• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.12
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• pp.128-137
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• 2016

This study aimed to investigate the effect of kangaroo care on physical development adaptation of external environment of prematurity, and maternal role confidence of those who delivered preterm infants. The subjects were 38 preterm infants and mothers with cesarean section delivery in the hospital, located at B city. Eighteen premature infants were assigned to the kangaroo care (KC) group or the control group (CG). Data were collected between June 2013 and June 2015. KC was given 3 times a day (60 min at a time) and performed a total of 10 times. The physical development indicator (weight, height, and head circumference) as well as the adaptation of external environment (temperature, heart rate, oxygenation) of preterm infants were checked before the start of the program. Following the initial measurement, the program was performed, and measurements were taken again at the end of the program. For measurement of maternal role confidence, structured self-reported questionnaires were performed. The results showed that the KC group had a lower oxygenation compared with the CG (t=2.27, p=.02); however, the physical development indicator (weight t=-0.83, p=.21, height t=-0.34, p=.37, head circumference t=1.29, p=.10) and maternal role confidence (t=-0.41, p=.34) were not significantly compared with the CG. The results of this study suggest that the practice of KC helps the adaptation of external environment of preterm infants

• Journal of Korean Academy of Nursing
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• v.28 no.4
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• pp.920-930
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• 1998

The purpose of this study was to evaluate maternal perception of the newborn, confidence and gratification of mothering role, and contribute to maternal nursing and neonatal nursing. The questionnaire, maternal perception of the newborn(Ⅰ) was completed by 47 mothers at three hospitals in the Kyoung-In area during the first to third day after birth. The questionnaire, maternal perception of the newborn(Ⅱ), confidence and gratification of mothering role were completed at fourth to sixth week after birth. The data were analyzed by a SPSS program. The results were as follows ; 1) The means of perception of the newborn(Ⅰ) and (Ⅱ) were 2.28±4.81 and 3.83±4.84. The means of confidence and gratification of mothering role were 40.38±5.51 and 39.30±6.70. 2) Half of the mothers(48.9%) rated their newborn as better than average newborn at first to third day after birth, and 74.5% of mothers did at fourth to sixth week after birth. 3) The score of maternal perception of the newborn (Ⅰ) was significantly correlated with the score of confidence and gratification of mothering role. The score of maternal perception of the newborn(Ⅱ) was correlated with the score of confidence and gratification of mothering role. The score of confidence and gratification of mothering role was related. 4) Maternal gratification of mothering role was significantly different by maternal perception of the newborn(Ⅰ), and maternal confidence was different by maternal perception of the newborn (Ⅱ). 5) Mothers who had religions and who wanted the pregnancy had higher perception of the newborn(Ⅰ) than those who did not. Mothers whose newborns were boys had higher perception of the newborn(Ⅱ) than those whose newborns were girls. Mothers who wanted the pregnancy had higher confidence of mothering role than those who did not. Mothers who planed cow's milk had lower gratification of mothering role than those who did not. The above findings indicate that mothers who have a different level of perception of the newborn, confidence and gratification of mothering role. Therefore, it is important that maternal perception of the newborn, confidence and gratification of mothering role were precisely evaluated, and nursing intervention for improving perception of the newborn should be provided for mothers.

• Journal of Korean Clinical Nursing Research
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• v.25 no.1
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• pp.25-33
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• 2019

Purpose: This study was done to develop a program to promote maternal role confidence and maternal attachment for mothers of premature infants and to evaluate the effects in a neonatal intensive care unit (NICU). Methods: This program was developed through a literature review and validation of an expert group, and tested with 60 preterm infants (experimental group 30, control group 30) in a NICU in South Korea. Data were collected from December 2017 to March 2018 and analyzed using descriptive statistics, t-test, $x^2-test$ and Fisher's exact test with the SPSS/Win statistical program. Results: Maternal role confidence for the experimental group increased significantly compared to the control group (t=3.22, p=.002). Maternal attachment in the experimental group increased significantly compared to the control group (t=2.30, p=.025). Conclusion: The program developed in this study should be effective in promoting maternal role confidence and maternal attachment in mothers of premature infants.

• Child Health Nursing Research
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• v.6 no.3
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• pp.281-290
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• 2000

This study was performed to investigate the effect of kangaroo care on anxiety and confidence and gratification of mothering role in mothers of low birth weight infants. The subjects were 30 mothers of low birth weight infants, sixteen for the kangaroo care group and fourteen for the control group, whose infants hospitalized in two neonatal intensive care unit at two university-affiliated hospital. The kangaroo care was applied 9 times during the twenty six days with 40 minutes for each session. The kangaroo care provides the skin-to-skin contact during which a low birth weight infant wearing a diaper and a hat is placed on its mother's chest. The questionnaire, state anxiety was completed before beginning the first intervention. The questionnaire, state anxiety and confidence and gratification of mothering role were completed at 2 weeks after discharge. The data were analyzed by a SPSS program. The results were as follows : 1. There were no significant differences in the state anxiety between the kangaroo care and the control group before beginning the first intervention. The state anxiety was significantly lower in kangaroo care group than in control group. 2. The confidence of mothering role was significantly higher in kangaroo care group than in control group at 2 weeks after discharge. 3. The gratification of mothering role was significantly higher in kangaroo care group than in control group at 2 weeks after discharge. 4. In mothers of low birth weight infants, the state anxiety was negatively correlated to the confidence of mothering role and the gratification of mothering role at 2 weeks after discharge. And the confidence of mothering role in mothers of low birth weight infants was positively correlated to the gratification of mothering role at 2 weeks after discharge. These results suggest that kangaroo care is an effective nursing intervention for mothers of low birth weight infants in reducing the state anxiety, improving the confidence and gratification of mothering role.

• Women's Health Nursing
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• v.5 no.1
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• pp.96-110
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• 1999

This study examined the correlation between of self-confidence and satisfaction in maternal role performance among primiparas. The subjects were 144 mothers, who were recruited from four general hospitals in Pusan. The data were collected from May 1. to August 31 in 1997. Self-confidence in ability to cope with tasks of motherhood and mother's satisfaction with motherhood and infant care were measured by the scales developed Lederman and associated(1981). Percentage, t-test, ANOVA, and Pearson Correlation Coefficient were obtained by using SPSS program. The results of the study were summarized as follows, 1. The degree of self-confidence in maternal role performance was above average with a mean score of 2.60. 2. The degree of satisfaction in the maternal role performance was above average with a mean score of 3.20. 3. There were positive correlations between the degree of self-confidence and the degree of satisfaction in the maternal role performance(r=.3035, p<.001). In conclusion, since self-confidence in maternal role performance is positively related to maternal satisfaction in the role performance, nursing intervention to improve maternal role performance may lead mother's increased maternal self-confidence and satisfaction in maternal role performance. Futher research is needed to prove the causality.

• Child Health Nursing Research
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• v.11 no.4
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• pp.381-389
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• 2005

Purpose: This study was done to investigate the effects of a massage program on the growth of premature infants and on the mothers' confidence and satisfaction in the mothering role. Methods: The participants were 29 mothers of premature infants hospitalized in a neonatal intensive care unit at CNU Hospital (14 in the massage program group and 15 in control group). Massage was done for 10-15 minutes, 2-3 times a day for 4 weeks. The data were using the SAS PC+ program. Result: Significant differences were found in the ratios of weight gain (Z=2.24, p=.013), grow in length (Z=2.50, p=.006) and increase in head circumference (Z=1.91, p=.028) between the massage program group and the control group. Confidence in the mothering role was significantly higher for mothers in the massage program group compared to those in the control group (Z=2.69, p=.004), but there was no significant difference in satisfaction with the mothering role between the two groups (Z=.88, p=.191). Conclusion: These results suggest that the massage program enhances growth of premature infants as well as enhancing the mother's confidence in her role as mother. Therefore, the massage program for premature infants can be use as an effective nursing intervention.

• Child Health Nursing Research
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• v.21 no.1
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• pp.11-19
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• 2015

Purpose: The purposes of this study were to develop an infant sleep health education program using a video for SIDS prevention education and to measure the effects of the program. Methods: The infant sleep health education program consisted of presentations and motor images. The formation of educational material was directed by the systematic design of instruction. Participants in this study were 59 primiparous women from postpartum care centers. The instruments used in this study were criterion referenced test items for knowledge about infant sleep health and confidence inventory. Experimental group I was given the treatment of infant sleep health education program. Experimental group II was given the program using a video reinforcement after 2 weeks. On the other hand, control group was given no treatment. Results: There was a significant increase in knowledge and confidence in the performance of mother's roles of both experimental group I and experimental group II over the control group. No significant difference was founds for knowledge and confidence in the performance of mother's roles between experimental group I and II. Conclusion: The results indicate that this program is a very effective intervention for better sleep health in infants by helping the mothers increase confidence in their role performance.

• Child Health Nursing Research
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• v.11 no.4
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• pp.481-489
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• 2005

Purpose: The purpose of this study was to investigate the effects on weight of premature infants when Yakson therapy was conducted by mothers and also to measure role confidence and role satisfaction of the mothers. Method: A non-equivalent control group non-synchronized design was used. The data were collected from January to July, 2005. Thirty preform infants and mothers were assigned to either an experimental (15) or a control group (15). Yakson therapy consists of three phases: laying on of hands, caressing by hands, and laying on of hands again, each phase taking 5 minutes. Yakson therapy was provided to infants in the experimental group for 15-minutes 5 times a day far 15 days. Infant weight, mothers' role confidence and satisfaction with role were measured for both groups. Results: Compared to the control group, weight gain of infants in the experimental group (t=2.05, p=.049) was significantly increased after 15 days. The experimental group also had significantly higher scores in mothers'.ole confidence (t=1.98, p=.038). Conclusion: The results suggest that Yakson therapy can be used to increase weight gain in preform infants and improve the role confidence of mothers.

• Child Health Nursing Research
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• v.13 no.3
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• pp.349-356
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• 2007

Purpose: This study was to done to develop a nursing intervention, Meridian massage and to investigate its effects on the infants' growth and sleep of infants and on role confidence and sensitivity in their mothers. Method: This study used a nonequivalent control group non-synchronized quasi experimental. Infants and mothers from Y health center were assigned to an experimental group (17) and control group (14). Meridian massage was given to infants by their mothers. Data were collected from August 11, 2005 to February 24, 2006. Infants in the experimental group had Meridian massage for 15 min per time, three times a week for 3 weeks. Result: Regarding growth, infants in the experimental group showed a statistical significant increase in weight and height compared to those in the control group. Sleeping well was also significant for infants in the experimental group compare to those in the control group. There was no signifiant difference in confidence in mothering role between the two groups. Sensitivity for the mothering role was significantly higher for mothers of infants in the experimental group compare to those in the control group. Conclusion: Meridian massage is an effective nursing intervention in improving infant growth and maternal-infant interaction.

• Child Health Nursing Research
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• v.9 no.2
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• pp.206-220
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• 2003

Purpose: this study was intended to search the relationship between perception of the infant temperament in mother of infant at the age of 1～12 months and maternal confidence and satisfaction in performing maternal role, and to submit a basic data to establish a nursing intervention program which is helpful for determination of infant development and performing maternal role promotion by identify variables associated with infant temperament. Method: The subjects of this study were 300 mothers of infant at the age of 1～12 months who visited well baby clinic in 4 hospitals in Busan city and Kyoung-Nam province. Final analysis was performed in 293 cases. Seven cases was excluded in this study because of its inappropriate data collection. The data was collected from 1st July to 15th August 2002. The questionaries which were fill-up by mother were collected. Infant temperament was measured by using the tool of 'what my baby is like'(WBL) which was developed by Priham et. al.(1994) and translated by Bang(1999). The scale of postpartum self evaluation which was developed by Lederman et al(1981) and translated by Lee(1992) was used for the confidence and satisfaction of maternal role. All statistical analyses were performed using SPSS-PC for window, version 10.0: frequency, percentage, minimum, maximum, mean, SD, t-test, ANOVA, Post-hoc test(Scheffe's test), Pearson Correlation Coefficients. Result: The mean score of maternal perception of the infant temperament was 6.17±1.04, and mother recognized her infant as positive. The mean score of confidence of maternal role was 2.89± .41 and this revealed in an average level. The mean score of satisfaction of maternal role was 3.29± .51 and this revealed in a higher level. There was a weak significant positive correlation between the score of maternal perception of infant temperament and confidence of maternal role(r=0.176, P= .003), but there was no significant correlation between satisfaction of maternal role(P> .05). It revealed the more maternal perception of the infant temperament as positive, the higher confidence of maternal role. There was a moderate significant positive correlation between confidence of maternal role and satisfaction of maternal role(r=0.410, P= .000). It revealed the more confidence of maternal role, the higher satisfaction of maternal role. The variables related with the score of maternal perception of infant temperament were the type of delivery (t=-2.600, P= .010), experience of learning baby care(t=2.382, P= .018), maternal perception on baby's health status(F=3.467, P= .033), maternal perception on her health status(F=3.467, P= .027), baby's age(F=3.080, P= .028). Conclusion: Our result showed the confidence of maternal role was increased as the maternal perception of infant temperament was positive, and conformed that the confidence of maternal role was also related with satisfaction of maternal role. Prenatal education, type of delivery, baby's age were also related with the maternal perception of infant temperament. So, nursing intervention program of developmental stage maybe necessary in order to help maternal perception of infant temperament as positive, and it will be increased the confidence of maternal role and satisfaction of performing maternal role which was considered as real indicate of achievement of maternal role.