• 여성건강간호학회지
• /
• 제21권4호
• /
• pp.308-320
• /
• 2015

Purpose: The aim of this study was to determine the predictive factors for maternal role development for mothers of premature infants. Methods: A descriptive correlational study was conducted. A total sample of 121 mothers of premature infants following discharge from the neonatal intensive care unit were recruited using two strategies; an internet-based survey and an in-person data collection in a tertiary university hospital in Korea. A self-report questionnaire was used to collect data regarding personal, birth variables, marital intimacy, maternal attachment, maternal identity and maternal role development. Results: A hierarchical multiple regression analysis indicated that parity, maternal attachment, marital intimacy and maternal identity were predictors for maternal role development for mothers of premature infants, accounting for 70% of the variance. Among these variables, maternal attachment is the most powerful predictor for maternal role development. Conclusion: Nursing interventions during hospitalization to post-discharge education that includes parents of premature babies with positive interaction between couples strengthening marital intimacy and promotes maternal attachment that leads to integrate maternal identity should be considered by priority. Community-based family services such as home visits should be focused on maximizing the predictive factors for maternal role development in transition to motherhood that can contribute to maternal health as well as optimal growth and development of premature infants.

• Child Health Nursing Research
• /
• 제23권4호
• /
• pp.470-478
• /
• 2017

Purpose: This study was conducted to describe parenting stress in mothers of preschoolers who were born prematurely and to determine factors affecting parenting stress in child's problem behavior, mother-child interaction and parenting alliance. Methods: An exploratory survey study was conducted with 66 mothers of preschool children (5~6 years) with preterm births (PTB). Data were collected using Parenting Stress Index (PSI), Child Behavior Checklist (CBCL), Mother-Preschool Child Interaction Scale (MPIS), and Parenting Alliance Inventory (PAI). Results: Of the 66 mothers, 8(12.1%) showed high scores that were more than borderline for the PSI total score. In the multiple linear regression analysis, lower scores on the PAI (${\beta}=-.41$, p<.001), higher scores on the externalizing problem behavior of the CBCL (${\beta}=.40$, p=.001), and lower scores on the MPIS (${\beta}=-.21$, p=.043) were statistically significant contributors to maternal parenting stress. Conclusion: Findings indicate that mothers of PTB preschool children are at risk for parenting stress. Child's externalizing problem behavior, poor maternal-child interaction and parenting alliance were independent factors raising maternal parenting stress. More attention is needed on paternal parenting support, child's behavioral development, interaction with children for effective prevention and management of maternal parenting stress of PTB young children.

• Journal of Nutrition and Health
• /
• 제15권1호
• /
• pp.54-61
• /
• 1982

나성의 한국 이주민의 자녀로서 사춘기에 문화권을 바꾸는 경험을 갖은 57인의 중고등 학생들을 대상으로 실시된 본 조사는 대상자의 1 ) 일반적 특성의 파악 2 ) 식습관 및 기호조사, 식품 섭취 빈도 조사 3 ) 영양지식 및 그들 어머니의 영양지식 조사 4 ) 영양실태 조사를 통하여 식생활의 변화 및 문제점을 찾아보았다. 영양실태 조사는 24-hour diet recall 방식에 의하여 기본 4군, meal pattern 및 영양소를 추산하여 한국과 미국의 RDA와 비교하였다. 위의 실태조사 결과를 요약해 보면 ; 1) 한국전통음식인 밥과 김치는 저녁식사시 모두 섭취하고 있으나 아침, 점심은 미국식단의 사용율이 높았다. 기호도 조사에 의하면 전반적으로 미국음식보다 한국음식을 더 좋아한다고 하였다. 2) 여학생은 아침식사, 남학생은 저녁식사가 불규칙하였다. 3) 여학생은 풍부한 과일의 섭취가, 남학생은 우유의 섭취가 한국에서의 식습관에 비해 그들의 건강을 위해 좋다고 하였다. 4) 영양지식의 근원은 어머니로부터가 가장 높았다. 여학생들은 철분의 근원식품에 관한 지식이 남학생보다 부족했으며, 균형된 식단의 선택 접수는 남학생보다 여학생이 높았다. 5) 기호조사 결과에 의하면 가장 싫어하는 식품은 간, 칠면조, 돼지고기, 고형 요구르트, 아보카도, 올리브 등이었고, 한번도 먹어보지 않은 식품은 부로콜리, 우설, 양고기, 망고, 탈지분유 등이었다. 이들 어머니의 기호조사 결과는 자녀들과 흡사하였으나 어머니들은 미국식품 중 한번도 시도해 보지 않은 식품의 수가 그들 자녀보다 많았다. 6) 24시간 diet recall 방법의 분석에 의하면 결핍된 영양소는 열량, 철분, 비타민 A였다. 단백질 섭취량의 증가는 현저하였으나, 낮은 열량의 섭취는 이주민의 자녀의 불규칙한 식습관의 일면과 동시에 우리나라 남학생들의 조리방법의 미숙한 면을 보여주었다.

• 대한가정학회지
• /
• 제38권8호
• /
• pp.111-124
• /
• 2000

The study of prematurity stereotyping is important because the optimal development of premature infants may be threatened by the operation of the stereotape. The study was conducted in which mothers were asked to rate unfamiliar infants shown on videotapes. The infants were described as either full term or premature and as either male or female. Each mother was asked to rate the infant on 23,7-point adjective scales(S-KISS) and to answer several other questionnaires(LOT, PSI). In the study, infants labeled premature were rated more negatively than were infants labeled full term, but infants labeled male and female were rated similarly. The behavioral implications for child rearing as a result of this "prematurity stereotyping" were considered. Correlational analyses revealed significant relationships between prematurity stereotyping and parenting stress, optinism and parenting stress. Optimism effects parenting stress.

• Child Health Nursing Research
• /
• 제11권4호
• /
• pp.472-480
• /
• 2005

Purpose: Purpose of this study was to identify the effects on maternal role strain, maternal role confidence and maternal identity of a maternal role promotion program for mothers of premature infants. Method: A quasi-experimental non-equivalent pre-and-post test was used to compare the two groups. The data were collected from 62 mothers from September 10. 2003 to August 30, 2004 at Neonatal Intensive Care Unit(NICU) located in S. city and K. city. The maternal role promotion program was provided three times during the period from two-three days after the baby's admission to 1 month after the baby's discharge. The instruments for measurement were the Perceived Role Difficulty & Steffensmeier Scale, Self Confidence Scale and Semantic Differential Scale. Data were analyzed by means of frequency, mean and SD, $x^2$-test and t-test. Results: There were significant differences in maternal role strain level between the experimental and control group (t=2.163, p=.035), in the maternal role confidence between the two groups(t=-5.645, p=.000) and in maternal identity between the two groups(t=-4.923, p=.000). Conclusion: The results of this study indicate that the maternal role promotion program had positive effects in decreasing maternal role strain levels and increasing maternal role confidence and maternal identity.

• Child Health Nursing Research
• /
• 제16권2호
• /
• pp.144-155
• /
• 2010

Purpose: This study was done to develop and test a home-based discharge program. Methods: The study design was a pretest-posttest nonequivalent nonsynchronized quasi-experimental design. Participants were mothers of premature infants on oxygen therapy at home. The participants, 49 mothers, were assigned to either the experimental group (24) or control group (25). Data collection was conducted from September, 2008 through February, 2009. Maternal confidence and anxiety were measured using a questionnaire. Chi-square test, t-test and Repeated Measures ANOVA were used to analysis the data. Results: Two hypotheses, "Maternal confidence in the experimental group will be higher than that of the control group" and "Perceived anxiety level in the experimental group will be lower than that of the control group", were set up and both hypotheses were supported as there was a statistically significant difference between the two groups. Conclusion: It suggests that the discharge program developed in this study is an efficient intervention method to boost maternal confidence of the mothers with premature infants and to decrease their anxiety; therefore, this program is expected to be of use in nursing interventions.

• Perspectives in Nursing Science
• /
• 제17권2호
• /
• pp.90-98
• /
• 2020

Purpose: This study examined the effects of breastfeeding education among preterm mothers. Methods: A nonequivalent control group, repeated measure, quasi-experimental study design was used. The participants comprised 46 preterm mothers recruited from the neonatal intensive care unit of a university hospital who were divided into two groups: 23 in the control group and 22 in the experimental group. The breastfeeding education program intervention to promote preterm mothers' self-efficacy used was devised based on the self-efficacy theory. The intervention program consisted of individual breastfeeding education with demonstrations and discharge education, and telephone follow-up education within one week after being discharged. The participants were surveyed before and after the intervention, and four weeks after being discharged from the newborn intensive care unit. Results: The intervention group showed a significant increase in breastfeeding self-efficacy compared with the control group (F=6.92, p=.003) and showed a significant increase in their breastfeeding attitude score (F=3.49, p=.039). Four weeks after discharge, the breastmilk volume of the intervention group increased significantly (t=-2.87, p=.006), and the same group continued to breastfeed more compared with the control group (χ²=4.50, p=.049). Conclusion: This study suggests that the preterm breastfeeding program had a positive effect on breastfeeding self-efficacy, breastfeeding attitude, and extending the breastfeeding period among preterm mothers.

• 대한간호학회지
• /
• 제29권1호
• /
• pp.174-182
• /
• 1999

The purpose of this study was to contribute to neonatal nursing and maternal nursing to reduce parental role stress in mothers of preform babies and to improve perception of the newborn to by the parents. Data were collected through self-report questionnaires which were consisted of a parental role stress scale and a neonatal perception inventory. The subjects were 100 mothers of fullterm babies and 50 mothers of preform babies, all in the early postpartum stage and admitted to three hospitals in the Kyoung-In area between November 8, 1997 and May 30, 1998. The data were analyzed by a SPSS program and the results are as follows ; 1. There were no significantly differences in the means for parental role stress between mothers of fullterm babies and preform babies. The mean for perception of the newborn was significantly lower in mothers of preform babies than in mothers of fullterm babies. 2. In mothers of preform babies, the level of parental role stress was correlated to the one minute Apgar score. The level of perception of the newborn was correlated to gestational age and birth weight. 3. The mothers of preform babies whose education level was above graduation from college had lower parental role stress than those who had a lowes level of education. The mothers who had experienced cesarean section hd higher parental role stress than those who gave birth to their baby prematurely. The above findings indicate that mothers of preform babies had lower perception of the newborn than mothers of fullterm babies. Therefore, nursing intervention should be provided for mothers of preform babies to manage parental role stress and improve perception of the newborn.

• Child Health Nursing Research
• /
• 제22권3호
• /
• pp.199-206
• /
• 2016

Purpose: This study was conducted to monitor the development of Korean premature infant at six-month age and to explore factors related to developmental status of the premature infants. Methods: Participants were 58 premature infants whose corrected age was six-months old and their mothers. The developmental states of infants were followed-up with the Korean Prescreening Developmental Questionnaire (KPDQ-II). Clinical characteristics of the infants were identified from the medical records. Other characteristics including Edinburgh Postnatal Depression Scale, husband's support, social support, and mother-infant attachment were assessed using self-report questionnaires from the mothers. Results: Forty three percent of the infants were in the group of questionable status of development on the KPDQ-II. There were significant differences between the premature infants with normal developmental status and those with questionable developmental status depending on gender ($x^2$=5.03, p=.034), gestational age (t=2.59, p=.012), hospital stay (p=.013), revised Neurobiologic Risk Score (p=.005) and mother-infant attachment score (t=2.12, p=.040). Conclusion: Mother-infant attachment, as well as physiological state of premature infants, is an important variable in early development. Therefore, early monitoring for the development has to be done for physiologically vulnerable premature groups. Also, providing proper nursing support to improve maternal attachment needs to be considered.

• 한국심리학회지 : 문화 및 사회문제
• /
• 제18권1호
• /
• pp.127-152
• /
• 2012

이 연구의 주된 목적은 유아 어머니와 외할머니 세대의 자녀와 관련된 인식을 비교 분석하는데 있다. 이를 위해 이상적인 자녀 수, 자녀의 성별에 대한 선호도, 노후부양에 대한 기대, 자녀가치를 중심으로 집단별 비교를 하였다. 또한 유아 어머니와 외할머니 세대집단별로 현재의 자녀 수에 영향을 미친 긍정적이고 부정적인 자녀가치 인식을 분석하였다. 최종 분석대상은 총 442명으로서, 유아 어머니 집단 221명과 그들의 어머니인 외할머니 집단 221명이었다. 유아 어머니와 외할머니의 평균 연령은 각각 35.36세, 63.27세였다. 측정도구는 김의철, 박영신, 권용은(2005)의 질문지에 토대하여 연구자가 제작하였으며, Cronbach α=.78-.91이었다. 분석결과는 다음과 같다. 첫째, 이상적인 자녀 수에 대한 인식에서 유의한 차이가 있었는데, 유아 어머니는 2명을, 외할머니는 4명을 가장 많이 지적하였다. 이상적인 아들 수에 대한 인식에서도 유아 어머니는 1명을, 외할머니는 2명을 가장 많이 지적하였다. 둘째, 자녀의 성별에 대한 선호도에서, 유아 어머니는 아들이든 딸이든 상관없다는 인식을, 외할머니는 아들이 1명은 있어야 한다는 인식을 가장 많이 하였다. 또한 한 자녀만 낳을 때, 유아 어머니는 아들이든 딸이든 상관없다는 반응이 대부분이었으나, 외할머니는 반드시 아들을 원한다는 반응이 거의 반수에 가깝게 가장 많았다. 셋째, 외할머니가 유아 어머니보다 아들의 노후부양에 대한 기대가 높았다. 그러나 두 집단간에 딸의 노후부양에 대한 기대에서는 차이가 없었다. 넷째, 유아 어머니와 외할머니 집단은 긍정적 자녀가치와 부정적 자녀가치에서도 매우 유의한 차이가 있었다. 자녀를 가지면 좋은 점으로서, 유아 어머니는 외할머니보다 심리적 즐거움이나 행복과 같이 개인적 측면, 가족 결속력의 증진이나 가족공동체의 형성과 같은 가족관계적 측면을 더욱 강조하였으며, 외할머니는 유아 어머니보다 가문을 잇는다든가 노후대책과 같은 사회적 측면을 더욱 강조하였다. 한편 자녀를 가지면 어려운 점으로서, 유아 어머니는 외할머니보다 부모역할 부담과 같은 개인적 측면을 더욱 강조하였으며, 외할머니는 유아어머니보다 가정불화나 가족관계 악화와 같은 가족관계적 측면을 더욱 강조하였다. 다섯째, 현재 자녀 수에 영향을 미친 자녀가치를 분석한 결과, 유아 어머니 집단 경우에 경제적 부담과 같은 부정적 자녀가치가 의미있는 변인으로 작용하였다. 반면에 외할머니 집단 경우에는 가문을 이음과 같은 긍정적 자녀가치가 영향력 있는 변인으로 나타났다.