal and Implant Science
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• v.42 no.6
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• pp.212-216
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• 2012

Purpose: The aim of this study was to evaluate the relationship between maternal periodontal disease and the health status of newborns using Apgar scores. Methods: One hundred pregnant women with periodontal disease were included in the case series and 100 pregnant women without periodontal disease were placed in the control group, respectively. The periodontal parameters of bleeding on probing (BOP), clinical attachment loss (CAL), probing depth (PD), birth weight, and Apgar scores were recorded in both groups. T-tests and Pearson's correlation coefficient were used to determine the birth weight odds ratio to analyze the relationship between the periodontal parameters of BOP, CAL, and PD on the one hand and an Apgar score of less than 7. An unpaired Student's t-test was used to analyze differences in means between the case and control groups using SPSS ver. 13. Results: The means of the ages, periodontal pocket depths, attachment loss, areas with BOP, Apgar score in the first 5 minutes and infant birth weight exhibited statistically significant differences between the case and control groups. The ratio of an Apgar score of <7 to periodontal disease was 3.14; the ratio of low birth weight risk in mothers with periodontal disease to that in mothers without periodontal disease was 2.74. Pearson's correlation coefficient revealed a significant correlation between the infant birth weight and BOP, CAL, and PD of the mother. In addition, there was a significant correlation between the Apgar score and BOP, CAL, and PD and also between the Apgar score and infant birth weight. Conclusions: The results of this study showed a significant relationship between periodontal disease and infant birth weight; in addition, there was a significant relationship between the periodontal indexes of BOP, CAL, and PD on the one hand and the Apgar score on the other.

• Korean Parent-Child Health Journal
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• v.3 no.1
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• pp.73-94
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• 2000

This study was designed to compare the education needs in LBW infant's mother at discharge and after one month at home for development of the educational program. The subjects of this study consisted of 61 mothers of LBW infant's at discharge and 51 mothers of LBW infant's after one month at home. They were selected by convenience from 3 general hospitals and 1 pediatric hospital in Seoul, Kangreung and Inchon. The data were collected during the period from January, 5 to March, 15, 2000. The Education Needs for LBW infant Care was measured by Questionnaire that has developed by researchers. The data were analized by descriptive statistics, non-paired t-test & ANOVA using SAS. The results of this study were as follows: 1) The educational need, of the mothers of LBW infant at discharge were higher than the mothers of LBW infant after one month at home(t=8.72, p=.00). 2) There were significant associations between the educational needs of the mothers of LBW infant after one month at home and numbers of children(F=3.61, p=0.03). 3) There were significant associations of the educational needs between the mothers of LBW infant at discharge and the mothers of LBW infant after one month at home in categories and items. (1) There were significant associations by categories such as Infant care(t=8.34, p=.00), feeding(t=6.71, p=.00), unusual behavior (t=6.54, p=.00). Management disorder (t=8.67, p=.00), attachment between parents and infant(t=5.19, p=.00) and environment (t=6.14, p=.00). (2) There were two items that represented the highest educational needs in all items. That were "How about we can do when infant has a breathing disorder" and "How about we can do when infant has a seizure". These two items included Management of disorder category. In Conclusion, when the nurse teaching the method of infant care to mother, educational contents must be included about Management of disorder emphatically.

• Journal of Korean Academy of Nursing
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• v.29 no.4
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• pp.940-950
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• 1999

One hundred two high-risk women(HRW) and 115 low-risk women(LRW) were studied at post-partal hospitalization and at 1, 4, and 8 months after giving birth to determine whether they would differ in the achievement of perceived maternal acquisition and whether predictors of maternal acquisition would differ for the two groups over time. The subjects were 102 HRW and 115 LRW, all in the above 27 weeks, admitted to two hospitals and to two clinic in the Kyoungnam area between July 1, 1998 and May 4, 1999. The data were analyzed by a SPSS program and the results are as follows ; 1) Predictors of Maternal role acquisition in the HRW were fetal attachment, maternal attachment, state anxiety, relationships of partner, social support in the early postpartum, maternal attachment, relationships of partner, depression, infant's health status in the postpartal 1 month, relationships of partner, self-esteem, educational degree in the postpartal 4 month, and maternal attachment, social supports in the postpartal 8 month. 2) Predictors of Maternal role acquisition in the LRW were fetal attachment, social supports, perceived experience about labor and delivery in the early postpartum, maternal attachment, sense of mastery in the postpartal 1 month, sense of mastery, experience with infants, relationships of partner in the postpartal 4 month and maternal attachment, experience with infants, social supports in the postpartal 8 month. 3) The hypothesis that HRW would score significantly lower on maternal competency than LRW was rejected. 4) The hypothesis that maternal acquisition would be significantly related to maternal attachment was accepted.

• Korean Journal of Child Education & Care
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• v.19 no.1
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• pp.75-86
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• 2019

Objective: The study looked at the relationship between the mother's adult attachment, the children's problematic behavior and the mother's nurturing attitude. In doing so, this study tried to determine whether the mother's nurturing attitude would play a moderating role in the context of the effect of mother' adult attachment on the children's problematic behavior. Methods: we surveyed 352 mothers of 3~5 year old infants who were financially dependent on day care centers. Results: The problematic behavior of being daunted is high when mothers' adult attachment of avoidance is high and when mothers have low level of controlling pattern in their nurturing of their children. The problematic behavior of anxiety and depression was observed when adult attachment of anxiety was high and low level of controlling pattern in their nurturing. Meanwhile, when the externalized problematic behaviors were examined, no interaction effect of mothers' adult attachment and nurturing pattern was observed in all sub-levels of the children's externalized problematic behaviors. Conclusion/Implications: We could see how the influence of parenting attitude appears in mothers with unstable adult attachment. In addition, mothers with unstable adult attachment may be able to confirm that the quality of the interaction of the parent-child relationship and the form of the child's problem behavior differ according to the level of the mother's parenting attitude in the child's problem behavior. The results of this study showed that mothers with unstable adult attachment differed in the form of problem behaviors of infants according to mother's parenting attitude in infant problem behaviors.

• Korean Journal of Child Studies
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• v.15 no.2
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• pp.37-54
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• 1994

The home environments, daily activities, caregiving behaviors of mothers and teachers, infant's verbal behaviors, attachment to mothers and teachers of day care infants were compared to those of home-reared infants. 30 two-year-old home-reared infants and their mothers were observed at home by the time sampling method and 31 two-year-old day care infants and their mothers and teachers were observed at home or at the center. The HOME scale, the behavioral checking lists for caregiving behaviors and for the infants' verbal behaviors, and the Attachment Q-set were used for the home and center observations. It was found that the characteristics of early environments of day care infants were different from those of home-reared infants, but that infants' attachment to the mothers were not different. However, day care infants' attachment security scores to their mothers were higher than to their teachers.

• Korean Journal of Child Studies
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• v.26 no.1
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• pp.137-154
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• 2005

The socio-emotional behaviors of 2-year-olds were examined by multiple attachments to mothers and child care providers in the context of home and child care centers. Participants were 100 children (mean age: 30.2 months), their mothers, and 27 child care providers. Attachment security was assessed with attachment Q-set. Children's social interaction with peers and teachers were rated every 10 seconds during 10 minute observation periods for 4 days, totaling40 minutes per child. Mothers and child care providers completed the Infant Toddler Socio-Emotional Assessment (ITSEA). Results showed that secure attachment relationships with child care providers partly compensated for insecure attachments with mothers at home. In the context of the child care center, secure attachments with child care providers were more important determinants of the development of socio-emotional behaviors than secure attachments with mothers.