• 여성건강간호학회지
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• 제9권3호
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• pp.287-298
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• 2003

Purpose: To explain the concept of postpartum weight retention and to analyze factor effect on it. Method: A total of 20 studies related postpartum weight retention were selected in the year of 1988-2001 and analysis was done. Result: A demographic factor like parity, age, social and economic level and life style such as exercise, diet, breast feeding are influential factor on postpartum retention weight. But parts of them don't agree the same results. Meanwhile, in some studies, psychological factor like women's self esteem related to postpartum retention weight, body image change, depressing is found to be very related. As a result, postpartum overweight gain could be a bad factor of physical and mental health. In Korea, we have few studies related to them. Conclusion: It is required to do many-sided and deep studies about aspects of postpartum retention weight and the factor that effect on it. Postpartum retention weight should be approached by controling weight from the period of pregnancy. And it would rather be researched through individual approach considered women's various demographic, social-cultural and physical level than be required standardized level of weight gain.

• 여성건강간호학회지
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• 제12권4호
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• pp.355-362
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• 2006

Purpose: This study was to investigate the degree of postpartum depression and its predictors at six months postpartum. Methods: The subjects were 161 women six months after delivery who were registered with the public health center. The instruments included a survey of various characteristics, the Edinburgh Postnatal Depression Scale(EPDS), husband support, maternal self-esteem, and marital adjustment scale. The data was analyzed using the $x^2$-test, t-test, the Pearson correlation coefficients, and the logistic regression. Results: The point prevalence of postpartum depression at six months postpartum was 14.3%, corresponding to a score of 12 or higher on the EPDS. Postpartum depression was significantly associated with husband support, maternal self-esteem, and marital adjustment. Predictors of postpartum depression identified by the logistic regression analysis include marital adjustment (OR .29 [95% CI .13-.61]) and the delivery method(OR 3.57 [95% CI 1.25-10.23]). Conclusion: Strategies for improving postpartum depression, considerations of husband support and maternal self-esteem are important in research and practice. In addition, interventions for reducing Cesarean delivery and improving marital adjustment are needed.

• 여성건강간호학회지
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• 제23권2호
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• pp.135-144
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• 2017

Purpose: The purpose of this study was to identify degrees of mood states, perceived health status, social support, and health promoting behavior, and to explore factors influencing health promoting behavior in postpartum women who were at Sanhujoriwon. Methods: A cross-sectional survey design was used. Data were collected using questionnaires from 197 postpartum women who were at Sanhujoriwon from May 28 to June 18, 2015. Data were analyzed using descriptive statistics, Pearson's correlation analyses, and a multiple linear regression. Results: The mean age of the participants was 31.8 years. About a half (47.2%) participants had a plan to receive 2 weeks of Sanhujoriwon care service. The mean health promoting behavior score was 123.5 ranged from 72 to 171. The health promoting behavior was explained by perceived health status (${\beta}=.25$) and social support (${\beta}=.24$). These factors accounted for 14% of the health promoting behavior. Conclusion: The findings of this study reveal an important role of perceived health status, social support in health promoting behavior of postpartum women at Sanhujoriwon.

• 여성건강간호학회지
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• 제14권1호
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• pp.36-43
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• 2008

Purpose: This study was conducted to develop a postpartum care program and to evaluate the effects of the program on postpartum activity and postpartum discomfort in primiparous women. Methods: For this control group quasi-experimental study, primiparous women who had a normal delivery at OBGYN clinics in G-city and then went home with assistance from their mothers participated from April 10 to August 2, 2006. The participants were assigned to an intervention group of 25 mothers or a control group of 23 mothers. Data analysis was performed by using SPSS/win10.0 PC+. $X^2$-test and t-test, and repeated measure ANOVA. Results: The results showed that the degree of postpartum activity(F=4.66, p=.036) and the degree of postpartum discomfort(F=7.98, p=.007) were supported statistically with significant differences between the two groups. Conclusions: Therefore, this program needs to be applied as a new nursing intervention because this postpartum care program was proven useful as effective postpartum care.

• 가정∙방문간호학회지
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• 제10권2호
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• pp.148-157
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• 2003

The purpose of this study was to provide the basic data for developing a program for effective intervention for home health care need of postpartum mothers and newborn babies. The subjects were 104 women. The data were collected from march, 2003 to June, using a 81 item questionnaire and analyzed by SPSS program for frequency, Mean, ANOVA. The results were as follow. 1. The mean of care needs of newborn babies was higher than that of physical demand of Postpartum mothers. The mean of physical demand of Postpartum mothers was $3.99\pm.42$. The mean of care needs of newborn babies was $4.11\pm.50$. 2. The most highest mean of physical demand of Postpartum mothers was wound care for caesarean section and episiotomy($4.53\pm.66$), and then breast engorgement care($4.38\pm.71$). The most highest mean of care needs of newborn babies was emergency care methods($4.58\pm.52$), and then infection control $4.51\pm.56$). 3. 66.3% of postpartum mothers positively desired consultation hospitals centered home care need during postpartial periods. 4. Influential variables of home health care need was postpartial periods. they wanted the first week after delivery, more freqently visiting of home care nurse. 37.5% of postpatial mothers wanted visiting within 1 weeks after delivery. 31.7% wanted 2 times/week. In conclusion, it is necessary to study to make a program in nursing of home health care for postpartum mothers, and to keep on studying repeatedly in order to raise the number of objects and to find related variables.

• 여성건강간호학회지
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• 제11권1호
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• pp.38-45
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• 2005

Purpose: This study was to examine the degree of prenatal emotional status, preparation for delivery, postpartum social support, and postpartum blues and to investigate the relationship of the above variables in postpartum women. Method: The subjects were 131 postpartum women. Selection criteria were women who were 2 to 8 weeks post delivery. After Informed consent was obtained, they were asked to fill out a self-administered questionnaire. The instrument was a Postnatal Depression & Anxiety check list. Result: The mean age of the subjects was 29.3 years, and 63.4% of subjects delivered their children by vaginal birth. 18.3 percent had felt depressed during their pregnancy. The mean score of the postpartum blues was 19.2. 61.8 percent of the subjects had postpartum blues and 8.4 percent experienced postpartum depression. Monthly income was negatively correlated to postpartum blues (r=-.189, p<.05), but the emotional status during pregnancy had a significant and positive relationship. However, preparation for delivery had no significant correlation with postpartum blues. While husband support and social support had a tendency to have a negative correlation. Conclusion: Further research is needed to identify the factors that affect the emotional status during pregnancy with various scales. Also, intervention programs to increase emotional support for pregnancy and husband support are needed.

• 부모자녀건강학회지
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• 제13권2호
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• pp.95-101
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• 2010

Purpose: This study is intended to identify difference postpartum depression according to delivery mode in the postpartum women. Methods: The subjects were 239 postpartum women in D and A city. Data collected from June 9, 2006 to August 6, 2007 using structured questionnaire surveys and convenience sampling. Measuring instrument was BDI (Beck Depression Inventory) translated By Lee and Song (1991). Collected data was analyzed by $x^2$-test, ANCOVA, Stepwise Multiple Regression with SPSS/PC 14.0. Results: There were significant differences in postpartum period ($x^2$=12.40, p = .002) and sleeping hours ($x^2$=9.09, p = .011) as analysed distribution of the subjects according to delivery mode. As result of analyzing the difference of postpartum depression according to delivery mode using ANCOVA, C-sec women's postpartum depression was higher than vaginal delivery women statistically (F=6.32, p = .013). As a result of Multiple Regression, income was a influencing factor of postpartum depression in vaginal delivery women and support of spouse and sleeping hours were influencing factors in C-sec women. Conclusion: There were differences in postpartum depression and their influencing factors according to delivery mode. Therefore it is necessary to develop and study a concrete nursing intervention and strategies for reducing the postpartum depression according to delivery mode.

• 여성건강간호학회지
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• 제23권3호
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• pp.210-220
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• 2017

Purpose: The aims of the study were to develop mobile application for postpartum care of first-time mothers and to validate it's effect. Methods: Using a nonequivalent control group pretest-posttest design, 52 first-time mothers were recruited (26 each in experimental and control) and the experimental group used the mobile application for 6 weeks after delivery. Postpartum self-care knowledge and confidence, infant care knowledge and confidence, and postpartum depressive mood (Edinburgh Postnatal Depression Scale) were measured before discharge from the hospital and 6 weeks later. Results: Women who have used the postpartum care mobile application reported higher levels of postpartum self-care knowledge (p=.030) and confidence (p=.023) infant care knowledge (p=.001) and confidence (p=.004), while scores of postpartum depression (p=.021) were lower than those in the control group. Conclusion: The postpartum-care mobile application developed in this research may be effective in reinforcing knowledge and confidence for postpartum self-care and infant care and in reducing postpartum depressive mood.

• 한국보건간호학회지
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• 제32권3호
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• pp.376-387
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• 2018

Purpose: This study was conducted to assess the breast feeding rate and maternal adaptation of mothers with infants and children in early childhood in a community. Methods: This descriptive study was conducted from November to December 2015, and included a total of 283 mothers of infants and children in early childhood. The data were analyzed using descriptive analysis, the ${\chi}^2-test$, and one way ANOVA. Results: The rates of breast feeding after birth were 76.3% (1 month postpartum), 69.3% (3 months postpartum), 53.4% (6 months postpartum), 32.2% (9 months postpartum), and 22.6% (12 months postpartum). The level of maternal adaptation of subjects was $3.78{\pm}0.54$. Subjects who were breastfed until 9 months postpartum had a higher level of maternal adaptation than those who stopped breast feeding at 1 month postpartum (F=3.926, p<.002). The breast feeding rate of subjects who were educated about breast feeding after childbirth was significantly higher than that of those who did not receive breast feeding education after delivery. Conclusion: To increase the breast feeding rate and maternal adaptation, community health nurses should develop and provide breast feeding programs to mothers soon after childbirth.

• 가정∙방문간호학회지
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• 제4권
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• pp.65-75
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• 1997

The needs for the home care of postpartum mothers and their infants are increasing, but the quality control of home care nurses is not developed yet. The objective of this study is to develop assessment - intervention algorithms for the home care of postpartum mothers and their infants. We can use these algorithms when we assess the client's condition, and find appropriate nursing interventions. Also, these algorithms can offer guidelines for home care nurses, so that standardization of home care can be attained. Common problems for postpartum mothers are postpartum hemorrhage, abnormal vaginal discharge(endometritis), episiotomy pain, breast problems, breastfeeding difficulty, edema, urinary dysfunction and defecation difficulties. Also, commom problems for infants are abnormal body temperature, tarchycardia, respiratory problem, neonatal jaundice, cord problem, abnormal stool, breast feeding, and bathing. These algorithms can be used as a basis for the development of computerized infomation system for the home health care.