• 제목/요약/키워드: 가족분만

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Convergent Influence of Body Image, Self Efficacy on Parenting Stress of Primipara Women (초산부의 신체상, 자기효능감이 양육스트레스에 미치는 융복합적 영향)

  • Kim, Bo-Mi;Kim, Eun-Hee
    • Journal of Digital Convergence
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    • v.15 no.10
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    • pp.493-500
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    • 2017
  • The purpose of this study is to identify the relationships among Body Image and Self Efficacy, Parenting Stress and influencing factors on Parenting Stress of Primipara Women. Data were collected from 134 Primipara Women in U city from January 1 to March 31, 2017. Data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and stepwise multiple regression. Significant correlations were found among Body Image and Self Efficacy, Parenting Stress. Meaningful variables that influenced Parenting Stress were Post-discharge supporter, Body Image and Support of family, and the total explanation power was 29.5%. In conclusion, development of Parenting Stress Coping program to decrease the Parenting stress of Primipara Women based on the convergent influencing factors is needed, and further development of program for Parenting Stress Coping for the Primipara Women ion the related factors is also needed.

The Associated Factors of Bone Mineral Density in Postmenopausal (폐경후에 골밀도의 관련인자 분석)

  • Kang, Jeom-Deok
    • The Journal of Korean Physical Therapy
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    • v.13 no.1
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    • pp.97-105
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    • 2001
  • Objectives: The objective of this study was to investigate the Associated factors of bone mineral density in postmenopausal was measured for 36 normal in the women from July 14.2000 to august 24,2000. Methods: The data were collected from women who visited Physical Examination Center of a Catholic university hospital located in Taegu. Bone mineral density(BMD) of lumbar spine was measured using energy absorptiometry. Results: The bone mineral density of the lumbar spine decreased with aging. The bone mineral density of the lumbar spine increased with number of delivery and number of abortion decreased. The mean bone mineral density of the lumbar spine of postmenopausal women in age less than 50 and 50 ${\sim}$ 59 were 0.79 g/c$m^2$, the lumbar spine of postmenopausal women in age greater than 60 was 0.69 g/c$m^2$. The mean bone mineral density of the lumbar spine of postmenopausal women in mean age 56.1. Conclusions: In the multiple regression of risk factors to bone mineral density(BMD) of lumbar spine were correlated with bone mineral density T-scores(p<0.05). Osteoporosis is a major public health problem among the elderly, demanding effective strategic approach for prevention and treatment.

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Study on the families' participation need for labour women (산부가족의 분만참여 요구)

  • Chang, Soon-Book;Choi, Yun-Soon;Kim, Hae-Sook;Cho, Young-Sook;Lee, Hae-Woo
    • The Korean Nurse
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    • v.31 no.3
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    • pp.62-75
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    • 1992
  • This study was done to suggest basic modifications in the present situation for the family of women in labour which is a separation management method. The study design was a descriptive study. The number of the subjects were 80. they were husbands, mothers in law, and mothers of women in labour who were full term and for whom there were no complications, either for the mother or the fetus. Data collection was done with a structured questionnaire which was analyzed using frequencies. The results were as follows, 1. Most of the subjects(95.0%) wanted to participate in the labour process. 2. The subjects wanted to support the women in labour by way of encouraging(95.0%), consoling (95.0%), listening to(75.0%), praying with(68.8%), hand holding(97.5%), stroking(63.8%), helping with respiration control(50.0%), maintaining relaxation(46.3%), changing position(58.8%), and illustration (58.8 %). 3. The subjects answered that they expected their participation to have the effect of an easier labour course(52.5%), security for the women in labour(95.0%), and providing a better relationship between the women in labour(66.3%) and the new baby(55.0%). 4. The priority of the response as to who is the best supporter was husband, and mother of the women in labour in that order. It can be concluded that nurses maintained a management method which ignored the needs of the families of women in labour. If given consideration is to be given to these subjects, future programs should initiate ways to let the families participate in the labour process.

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A Follow-up Study of Fertility and Pregnancy Wastage of Women in Rural Area (추적조사에 의한 농촌 여성의 출산력과 임신소모율)

  • Park, Jung-Han;Kim, Sin-Hyang;Chun, Byung-Yeol;Kim, Gui-Yeon;Yeh, Min-Hae;Cho, Seong-Eok;Cho, Jae-Yeon
    • Journal of Preventive Medicine and Public Health
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    • v.21 no.1 s.23
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    • pp.21-30
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    • 1988
  • To measure the fertility rate and pregnancy wastage of women in rural area, 3,780 married women under 50 years old who were not sterilized either woman or husband in Gunwee county were followed up for 2 years. Seventeen Myun health workers visited these women periodically to check the status of their family planning practice and menstruation. Pregnant women were interviwed for their past obstetric history and followed up to the time of delivery. Family planning was practiced in 51.6% of the 6,826 women-years observed during the period from April 1, 1985 to March 31, 1987. Pregnancy, abortion and delivery covered 7.6% of the observed women-years and family planning was not practiced in 36.5% of the women-years. When sterilized women at the beginning of the study were included, the family planning practice rate was 72.1% which was slightly higher than the national family planning practice rate. However, 28% of the women of 30-39 years old had not practiced family planning although they had 2-3 children and they used more such less effective methods as safe-period method and condom than the women of 20-29 years old. Overall pregnancy rate was 14.3 per 100 woman-years. Women of 25-29 years old had the highest pregnancy rate of 27.4 per ,100 woman-years. Pregnancy wastage including spontaneous and induced abortions and still births was 22.0% of all pregnancies and it increased with the age of women; 15.8% in women less than 30 years old and 43.7% in women of 30 years and over. Women who terminated the pregnancy with induced abortion had more pregnancies, more previous induced and spontaneous abortions and shorter pregnancy interval than those women who terminated with live birth. Pregnant women terminated with a live birth had received 4.2 prenatal cares on the average. Eighty-five percent of deliveries occurred at a medical facility and 15% at home which was substantially lower home delivery rate than the other rural area of Korea. This may be due to the effects of the demonstration project for the primary health care in 1970s in Gunwee county. These findings suggest that family planning service in rural area should be strengthened by promoting the use of more effective contraceptive method among women over 30 years of age.

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Analysis of Reproductive and Growing Performances by Sow Farm Sizes (국내 양돈장의 모돈규모별 번식 및 육성성적 분석)

  • Kim, Gye Woong;Ok, Young Soo
    • Reproductive and Developmental Biology
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    • v.39 no.1
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    • pp.23-28
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    • 2015
  • This study was carried out to investigate the reproductive and growing performances in sow farms located in Chungnam. Data collected from a total of 15 sow farms divided into 3 farm groups for 1 year were analyzed. The results obtained were as follows; The average of sow at small and large farms were 114.25 and 487.88 heads, respectively. And then, the difference among 3 groups in sow farm was not found significantly in farrowing rate. The significant difference among 3 farm groups was significantly found(p<0.05) in total litter size. The litter size born alive at sucking in small sow farm and middle farms were 9.93, and 10.48 pigs. The difference between small and large farms in number of pigs at weaning were significantly shown 8.89, and 9.35 pigs(p<0.05), respectively. The difference among 3 sow farms for ages at weaning showed significantly (p<0.05). The cycles of farrowing rate per year in small, large and middle farms were 2.17, 2.23 and 2.32, respectively. The significant difference among 3 sow groups was found in farrowing rate(p<0.05). The growing rate up to weaning for middle farms was significantly the higher level(94.70%) than that for other farms(p<0.05). The differences among 3 farm groups for marketing weight were not significantly shown.

Clinical Characteristics and Prognosis of Neonatal Seizures (신생아 경련의 임상적 양상 및 예후에 관한 고찰)

  • Kim, Chang Wu;Jang, Chang Hwan;Kim, Heng Mi;Choe, Byung Ho;Kwon, Soon Hak
    • Clinical and Experimental Pediatrics
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    • v.46 no.12
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    • pp.1253-1259
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    • 2003
  • Backgroud : Seizures in the neonate are relatively common and their clinical features are different from those in children and adults. The study aimed to provide the clinical profiles of neonatal seizure in our hospital. Methods : A total of 41 newborns with seizures were enrolled in this study over a period of three years. They were evaluated with special reference to risk factors, neurologic examinations, laboratory data, neuroimaging studies, EEG findings, seizure types, response to treatment, and prognosis, etc. Results : The average age at onset of seizures was $6.1{\pm}4.6days$ and the majority of patients(42%) had multifocal clonic seizure and 24% had subtle seizure. Factors that are known to increase risk of neonatal seizures include abnormal delivery history, birth asphyxia, and electrolyte imbalance, etc. However, they remain obscure in about 20% of cases. More than 50 percent showed abnormal lesions on neuroimaging studies such as brain hemorrhage, periventricular leukomalacia, brain infarction, cortical dysplasia, hydrocephalus, etc. and 17 out of 32 patients showed abnormal electroencephalographic patterns. Phenobarbital was tried as a first line antiepileptic drug and phenytoin was added if it failed to control seizures. The treatments were terminated in the majority of patients during the hospital stay. The overall prognosis was relatively good except for those with abnormal EEG background or congenital central nervous system malformations. Conclusion : Neonatal seizures may permanently disrupt brain development. Better understanding of their clinical profiles and appropriate management may lead to a reduction in neurological disability in later childhood.

Endoscopic Findings of Upper GI Bleedings in Full Term Newborn Infants (만삭아에서 발생한 상부 위장관 출혈의 내시경적 진단과 치료)

  • Rhim, Suk-Ho;Lee, Hye-Kyung;Min, Yong-Sik;Kim, Han-Jin;Kim, Young-Chang
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.4 no.2
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    • pp.142-147
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    • 2001
  • Purpose: We are going to establish the efficacy of endoscopic examinations in diagnosing and treating upper GI bleeding in full term neonates. Methods: We retrospectively reviewed newborns who underwent endoscopic examination because of hematemesis from July 1998 to April 2001. Results: Gestational ages were between 38 and 41weeks, and birth weights were between 2,730 and 3,400 gm. Total of 9 patients were reviewed. Endoscopic examination revealed gastric ulcer in 6 cases, multiple erosions in 2 cases and negative finding in 1 case. All 6 gastric ulcers were multiple and among them 2 patients endoscopic hemostatic therapy. No complication due to the procedure was noticed. Five patients recieved transfusions. All 9 cases were cured through conservative and endoscopic therapy without recurrence. Conclusion: The common cause of upper GI hemorrhage in newborns with no preceding disease turns out to be multiple gastric ulcers and the prognosis is good. The endoscopic approach is useful in diagnosing and treating upper GI bleeding in newborns.

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Current Understanding and Practices of Breast feeding by Mothers (모유수유에 대한 산모의 의식과 실천 현황)

  • Park, Eun Young;Cho, Su Jin;Lee, Keun
    • Clinical and Experimental Pediatrics
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    • v.48 no.11
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    • pp.1162-1165
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    • 2005
  • Purpose : The objective of this survey was to develop an operational plan for breast feeding education. In order to comprehend current breast feeding patterns, we aimed to examine the knowledge, attitude and practices regarding breast feeding of mothers and to compare the data with a similar study done 6 years ago. Methods : A total of 127 mothers who delivered healthy babies at Ewha Womans University Dongdaemun Hospital were interviewed and asked to complete a survey on their perception of breast feeding during their postpartum stay in the hospital. A follow up phone interview was carried out at 1, 2 and 3 months after delivery and similar questions were asked. Results : At the time of delivery, 96.1 percent of mothers planned to breast feed, including 73.2 percent of exclusive breast feeding and 22.8 percent of mixed feeding. The duration of breast feeding planned was mostly 7-12 months. Breast feeding had been recommended by family members. Between 1-3 months, exclusive breast feeding was maintained at least 50 percent but a large number of mothers who had practiced mixed feeding changed to formula feeding. This trend demonstrates an increase in the rate of breast feeding at 3 months compared to a similar study done in 1999. The main reasons for discontinuing breast feeding were insufficient amount of milk(35.0 percent) and return to work(27.5 percent). Conclusion : Breast feeding rate has increased in Korea since 1999 but failure to continue exclusive breast feeding still occurs mainly within the first month after delivery. Breast feeding education should focus on supportive care to mothers practicing mixed feeding.

Effects of Maternal-Child Health Education Program for Nurses in Tigray, Ethiopia on Their Knowledge and Confidence (에티오피아 일개 지역 간호사를 위한 모자보건교육 프로그램이 간호사의 모자보건 지식과 수행자신감에 미치는 효과)

  • Bang, Kyung-Sook;Lee, Insook;Chae, Sun-Mi;Yu, Juyoun;Park, Jisun;Kim, Hyungkyung
    • Child Health Nursing Research
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    • v.20 no.4
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    • pp.275-282
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    • 2014
  • Purpose: The purpose of this study was to identify effects of a maternal-child health education program for nurses in Tigray, Ethiopia. Methods: One-group pre-posttest design was used. The maternal-child health (MCH) education program was given to nurses from 5 health centers in Tigray, Ethiopia. Knowledge and confidence levels were measured before and after each education session. Data were analyzed using paired t-test. Results: The topics of the 5 educational sessions were family planning, antenatal care, care during labor, immunization, and integrated management of neonate, and child illness. Knowledge scores (1st: Z=3.931, p=.001; 2nd: Z=6.189, p <.001; 3rd: Z=5.658, p <.001, 4th: Z=8.734, p <.001, 5th: Z=14.167, p <.001) and confidence levels (1st: Z=8.467, p <.001; 2nd: Z=4.183, p <.001; 3rd: Z=4.992, p <.001) improved significantly. Conclusion: The findings of this study imply that the MCH education program for nurses was effective in developing the maternal-child health capacity of the nurses in Tigray, Ethiopia.

Historical Review of Modern Public Health Nursing (근대 보건간호의 역사적 고찰)

  • Lee, Bong-Suk;Han, Young-Ran;Yang, Sook-Ja
    • Journal of agricultural medicine and community health
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    • v.43 no.2
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    • pp.114-124
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    • 2018
  • Objectives: The purpose of this study is to examine the modern history of public health(PH) and suggest a way forward for PH nursing(PHN). Methods: This paper is a review article that derives results from literature review. Results: In the period of beginning (up to 1944), PHN began as the PH Department was created in the Hygiene Bureau in 1908 and tasks about nurses were legislated. PHN was limited to infectious disease tasks and performed mostly by missionaries. In the period of foundation formation (1945 to 1961), the Republic of Korea was founded, and PH policies and tasks were defined with the establishment of the central government organization and the applicable laws. In the period of foundation establishment (1962 to 1979), the Regional PH Act was amended, and as a result, PH Centers(PHCs) spread across the country. In the period of foundation expansion (1980 to 1994), the PH referral system of PHCs, PH Units, and Primary Health Care Post was established. In the period of organization in each area (1995 to 2005), PH programs reflecting changes in disease structure and public needs for the quality of life. A regional health care plan was launched. In the period of funtion expansion (2006 to present day), Centers for support health living were established. Conclusions: In the future, PH nurses need to have a macroscopic perspective that views PH through the overall PH system, and to expand from the existing healthcare concept to the national and global healthcare one.