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The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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A Comparative Study on the Level of Postpartum Women's Fatigue and Breast Feeding Rate according to the Types of Rooming-in care

모자동실제 유형에 따른 산모피로도 및 모유수유율 비교

  • Kim, Youngmi (Kyung Hee University Hospital at Gangdong) ;
  • Kim, Sunghee (Red Cross College of Nursing, Chung-Ang University) ;
  • Cho, Kap-Chul (Red Cross College of Nursing, Chung-Ang University)
  • 김영미 (강동경희대학교병원) ;
  • 김성희 (중앙대학교 적십자간호대학) ;
  • 조갑출 (중앙대학교 적십자간호대학)
  • Received : 2017.01.24
  • Accepted : 2017.05.12
  • Published : 2017.05.31
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Abstract

This study was conducted to identify the relevance between postpartum women'sfatigue and breast-feeding rate in accordance with the types of rooming-in care at one hospital in Seoul. The data were collected by using a self-report questionnaire between June and July of 2014. All subjects were full-time rooming-in group, with 64 mothers and part time rooming-in group, 43 mothers. The collected data were analyzed using SPSS 22.0 windows program. The result supported Hypothesis 1, in which the number of full-time rooming-in group's daily breast-feeding would out number that of part time rooming-in group. Hypothesis 2, on the other hand, which was that the breast-feeding rate would differ between the full-time rooming-in and the part-time rooming-in groups was overruled. Hypothesis 3, in which the fatigue of the full-time rooming-in group would be higher than the part-time rooming-in group was supported. Hypothesis 4, in which postpartum women'sfatigue would relate to breast-feeding rate during hospitalization period was overruled. Thus, based on this research, it is suggested that rather than collectively running the full-time rooming-in care, part-time rooming-in care that is individualized with considerations to the conditions of the mothers and new-born should be considered.

본 연구는 모자동실 유형에 따른 산모의 피로도와 모유수유율에 차이가 있는지를 확인하기 위해 시도되었다. 서울소재 일 종합병원의 모자동실제 정책이 전일모자동실제에서 부분모자동실제로 전환된 후 두 제도 간에 산모의 피로도와 모유수유율에 차이가 있는지 비교하기 위해 수행되었으며, 평가내용은 출산 후 산모의 피로도와 모유수유율을 비교분석하여 관련성을 파악하는 것이다. 전일모자동실제의 산모 64명을 대상으로 자체 평가한 2012년 10월의 분석결과와 부분모자동실제로 전환운영한 2014년 6- 7월까지의 산모 43명을 대상으로 수집한 자료를 비교분석하였다. 자료처리 및 분석방법은 SPSS 22.0을 이용하여 빈도, 백분율, $x^2-test$, t-test, 피어슨상관관계분석을 통해 4개의 가설을 검정하였다. 그 결과 '전일모자동실군이 부분모자동실군보다 하루 수유횟수가 많은 것'으로 나타났으며, '전일모자동실군과 부분모자동실군 간에 모유수유율은 차이가 없었다'. '전일모자동실군이 부분모자동실군보다 피로도가 높았으며', '산모의 피로도와 입원기간동안의 모유수유율은 관련이 없게' 나타났다. 따라서 본 연구 결과를 토대로 모자동실제 유형에 따라 모유수유율에는 차이가 없으므로 산모의 피로도가 높은 전일모자동실제로 운영하는 것 보다 산모와 신생아의 상태를 고려하여 개별화된 부분모자동실제로 운영하는 방안을 고려해 볼 수 있다.

Keywords

References

  1. M. S. Hwang, "Effect of rooming-in on maternal role and breast-feeding", Unpublished master's thesis, Seoul National University, Seoul, 1997.
  2. K. Bystrova, V. Ivanova, M. Edhborg, A.Matthiesen, A. B. Ransjo-Arvidson, R. Mukhamedrakhimov, K. Uvnas-Moberg, A. M. Widstrom, "Early contact versus separation: Effects on mother- infant interaction one year later", Birth, vol. 36, pp. 97-109. 2009. DOI: https://doi.org/10.1111/j.1523-536X.2009.00307.x
  3. E. R. Moore, G. C. Anderson, "Randomized controlled trial of very early mother-infant skin-to-skin contact and breastfeeding status", Journal of Nursing Measurement, vol. 2, pp. 129-141, 2007. DOI: https://doi.org/10.1016/j.jmwh.2006.12.002
  4. E. Declercq, C. Sakala, M. P. Corry, S. Applebaum, P. Risher, "Listening to mothers: Report of the first national U. S. survey of women's childbearing experiences", Retrieved August 5, 2010, from http://www.maternitywise.org/listenintomothers
  5. I. S. Chung, "A Study of Rooming-In and Rooming-Seperate System : With Special Focus on Infant-Care Confidence and Postpartum Fatigue", Unpublished master's thesis, Hanbuk University, Seoul. 2014.
  6. WHO 2002. http://www.who.int/child-adolescent-healthoptimaldurationofexclusivebreastfeeding.
  7. P. L. Rice, "Rooming-in and cultural practices: Choice or constraint?", Journal of Reproductive and Infant Psychology, vol. 18, pp. 21-32, 2000. DOI: https://doi.org/10.1080/02646830050001654
  8. H. R. Kim, "Braestfeeding Trends, Affecting Factors and Poilicy Options for Braestfeeding Promotion in Korea", Korea Institute for Health and Social Affairs, vol. 86, pp. 2011-18, 2013.
  9. S. K. Kim, A. J. Joe, Y. K. Kim, S. K. Park, K. W. Lee, "A whole country delivery capacity and research on the actual condition of family health in 2003", Korea Institute for Health and Social Affairs.
  10. Y. J. Choi, M. O. Kim, "Effect of a breastfeeding management program on breastfeeding duration", Korean Journal of Women Health Nursing, vol. 13, pp. 245-253, 2007.
  11. H. J. Lee, Y. H. Cho, W. J. Kim, "Factors affecting breast feeding practice", Inje Journal, vol. 25, pp.9-31, 2010.
  12. H. J. Yang, Y. E. Lee, S. O. Lee, "Factors related to neonatal suckling in the initiation of breast feeding in primiparous mothers", Korean Journal of Women Health Nursing, vol. 11, pp. 202-208, 2005.
  13. Y. M. Ann, Y. E. Lee, "A comparative study on the perceptions of the rooming-in system among nurses, physicians and mothers", Journal of Korean Society of Maternal and Child Health, vol. 2, no. 2, pp. 239-261, 1998.
  14. A. Crivelli-Kovach, E. K. Chung, "An evaluation of hospital breastfeeding policies in the Philadelphia metropolitan area 1994-2009: A comparison with the baby-friendly hospital initiative ten steps", Breastfeeding Medicine, vol. 6, pp. 77-84, 2011. DOI: https://doi.org/10.1089/bfm.2010.0009
  15. Y. M. Kim, H. Y. Jang, E. J. Jeong, E. Y. Kim, J. S. Kim, E. K. Kim, "A study of the improvement of neonatal care system" Seoul: Hospital Nurses Association, 2008.
  16. S. J. Kim, G. H. Jeong, T. H. Kim, "Subjective Symtoms of Fatigue inn postpartum Women", Journal of Women Health Nursing, vol. 6, no. 3, pp. 427-438, 2000.
  17. Y. A. Sung, J. Y. Ahn, H. Y. Lee, J. Y. Kim, D. H. Ahn, Y. J. Hong, "A Survey of Breast Feeding", Korean Journal Pediatrics, vol. 41, no. 4, pp. 444-450, 1998.
  18. S. J Reeder, L. L. Martin, D. Koniak-griffin, Maternity Nursing(18th), New York: Lippincort, 1997.
  19. L. C. Pugh, "Childbirth and the measurement of fatigue", Journal of Nursing Measurement, vol. 1, no. 1, pp. 57-66, 1993.
  20. J. E. Song, "A comparative study on the level of postpartum women's fatigue between rooming-in and non rooming-in groups", Korean Journal of Women Health Nursing, vol. 7, no. 3, pp. 241-255, 2001.
  21. Y. M. Kim, O. K. Park, H. R. Jang, E. J. Jung, J. S. Kim, E. Y. Young, "Comparisons of Maternal Perceptions between Rooming-in and Non Rooming-in Postpartum Women" Journal Of Korean Clinical Nursing Research. Vol. 15, no. 2, pp. 77-89, 2009.
  22. Y. M. Kim, E. Y. Kim, "Maternal and Hospital Factors Impacting the Utilization of Rooming-in Care in South Korea : Secondary Analysis of National Health Data", Journal of Korean Academy of Nursing, vol. 41, no. 5, pp. 593-602, 2011. DOI: https://doi.org/10.4040/jkan.2011.41.5.593
  23. P. Liamputtong, "Giving birth in the hospital: Childbirth experiences of Thai women in northern Thailand", Health Care for Women International, vol. 25, pp. 454-480, 2004. DOI: https://doi.org/10.1080/07399330490267468
  24. E. Y. Kim, Y. M. Kim, J. S. Kim, D. S. Cho, E. K. Kim, "Attitude and awareness of nurses about rooming-in system", Korean Journal of Women Health Nursing, vol. 16, pp. 137-146, 2010. DOI: https://doi.org/10.4069/kjwhn.2010.16.2.137
  25. UNICEF 2004. The state of the world's children. Oxford University Press.
  26. I. O. Kim, H. J. Wang, "Effect of Romming-in if New Mothers on Breast Feeding Rate", Korean Journal of Women Health Nursing, vol. 15, no. 1, pp. 5-12, 2009. DOI: https://doi.org/10.4069/kjwhn.2009.15.1.5
  27. G. Y. Shin, O. J. Kim, J. H. Park, J. L. Lee, "Effects of rooming-in on continuation of breast-feeding and maternal identity", Korean Journal of Women Health Nursing, vol. 8, no. 3, pp. 402-411, 2002.
  28. B. D. Im, J. H. Park, "Management state of baby friendly hospital initiative and change in breast feeding rate", Korean Society of Maternal and Child Health, vol.12, pp. 49-50, 2002.
  29. Y. H. Kwak, O. S. Han, H. S. Kim, "Survey of breast feeding rate of roomnig in system", Clinical Nursing Research, vol. 4, no. 2, pp. 71-89, 1998.