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Integrative Review on Caring Education Papers for Parents with a Premature Infant

미숙아 부모를 위한 교육 관련 국내 연구논문의 통합적 고찰

  • Im, Mihae (Department of Nursing, Institute of Health Science, Inje University) ;
  • Oh, Jina (Department of Nursing, Institute of Health Science, Inje University)
  • Received : 2013.01.31
  • Accepted : 2013.04.11
  • Published : 2013.04.30

Abstract

Purpose: Parents with a premature infant are usually confronted with difficulties in caring for their babies and need education on appropriate care. The purpose of this paper was to describe the components of caring education for parents with a premature infant based on an integrative literature review and to present strategies for future education. Methods: Four electronic databases were searched to identify studies. Sixteen articles were selected through full text screening of related research published in domestic journals from January 1990 to October 2012. Results: Through in-depth discussion and investigation of the relevant literature, three components emerged; (a) nurses as educators and parents as learners, (b) education content including caring on admission or discharge, and effects of education, and (c) education environment including timing, place and materials. Conclusion: Future education on caring for premature infant should include the nurse as educator and have diverse content including parent's role, interaction with healthcare providers, and special care for premature infants with special problems. Moreover, highly technical teaching materials should be provided, along with continuous support of institution and government to individual caregivers. Results of this study provide comprehensive prospective and basic standards for education on premature infant care.

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.

Keywords

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