• 여성건강간호학회지
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• 제6권2호
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• pp.291-304
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• 2000

Being a mother is motherhood which means maternal role attainment and has to meet maternal identity and role confidence of caring infant. This study was designed to examine maternal identity as a motherhood and role confidence in the immediate postpartum period, and then explain the correlations of them. Data were collected for 2 months by questionnaires from 64 mothers in the hospital. The scales were to measure motherhood questionnaire which consisted of 11 items and role confidence questionnaire which consisted of 13 items. The analysis of data was done with SPSSWIN program for descriptive statistics and t-test, chi-square, ANOVA, Multiple Regression Analysis. The results were as follows: 1. Mean score of maternal identity of primipara was 55.41 and multipara was 53.81. In this outcome primipara's score was higher than multipara's. 2. Mean score of role confidence of primipara was 44.0 and multipara was 46.81. Multipara's score was higher than primipara's. 3. Correlation between maternal identity and role confidence was r=0.29(P=0.03). This was a interesting result. Because many studies reported that primipara had a lower score of maternal identity and role confidence than multipara's. But this study showed that primipara's score of maternal identity was higher than multipara's. So nurse has to support primipara's identity as a mother, taking advantage of nursing intervention from prenatal to postnatal periods. Also nurse has to offer many opportunities to experience premiparas and multiparas how to care their infants.

• 대한간호학회지
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• 제25권4호
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• pp.825-836
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• 1995

This ethnogrphic exploratory study sought to de-fine the meaning of Sanhubyung, as consequence from the perspective of the women who experienced it. A convenience sample of 9 elderly women in San Francisco. and 20 postpartal women and their 20 non-professional helpers during postpartum in Seoul, Korea were observed and interviewed for 23 months from January 1991 to December 1992 at the Human Development Center in San Francisco and at the hospital and their homes in Seoul, Korea. Sanhubyung was regarded as the consequence of "Doing a Sanhujori Wrongly," as a group of symptoms or sequelae which have two types of characteristics of symptoms . chronic and acute. It can be called a culture bound syndrome in the cultural context re-lated to childbearing phenomenon in Korea. If women violate the principles of Sanhujori, such symptoms can appear at various times : during the period of postpartum itself, at any time, periodically, especially at the anniversary of the child's birth, late forties, and in old age. Acute symptoms that can be classified into immediate and late types include painful and edematous gingiva, sensitive teeth, strange sensation and pain in the knees or backache. Besides, there is a localized sense of soreness and pain ; sense of being in a draft and cold, stomach upset, GI irritation, chilling, shivering, and tiredness, pain and dazzling in the eyes. Chronic symptoms occur in the head, neck, teeth, back, hands, knees, hands and feet, arms and legs, eyes, sinews and joints, bones, and in the body or as a whole. Generally these symptoms are pain, often accompanying a feeling of being cold and in a draft, regardless of actual weather conditions. In conclusion, this findings reflect the Oriental way of thought of causal relationship of women's health and illness based on the wholistic paradigm of harmony and balance of two forces, Yin(cold) -Yang(hot). It provides a challenge to the professional sector to rethink the effect of culture on health and illness. Finally, it suggests care providers use cultural assessment for the appropriateness of the intervention and quality of care for desirable health outcomes.

• 지역사회간호학회지
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• 제1권1호
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• pp.115-128
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• 1989

본 연구는 1987년 1월 5일부터 2월28일까지 부산 경남지역 37개 보건소에 근무하는 보건소 간호사 249명을 대상으로 보건소 간호사의 사업 영역별 업무 수행정도를 측정하고 업무 수행에 영향을 미치는 요인들을 분석하였다. 그 결과는 다음과 같다. 1) 전체 사업에 대한 평균은 2.52이었으며, 그중 사업계획이 3.05로 가장 높았고, 기타 보건사업이 2.07로 가장 낮게 수행하는 것으로 나타났다. 2 ) 근무실별 업무 수행정도를 본 결과 가족계획실은 가족계획 사업 수행이 3.94, 결핵실은 결핵관리 수행이 3.79, 진료실은 질병관리 수행이 3.42, 주사실은 사업계획 수행 계획이 3.76, 모성 영유아실은 산전관리가 3.46, 모자보건센타는 산후관리가 3.63으로 각각 가장 높은 수행 정도를 나타내었다. 3) 보건소 간호사의 업무 수행에 영향을 미치는 일반적 특성 중 연령, 학력, 종교, 근무 부서실, 직무에서 유의한 차를 나타내었다(P<.05).

• 지역사회간호학회지
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• 제13권2호
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• pp.280-291
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• 2002

Objectives: This study was conducted to evaluate the maternal child health services provided by public health centers in Pyungtaek city. Methods: Data were collected based on multiple sources of official records. A questionnaire survey was obtained from 50 mothers with premature babies, and 89 mothers with full- term babies, in order to compare their demographic factors, and physical, obstetrical, and emotional status. In addition, the investigators collected data on pre and post follow-up care for the remature group to evaluate the effects of home visiting services on them. Moreover, additional data were collected from 135 pregnant women and 315 mothers with infants, to assess their degree of satisfaction for prenatal education course and breast feeding practices. Results: 1) The pregnant women's satisfaction for the prenatal education course, knowledge, and practices on self care were considered to be high. 2) Of the mothers with infants, 62.9% experienced breast feeding, but only 35.9% of them did it for six months. 3) Premature birth rate in the region was 5.6%, and 75.6% of all premature babies received follow-up care. 4) The mothers with premature babies experienced premature rupture of membrane. placenta previa, preeclampsia, and cesarean section more frequently than the mothers with full-term babies. 5) At the pre-intervention data collection point. mothers with premature babies experienced significantly less social support than mothers with full-term babies. In addition, mothers with premature babies reported higher levels of stress and care-giving burdens, and lower level of self esteem, than mothers with full-term babies, although the differences were not statistically significant. 6) In the premature group, stress, care giving burdens, and postpartum depression decreased after the intervention, whereas maternal self esteem, and the husband's support were increased after the intervention. Social support from significant others were somewhat decreased. 7) Satisfaction for the home visiting service in the mothers with premature babies was very high. Conclusion: These results showed a possibility that the recently started maternal child health services provided by the public health centers may be efficient. Although statistically significant differences were not found, the investigators found a potential for changes in a positive direction. Long-term effects of the health services on maternal child health needs should be addressed in future studies.

• Asian Pacific Journal of Cancer Prevention
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• 제15권12호
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• pp.4903-4907
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• 2014

Background: This study aimed to identify factors associated with women's decisions to attend cervical cancer screening and to explore those linked with intention to attend in the coming year and to continue regular screening. Materials and Methods: A community based case-control study was conducted among woman 30-60 years of age in catchment area of Chatapadung Contracting Medical Unit (CCMU), networking of Khon Kaen Center Hospital, Thailand. Self-administered questionnaires were used to collect data, and in-depth interviews were then performed to explore in greater detail. Results: There were 195 participants. Only one third (32.3 %) had been screened for cervical cancer within the past 5 years. Some 67.7% reported that they had not been screened because they had no abnormal symptoms, single marital status, and no children. Only 10.6% of those never had screening intent to be screened within the next 12 months. High family income (adjusted OR=2.16, 95%CI=1.13-4.14), good attitude towards a Pap test (OR=1.87, 95%CI=1.09-4.23), and having received a recommendation from health care providers were important factors associated with decisions to attend cervical cancer screening (OR=1.73, 95%CI=1.01-4.63). From in-depth interviews, there were five reasons of their decisions to attend cervical cancer screening including yearly check-up, postpartum check-up, having abnormal symptom, encouragement by health care providers, and request from workplace. Conclusions: High family income, good attitude towards a Pap test, and receiving proper recommendation by health care providers, were important factors associated with decision to have cervical cancer screening among women 30-60 years old. Trying to enhance these factors and reduce barriers regarding screening, may increase the coverage rate for cervical cancer screening in Thailand.

• 여성건강간호학회지
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• 제19권3호
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• pp.129-141
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• 2013

Purpose: The purpose of this study was to determine the current state of nursing intervention for maternal adaptation and its' effectiveness in Korea by utilizing a systematic review. Methods: The PICO(Population-Intervention-Compar ator-Outcome) strategy was established, and 1,720 pieces of literature published during the last ten-year period from four electronic databases were reviewed. Eighteen references that met inclusion and exclusion criteria were finally selected for systematic review. The quality of references using critical appraisal checklist for experimental studies were evaluated, and then systematic review and meta-analysis were conducted. Results: All 18 references were quasi-experimental research design. Most interventions were provided at the hospital and postpartum care center. Maternal adaptation interventions appeared to be of many types, and particularly maternal role education programs were the most common. Confidence in maternal role was used as the most common variable for the maternal adaptati on. Various interventions for helping maternal adaptation in the postnatal period improved maternal confidence, moth er-infant attachment, maternal satisfaction and mother-infant interaction effectively. Conclusion: A diversity of nursin g interventions in postnatal period improved various aspects of maternal adaptation. Randomized controlled trials and longitudinal studies are needed in order to verify the effect of interventions for maternal adaptation more clearly.

• 한국생물공학회:학술대회논문집
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• 한국생물공학회 2001년도 추계학술발표대회
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• pp.422-425
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• 2001

For isolating and identifying Bifidobacterium spp. originating from Korea, feces were sampled from healthy Korean infants nursery school and postpartum care center. Through the use of gram staining and microscopic examination for cell morphology, 87 bacterial strains presumed to be the Bifidobacterium strains were isolated from 59 Koreans. To identify the Bifidobacterium strains at the genus level, these bacteria were then analyzed using the TLC method. As a result, 29 of the isolated strains were confirmed as members of the genus Bifidobacterium. 29 Bifidobacterium strains were tested acid, bile salts and oxygen tolerance and investigated antioxidative effect specially. And determined the superiority of 5 strains out of 29 Bifidobacterium strains. Finally, the selected bifidobacterium was identified with using designed 16S-ITS rDNA primer.

• 한국환경보건학회지
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• 제46권4호
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• pp.359-367
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• 2020

Objectives: Exposure to mold is strongly associated with adverse health effects (development or exacerbation of allergic diseases). We reviewed the health effects of mold exposure and explored to determine the annual distribution of indoor mold in facilities with susceptible populations. Methods: The health effects of mold exposure were mainly summarized by reviewing related papers and WHO research reports. We selected 10 facilities, including daycare centers, postpartum care centers, medical institutions, and elderly care facilities within the Seoul Metropolitan. Mold sampling was performed once every week or once every quarter from February 2016 to 2017. In addition, fungal species analyses was performed, and distribution status by month and facility was analyzed in the same manner as concentration. Results: Adverse health effects attributed to fungal exposure are largely divided into allergic symptoms, toxic effects, and infectious effects. Monthly mean concentrations of mold indoors and outdoors was 368.8 CFU/㎥ (geometric mean 213.4 CFU/㎥) and 496.0 CFU/㎥ (327.9 CFU/㎥), respectively. The indoor concentration has begun to increase in February, peaked in July, declined in August, increased again until October, and then decreased in November. About 36 genera of indoor fungal species were found in each facility. Cladosporium sp., Penicillium sp., Fusarium sp., Aspergillus sp., Alternaria sp., and Arthrinium sp. were observed as the dominant species. Conclusions: Our findings showed that the overall level of indoor mold was below the 500 CFU/㎥ level recommended by the Ministry of Environment. The development of DNA-based assessment and expanding facilities to be monitored for mold would be necessary for preventive aspects.

• 부모자녀건강학회지
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• 제7권2호
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• pp.133-143
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• 2004

Purpose: The purpose of this study was to compare mother's caring-confidence, between primipara perception of the newborn, and child-rearing attitude and multipara. Method: The data was collected from 159 married mothers of newborns in the post-partum care center using self-rating questionnaires from November, 2003 to March, 2004. Data was analyzed using SPSS/Win program by t-test and Pearson Correlation coefficient. Result: 1) The mean score of mother's perception of the newborn, the newborn caring-confidence, and child-rearing attitude were .26, 3.13, and 3.43. 2) The score of the newborn caring-confidence of multipara was greater significantly than the one of primapara. 3) The score of mother's perception of tile newborn and child-rearing attitude of primapara were greater than the one of multipara but there were no significant differences. 4) There was a positive correlation between mother's perception of the newborn and child-rearing attitude and significant correlation between caring-confidence and child-rearing attitude. 5) The score of mother's perception of the newborn was significantly different according to the level of education type of family and delivery planned. 6) The score of caring-confidence was significantly different according to the helper, the history of delivery. 7) The score of child-rearing attitude was significantly difference according to the level of education and the birth weight of newborn. Conclusion: When the newborn care giver in the postpartum care setting is teaching the method of infant care to mother, there should be in consideration of the rearing experience of mothers. Mother's perception of the newborn, caring-confidence, and child-rearing attitude should be considered to develop the effective education program for mothers who have newborn. And its educational contents must be focused on the promotion of trust between infant and mother.

• 한국산학기술학회논문지
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• 제15권6호
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• pp.3805-3812
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• 2014

본 연구의 목적은 산후조리원에 있는 산모를 대상으로 아기모형을 활용한 신생아 돌봄 교육프로그램을 개발하고 적용한 후 효과를 확인하는 것이다. 연구 대상자는 B시에 소재하는 S 산후조리원을 이용하는 48명의 산모이다. 아기모형을 활용한 신생아 돌봄 교육프로그램은 2주 동안 3차례의 구두교육 및 실기교육을 통해 진행되었으며 자료수집을 위한 설문조사는 2013년 7월부터 2013년 9월까지 실시되었다. 연구결과 산모의 신생아 양육 지식정도는 교육 전 2.27점에서 교육 후 2.81점으로 유의하게 증가하였으며(t=-7.049, p<.001) 부모효능감의 점수도 교육 전 2.69점에서 교육 후 2.89점으로 유의하게 증가하였고(t=-5.545, p<.001) 교육 만족도는 교육 후 4.12점으로 나타났다. 즉 출산 후 산모들에게 구두 교육과 아기모형을 활용한 실습 교육을 접목한 체계적인 교육을 제공하는 것은 산모들의 양육지식 및 부모효능감을 증가시켜 새로운 모성역할 획득과 적응에 도움을 줄 수 있을 것으로 사료된다.