• Title/Summary/Keyword: 분만경험

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The observation experience of nursing students toward delivery (간호학생의 분만관찰 경험 : Q 방법론을 중심으로)

  • Lee, Kyung-Sook;Oh, Jin-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.3
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    • pp.1278-1288
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    • 2011
  • The purpose of this study was to classify subjective structure of observation experience toward delivery on nursing students. A Q-methodological approach that gives information about the way of analyzing the subjectivity of each item was used. Q population was performed for analyzing through interview and literature review. From this, ultimately, a final Q sample of 35 statements was obtained. The P sample sorted the Q sample for observation experience toward delivery. The collected data was analyzing using PC QUANL program, which revealed three distinctive types of delivery experience about nursing students. Type 1 is a sympathy towards delivery woman, type 2 is a requirement of care. And type 3 is a future of analogical inference of delivery type. In conclusion, it is needed not only to give high quality of nursing service but also to have a right job value based on proper understanding of patient. Also, it is recommended about education of nursing students for making right view of value based on the three types of delivery experience.

Obstetrical & Gynecological Health Status and Body Composition of Married Immigrant Women in Busan (결혼이주여성의 생식건강상태와 체성분 조성)

  • Kim, Dong-Hee;Park, Hyoung-Sook;Bae, Kyung-Eui
    • Journal of Life Science
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    • v.20 no.6
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    • pp.894-901
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    • 2010
  • The purpose of this study was to examine obstetrical & gynecological health status and body composition for married female immigrants. The participants were 154 immigrant women living in Busan. Data were collected from July 2008 to July 2009 using a questionnaire and a bioelectrical impedance analysis tool (Inbody 720) for analysis of body composition. Most subjects were in the normal range for body composition, but some of those who answered the questionnaire had experienced some gynecological problems such as dysmenorrhea, or irregular menstruation. There was a significant difference in experiences with in vitro fertilization, pregnancy and abortion according to age and in premensturaion syndrome, as well as differences in regulation of menstruation during the past year, leukorrhea odor, experiences in in vitro fertilization, and delivery and breastfeeding according to nationality. There were significant differences in body mass index and waist-hip ratio according to age, as well as differences in percent body fat, body mass index and waist-hip ratio according to nationality. There were also significant differences in body mass index and waist-hip ratio according to period of stay in Korea. Procreative care protocols concerning married female immigrants' characteristics should be developed.

A Survey on Status of Pregnancy and Delivery at a Rural Village, Nepal(Dolakha Bazar Area) (네팔 돌카지역의 임신분만 환경)

  • Ahn, Young-Woo;Kang, Yune-Sik;Kam, Sin;Lee, Jong-Young
    • Journal of Preventive Medicine and Public Health
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    • v.29 no.4 s.55
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    • pp.721-732
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    • 1996
  • This study was conducted to investigate the status of pregnancy and delivery and relationship among knowledge, attitude and practice about pregnancy and delivery in poor country, Nepal. A questionnaire survey by interviewer was conducted to examine the general characteristics, knowledge about pregnancy and delivery, attitude about pregnancy and delivery, the rate of prenatal care and delivery condition of women who had an experience of delivery during last year$(1994.4.13\sim1995.4.12)$ at a rural area, nepal(Dolakha Bazar Area). The major findings are as follows ; Among respondents, 87.5 percentage never had health education and the degree of knowledge about pregnancy and delivery was low. Among respondents, 56.6 percentage had the attitude that they didn't want antenatal care, 42.8 % of respondents answered that they wouldn't visit hospital or health center when vaginal bleeding occurred and 82.9% thought that the delivery itself was dirty. The proportion of women who experienced antenatal care was 28.3%, the proportion of health facilities delivery was 5.3%, which was very low and 82.6% of home delivery case didn't sanitate the tool to cut the umbilical cord. The women who had positive attitude about antenatal care and health facility utilization experienced more antenatal care and health facilities delivery. On consideration of above findings, health education for pregnancy and delivery is required to improve mother-child health status in poor country. To make efficient health education, the target population group, such as the uneducated, inhabitants far from health center or medical facility, must be chosen. To help the poor countries in medical field, the study on health status and its related factors on these countries like this article would be required.

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Squatting in Childbirth; A New Look at an Old Transition (전통적 분만자세에 대한 새로운 조명: 쪼그리고 ?는 자세)

  • Romand Jain Leemis;Baker Irene Taylor
    • The Korean Nurse
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    • v.26 no.1 s.139
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    • pp.43-48
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    • 1987
  • 분만진행에 수직체위가 효과적이라는 것을 연구하는 연구자는 이러한 체위가 자궁수축력을 강화하고 분만시간을 단축하여 분만시 동통을 감소시킨다는 것을 파악했다. 분만과 출산 시 쪼그리고 앉는 방법이 역사적으로 오랜 기간 동안 적용되어 왔음에도 불구하고 연구자들은 여러가지 분만방법의 장점에 대한 연구가 부족한 실정이다. 임상 경험에 의해 쪼그리고 앉는 자세가 보다 효과적임을 알면서도 여러가지 위험을 우려하여 적용을 기피하고 있다. 그러나 연구자들은 앞으로 이러한 체위의 가치를 확인하고 특별히 다른 체위와 비교하여 쪼그리고 앉는 행위가 경관열상의 빈도, 분만 1,2기의 시간, 분만 중이나 분만 후의 뇨정체의 유무, 제대탈출의 빈도등이 어떠한지를 파악하여야 할 것이다. 쪼그리고 앉는 체위에 대한 가장 좋은 잇점을 얻기 위해 조산자는 이러한 체위를 언제 어떻게 할 것인가에 대한 지식을 가져야 한다. 또한 융통성있고 창조적인 접근방법을 시도하여 의학적수행과 분만시 사정을 용이하게 하고 산부와 의료요원이 보다 편안하도록 하여야 한다. 조산교육자나 조산자는 분만시 그들의 체위에 대한 교육을 포함하여 쪼그리고 앉은 방법의 효과적인 적용을 위해 노력해야 한다. 임부에게 안전, 편안함, 분만의 효과적인 진행, 모든 선택 가능한 체위들을 교육하고 그러한 체위 중 쪼그리고 앉는 방법을 선택하도록 격려해야 한다.

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Influences of Husband's Childbirth Experiences related to Supports for their Wives during Childbirth and Attitudes toward Childbirth Presence (남편의 분만 지지와 분만참여 태도가 분만경험에 미치는 영향)

  • Lee, Yu-Jin;Kim, Sun-Hee
    • Korean Parent-Child Health Journal
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    • v.18 no.2
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    • pp.68-77
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    • 2015
  • Purpose: The purpose of this study was to identify the relations among supports during childbirth, attitudes toward childbirth presence, and the childbirth experiences in husbands. Methods: The participants in this study were 178 husbands whose wives were within 2 days after normal spontaneous vaginal delivery. Data were collected from September 1st to September 30th, 2013. Results: The significant factors affected on the childbirth experiences in husbands were attitudes toward childbirth presence (${\beta}=.61$), satisfaction for the nurse's cares during childbirth (${\beta}=.19$), psychological preparation for childbirth (${\beta}=.16$), baby weight (${\beta}=.09$), and prenatal education related to pregnancy (${\beta}=.09$). These variables explained 66% of the childbirth experiences in husbands. Conclusion: It would be necessary to develop nursing intervention programs that increasing positive attitudes toward childbirth presence, psychological preparation for childbirth, and prenatal education to increase positive childbirth experiences in husbands. Nurses should also provide husbands with satisfactory cares during childbirth.

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Effects of Doula Support in LDR (Labor-Delivery-Recovery) on Anxiety, Labor Pain, and Perceived Childbirth Experience of Primiparas (일개대학병원 가족분만실에서 듈라(Doula)식 분만지지간호가 초산부의 불안, 분만통증 및 분만경험지각에 미치는 효과)

  • Park, Kwang Hee;Choi, Jung Sun;Lee, Jeong Hwa;Jin, Bo Kyung
    • Journal of Korean Clinical Nursing Research
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    • v.14 no.3
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    • pp.87-97
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    • 2008
  • Purpose: The purpose of this study was to evaluate the effects of Doula support during labor on anxiety, labor pain, and perceived childbirth experience of primiparas. Method: Of 65 primiparas who were hospitalized in LDR from March 1 to September 30, 2007. 32 women were placed in the Doula group and 33 in the control group. VAS was used to measure the degree of labor pain and anxiety in the latent, active, and transitional phases. Perceived childbirth experience was measured within 2 hours after birth. Results: The Doula group had a significantly lower anxiety level than the control group in the active phase (t=-2.13, p=.04) and the transitional phase (t=-3.99, p=.000). The degree of labor pain of the Doula group was significantly lower than that of the control group for the active phase (t=-3.10, p=.003) and the transitional phase (t=-7.24, p=.000). Also, There was no significant difference in perceived childbirth experience between the two groups (t=.19, p=.85). Conclusion: The results of this study show Doula support in LDR decreases not only anxiety of primiparas but also labor pain in the active and transitional phases. Therefore Doula support by nurses in LDR can be a useful intervention during childbirth.

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The effects of music therapy on labor pain, childbirth experience, and self-esteem during epidural labor analgesia in primiparas: a non-randomized experimental study (음악요법이 초산부의 경막하 무통 분만 중 분만통증, 분만경험, 자아존중감에 미치는 효과: 유사실험 연구)

  • Seong Yeon An;Eun Ji Park;Yu Ri Moon;Bo Young Lee;Eunbyul Lee;Dong Yeon Kim;Seong Hee Jeong;Jin Kyung Kim
    • Women's Health Nursing
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    • v.29 no.2
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    • pp.137-145
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    • 2023
  • Purpose: This non-randomized study was performed to evaluate the effects of music therapy on labor pain, the childbirth experience, and self-esteem in women during vaginal delivery. Methods: In total, 136 primiparous women over 37 weeks of gestation receiving epidural analgesia during vaginal delivery were recruited via convenience sampling. To minimize diffusion effects, data from the control group (n=71) were collected first (April 2020 to March 2021), followed by data from the music group (n=65; April 2021 to May 2022). Participants in the music group listened to classical music during labor, while the control group was offered usual care (no music). Labor pain was measured using a numeric rating scale (NRS), and self-esteem and childbirth experience were collected using self-report questionnaires. Data were analyzed using the independent t-test, chi-square test and Cronbach's α coefficients. Results: The overall pain level (NRS) at baseline was 0 in both groups. Mothers in the music therapy group had lower levels of latent pain (t=1.95, p=.005), active pain (t=3.69, p<.001) and transition-phase pain (t=7.07, p<.001) than the control group. A significant difference was observed between the two groups, and the music therapy group expressed more positive perceptions of the childbirth experience (t=-1.36, p=.018). For self-esteem, the experimental group's score was slightly higher, but without a statistically significant difference from the control group. Conclusion: Using music therapy during labor decreased labor pain and improved the childbirth experience. Music therapy can be clinically recommended as a non-pharmacological, safe, and easy method for nursing care in labor.

발정제어에 따른 분만성적과 분만후 차기번식에 미치는 영향

  • 이명식;임석기;최창용;이지웅;박정준;강만종;문승주
    • Proceedings of the KSAR Conference
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    • 2003.06a
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    • pp.86-86
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    • 2003
  • 한우의 사육규모가 커짐에 따라 농가에서 암소의 번식관리는 더욱 어려워지게 되었으며 이를 효율적으로 조절하고자 다양한 발정제어 처리에 따라 수태시켰으며 이에 따라 임신한 한우번식우의 분만내역과 다음번 번식에 미치는 영향을 규명하고자 수행하였다. 1) 발정유기 방법별분만율은 PeGF$_2$$\alpha$구에서 73%(73/100), PRID구에서 73.3%(22/30), CIDR구에서 76.6%(23/30), GnRH-PGF$_2$$\alpha$-GnRH 처리구에서 81%(81/100)였으며 전체적으로 76.5%(199/260)로 나타났다. 2) 생시체중은 자연발정구에서 암송아지는 23.9kg, 수송아지는 26.2kg인 반면에 발정유기구에서는 암송아지는 24kg, 수송아지는 24.9kg으로써 거의 차이를 보이지 않았고, 4개월령 체중에 있어서도 자연발정구에서 암송아지 72kg, 수송아지 75kg인 반면에 발정유기구에서는 암송아지 75.6kg, 수송아지 78.3kg으로 발육상에 차이가 없었다. 3) 송아지 육성율은 자연발정구에서 86.5%(251/290)이었으며, 발정유기구에서는 87.0% (175/201)로써 유사한 경향을 나타내었으나 농가의 사육경험에 따라 6년 이상에서는 84.0% (105/125)였고, 10년 이상에서 88.4%(146/165) 로써 사육 경험이 많을수록 우수하였다. 4) 분만후 발정재귀일수는 대조구에서 80.7일, PGF$_2$$\alpha$구에서 92.3일, PRID구에서 78.5일, CIDR구에서 64.5일, GnRH-PGF$_2$$\alpha$-GnRH 처리구에서 65.6일로 나타났고 분만 후 수태일수는 대조구에서 137.1일, PGF$_2$$\alpha$구에서 147.6일. PRID구에서 141.3일, CIDR구에서 116.6일, GnRH-PGF$_2$$\alpha$-GnRH 처리구에서 118일로 나타났다.

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A Study on the Oral Health Status and Oral Health Awareness of Pregnant Women (임산부의 구강건강상태 및 구강보건인식 실태)

  • Lee, Sook-Jeong;Choi, Gui-Yil
    • Proceedings of the KAIS Fall Conference
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    • 2009.05a
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    • pp.128-130
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    • 2009
  • 본 논문은 임신의 시기가 내분비계의 변화로 인한 프로게스테론의 과잉분비가 발생하여 혈관의 투과성을 항진시켜 구강내의 잇몸 부종, 잇몸 출혈 등을 유발하고, 입덧으로 인한 메쓰꺼움, 몸의 무거움과 나른함, 음식 기호변화, 간식횟수의 증가 등을 겪게 되어 신체뿐 아니라 구강 환경 또한 변화하게 된다는 여러 관련 자료들을 근거로 임산부의 구강 건강상태와 구강보건인식을 파악하고자 2008년 12월 15일 ~ 2009년 1월 30일까지 180명의 임산부를 대상으로 구강건강상태와 구강보건인식에 대한 조사를 실시하였다. 설문의 결과 임산부의 생활수준, 분만경험, 임신시기에 따라 생활수준이 좋을수록, 분만경험이 없는 경우에서, 4-6개월 임신시기 시 구강건강상태에 대하여 유의미한 차이가 나타났다. 건강한 구강건강을 위한 우선 행위인 잇솔질에서의 교육 수준별, 생활 수준별, 임신 시기별로 식사 후 3회 정도의 잇솔질의 횟수가 유의미한 차이의 결과를 나타내었으며, 잇솔질시 오심과 구토로 잇솔질이 어려운 임산부들의 구강상태 청결을 위해 사용되어지는 보조구강위생용품으로는 치실, 구강 양치액, 혀 클리너, 치간 칫솔이 사용된다는 결과가 나타났다. 이러한 결과의 자료들은 임신 시기 중 가장 고민된다고 답하여준 구강건강 부분에서의 입덧으로 인한 잇솔질의 어려움, 잇몸출혈, 충치, 치석제거, 구강질환 치료의 적정시기, 구취 등의 부분을 임산부 대상의 구강보건교육 시 기존의 자료에 조금 더 중점적으로 다루어져야 하는 부분임을 확인할 수 있었다.

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Quality Improvement of Clinical Practice in Nursing Students : Focused on Delivery Room Clinical Practice (간호대학생의 분만실 임상실습 질 향상 방안)

  • Chun, Nami;Noh, Gie-Ok
    • The Journal of the Korea Contents Association
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    • v.16 no.7
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    • pp.513-521
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    • 2016
  • Purpose of this study was to provide strategies to improve quality in clinical practice by identifying the nursing student contents of clinical practice, performance level and satisfaction in the delivery room setting and correlations between the performance level and satisfaction. As the result, Nursing students were mostly rely on observational experiences with very limited experiences of performance and assist. Nursing students' clinical practice satisfaction were relatively low with 69 percentile score. The women's health clinic group showed higher score on frequency of clinical observation, clinical practice satisfaction than the tertiary hospital group. Correlations among frequencies of observation, assist and satisfaction were identified. Simulation based clinical practice as alternative ways to enhance students' performance level, utilizing community based speciality healthcare facilities for clinical practice, increasing observational experiences in the clinical field were suggested as strategies to improve quality of nursing clinical practice and ultimately to improve quality of healthcare services.