• 대한간호학회지
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• 제45권3호
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• pp.337-346
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• 2015

Purpose: This study was conducted to develop a mobile web-based pregnancy health care educational program for mothers who were at an advanced maternal age (AMA) and to verify the effects of the program on pregnancy health care. Methods: This program was developed using a web-based teaching-learning system design model and composed of 10 subject areas. This research was a quasi-experimental study using a non-equivalent control group pretest-posttest time serial design and data were collected from April 2 to May 3, 2014. To verify the effects of the program, it was used for 2 weeks with 30 AMA mothers (experimental group). For the control group, a classroom education booklet for pregnant women used with 31 AMA mothers. Results: The experimental group having participated in program had statistically significantly higher scores for knowledge (t=3.76, p <.001), self-efficacy (t=8.54, p <.001), and practice behavior (t=4.88, p <.001) of pregnancy health care, compared to the control group. Conclusion: The results of the program indicate that a Mobile web-based pregnancy health care educational program is effective in meeting the needs of AMA mothers and can be used as the prenatal educational program for AMA mothers and is appropriate as an educational media for theses mothers.

• 농촌의학ㆍ지역보건
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• 제48권2호
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• pp.118-131
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• 2023

본 연구는 한국에 거주하는 베트남 가임기여성과 베트남에 거주하는 베트남 가임기여성의 산전건강관리 지식과 산전건강관리 실천행위 및 우울정도를 파악하여 베트남 이주여성의 산전건강관리 중재프로그램 개발에 기초적 자료를 제공하는데 목적을 두고 시행된 서술적 조사 연구이다. 베트남 가임기여성(한국거주 여성 113명과 베트남거주 여성 196명)을 대상으로 하였다. 연구결과 연구대상자의 산전건강관리 지식은 한국거주 가임기 여성이 높았으나 통계적으로 유의하지 않았다. 한국거주 및 베트남거주 모두 통계적으로 유의하게 기혼여성의 지식점수가 높았다. 연구대상자의 산전건강관리 실천행위 분석결과 결혼 유무 및 거주지역에 따른 유의한 차이는 보이지 않았다. 항목별로 보았을 때 '병원에서 산전진찰을 규칙적으로 받을 것이다.'는 베트남거주 기혼여성이 미혼보다, 농촌여성이 도시여성보다 유의하게 낮았다. 가장 낮은 점수를 보인 것은 한국거주여성의 '임신과 출산정보를 찾아볼 것이다' 이었다. 연구대상자의 우울정도는 베트남 거주여성의 경우 기혼여성이, 농촌에 거주 하는 여성이 유의하게 우울점수가 높게 나타났다. 베트남 결혼이주 여성을 위한 산전관리 중재를 개발 할 때 베트남 본국 농촌에서 이주하는 경우는 좀더 특별한 관심이 필요하며, 산전건강관리의 중요성과 정신건강을 위한 요소가 포함되어야 할것으로 사료된다.

• 지역사회간호학회지
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• 제26권2호
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• pp.108-118
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• 2015

Purpose: The purpose of this study was to investigate life stress, social support, and antepartum depression among Southeast Asian immigrant women married to Korean men. Methods: Ninety-three subjects were recruited from local women's clinics and multicultural family support centers in D City. The instruments used were the life stress scale, social support scale, and K-EPDS. All the instruments were translated into their corresponding mother languages (Vietnamese, Cambodian, and Philippine) and notarized. Results: The item mean scores of life stress and social support were 2.65 and 3.17, respectively, on a 5-point Likert scale. The mean score of antepartum depression was 10.16, indicating that they were generally in a depressive state. A positive correlation was observed between life stress and antepartum depression (r=.59, p<.001). Social support was negatively correlated with life stress (r=-.42, p<.001) and antepartum depression (r=-.39, p<.001). The best predictors for antepartum depression were life stress, marital satisfaction, and emotional support, and they explained 43% of the variance. Conclusion: Antepartum depression in Southeast Asian immigrant brides was significantly associated with life stress as well as lack of emotional support. Emotional support may reduce their life stress and antepartum depression.

• 대한간호학회지
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• 제42권4호
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• pp.477-485
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• 2012

Purpose: This study was done to evaluate the effects of antenatal depression on birth outcomes. Methods: The participants were 255 pregnant women who were followed in a prospective study. Of these, 197 cases were examined included birth weight, Apgar scores at 5 minute, premature contraction, complication of labor, delivery types and laboratory data. Descriptive statistics, ANOVA, Chi square test of linear by linear association, Kruskal Wallis test, Relative Risk, univariate and adjusted multiple logistic regression were used for data analysis with SPSS/Win. Results: Level of antenatal depression was associated with low birth weight ($x^2$=7.69, p=.010). High risk pregnancy was a predictor of low birth weight (OR=6.98 [1.21-40.30]) and baby's weight (OR=2.12, [1.05-4.28]). Prepregnancy body mass index (BMI) was a predictor of complications in labor (OR=3.59, [1.03-12.48]). But there were no significant effects of antenatal depression on other birth outcomes. Conclusion: The results of this study indicate that women with antenatal depression, high risk pregnancy, prepregnancy $BMI{\geq}23kg/M^2$ should be monitored and managed to ensure favorable birth outcomes.

• 한국산학기술학회논문지
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• 제16권7호
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• pp.4632-4640
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• 2015

본 연구의 목적은 국내 증가하고 있는 중국, 베트남을 비롯한 결혼이주여성을 대상으로 이들의 산전관리 교육요구도를 파악함으로써 향후 이들을 위한 산전관리 교육 프로그램의 기초자료를 제공하고자 수행되었다. 자료수집은 D시 1개의 다문화센터를 이용하는 71명의 결혼이주여성을 대상으로 2014년 3월부터 2015년 4월까지 수행되었다. 산전관리 교육요구도는 불임, 남녀생식구조, 산전교육, 예방접종, 건강문제 관리방법 등의 내용을 포함한 18개의 문항으로 구성되었다. 결혼이주여성은 신생아 안전관리 및 응급대처법, 예방접종, 건강문제관리, 신생아 정상발달과정, 신생아 관리법 등 주로 신생아 발달과정을 이해하고 이들의 건강문제를 해결하기 위한 것에 교육요구도가 높은 것으로 나타났다. 또한, 결혼이주여성의 국적에 따른 산전관리 교육요구도는 유의한 차이가 없는 것으로 나타났고, 이들 세부항목 중 불임에 대한 교육요구도에서 베트남 출신 결혼이주여성이 중국과 기타 국적 출신의 결혼이주여성보다 높은 것으로 나타났다 (F=5.53, p<.05). 따라서, 향후 결혼이주여성을 위한 산전관리 프로그램을 개발 할 시 신생아 성장발달 과정과 이들 간호방법이 가장 우선시 되어 프로그램 내용을 개발할 것을 제안한다.

• 대한간호학회지
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• 제51권4호
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• pp.478-488
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• 2021

Purpose: This study aimed to develop and examine the effects of a prenatal program on environmental health behavior using cartoon comics among Korean pregnant women. Methods: This study used a non-equivalent control group pre-test/post-test design. The program used cartoon comics to explore environmental health behaviors during pregnancy. The program consisted of the following four components: environmental toxicants during pregnancy, avoiding particulate matter during pregnancy, environmental toxicants during baby care, and making a healthy environment for children. In total, 35 pregnant women participated in the study: 18 in the experimental group and 17 in the control group. Data collection and program adaptation were conducted between November 3, 2020 and January 19, 2021. The effect of the prenatal education program was evaluated by t-test and repeated measures ANOVA. Results: Learning experience (t = - 2.35, p = .025), feasibility (t = - 2.46, p = .019), satisfaction (t = - 2.23, p = .032) were higher in the experimental group than in the control group in the first post-test. Feasibility (t = - 2.40, p = .022) was higher in the experimental group than in the control group in the second post-test. Repeated-measures ANOVA showed significant interactions between time and group in environmental susceptibility (F = 9.31, p < .001), self-efficacy (F = 3.60, p = .033), and community behavior (F = 5.41, p = .007). Conclusion: This study demonstrates the need for a prenatal education program to promote environmental health perceptions and behavior during pregnancy. We suggest a prenatal class adopting the creative cartoon comics to promote the maternal environmental health behaviors.

• 여성건강간호학회지
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• 제28권2호
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• pp.87-99
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• 2022

Purpose: The purpose of this systematic review was to examine aromatherapy interventions for prenatal and postnatal women, and to determine the effectiveness of these interventions on fatigue. Methods: Six national and international databases were reviewed to retrieve and collect studies published up to September 7, 2021, describing randomized controlled trials and controlled clinical trials of aromatherapy interventions for prenatal and postnatal women's fatigue. Of the 323 articles initially identified, 64 duplicates were excluded and 259 were screened. After further excluding 216 articles not related to PICO framework, 10 were selected for review. Two reviewers independently selected studies and conducted data extraction and quality appraisal using Cochran's Risk of Bias and Risk of Bias Assessment Tool for Non-randomized Studies. Results: The quality of the 10 selected studies was overall satisfactory. A meta-analysis of three studies showed that aromatherapy with lavender oil produced a 0.75-point reduction in postnatal mothers' fatigue when compared to control groups. Sleep quality was also analyzed as a secondary outcome of fatigue. A meta-analysis of four studies using lavender and/or orange peel oil found that aromatherapy produced a 0.98-point improvement in postnatal mothers' quality of sleep. Although a meta-analysis could not be conducted to synthesize the findings for fatigue in pregnant women, inhalation and massage therapy using lavender oil showed positive effects on prenatal fatigue and sleep quality. Conclusion: Aromatherapy using lavender oil and orange peel oil is effective in improving prenatal and postnatal fatigue and sleep quality.

• Child Health Nursing Research
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• 제20권4호
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• pp.247-254
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• 2014

목적 본 연구의 목적은 산전 임부를 대상으로 태아애착, 태교실천, 피로 및 사회적 지지 정도를 확인하고 태아애착에의 영향 요인을 파악하는 데 있다. 방법 대상자는 월평균 분만 100건 이상의 여성전문병원에 산전관리를 위해 외래를 방문한 임부 중 임신합병증을 동반하지 않은 건강한 임부 211명이다. 일반적 특성에 따른 태아애착의 차이를 비교하였으며 태아 애착을 평가하기 위한 Maternal-Fetal Attachment Scale, 태교실천은 Mun과 Choi (2002)의 도구, 피로를 측정하기 위해 Milligan 등(1997)이 개발한 Fatigue Symptom Checklist 및 Curry 등(1994)의 사회적지지 측정도구를 사용하였다. 수집된 자료는 SPSS WIN 18.0 프로그램을 이용하여 기술통계, t-test, ANOVA, Pearson's correlation coefficients, Stepwise multiple regression analysis를 이용하여 분석하였다. 결과 임부의 태아애착 정도는 $93.74{\pm}13.69$점(점수범위 25-125점)이었으며 산과력, 모유수유 경험 및 태교 경험에 따라 유의한 차이를 보였으며, 초임부, 모유수유 경험이 없는 경우, 태교 경험이 있는 경우 태아애착 정도가 유의하게 더 높았다. 임부의 태아애착은 태교실천(r=.71, p < .001), 피로(r=.15, p =.032), 사회적 지지(r=.38, p <.001)와 정적 상관관계에 있었고 태교 실천 정도는 사회적 지지 정도와 유의한 정적 상관관계를 보였다(r=.40, p <.001). 임부의 태아애착에 영향을 미치는 요인으로는 태교실천(${\beta}=.67$), 피로(${\beta}=.21$), 사회적 지지(${\beta}=.13$) 순으로 나타났으며 설명력은 55.2%였다. 결론 임부의 태아애착 증진을 위해 태교실천 및 태교실천 프로그램 효과를 입증하는 하나의 근거자료로 활용될 수 있을 것이며 임부의 피로를 단순히 임신증상으로 인식하는 수준에서 벗어나 이를 태교실천을 통해 중재하는 것이 필요할 것이다. 또한 사회적 지지를 통해 태교실천을 더욱 더 잘 실천함으로 태아애착이 증진될 수 있을 것이다.

• 대한간호학회지
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• 제40권1호
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• pp.78-87
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• 2010

Purpose: This study was designed to evaluate the effects of an educational program on pregnancy and delivery including pregnancy related knowledge, newborn care knowledge, and postpartum care self-efficacy for married immigrant women. Methods: A nonequivalent control group quasi-experimental design was used. The educational program was developed by though an educational need assessment of married immigrant women and an expert opinion. The program was provided for 3 weeks, once a week for two hours. The data were analyzed with SPSS program using Kolmogorov-Smirnov, $X^2$-test, Fisher's exact test, and t-test. Results: The program significantly improved pregnancy related knowledge, newborn care knowledge, and postpartum care self-efficacy for the married immigrant women who participated in the program compared to the women who did not. Conclusion: The results indicate that the educational program has an affirmative effect on pregnancy related knowledge, knowledge of newborn care, and postpartum care self-efficacy in these women. It is suggested, therefore, that the educational program be used to every married immigrant woman at the public health centers or delivery clinics help them to adjust to the childbearing and childrearing experience and this will ultimately enhance the quality of family life of married immigrant women in Korea.

• 근관절건강학회지
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• 제26권3호
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• pp.184-194
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• 2019

Purpose: There has been a considerable increase in the number of women giving birth at advanced age. The genetic screening of such women is highly desirable. Clinical nurses, however, are not adequately trained to assist such clients. This study aims at identifying the educational needs of nurses in order for them to provide better care and treatment for such women. Methods: 206 South Korean clinical nurses participated in this study. Study variables were measured by nurses' attitudes toward terminating pregnancy (ATP), knowledge of prenatal genetic screening and diagnosis (K-PGSD), and information needs for prenatal genetic screening and diagnosis (I-PGSD). The statistical analysis included T-test, analysis of variance and Pearson's Correlation Coefficient. Results: Mean scores were 34.57±5.73 for ATP, 16.44±3.04 for K-PGSD, and 78.81±10.95 for I-PGSD. The findings demonstrate that nurses have high information needs (I-PGSD) to take better care of women who have positive results from their amniocentesis tests. Conclusion: Information needs among clinical nurses are not currently being met. Education for nurses must include training in counseling to encourage patients' autonomous decision-making regarding their pregnancies.