• 여성건강간호학회지
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• 제5권1호
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• pp.5-20
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• 1999

This study was conducted to examine primiparas' perception of delivery experience and identity as the mother("Myself as the Mother" and "My Baby") according to delivery methods such as normal delivery and cesarean section. The result of this study summarized as follows. 1. The primiparas' perception of delivery experience according to delivery methods showed that the primipars who had normally delivered perceives the delivery experience more positively than those by cesarean section(t=4.88, p=0.000). This fact supported hypothesis 1 that "the primiparas group by normal delivery should perceive the delivery experience more positively that by cesarean section." 2. The primiparas who had delivered by cesarean section were more positive in the SD-Self score than those who had normally delivered at the time when four weeks passed after delivered, and there was a significant difference(t=-4.21, p\0.000). Therefore, hypothesis 2-1 that "the primiparas group who had normally delivered should be more positive in the SD-Self 1-2 days and 4 weeks after delivery than one who delivered by cesarean section" was rejected. 3. It was shown that the primiparas who had delivered normally were more positive in the SD-Baby 1-2 days 4 weeks after delivery than those who delivered by cesarean section(after-delivery 1-2 days : t=3.10, p=0.002 and after-delivery 4 weeks : t=2.15, p=0.034). Based on this fact, hypothesis 2-2 that "the primiparas group who had delivered normally should be more positive in the SD-Baby 1-2days and 4 weeks after delivery than those who had delivered by cesarean section"was supported. 4. Primiparas who had delivered by cesarean section appeared to have a positive identity as the mother by showing a more significant difference (t=7.96, p=0.000) 4 weeks after delivery than 1-2 days after delivery. In conclusion, we see that primiparas' perception of delivery experience and identity as the mother were different according to delivery methods. Thus, it is required to devise a nursing in tervention strategy to expand support from the health care system and opportunities to provide pre. post-delivery programs so that primiparas can have a positive perception of delivery experience and a positive identity as the mother. Based on conclusion stated above, the following suggestions are made. 1. As this study compared the perception of delivery experience and identity as the mother between prmiparas who had delivered normally and ones who had delivered by cesarean section, the further study on comparison between multiparas who had delivered normally and ones who had delivered by cesarean section is needed. 2. According to the results of this study, longitudinal study is needed to examine the difference and change in the formation of maternal identity. 3. According to the result of this study, a study is also needed to determine interaction between time for maternal identity and delivery methods.

• 여성건강간호학회지
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• 제8권2호
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• pp.244-256
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• 2002

The purpose of this study was to examine the effects on labor pain and duration of delivery time for primipara women treated by San-Yin-Jiao(SP-6) and Hob-Gog(LI-4) acupressure. The design of this study was a nonequivalent control group non-synchronizedpost test only design. It was done to identify the effects of SP-6 acupressure or LI-4 acupressure on labor pain in primipara women. The benefits of using SP-6 acupressure or LI-4 acupressure were evaluated by comparing three groups, a SP-6 acupressure group, a LI-4 acupressure group and a control group, not treated with acupressure. The participants included 192 primiparas who underwent vaginal delivery, 72 primiparas in the control group, 71 in the SP-6 acupressure group and 49 in the LI-4 acupressure group. Data were collected using a structured questionnaire consisting of general characteristics, a subjective labor pain scale (Johnson, 1974), and measurement of duration of delivery time. The results of this study are summarized as follows : 1. Differences in the acupressure effect for SP-6 and LI-4 were analyzed using Scheffe's test which showed that differences in the control group vs the SP-6 group and the control group vs the LI-4 group were statistically significant (t=21.767, p<0.05; t=23.923, p<0.05), but the SP-6 group vs the LI-4 group showed no significant differences. 2. The duration of delivery time in the group which had SP-6 acupressure or LI-4 acupressure was shorter (400.77${\pm}$153.34; 379.10${\pm}$127.60) than in the control group (528.68${\pm}$239.08). Differences in the effects of acupressure with SP-6 and LI-4 were also analyzed by Scheffe's test. Control group vs SP-6 group and Control group vs LI-4 group were significantly different(t=127.91, p<0.05; t=149.58, p<0.05), but the SP-6 group vs the LI-4 group did not show any statistically significant difference (t=21.67). This study has shown that SP-6 and LI-4 acupressure were both effective in relation to labor pain and duration of delivery time for primiparas. But it is necessary to replicate the study with a larger number of participants to generalize of the results.

• 한국산학기술학회논문지
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• 제17권2호
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• pp.458-469
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• 2016

본 연구는 간호학과 남학생을 대상으로 분만실 실습 체험의 의미를 파악하고자 수행하였다. 2012년 7월 20일부터 12월 28일까지 분만실 실습을 마친 후 한 달 이내의 4년제 간호대학 3학년 남학생 대상으로 자료가 포화될 때까지 진행하였다. 수집된 8명의 질적 자료는 Colaizzi의 현상학적 연구방법을 적용하여 6단계로 분석하였다. 분석결과 30개의 주제(themes), 9개의 주제묶음(clusters) 및 3가지 범주(categories)를 도출하였다. 도출된 범주는 '여성 프라이버시가 중시되는 실습환경이기 때문에 위축됨', '남자이기 때문에 불평등함', '분만간호를 볼 수 있는 단 한 번의 기회임'으로 구조화되었다. 이를 통해 볼 때 연구 참여자들은 성 역할에 대한 사회적 인식에서 여성 간호 분야의 학습에 제한을 받으면서도 전문직 간호사의 태도를 가지고 실습에 임하고자 하였다. 따라서 성 역할에 대한 사회적 인식이 개선될 수 있도록 전문직 간호의 이미지를 신장시키는 전략과, 전문직 간호사의 역할 정립을 위하여 간호교육현장에서 성 차별적인 교육방법을 개선하기 위한 다각적인 연구의 시행이 필요하다.

• Clinical and Experimental Reproductive Medicine
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• 제34권4호
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• pp.285-291
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• 2007

목 적: 자신의 난자를 사용하여 체외수정시술을 시행한 40세 이상의 여성 환자에서 시술 결과를 분석하여 체외수정시술의 유용성을 평가하였다. 연구방법: 본원에 내원하여 체외수정-배아이식 시술을 받은 환자 중 40세 이상의 여성 환자 170명 271주기를 대상으로 하여 시술 결과를 분석하였다. 이들 환자 중 44세 미만 군과 44세 이상 군으로 나누어 시술 결과를 비교하였다. 통계학적 분석은 student t-test 및 Fishers exact test를 이용하였다. 결 과:총 임상적 임신율이 11% (30/271), 임상적 임신이 확인된 후 유산된 경우가 33% (10/30), 총 분만율이 7.4% (20/271)이었다. 44세 미만 군과 44세 이상 군의 비교에서는 주기취소율이 13%와 23%로 44세 이상군에서 높았고, 평균 회수된 난자 수, 수정된 배아 수, 이식한 배아 수는 각각 6.17$\pm$4.62와 4.13$\pm$4.07, 4.83$\pm$3.61와 3.46$\pm$3.12, 3.52$\pm$1.72와 2.81$\pm$1.83로 44세 이상 군에서 통계적으로 유의하게 낮았다. 임상적 임신율과 분만율도 각각 13.0%와 2.1%, 9.0%와 0.0%로 44세 이상 군에서 유의하게 낮았다. 결 론: 본 연구 결과에 의하면 자신의 난자를 사용한 체외수정-배아이식 시술이 44세 미만의 여성불임 환자에게는 유용한 시술이지만, 44세 이상의 환자에서는 시술을 통한 성공적인 임신과 분만에 어려움이 많았다.

• 디지털융복합연구
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• 제14권12호
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• pp.245-256
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• 2016

본 연구는 국내 결혼이주여성을 대상으로 한 건강관련중재연구의 동향을 고찰함으로 결혼이주여성의 건강증진을 위한 중재개발의 기초적 자료로 활용하기 위한 문헌분석 연구로 15년간 국내외 학술지에 발표된 결혼이주여성 대상 건강관련 논문 96편 중 9편의 중재연구를 분석하였다. 9편의 실험 연구 중 3편이 임신 분만 관련 중재 연구이고, 영유아 감염예방, 여성 질환 관련 중재연구가 각각 1편이었으며, 신체적 요소만을 다룬 논문은 3편, 정신적 요소만을 다룬 논문은 2편, 4편은 정신 및 신체적 혹은 사회적 요소를 함께 포함하는 중재프로그램을 제공하였다. 신체적 요소를 포함한 결혼이주여성 대상의 연구는 여성이 결혼 후 자녀를 출산하고 양육하는 과정에 이어 생애 전반에 걸친 다양한 문제에의 접근을 고려할 필요가 있으며, 이들을 위한 정신사회적 중재는 여성 개인적 차원과 관계적 차원 모두에서 긍정적 대처와 적응을 돕기 위한 목적으로 계획되어야 할 것이다.

• 여성건강간호학회지
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• 제17권4호
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• pp.407-414
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• 2011

Purpose: The purpose of this study was to compare birth outcomes between Korean women and immigrant women. Methods: Medical records were reviewed retrospectively from 201 immigrant women and 201 Korean women who delivered babies at K women's hospital in U city from January 2006 to December 2009. Maternal outcomes related factors included nationality, age, obstetric history, delivery type, indications of cesarean section, and complications of pregnancy and delivery. Principal neonatal outcomes were birth weight, Apgar scores, and complications of newborns. Results: Immigrant women were younger and had fewer pregnancies, abortions, and surviving children than Korean women. The rate of primary cesarean section and its indication in immigrant women were not significantly different from Korean women. However, immigrant women's newborn were more likely to have low birth weight and meconium staining. Conclusion: The results of this study indicate less equity of immigrant women in women's health care, although immigrant women's babies had lower Apgar score and more meconium staining. Nurses should help immigrant women cope with labor process effectively to prevent adverse health outcomes for their newborns.

• 여성건강간호학회지
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• 제10권1호
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• pp.8-14
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• 2004

Purpose: The purpose of this study was to look into back pain, pain disability, labour pain, and related areas of pain experienced by postpartum women. Method: A survey about pain including a Visual Analogue Scale (VAS), Oswestry pain disability, and pain drawing was used in a descriptive research method on 98 women 2-3 days after delivery. Result: 57.1% of those surveyed reported experiencing back pain before pregnancy. 75.5% reported experiencing back pain during pregnancy. The average starting time of back pain for pregnant women was 2.9 months into pregnancy. 48.8% reported the most severe back pain in the last trimester of pregnancy, while most women complained of left and right pubic pain and lumbar area pain during pregnancy. Statistical relations were calculated and menstrual symptoms (F=5.938, p=0.004), back pain prior to pregnancy (F=4.714, p=0.000), back pain during pregnancy (F=-3.429, p=0.001), and back pain disability prior to pregnancy (F=-1.994). Conclusion: There is a relation in postpartum women's back pain between back pain prior to pregnancy and back pain during pregnancy. Pelvic examinations early in pregnancy can determine if back pain will change for the worse or relapse. Therefore, the application of a pain relieving nursing intervention is needed.

• 레드리본
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• 통권69호
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• pp.6-7
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• 2006

임신은 HIV의 치료를 연기하는 이유가 되지 않으나 HIV감염 임신 여성은 임신 중, 진통 중, 분만 시, 모유 수유 시 어느 시기라도 바이러스를 태아에 전파할 수 있다. 만약 예방약을 복용하지 않고 모유수유를 한다면 아이에게 감염될 기회는 20-45%가 될 것이다. 모유수유를 하지 않고 치료한다면 전파의 위험성을 2% 이하로 낮출 수 있으며 지도부딘 한 가지 약제의 투여로도 위험성을 반 이상 줄일 수 있다. 그러므로 가임기의 HIV감염인은 임신하기 전부터 감염내과 의사와 산부인과 의사의 긴밀한 협조가 필요하다

• 여성건강간호학회지
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• 제3권1호
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• pp.28-38
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• 1997

Recently, the birth rate of congenitally anomalic babies is increasing in Korea. But there are few studies and articles in nursing field. So nurses are having difficulties in caring those mothers. This study is to reveal experiences of the mothers with congenitally anomalic babies. Subjects were six and data were gathered by interviews. Data were analyzed by Giorgi's method. Mother's responses were organized into five categories-shock, sadness, expectation, attribution and loss of confidence on future pregnancies. Loss of confidence on future pregnancies were categories which were not found in foreign articles. Based on the result of this study, author recommend that another studies which deal only same anomaly will be done, and genetic counseling system will be organized in hospitals.

• 여성건강간호학회지
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• 제7권2호
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• pp.203-211
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• 2001

A women's meaning about labor and delivery may influence the process of childbirth and performance of the maternal role. Therefore, negative meaning about the birth experience may have a negative impact on the childrearing. The purpose of this study is to explore the meaning of labor and delivery for the strategies of nursing intervention in positive childbirth experience. The data were collected through the in-depth interviews of 10 nursing college women on Jeju Island from October 2000 to January 2001. The interviews were conducted by investigator in the class room after school hours. Each interview lasted for about 30 minutes on average. Subjects were interviewed one at a time. The interviews were recorded with the consent of the subject. The data were analyzed by means of Giorgi's phenomenological analysis methods and catagorized according to the similarities of its contents. The investigator read the data repeatedly to identify the themes and the main meanings. Eight main meanings were identified as follows : 1)pain 2) shame and disgust 3)load 4)naturality 5)unreality 6)happiness 7)anxiety 8)maturity. Under these main meanings there were seventeen themes. I. Pain : (a) It's too painful (b) I don't want to deliver II. Shame and Disgust : (a) I am shameful (b) I am hateful III. Load : (a) I don't feel free (b) I have responsibility IV. Naturality : (a) It's in order to obtain a child (b) It's natural for women (c) It's a destiny of women V. Unreality : I don't feel real VI. Happiness : (a) I am glad (b) I am happy (c) It's miraculous VII. Anxiety : (a) I am anxious (b) I am worried VIII. Maturity : (a) I understand parents (b) I feel great. The results of the study will provide basic data for positive childbirth experience.