• Journal of Wellbeing Management and Applied Psychology
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• v.6 no.1
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• pp.9-15
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• 2023

Purpose: This study aimed to implement safe and suitable kangaroo mother care with healthy mothers and newborns immediately after childbirth. In addition, it aimed to assess its effects on maternal attachment, maternal role confidence, and maternal role satisfaction. Research design, data and methodology: A quasi-experimental design was used with pre and posttests. A total of 58 participants were selected by convenience sampling through public notifications at a women's hospital. The control group performed routine care without providing kangaroo contact, and a posttest was performed four weeks after the pretest. The experimental group comprised healthy mothers who had given birth by cesarean section. They performed kangaroo mother care twice a day (60 min each) for four weeks for their newborns after the protocol was validated by an expert. Results: The results showed significantly higher maternal attachment, maternal role confidence, and maternal role satisfaction in mothers who participated in kangaroo mother care than those who did not. Our findings suggested that kangaroo mother care has a positive effect on the enhancement of maternal attachment and facilitation of maternal role confidence and satisfaction. Conclusions: Thus, the expansion and implementation of kangaroo mother care are necessary to promote healthier mother-child relationships.

• Women's Health Nursing
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• v.10 no.2
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• pp.109-118
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• 2004

Purpose: The purpose of this study was to develop a specialized education curriculum aimed at helping nurses prepare for running and managing a Maternal-Child Health Center (Postpartum Care Center). Method: This study was conducted by an academy and industry joint research group consisting of professors of Nursing, and nurses actually running a Postpartum Care Center. The group compiled job descriptions of nursing through document research, interviews and observation during site visits, surveys, and seminars. They then performed a feasibility study and developed the final curriculum. Result: The education curriculum is a 32-week(2semester) program compromised of a theory part (12 credits, 180 hours) covering maternal and infant care and business start-up and field practice (3 credits, 45 hours). Courses in the theory part include an antenatal care, overview and details of maternal care, starting a business and its management. Of these courses, the overview of a maternal care course was developed with web-based contents. Field practice is designed to give students opportunities to visit Postpartum Care Centers, observe the care provided, and get hands-on experience. Conclusion: The specialized education curriculum is a 32-week course comprised of 12 credits on theory of antenatal care, overview and details of maternal care, infant care, starting and operating a business and 3 credits of field practice.

• Journal of East-West Nursing Research
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• v.23 no.2
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• pp.134-141
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• 2017

Purpose: The purpose of this study was to investigate the effects of the maternal health care program on pregnant women's depression, maternal role self-confidence and delivery self-efficacy in a public health center. Methods: This study used a non-equivalent control group quasi-experiment design attempted to verify the effectiveness of maternal health care program. In the experimental group (39 participants), maternal health care program was applied for 120 minutes for 8 weeks, and the control group (40 participants) was provided with a booklet for maternal health care. Data collection was conducted from September 20, 2015 to November 30, 2015. Data were analyzed using ${\chi}^2-test$, Fisher's exact test and t-test. Results: The maternal health care program showed a significant effect on maternal role self-confidence and delivery self-efficacy compared to control group. Conclusion: The maternal health care program conducted at the public health center was found to be effective in improving maternal role self-confidence and delivery self-efficacy. Further development of a program to mediate the depression of the expectant mothers is needed.

• Journal of Home Health Care Nursing
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• v.18 no.2
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• pp.88-98
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• 2011

Purpose: This study was done to develop and test a maternal role strengthening program based on home care nursing. Methods: A quasi-experimental design was employed. Changes in the variables(maternal identity and confidence of maternal role) were evaluated to test the effects of the developed program. Participants were first-time mothers receiving home care nursing from S Medical Center following normal spontaneous vaginal delivery(experimental group 29; control group 29). Data collection was conducted from December 2008 to February 2009. $X^2$-test, Fisher's exact test and t-test were used to analyse the data. Results: Hypothesis 1, that the experimental group receiving this program would experience a stronger maternal identity than the control group, was supported(t=-7.990, p=<.001). Hypothesis 2, that the experimental group would have higher confidence in their maternal role than the control group, was also supported(t=-10.109, p=<.001). Conclusion: The maternal role strengthening program based on home care nursing developed in this study was found to be an effective means of improving maternal identity and confidence of maternal role. As these traits are developed once the baby is born, active nursing programs which provide continuous training and demonstrations to mothers are needed prior to hospitalization and following hospital discharge.

• The Journal of Korean Medicine
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• v.40 no.2
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• pp.106-118
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• 2019

Objectives: The aim of this study is to survey on the effect of Korean medicine health promotion program for maternal health. Methods: We conducted Korean medicine health promotion program for maternal health to pregnant women who agreed to participate in this program among 10 public health center. Before and after program, we surveyed the Knowledge Score of Maternal Health Care, Practice of Health Behavior, (Traditional) Child Care Recognition, Depression, Child Caring Confidence and analyzed DID(Difference In Difference). Results: The Knowledge Score of Maternal Health Care of intervention group was improved about 1 point. The improvement of (Traditional) Child Care Recognition was significant. Depression score of intervention group was improved high significantly. The Child Caring Confidence of intervention group was improved about 1.3 point. Conclusion: As a result of analyzing the effect of Korean medicine health promotion program for maternal health, it is confirmed that this program can have an impact on improving Knowledge Score of Maternal Health Care, (Traditional) Child Care Recognition, Depression, Child Caring Confidence. It will be necessary to continue and develop this program widely.

• Journal of the Korean Home Economics Association
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• v.35 no.2
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• pp.309-319
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• 1997

The purpose of this study was to examine the maternal separation anxiety depending on the quality of day care and mother's self-esteem. subjects consisted of 187 mothers who had children from 60 t 36 months of age. the instruments used were the questionnaires which consisted of the Maternal separation anxiety scale(Cho and park, 1992), Self-Esteem Inventory(Coopersmith, 1967), and the checklist which consisted of the early childhood environment Rating scale(Harms & Clifford, 1980) and the Family Day Care Rating scale(Harms & Clifford, 1989). The datas were analyzed by the statistical method based o frequency, percentile, t-test, and one-way ANOVA. The main results were as follows : First, there was a significant difference in maternal separation anxiety by mothers' age and not by their educational levels. Second, there were no significant differences in maternal separation anxiety by children's age, sex, and girth order. Third, there was no significant difference in maternal separation anxiety by quality of day 2 care, size of group, and adult-child ratio. Forth, there was a significant differences in maternal separation anxiety by mother's self-esteem.

• 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.

• Women's Health Nursing
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• v.7 no.3
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• pp.256-270
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• 2001

The purpose of this study was to compare maternal attitude and self confidence for infant care of primiparas of rooming-in and not rooming-in. The subjects were 128 primiparas who had delivered at eight general hospital in Seoul. 67 primiparas were in three rooming-in facilities and 61 primiparas were in five not rooming-in facilities. The data were collected from primiparas using Cohler's Maternal Attitude Scale and Pharis' Self Confidence Scale at postpartal 1 or 2 weeks. The results of this study were as follows : 1. The mean of maternal attitude was 100.32 and the range was from 82 to 138. The score of primiparas in rooming-in(100.94) was higher than those of not rooming-in(97.43). There was a significant difference in maternal attitudes between rooming-in group and not rooming-in group(P=.001). There were no significant differences in maternal attitude according to age and infant sex. But types of feeding were related to maternal attitude (P=.017). 2. The mean of self confidence for infant care was 119.55 and the range was from 58 to 173. The mean of primiparas in rooming- in(123.10) was higher than those of not rooming-in (115.86). There was a significant difference in self confidence for infant care between rooming-in group and not rooming- in group (P=.040). No significant differences existed in self confidence for infant care according to age, infant sex, and types of feeding. 3. The rate of breast feeding was 64.2% in rooming-in group and 34.4% in not rooming-in group at postpartal 1 or 2 weeks. There was a significant difference in breast feeding between the two groups(P=.004). In conclusion, rooming-in facilities provided primiparas with more positive maternal attitude and greater self confidence for infant care and increased the rate of breast feeding.

• Korean Journal of Child Studies
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• v.26 no.2
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• pp.55-74
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• 2005

This study investigated the effects of children's temperament and environmental factors on boys' and girls' noncompliance in ecological context. Observations were made of 62 children(34 boys and 28 girls, $\bar{x}$= 44 months) enrolled in child-care centers. Mothers and caregivers completed questionnaires. Data were analyzed by t-test, Pearson's Correlation, and three way ANOVA. Results showed no significant gender difference in noncompliance. There were correlations between children's activity level, maternal rejection and responsiveness, quantity of child-care and boys' noncompliance. For girls, only activity level and quantity of child-care were related to noncompliance. The effects of maternal child-rearing behavior and child-care variables on noncompliance varied by children's gender and temperament.

• Journal of Korean Academy of Nursing
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• v.37 no.6
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• pp.949-956
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• 2007

Purpose: The purpose of this study was to examine the effects of Kangaroo Care(KC) on anxiety, maternal role confidence, and maternal infant attachment of mothers who delivered preterm infants. Methods: The research design was a nonequivalent control group pretest-posttest. Data was collected from September 1. 2006 to June 20. 2007. The participants were 22 mothers in the experimental group and 21 in the control group. KC was applied three times per day, for a total of ten times in 4 days to the experimental group. Results: The degree of anxiety was statistically significantly different between the two groups but maternal role confidence and maternal infant attachment was statistically insignificant. Conclusion: This data suggests that KC was effective for mothers anxiety relief but it was not effective for maternal role confidence and maternal infant attachment of mothers. The implications for nursing practice and directions for future research need to be discussed.