• 디지털융복합연구
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• 제10권11호
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• pp.477-484
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• 2012

날로 증가하고 있는 다문화가정의 이주여성이 한국의 농촌에서 겪는 임신과 출산경험의 의미의 본질을 밝히고자 현상학적 연구 방법으로 분석하였다. 자료수집은 A 농촌지역에 거주하는 다문화가정의 결혼이주여성 9명을 대상으로 심층 면담을 하여 녹취하였다. 자료 분석은 Colaizzi의 현상학적 방법에 의해 분석하였다. 연구 결과 다문화가정 여성의 임신과 출산 경험을 통해서 한국사회로의 삶이 전환되는 과정은 4개의 범주와 9개의 주제 모음이 도출되었다. 최종으로 도출된 4개의 범주는 '미지의 세계에 대한 기대', '새로운 위기를 겪음', '고통 속에서 피어나는 행복감', '새 생명 속에서 희망을 느낌-삶의 전환'으로 도출되었다. 이러한 연구 결과는 결혼을 전제로 새로운 삶을 시작하는 다문화가정의 여성들이 한국에서의 적응 과정에서 겪는 어려움을 이해하고 이에 대한 문제점을 도울 수 있는 적극적인 적응 프로그램 운영을 위한 자료를 제공하고자 하였다.

• Nutrition Research and Practice
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• 제13권6호
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• pp.535-542
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• 2019

BACKGROUND/OBJECTIVES: Proper nutrition intake during pregnancy and lactation is very important to both mothers and babies. Pregnant women should maintain proper nutritional status to restore decreased physical strength due to pregnancy and childbirth and produce breastmilk for the growth and development of the baby. Recently, the number of Chinese people living in Korea has increased as the exchange between Korea and China becomes active. It is important to provide proper nutrition education for pregnant women of both countries considering cultural differences. SUBJECTS/METHODS: The subjects of this study were postpartum women in Gyeonggi, South Korea and Jinhua, China. The subjects were 20-45 years old less than six months after childbirth. A survey, using self-administered questionnaires, was conducted from October 2018 to January 2019. For data analysis, 221 Korean postpartum women (KPW) and 221 Chinese postpartum women (CPW) questionnaires were used. RESULTS: KPW had significantly higher nutritional knowledge score and dietary attitude score than CPW (P < 0.001). However, overall score for dietary habits was significantly higher in CPW compared to KPW (P < 0.001). In KPW, nutritional knowledge (P < 0.01) and dietary attitude (P < 0.001) had significantly positive correlations with dietary habits. The proportions of KPW and CPW who answered that they had experience of nutrition education were 28.5% and 80.1% (P < 0.001). The score for dietary habits was lower as the hours for watching TV and using mobile phone became longer in postpartum women of both countries, with significant differences in KPW (P < 0.001) and CPW (P < 0.05). In KPW, the score for dietary habits in postpartum women with exercise experience was significantly higher than that in postpartum women without exercise experience (P < 0.001). CONCLUSIONS: More pregnancy-related nutrition education should be provided and various and effective nutrition education programs, which not only transfer information but can be practiced in the actual life, should be developed.

• 여성건강간호학회지
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• 제18권2호
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• pp.85-97
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• 2012

Purpose: This study was done to explore the lived experience of pregnancy, childbirth, postpartum and early child rearing in married immigrant women in urban areas. Methods: Data were collected from February to April, 2011 through in-depth interviews. Nine immigrant women were selected in a metropolitan area through the purposive and snowball sampling method. After obtaining IRB permission and informed consent from the participants, all interviews were recorded with MP3 recorder and transcribed for analysis. Using the phenomenological approach, data collected through in-depth interviewing were analyzed following Colaizzi style. Results: Data analysis revealed 4 categories and 10 themes related to pregnancy, childbirth, postpartum and early child rearing of married immigrant women in urban areas. These four categories were 'A clumsy foreigner's life with nostalgia', 'Crisis in the crisis', 'Unprepared for motherhood', and 'Living together with new family without regrets'. It was a common finding that they were not ready to be mothers because of the very short time for adjustment in Korea. Compared to rural, immigrant women urban women had various in social support systems. Conclusion: The results indicate that adequate education is needed for immigrant women regarding motherhood, and that this education should be culturally appropriate for these women.

• 대한예방한의학회지
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• 제13권3호
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• pp.87-99
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• 2009

Objectives : The study was to examine the empirical evidence concerning the effects of massage intervention for the laboring women and to investigate the effect sizes related to the characteristics of intervention. Methods : Meta analysis was performed. A total of 11 trials related to massage intervention between 2000 and 2007 were reviewed. Results : Massage intervention showed a beneficial effect on length of labor(1st stage : U=46.75, p=0.00, 2nd stage : U=6.13, p=0.01), perception of childbirth experience(U=12.57, p=0.00), intensity of uterine contraction at the active(U=6.34, p=0.01) and the transition phases(U=24.83, p=0.00), and interval of uterine contraction at the active phase(U=4.83, p=0.03). Massage decreased systolic(U=10.81, p=0.00) and diastolic blood pressure at the transition phase(U=10.60, p=0.00). However, massage had no effect on subjective and objective labor pain and anxiety. No differences were found in effectiveness of massage according to characteristics of intervention(massage material, massager, and massage site) except for anxiety(QB=4.82, p=0.03) and diastolic blood pressure at the active phase by massage site(QB=4.52, p=0.03). Conclusions :We found that massage intervention for the laboring women had an empirical evidence on improving perception of childbirth experience and shortening length of labor. These results should be interpreted with caution due to the lack of studies. More full-scale randomized clinical trials with reliable designs are recommended to further warrant the effectiveness of massage.

• 여성건강간호학회지
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• 제26권4호
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• pp.346-357
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• 2020

Purpose: This descriptive phenomenological study aimed to explore the lived experience and meaning of pregnant women's adaptation. Methods: Ten pregnant women from an ongoing Pregnant Couples' Cohort Study agreed to participate in this study. The data were collected through telephone in-depth interviews regarding what they experienced and felt about pregnancy adaptation. The qualitative data were analyzed using Giorgi's method of descriptive phenomenology. Results: Five core situation components were extracted from the raw data, along with 12 themes and 33 focal meanings. The five core situations were 1) first recognizing the pregnancy, 2) pregnancy-related changes, (3) the upcoming birth, 4) the postpartum period, and 5) parenting. The 12 themes were as follows: "anxiety, pressure, and embarrassment due to pregnancy," "efforts to adapt to physical changes," "efforts to adapt to the psychological difficulties of pregnancy," "efforts to adapt to the financial burden and role changes caused by pregnancy," "connecting with the fetus," "adapting to a new marital relationship centering on the baby," "the frustration of childbirth," "fear of childbirth," "postpartum care, need help with lactation planning," "parenting beyond what I imagined," "dad's willingness to participate in parenting," and "career disconnect and consideration of workplace needs." Conclusion: We identified that pregnant women experience adaptation in physical, psychological, relational, and social aspects. The thematic clusters identified can be used to develop nursing interventions to promote women's adaptation to pregnancy.

• 대한간호학회지
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• 제30권2호
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• pp.307-318
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• 2000

The researcher would like to suggest that the delivery experience varies depending on the personal situation and the childbirth experiences of the mother. The goals of this study are : 1. To find out the subjectivity structure on delivery experience. 2. To describe the differences in delivery experience depending on the delivery methods. 3. To suggest effective nursing intervention for each type. Q-methodology was used for the research design. One of the main reasons to use this Q methodology. Because each individual's delivery experience can be different. The result of this study shows that the subjectivity related to the delivery experience of mother has at least four distinctive types. Type I mothers can be named as "Motherhood Identity Recognition Type". Type I subjects accept delivery experience very positively, show interest in the health of the baby, and identify their motherliness with responsibility. Type II mothers can be named "Leaping to Maturity Type". It can be explained as a state that mothers experience pain, but by understanding and enduring the pain, the pain is changed to maturity. Type III mothers can be named as "Pride Experience Type". Type III feels vaginal delivery as a process to become a real mothers, and have great pride in making this type of significant emotiange delivery. Therefore, they think the labor pain is worth the value and believes that there are other differences between vaginal delivery and cesarean section. Mothers of Type III take the delivery experience to be meaningful. Type IV mothers can be named as "Lack of Motherhood Transition Type". This type does not seem to feel sorry for their babies for going through a cesarean section delivery. The also do not have the satisfaction of delivery and motherliness identity is low. In addition, they especially do not feel affection towards their babies. Also, because they delivered babies in a state of anesthetics, they do not seem to feel much different, but show negative reactions toward themselves.ow negative reactions toward themselves.

• 치위생과학회지
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• 제17권2호
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• pp.134-141
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• 2017

연구는 2016년 5월부터 9월까지 경상북도에 소재한 산부인과에서 외래 진료를 받는 분만 전까지의 임신부에서 연구참여에 동의한 자 191명의 자기기입식 설문지를 이용하여 분석하였다. 임신부의 인구사회학적 특성, 임신관련 특성, 사회적 지지, 수면의 질 및 OHIP와 우울수준과의 관련성을 규명하기 위해 시도되었으며, 다음과 같은 결과를 얻었다. 임신부들의 우울수준 분포는 건강군이 25.1%, 우울군이 74.9%로 나타났다. 우울수준은 결혼생활만족에 불만족하는 군일수록, 직업이 없는 군일수록, 사회적 지지가 낮은 군일수록, 수면의 질이 좋지 않은 군일수록, OHIP가 높은 군일수록 우울군의 비율이 유의하게 높았다. 로지스틱 회귀분석 결과, 분만경험이 있는 군에 비해 없는 군에서 우울수준이 높은 군에 속할 위험비가 유의하게 증가한 반면, 사회적 지지가 낮은 군에 비해 높은 군에서 우울수준이 높은 군에 속할 위험비가 유의하게 감소하였다. 우울수준은 수면의 질 및 OHIP와는 유의한 양의 상관관계를 보인 반면, 사회적 지지와는 유의한 음의 상관관계를 보였다. 다중회귀분석 결과, 결혼생활만족도가 낮은 군일수록, 분만경험이 없는 군일수록, 사회적 지지가 낮은 군일수록, OHIP가 높은 군일수록 우울수준이 높았으며, 이들의 설명력은 22.3%였다. 이상의 연구결과를 종합하여 보면 임신부의 결혼생활만족도, 분만경험, 사회적 지지, OHIP 등이 우울과 관련이 있음을 알 수 있었다. 따라서 임신부의 우울을 감소시키기 위해서는 다양한 변수들을 충분히 고려한 입체적인 연구 모형을 구축하고 검증하여 긍정적인 사고를 형성할 수 있는 프로그램 개발 및 적용하는 방안을 모색하는 후속 연구가 계속되어야 할 것이다.

• 여성건강간호학회지
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• 제5권3호
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• pp.410-419
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• 1999

This study sought to figure out women's functional status after childbirth under the Sanhujori. Functioal status was defined as the women's readiness to assume infant care responsibilities and resume her usual activities including household, social and community, self-care and occupational activity. A convenience sample of 211 women who are in the postpartal period of the range from 1 week to 3 months above and residing in Seoul. Korea was studied from January, 1997 to December, 1998 for two years. Mean age of respondents was 29.9 years and mean of the present postpartal period was 7.5 weeks. The present postpartal period was of 5-8 weeks 26.5%, 3-4weeks 26.1%, 9-12 week 23.7% and below 2 weeks 7.1%, 32.7% of women had a job and the mean period of return to job was 2.76 weeks. During Sanhujori the non professional care giver was family members from women's maiden home 73.5% and only 2% of husband. The period women needed for the recovery from now was 5.39 weeks and it means that women need 12.9weeks for recovery after childbirth. For the present subjective health status after childbirth, bad was 20.2%, good 18.3 and average 61.5% and for the recovery status, completely recovered 29.5%, slightly 61.8% and rarely 8.7%. The mean of functional status at the 7.5weeks was baby care activity 3.65, household 2.57, self-care 2.46, occupational 2.44 and social 1.53 in rank. Except baby care the functional status was generally low or very low. The related factors to the functional status were the period and subjective evaluation of Sanhujori women experienced, the present period of postpartum, and subjective feeling of recovery. This result strongly reflects the effects of Sanhujori culture and Sanhujori per se on women's postpartal life including functional status and reconfirmed the relationship between health status and the experience of Sanhujori after delivery as the previous findings from various study showed. It provides a challenge to the professional care givers to research further on the effects of Sanhujori on the health status, health recovery after abortion or delivery from the various aspects through the cross-sectional and longitudinal research for the refinement of the reality of Sanhujori not only as cultural phenomenon but as an inseparable factor influencing in women's postpartal healthy adaptation and for the appropriateness of intervention and quality of care for desirable health outcome.

• 디지털융복합연구
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• 제16권12호
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• pp.97-107
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• 2018

보건복지부가 실시한 2017년 장애인 실태조사에 의하면 여성장애인이 가장 많이 이용하는 서비스 기관이 장애인복지관으로 조사되었다. 이는 여성장애인의 모성권 보장을 위한 장애인복지관의 역할이 중요함을 의미한다. 그러나 장애인복지실천 현장에서 모성권 보장을 위한 프로그램은 미비한 수준이며, 실태조사 역시 파악되지 않고 있는 실정이다. 따라서 본 연구는 장애인복지관이 제공해야 할 모성권 관련 프로그램 필요성의 근거를 제시하기 위해 첫째, 보건복지부의 2017년 장애인실태조사 결과를 바탕으로, 문헌자료를 추가하여 여성장애인의 모성권 관련 애로사항과 필요한 서비스를 분석하고 둘째, 모성권을 보장해야 하는 법적 근거와 법적근거에 기반한 현존하는 프로그램 현황을 파악하고자 하였다. 연구결과 법적인 근거에 기반한 모성권 관련 프로그램은 존재하고 있으나 여성장애인이 경험하는 모성권 관련 애로사항과 이를 해결 할 수 있는 실질적 지원서비스는 미비한 수준으로 파악되었다. 따라서 지역거점의 장애인 복지관은 성인지적 관점을 바탕으로 여성장애인의 모성권 확립을 위한 중심적 역할로서 임신, 출산, 양육에 대한 기초상식 정보제공을 위한 매뉴얼 개발, 출산관련 상담서비스 지원, 자조모임 활성화 추진, 가족을 위한 개별화된 프로그램, 의료기관 연계, 사례관리 지원 등의 구체적인 서비스 지원을 제공해야 할 것이다.

• 여성건강간호학회지
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• 제15권1호
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• pp.43-53
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• 2009

Purpose: This study was to identify what experience meant for the wives that attempted IVF-ET(In Vitro Fertilization-Embryo Transfer) program due to the spouse's infertility and provide fundamental materials to improve nursing interventions. Method: Giorgi's phenomenological method was employed, the subjects were five wives who had ever attempted IVF-ET program due to the infertility of their spouses. In-depth interview and observation method were utilized to gather information from April to December 2003. Result: The significant results from analyzing the interviews can be grouped into 34 themes, 8 categories. The essential themes for the experiences of the wives were 'shocked by the unbelievable reality', 'can't give up the connection to the blood', 'Lack of social education on pregnancy, and childbirth', 'self-pity', 'feelings of both families', 'Being afraid of the unexpected result', 'physical and mental agony', 'Positively coping with the reality. Conclusion: The results show that infertility is not a mere personal matter, and infertile people, their families and society should team up with in tackling it. The physical, psychological and social problems triggered by infertility could be ironed out by making both personal and collaborative approaches to that.