• Title/Summary/Keyword: Pregnancy, Prenatal care

검색결과 99건 처리시간 0.027초

한국인임신부(韓國人姙娠婦)의 Sodium과 단백질섭취량(蛋白質攝取量) 및 대사(代謝)에 관(關)한 연구(硏究) (A Study on the Sodium and Potassium Intakes and Their Metabolism of the Pregnant Women in Korea)

  • 남해원;이기열
    • Journal of Nutrition and Health
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    • 제18권3호
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    • pp.194-200
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    • 1985
  • The purpose of this study was to investigate sodium intake and protein metabolism for pregnant women in Korea. The relationship between salt consumption and hypertension, electrolyte changes in pregnancy, and the tendency of weight gain of pregnant women were also examined. The dietary survey and twelve or twenty-four hour's urine collection was performed in this study. The subjects were pregnant women who came to gynecology clinic for prenatal care from July to August in 1984. The results were as follows: 1) Intakes of calorie and iron of Korean pregnant women were 2,036 Kcal and 16mg per day per person. The calorie composition consists of 65% carbohydrate, 16% protein, and 19% lipids. The average level of all nutrients was about 87% of Korean Recommended Dietary Allowances. 2) The sodium intakes in pregnant women estimated by dietary survey was 318.6 mEq Na (7,966 mg Na), which is equivalent to 20.2 g NaCl. 3) Daily sodium excretion was 112.5 mEq per liter, that is equal to 147.4 mEq. Potassium excretion was 24.95 mEq per liter and creatinine excretion was 594.0 mg per day. 4) There were statistically significant correlations between sodium intake and the excretions of sodium, potassium and creatinine. The blood pressure was positively correlated with sodium intakes. As sodium and potassium ratio was increased, systolic blood pressure and diastolic blood pressure were also significantly increased 5) Urinary nitrogen and creatinine ratio known to be reliable index for nutritional status of protein was 5.5 : 1. These values were comparable to the values in American pregnant women. 6) The weight gain during the pregnancy was examined. There was little weight gain during the first trimester, because of nausea, vomit and decrease of appetite. The weight gain during the second trimester was 4.9Kg, and 11.1Kg for third trimester.

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임부의 태교인식과 태교실천에 관한 조사연구 (A Study on Recognition and Practice of Teakyo by Pregnant Women)

  • 신용분;고효정
    • 여성건강간호학회지
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    • 제6권1호
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    • pp.142-152
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    • 2000
  • This study is a descriptive study to offer an actual basic data as Nursing intervention strategy of nurses before delivery in order that pregnant women in Korea may effectively practice Taekyo by examining the relation after apprehending level of recognition and practice of our pregnant women about Taekyo. This study collected questionnaires from 801 pregnant women who visited general hospitals in 10 areas(Seoul, Daejon, chunan, Daegu, Kummi, $Ky{\check{o}}ngju$, $P{\ddot{o}}hang$, Busan, $J{\ddot{o}}nju$, and $Y{\ddot{o}}nkwang$) for prenatal care through an outpatient obstetrics and gynecology from July 15 to August 30, 1999. This study used the tool of lee, Ki Young(1993) revised an complemented by investigator to measure recognition of Taekyo and the tool of Jang, Shun Buk and Park, Young Ju(1996) revised and complemented by investigator to measure practice of Taekyo. The Cronbach's alpha value of each tool was .88 in recognition of Taekyo, while the value was .90 in practice of Taekyo. For data analysis, this study used the descriptive and statistical analysis, Pearson correlation, t-test, ANOVA, Tukey's post hoc contrast, and Stepwise multiple regression in accordance with the purpose of this study with using SPSS Win 7.5 program. The results were as follows ; 1. The practice of Taekyo was low in comparison with recognition of Teakyo by showing average 4.28 points and standard deviation 0.48 at level of recognition of pregnant women about Taekyo on the basis of 5 points and showing to show average 2.81 points and standard deviation 0.36 at practice level on the basis of 4 points. 2. They showed the higher level of recognition on Taekyo at high educational background of pregnant woman(F=3.735, p=.005), Roman catholicism (F=4.570, p=.002), satisfied married life(F=5.448, p=.004), high monthly income(F=6.096, p=.000) and cases of hoping pregnancy(F=2.525, p=.012). 3. They showed the higher level of practice on Taekyo at high educational background of pregnant woman(F=2.883, P=.022), Roman catholicism(F=3.616, p=.032), satisfied married life(F=19.924, p=.000), good health condition(F=2.386, p=.017), cases of hoping pregnancy(F=0.677, p=.000), cases of planning pregnancy with husband(F=3.024, p=.001), cases of regular prenatal care before delivery(F=0.241, p=.005), cases of maternal breast feeding (F=9.132, p=.000), and the number of less children(F=2.763, p=.041). 4. In result of examining correlation between recognition and practice of Taekyo, they showed high level of practice on Taekyo under high level of recognition of pregnant women on Taekyo by showing the statistically significant correlation. 5. In result of examining the related factors that affect recognition and practice of Taekyo y the object, practice of Taekyo had 16.8 percents of explanatory range, purpose of practicing Taekyo 8.5 percents of explanatory range, and monthly income 1.9 percent of explanatory range as variables of affecting recognition of Taekyo. The total explanatory range was 27.2 percents, Recognition of Taekyo had 16.1 percents of explanatory ragne, time of starting Taekyo 3.2 percents, health condition 2.2 percents of explanatory range, condition of hoping pregnancy 1.1 percent of explanatory range, satisfaction of married life 0.8 percent of explanatory range, and religion 0.6 percent of explanatory range as variables of affecting practice of Taekyo. The total explanatory range was 24.0 percents.

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태아애착에의 영향요인: 임부의 피로, 사회적지지, 태교실천 (The Contribution of Maternal-Fetal Attachment: Taegyo, Maternal Fatigue and Social Support during Pregnancy)

  • 유미;김미옥
    • 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.

추적조사에 의한 농촌 여성의 출산력과 임신소모율 (A Follow-up Study of Fertility and Pregnancy Wastage of Women in Rural Area)

  • 박정한;김신향;천병렬;김귀연;예민해;조성억;조재연
    • Journal of Preventive Medicine and Public Health
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    • 제21권1호
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    • pp.21-30
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    • 1988
  • 농촌 여성들의 출산력과 임신소모율을 조사하기 위해 군위군에 거주하는 15-49세의 여성 가운데 조사시작 당시 영구불임 수술을 하지 않은 유배우 가임여성을 대상으로 17명의 면 보건요원들이 1985년 4원 1일부터 1987년 3월 31일까지 2년간 추적 관찰하여 그들의 피임 실천율, 출산율 그리고 임신 소모율을 조사하였다. 총 관찰된 6,826 여성인년 가운데 피임을 실천한 기간은 3,522인년(51.6%), 임신, 유산 그리고 출산을 한 기간은 519인년(7.6%)이었으며 피임을 하지 않은 기간은 2,491인년(36.5%)이었다. 조사시작 당시에 영구불임 수술을 한 사람을 포함시켰을 경우에는 피임을 실천한 기간이 72.1%로 전국의 피임 실천율보다 오히려 높은 수준이었다. 그러나 30대 여성의 경우 2-3명의 자녀를 갖고서도 피임을 하지 않고 있는 사람이 약 28%나 되고, 피임을 하는 경우에도 월경 주기법이나 콘돔과 같은 실패율이 높은 피임법을 20대 여성보다 더 많이 쓰고 있었다. 관찰기간 동안 전체적으로는 100 여성인년당 14.3건의 임신이 일어났으며, 25-29세 여성 이 100 여성인년당 27.4건의 임신으로 가장 높은 임신율을 보였다. 전체임신 중 22.0%가 사산(0.9%), 자연유산(3.8%), 그리고 인공유산(17.3%)으로 소모되었다. 연령이 증가함에 따라 임신 소모율이 증가하여 30세 미만 부인의 임신 소모율은 15.8%인데 비해 30대 여성이 임신을 한 경우 37.5%가 인공유산을 하여 자연유산과 사산을 합한 임신 소모율이 43.5%나 되었다. 추적기간 동안에 인공유산으로 종결한 부인이 출생으로 종결한 부인에 비해 평균 자녀수와 자연유산 및 인공유산 경험회수가2배 이상으로 많아 유산을 경험한 사람이 유산을 반복하고 있었다. 출생으로 종결한 임부는 평균 4.2회의 산전 관리를 받았고 분만은 85%가 의료기관에서 일어났으며, 가정 분만은 15%로 전국의 농촌지역에 비해 높은 시설 분만율을 나타냈는데, 이것은 군위군이 일차 보건의료시범사업 지역이었기 때문으로 생각된다. 이와 같은 연구 결과로 보아 농촌 여성을 대상으로 한 가족계획 사업은 30대 여성을 대상으로 하여 경구 피임약이나 자궁내장치와 같이 피임 효과가 높은 피임법을 보급하는데 중점을 두어야 임신 소모율을 줄이고 여성건강을 증진시킬 수 있을 것으로 생각된다.

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초기 산욕부의 간호요구도와 만족도에 관한 연구 (A Study on the Nursing Needs and Satisfactions of Early Postpartum Women)

  • 유연자;이은주
    • 여성건강간호학회지
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    • 제5권3호
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    • pp.389-409
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    • 1999
  • This study was carried out to identify the differences between nursing needs and levels of satisfaction of postpartum women during the early postpartum period. The goal of this study was to obtain needed to develope the nursing quality for postpartum women. The subjects were 87 postpartum women who had vaginal delivery at 2 general hospital and 2 maternity hospital in the Ulsan City. The period for the data collection was from June 1 to 29, 1999. The data was gathered using an 98 items questionnaire which was a modified version of a questionnaire the developed by Y. J. Chun. Results found are as follows : 1. The general characteristics of the subjects : The majority of subjects were 25-29 yrs. (57.5%), high school and college graduates(96.5%), unemployed(75.9%), middle ranged economics(93.1%), had no religion(43.7%), male baby(52.9%), birth weight 3-3.5Kg(49.4%), wanted pregnancy(96.6%), no abortion history(50.6%), had antenatal care(89.7%), had prenatal education(32.2%), postnatal education(42.5%), intended breast feeding (46.0%), had resonable self confidence about self(20.7%), infant care(36.8%) and nuclear family pattern(82.3%). 2. The level of nursing needs of overall nursing care(3.93) and the levels of satisfaction(3.86) was relatively high. The nursing needs by category of nursing care, the highest need was in the emotional and psychological care(4.09), and the lowest need was in physical need(3.73). The satisfactions by category of nursing care, the highest satisfaction was in emotional and psychological care(4.11) and the lowest satisfaction was in education in self care(3.64). The significant differences between nursing needs and satisfactions were found on education in infant care(p=.005), and education in self care(p=.020). 3. Among items of physical care, 'accurate medication and treatment(4.21)', 'control of postpartum hemorrhage(4.13)', 'pain control and care of episiotomy wound (4.12)' and 'regular observation of postpartum conditions(4.09)' showed high nursing needs. 'Accurate medication and treatment(4.31)', 'regular observation of postpartum condition(4.24)', 'control of postpartum hemorrhage(4.22)' and 'pain control and care of episiotomy wound(4.12)' showed high satisfaction levels. 4. Among items of emotional and psychological care, 'personal treatment(4.32)', kind and faithful care(4.30)', 'detailed explanation on the treatment or nursing care(4.25)', 'adequate draping during the care and treatment(4.23)' and detailed explanation on a doubt(4.13)', showed high nursing needs, 'personal treatment(4.52)', 'kind and faithful care(4.45)', 'detailed explanation on a doubt(4.24)', 'detailed explanation on the treatment or nursing care(4.21)' and 'adequate draping during the care and treatment(4.18)' showed high satisfaction of nursing care. Difference between the level of nursing needs and satisfaction was significant except item of 'early contacts with their baby and breast feeding'. 5. Among items of environmental care, the highest level of need and satisfaction were on the items of 'neat bedding and clothes(4.05, 4.21)' and 'room cleansing or care of room(4.01, 4.28)'. Differences between the level of nursing care and satisfaction were 'room cleansing of care of room'. 6. Among items of educational needs on self care, 'sitz bath method(4.22)', 'high risk symptoms to immediate clinic visits(4.13)', 'the timing of tub bath(4.05)' and 'good secretion of breast milk(4.03)', showed high nursing needs, 'sitz bath method(4.22)' showed high satisfaction of nursing care. Differences between the level of nursing care and satisfaction were 'the timing of hair shampoo', 'the timing of tub bath', ' the method of pad change', 'postpartum exercise', 'good secretion of breast milk', 'maintenance of breast figure', 'contraindicated drugs in postpartum women', 'kegel exercise' and 'breast self examination'. 7. Among items of educational needs on infant care, 'immunization of infants(4.36)', 'symptoms of sickness to immediate clinic visits(4.28)'. 'safety and emergency care(4.28)', 'umbilical care(4.26)', 'feeding times and intervals(4.24)', 'normal growth and development of infant(4.24)' and 'infection control(4.22)', showed high level of nursing care, 'immunization of infants(4.21)', 'feeding times and intervals(4.17)', were high satisfaction items showed significant differences between the level of nursing care and satisfaction. 8. Relationship between nursing needs and levels of satisfaction among postpartum women were as follows : 1) Physical area : There were no significant differences in the level of nursing needs, but satisfaction levels were significantly different among 'working mothers', 'baby's weights', 'baby's sex', 'planning of feeding' and 'routes of receiving postpartum informations'. 2) Emotional and psychological area : The level of nursing needs were significantly different in the area of 'confidence in self care'. Satisfaction levels were significantly different among 'baby's sex', 'baby's weights', 'the confidence of infant care' and 'working mother'. 3) Environment area : There were on significant differences in the level of nursing needs, but satisfaction levels were significantly different among 'maternal age' and 'baby's weights'. 4) Education in self care : The level of nursing needs were significantly different among 'parity history' and 'type of family formation'. Satisfaction levels were significantly different among 'working mother', 'baby's sex', 'antenatal care', 'postpartum education', 'planning of feeding', 'routes of receiving postpartum informations'. 5) Education in infant care area : The level of nursing needs were significantly different among 'parity history'. Satisfaction levels were significantly different among 'baby's sex', 'receiving postpartum education or not' and 'working mother'.

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WPAN기반 시멘틱 웹 헬스 모니터링 (WPAN Based Semantic-Web Health Monitoring)

  • 임명재;김명관;이기영
    • 한국인터넷방송통신학회논문지
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    • 제13권6호
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    • pp.167-172
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    • 2013
  • WPAN은 근거리 무선 개인 통신망으로 센서간의 연동과 센서와 네트워크간의 요소기술을 포함하고 있다. 유비쿼터스 센서 네트워크의 핵심 기술로 WLAN이나 CDMA망과 연계하여 더 큰 유비쿼터스 네트워크를 형성할 수 있다. 본 논문에서는 WPAN과 헬스케어의 융합의 관점으로 정기진료를 필요로 하는 환자들 중 임산부를 대상으로, 임신중의 활동사항을 스마트폰을 이용하여 체계적으로 관리할 수 있는 스마트폰 애플리케이션을 제안한다. 진단결과 데이터를 스마트폰에 WPAN 방식을 사용하여 전송하며, 스케줄링과 함께 애플리케이션의 다양한 서비스를 제공할 수 있도록 한다.

한의학적인 생명관의 특징과 건강의 정의 (Concepts of Life and Health Definition in Traditional Korean Medicine)

  • 이선동;박해모
    • 대한예방한의학회지
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    • 제10권1호
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    • pp.33-51
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    • 2006
  • With the reduction of contagious diseases throughout the world and prolonged life expectancy has lead into increase of habitual related diseases. Industrial development and better economic situation made people more concerned about their health. As primary illnesses are subdued in the past years, health care system and the public value prevention and well-being more than the treatment itself. Based on this trend, this study focused on the view of life from the perspective of Oriental medicine as it's peculiarities, regimen methods, and the definition of healthy life are evaluated. Following results were obtained: - View of life in Oriental medicine focused on two basic principles of interrelationship between the organs internally, inter-dependency with the natural environment and social surrounding externally as recognition and respect between the medium were valued. - Sustaining and maintaining good health in Oriental medicine are closely related to prenatally healthy pregnancy and fetation, as well as prenatal training. Postnatal maintenance includes accommodation to seasonal changes, adequate food intake, mind control, various regimen methods and avoidance of wrong doings. - Defining health includes body's internal condition and external influences, principles of essence, qi, spirit, and yin and yang, harmony and balance, and individuality. - To conclude, good health in Oriental medicine is defined as 'external adaptation to society and natural environment, and internal balancing of individual difference with accumulation of essence, nurturing and circulating qi, and every material around the body in harmony and balance."

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조기진통임부와 정상임부의 불안 우울과 태아애착행위 (Anxiety-depression and Maternal Fetal Attachment Behaviors of Pregnant Women with Preterm Labor and Normal Pregnant Women)

  • 문은혜;김재연;정민경;손혜민;오진아
    • 부모자녀건강학회지
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    • 제9권2호
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    • pp.128-139
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    • 2006
  • The purpose of this study was to compare the differences of anxiety-depression and maternal fetal attachment between pregnant women with preterm labor and normal pregnant women. The number of subjects was 132 convenienced sample. The sample were 66 pregnant women with preterm labor admitted in clinics and 66 normal pregnant women visited OB outpatient department at 1 general hospital in Busan. The data were collected by a self-reported questionnaire from Aug. 1st to Oct, 31th. 2006 and were analyzed with t-test, ANOVA, chi-square test using SPSS/Win PC+ 12.0. The research results were as follows: 1. The general characteristics between normal and preterm pregnancy were homogeneous. 2. It was significantly differed according to anxiety-depression between two groups, but it was not significantly differed according to maternal fetal attachment. 3. There were negative correlations with anxiety-depression and maternal fetal attachment. In conclusion, the special program should be created for each pregnant women and ante-natal nursing service may assessed and consulted on anxiety-depression and maternal fetal attachment, and needed the development of professional and educational nursing intervention on anxiety-depression and maternal fatal attachment enhancement in prenatal health care.

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일 대학병원 결혼이주여성과 한국여성의 산과적 결과 비교 (Comparison of Obstetric Outcomes between Married Immigrant and Korean Pregnant Women in University Hospital)

  • 이은숙;문희
    • 한국융합학회논문지
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    • 제9권3호
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    • pp.279-287
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    • 2018
  • 본 연구는 결혼이주여성의 산과적 결과에 미치는 요인을 파악하고 이를 한국여성의 결과와 비교하여 결혼이주여성의 출산건강에 효과적인 간호중재 수립을 위한 기초자료를 제공하고자 수행된 조사연구이다. 연구대상자는 2011년부터 2015년까지 일 대학병원 분만실에서 분만한 결혼이주여성과 한국여성 총 302명으로 하였으며 후향적으로 의무기록을 조사하였다. 자료분석은 SPSS WIN 24.0 프로그램을 이용하여 빈도, 평균과 표준편차, 로지스틱 회귀분석을 실시하였다. 산과적 결과에 영향을 미치는 요인은 결혼이주여성과 한국여성 모두 조기양막파열, 임신성고혈압, 양수이상, 내과적 질환으로 나타났으며, 결혼이주여성의 경우에는 연령, 배우자의 연령, 직업, 헤모글로빈 수치, 태반이상 등이 추가적으로 영향을 미치는 것으로 나타났다. 따라서 결혼이주여성의 산과적 결과를 향상시키기 위해서는 이들 영향 요인들을 고려한 산전관리프로그램이 필요하다.

Association of Pre- and Perinatal Risk Factors With Tourette Syndrome or Chronic Tic Disorders in a Korean School-Age Population

  • Wooseok Choi;Soon-beom Hong;Johanna Inhynag Kim;Jung Lee;Soomin Jang;Yebin D Ahn;You Bin Lim;Sumin Kim;Mee Rim Oh;Bung-Nyun Kim
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제34권1호
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    • pp.37-44
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    • 2023
  • Objectives: Tic disorders are highly heritable; however, growing evidence suggests that environmental factors play a significant role in their pathogenesis. Studies on these factors have been inconsistent, with conflicting results. Therefore, this study aimed to examine the associations of pre- and perinatal exposure to Tourette syndrome (TS) or chronic tic disorders (CTD) in Korean school-aged children. Methods: This case-control study used data from a large prospective cohort study. The primary outcome was TS/CTD diagnosis according to the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) criteria and Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version-Korean Version. Demographic, pre-, and perinatal information was obtained from the maternal questionnaires. Data between the TS/CTD and control groups were compared using the chi-squared or Student's t-test, as appropriate. Two-step logistic regression analyses were used to test the association between TS/CTD and pre- and perinatal risk factors. Results: We included of 223 children (78 with TS/CTD and 145 controls). Significant differences in the demographic data between the two groups were observed. The male sex ratio, mean parental age, parental final education level, and family history of tics were included as confounders. In the final adjusted multivariable model, TS/CTD was significantly associated with antiemetic exposure during pregnancy (odds ratio [OR]=16.61, 95% confidence interval [CI] 1.49-185.22, p=0.02) and medically assisted reproduction (OR=7.89, 95% CI 2.28-27.28, p=0.01). Conclusion: Antiemetic exposure and medically assisted reproduction are significantly associated with the risk of TS/CTD. These results should be replicated in future prospective and gene-by-environment studies.