• 제목/요약/키워드: 분만실

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

  • 전나미;노기옥
    • 한국콘텐츠학회논문지
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    • 제16권7호
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    • pp.513-521
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    • 2016
  • 본 연구는 간호대학생의 분만실 실습 중 수행내용을 파악하고 임상실습 환경에 따른 간호대학생의 실습 수행도 및 만족도를 분석하여 실습의 질 향상을 위한 개선방안을 제시하고자 하였다. 연구결과 간호대학생의 분만실 임상실습은 대부분 관찰 위주로 진행되고 있었고, 제한된 영역에서만 직접수행과 보조적 수행을 경험하였다. 간호대학생의 임상수행 만족도는 69%정도의 비교적 낮은 수준을 보였다. 임상실습지에 따른 차이를 분석한 결과 여성전문병원의 분만실에서 실습 한 간호대학생은 종합병원에서 보다 더 많은 관찰을 수행 할 수 있었고, 그에 따라 만족도 점수 또한 높았다. 분만실 임상실습에서 관찰 및 보조적 수행이 많을수록 만족도는 상승하였다. 결과에서 확인된 실습 중 부족한 직접수행은 시뮬레이션기반 임상실습 등을 통해 보완할 수 있을 것이다. 또한 병원 실무자와의 긴밀한 의사소통을 기반으로 실습지를 확보하고, 다양한 간호대상자를 경험하고 관찰할 수 있도록 지도하는 것은 간호대학생의 임상실습 만족도와 질 향상을 위한 전략으로서 제시될 수 있겠다.

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

  • 안성연;박은지;문유리;이보영;이은별;김동연;정성희;김진경
    • 여성건강간호학회지
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    • 제29권2호
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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.

분만실 간호사의 근무 경험에 관한 현상학적 연구 (Work Experiences of Delivery Room Nurses: A Phenomenological Study)

  • 이윤정
    • 여성건강간호학회지
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    • 제23권2호
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    • pp.78-88
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    • 2017
  • Purpose: This study aimed to understand meaning and essentials in work experiences of delivery room nurses. Methods: A phenomenological perspective was used for this qualitative research. Ten delivery room nurse with more than 3 years of work experience participated in this study. Data were collected through individual in-depth interviews with the nurses, between December 2012 and April 2013. Data were analyzed using Colaizzi's method. Results: Nine theme clusters and four categories emerged from the data as follows: 1) factors influencing career decision-making, 2) gap between reality and expectations, 3) difficulties with working in the delivery room, and 4) motivation to work in the delivery room. Conclusion: Based on the results of this study, strategies to improve working environment of the delivery room nurses are necessary. Also, better policy are required to firmly establish the role of the delivery room nurses' role as recognized professionals.

가족분만실에서의 가족분만이 초산모의 분만에 미치는 효과 (Effect of Family-Participated Delivery in a Labor Delivery Room on the Childbirth of Primiparas)

  • 장명재;박경숙
    • 여성건강간호학회지
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    • 제8권3호
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    • pp.371-379
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    • 2002
  • The purpose of the present study is to consider its effect on the childbirth of a woman. This is a quasi-experimental study with nonequivalent control group post-test design. The subjects of this study are 60 primiparas (30 in the control, and another 30 in the experimental group) who have had a regular prenatal care from February 5 to March 20, 2002, in an outpatient obstetrics and gynecology of S university medical center located in Seoul. The result is as follows: 1. The hours of labor pains in the entire delivery period: the average hours are 7 hr. 9 min. in the experimental group, and 10 hr. 39 min. in the control group. The hours of labor pains are shorter in the woman with a family delivery experience in LDR. The difference is statistically significant (t=-3.34, p=.001). 2. The degree of pains in the entire delivery period: the average degree is 7.38 in the experimental group, and 7.68 in the control group. The degree of labor pains are lower in the woman with a family delivery experience in LDR. But, the difference is statistically insignificant (t=-0.86, p=.396). 3. The perceptions of the delivery experience: the average score of the perception is 73.63 in the experimental group, and 63.57 in the control group. The women with a family delivery experience in LDR have more positive perception of the delivery procedure, and, the difference is statistically significant (t=4.65, p=.000). In summary of the above result, a family-participated delivery in LDR is proved to be an effective nursing intervention that shortens the hours spent in the delivery procedure and promotes positive perceptions of the delivery experience.

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분만 후 여성의 의료환경 만족도에 미치는 요인 (Factors Affecting Women's Satisfaction with Hospital Environment Following Childbirth)

  • 최영순;정미숙
    • 한국산학기술학회논문지
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    • 제14권11호
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    • pp.5627-5635
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    • 2013
  • 본 연구의 목적은 분만을 위해 내원한 여성들의 의료환경 만족도에 영향을 미치는 요인을 파악하기 위함이다. 전국 101개의 병원에 내원한 783명의 분만 여성을 대상으로 구조화된 설문지를 이용하여 자료를 수집하였으며, 수집된 자료는 빈도, t-test, ANOVA, 상관계수, 다중회귀 분석으로 평가하였다. 분만여성의 만족도는 개인적, 환경적 특성과 유의한 관련성을 보였다. 세부적으로, 입원실 종류, 본인 의사/취향을 고려치못한 다인실 사용, 가족분만실 사용, 계획된 내원, 분만주수, 병원이 위치한 지역이 만족도를 유의하게 설명하였다. 그러므로 병원내원자의 만족도는 개인과 환경사이 상호작용의 결과물로 주의깊게 이해되어야 하며, 만족도의 정도는 개인-환경적 특성간의 일치성 정도로 표현될 수 있다는 것을 제시한다. 또한, 건강간호 전문가는 개인의 취향/의지/통제력과 환경적 상황사이의 차이를 줄이기 위한 전략을 개발해야 하며, 이러한 노력은 분만 여성의 의료환경 만족도 향상에 기여할 것이다.

산과적 정신예방법(Psychoprophylaxis in obstetrics; Lamaze method)의 간호임상적용 - 분만실 간호 중심으로- (Clinical Application of Psychoprophylaxis in Obstetrics; Lamaze Method)

  • 유은광
    • 대한간호
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    • 제25권5호통권138호
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    • pp.52-62
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    • 1986
  • The purpose of this study is to introduce the extended role of nurses in the labor and delivery room as a situational supporter thru the use of the psychoprophylactic method for relief of labor pain. The contents of this study is consisted of the evolutio

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