• 한국가정과교육학회지
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• 제27권4호
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• pp.155-172
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• 2015

본 연구는 어머니의 개인적 관계적 속성과 현 자녀속성이 후속출산계획에 미치는 영향과 어머니의 취업여부에 따라 후속출산계획을 예측하는 요인을 알아보기 위해 수행되었다. 본 연구대상은 한국아동패널조사에 참여한 어머니 1,635명이었으며, 조사도구는 어머니의 월평균 가구소득, 양육스트레스, 자녀가치, 결혼만족도, 사회적 지원, 기존 자녀의 출생순위와 성별을 측정하기 위한 자기기입식 설문지이었다. 수집된 자료는 SPSS 22.0 프로그램을 사용하여 기술통계와 t 검증 및 ${\chi}^2$ 검증, 의사결정나무분석을 통해 분석되었다. 본 연구의 주요결과는 다음과 같다. 첫째, 어머니의 양육스트레스, 자녀가치, 결혼만족도, 사회적 지원, 자녀의 출생순위와 성별은 후속 출산계획에 영향을 미친 반면 월평균 가구소득은 영향을 미치지 않는 것으로 나타났다. 둘째, 비취업모의 경우 자녀의 출생순위와 성별, 자녀가치가 후속출산계획을 예측하는 주요인으로 제시되었는데, 현 자녀가 첫째이면서 여아일 경우 후속출산계획을 수립할 가능성이 가장 높았으며, 자녀가 첫째이면서 남아일 경우 자녀에 가치를 부여하는 정도가 높을수록 후속출산계획을 수립하는 것으로 나타났다. 취업모의 경우 자녀의 출생순위와 결혼만족도가 후속출산계획을 가장 잘 예측하는 요인으로 나타났으며, 현 자녀가 첫째이면서 결혼만족도가 높을 경우 후속출산계획을 수립할 가능성이 높았다. 마지막으로, 후속출산율 제고방안으로, 인구교육의 필요성과 가정교과의 역할을 제안하였다.

• 한국콘텐츠학회논문지
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• 제22권2호
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• pp.379-389
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• 2022

본 연구는 기혼 여성이 인지하는 부부 평등성과 출산 행위에 있어 중요한 결정 요인인 추가출산 의향 간의 상관관계를 파악하고자 기혼 여성 10,352명을 대상으로 분석하였다. 조사자의 일반적 특성 분석을 위해 빈도 분석과 카이 제곱 검정 분석을 시행하였고 각 변수와 추가출산 간 관련성 분석을 위해 이분형 로지스틱 회귀분석 및 층화 분석을 통해 연구를 진행하였다. 연구결과, 부부 평등성이 가장 낮은 0점 그룹 기준 4점 그룹은 2.01배 추가출산 의향이 높았다. 또한 3점 그룹과 2점 그룹은 각각 1.46배, 1.41배 높아 부부 평등성과 추가출산 의향이 정적인 연관성을 가지는 것을 파악하였다. 그 외에 자녀 수가 많을수록, 집을 소유하고 있는 경우, 아내가 비정규직이거나 무직일 경우 기혼 여성의 추가출산 의향이 높게 나타났다. 본 연구는 기혼 여성의 부부평등성에 초점을 맞춰 추가출산 의향과의 관련성을 분석하였으며 출산율 제고를 위해 거시적 차원의 구체적이고 합리적인 정책이 요구됨을 제언한다.

• 여성건강간호학회지
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• 제7권3호
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• pp.382-392
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• 2001

The purpose of this study is to investigate breast-feeding and breast-feeding health behavior among korean first-time mothers and to provide basic data for promoting breast- feeding. Data were collected by interview or self report from 444 first-time mothers who visited health clinic center in the area of metropolitan, medium or small city, countryside. and whose infants were under 12 months old from January 2001 to February 2001. The results show that breast-feeding was 31.5% in a week after childbirth, 25.8% in 4 weeks after childbirth, 22.7% in 2 months, 17.8% in 3 months, 14.3% in 6 months, 2.5% in 12 months after childbirth. Breast-feeding rate was very low in Korea and the duration of breast-feeding was very short. Breast-feeding health behavior did not show significant differences by general characteristics of the subjects except area. The subjects in the health clinic center with MCN project did better breast feeding health behavior than the subject in the health clinic center without MCN project. To raise breast-feeding rate, several strategy could be suggested. Systemic education about importance and advantages of breast-feeding and desirable breast-feeding method should be provided to pregnant women and postpartum women. Childbirth leave in the work should be prolonged, and supportive facility such as nursery room should be installed for working mothers. Hospitals should follow the guideline of 'Baby Friendly Hospital Initiative' which was provided by UNISEF and WHO, including rooming-in after delivery.

• 여성건강간호학회지
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• 제7권2호
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• pp.188-202
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• 2001

This study was designed to investigate the effect of one-to-one labor support on labor pain, labor stress response, childbirth experience and neonatal status for primipara by a quasi experiment (nonequivalent control group pretest-posttest design), from April 30, 1999 to February 20, 2000. The subjects of this experiment consisted of eighty two primipara with single gestation, full term, uncomplicated pregnancies. Forty one were in the experimental group and forty one in the control group. Their mean age was 25.95 years, their mean gestation period was 39.9 weeks. A caring package of one-to-one labor support had three components. Physical support consisted of massage, back pressure, touch. Emotional support was provided by a continuous nurse's presence, acceptance and encouragement. Informational support involved teaching breathing skills, relaxation skills and knowledge about the labor process. Data assessed labor pain, pulse rate and blood pressure to measure labor stress response. Also, in measuring the value of labor stress response, plasma epinephrine, plasma norepinephrine and serum cortisol were measured. In the 24 hours after birth, the data for the postpartum mother's childbirth experiences was collected. Umbilical cord arterial blood pH, one minute and five minute Apgar score were measured after birth. Data was analyzed by t-test, $x^2$-test, repeated measures ANOVA, ANCOVA with SAS Program. The results were as follows; 1. Labor pain was significantly low in the experimental group(P=.016). 2. No significant group effects were found, but significant time effects were found for plasma epinephrine, norepinephrine, serum cortisol, pulse rate and blood pressure. 3. The childbirth experience of the experimental group was significantly more positive than the control group (P = .005). 4. The umbilical cord arterial blood pH of the experimental group was significantly higher than the control group(P=.014). There was no significant difference between the two groups in neonatal one minute and five minute Apgar scores. In conclusion, these findings indicate that one-to-one labor support could be effective in decreasing labor pain, and increasing positive childbirth experiences, also increasing the neonatal umbilical cord arterial blood pH for primipara. So, one-to-one labor support could be applied as an effective nursing treatment for primipara.

• 한국보건간호학회지
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• 제8권2호
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• pp.101-113
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• 1994

Maternity means all the women who are capable to conceive. In the aspect of health and medical care. however. it means the women who are now in pregnancy or have already given birth to a baby or are in a period of being recoverd from physiological changes occurred by pregnancy. According to the rapidly changing social structure. both the Quality and Quantity of the capacity of childbirth experienced by women are changing. Our society. having established a great economical growth by virtue of the highly developing and growing industrialization and urbanization. stimulates the women's advance into society and thereby increasing the number of employed women. When the women's participation in society is increased. their age of marriage is also affected. Which means there are a decrease of the capacity of childbirth in terms of quantity and a trend for women to have less children and to deliver a baby in their old age in terms of quality. On the contrary. since the number of multipara who want to have a baby in their old age is increasing. as a counter functional effect to the political project of decrease of a birth rate. concern has been focussed on childbirth in old age in the present study. And also such kind of the childbirth may be danger to the health of both mother and baby. Therefore the present study intended to provide some basic data of health education in the part of the health management of both mother and baby in the general hospital. based on understanding the realities of childbirth in. old age and things related to them. To achieve such a purpose of the present study. an analytical study by means of SPSS. was done using the data of 269 clinical records on both the newborn .babies and their mothers who had been supported by public general hospitals located in Seoul for 3 years from Jan. 1. 1991 to Dec. 31. 1993. Some significant results from the analytic study are as follows: 1. It appeared that the average age of normal. natural delivery was 33.8 years old and the average age of delivery through the cesarean operation was 35.4 years old. 2. It appeared that danger factors to childbirth women were types of the delivery and placental extrusion and danger factors to newborn babies are not so outstanding. 3. It appeared that the variables of the childbirth capacity which showed a significant difference according to each age group of women were the number of pregnancy. number of still birth, and number of existing children. That is. the age group of 'more than 35 years' had more frequency of experience In all 3 variables than the age group of 'less than 35 years'. 4. It appeared that the variables of the childbrith capacity which showed a significant difference a according to the sex of a newborn baby were number of pregnancy, number of still birth, and number of existing children. That is, the age group of 'more than 35 years' had more frequency of experience in all 3 variables than the age group of 'less than 35 years'. 5. It appeared that the health index of newborn babies which showed a significant difference was only 5 minute APGAR. That is, the health index 9.46 in the age group of 'more than 35 years' was less than an index of 9.72 in the age group of 'less than 35 years'. 6. Since a counter correlation of -0.10, as Pearson Correlation Coefficient, was showed between the age of childbirth mothers and the weight of newborn babies, it indicated that the higher age of childbirth woman, the lesser the weight of newborn baby. 7. It appeared that the number of women who had confirmed the sex of their baby before their delivery were 45 women, $67.2\%$ of total 67 women who had delivered a baby. and the expected sex by women in childbed was male with $73.1\%$ of total childbirth women expecting male birth and with their expression of feeling of female delivery. very regretful' by $39.3\%$ of total childbirth women. The results as shown above may indicate that instead of the possibility of danger to both the mother delivering a baby in old age and the baby delivered, the expectation of getting a son motivates childbirth in old age. As a conclusion, in a dimension of general hospital as well as national reform. it is required that a program of health education for childbirth in late maternal age have to be developed in the part of the health management of both mother and baby in the near future.

• 여성건강간호학회지
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• 제6권4호
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• pp.632-642
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• 2000

본 연구는 산후 모유수유 권장교육이 초산모의 모유수유 실천에 미치는 효과를 확인하기 위한 비동등성 대조군 전후설계에 의한 유사 실험연구이다. 연구대상은 대구 시내에 소재한 3차병원, 2차병원 및 1차병원에서 1999년 10월 25일부터 12월 25일 까지 분만하고, 분만 후 모유수유를 계획한 미 취업 초산모로 실험군 83명, 대조군 88명으로 총 171명이었다. 연구절차는 연구대상자에게 분만 후 3일 이내에 일반적 특성, 산과적 및 수유 관련 특성과 모유수유에 대한 지식 모유에 대한 태도를 자가 보고식 설문지로 사전조사 하였다. 사전 설문지 조사 후 대조군에게는 일반간호만 실시하였고, 실험군에게는 모유수유 권장교육을 실시하였다. 사후조사는 산후 2주, 4주, 8주, 12주, 16주, 20주에 모유수유 지속 유, 무 및 모유수유 중단 시 그 이유에 대해 전화를 이용하여 조사하였으며 결과는 다음과 같다. 1) 모유수유 지속정도는 산후 2주, 4주 8주, 12주에서는 실험군의 모유수유 실천율이 대조군 보다 통계적으로 높게 나타났다(p<0.05). 그러나 산후 16주, 20주에서는 모유수유 실천율은 실험군이 대조군 보다 높았지만 통계적으로 유의한 차이는 없었다. 모유수유 완전 중단시점은 산후 2주, 4주, 8주, 12주, 16주, 20주 모든 시점에서 실험군의 모유수유 중단율이 대조군 보다 낮게 나타났고, 통계적으로 유의한 차이를 보였다(P<0.05). 산후 4주에서의 모유수유 중단율이 실험군 25.5%, 대조군 36.8%로 두군 모두 가장 높았다. 3) 모유수유 중단 이유 중 가장 많은 것은 모유량 부족으로 실험군 65.5%, 대조군 50.7%이었다. 이상의 연구결과를 통해 산후 초산모에게 제공한 모유수유 권장 교육이 모유수유실천에 긍정적인 영향을 미치는 것으로 나타난 것을 토대로 다음과 같은 제언을 하고자 한다. 첫째, 영아에게 적정 기간까지 모유수유를 성공적으로 지속시키기 위해서는 산후 모유수유 교육 뿐 만아니라 산전을 포함하여 퇴원 후에도 지속적인 모유수유 강화 교육이 이루어져야 할 것이다. 특히 산후 3-4주 사이에 재교육이 이루어지는 것이 효과적이므로 교육 시 이를 반영해야 할 것이다. 둘째, 모유수유 중단 요인으로서 가장 많은 비율을 차지하는 모유량 부족에 대한 연구가 더욱 많이 이루어져야 할 것이며, 이를 위한 중재방법에 대한 연구가 이루어져야 할 것이다.

• 응용통계연구
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• 제28권4호
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• pp.685-701
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• 2015

한국의 지속적인 저출산은 세계적으로 유례가 없을 정도의 급격한 고령화 속도와 맞물려 국가경쟁력 및 사회보장 시스템을 약화시키는 요인이 되었다. 저출산 문제를 해결하기 위하여 정부에서는 각종 출산장려정책을 실시하고 있으나, 현재까지 저출산에서 벗어나지 못하고 있어 정책이 효과적이지 못하였던 것으로 평가된다. 그러므로 본 연구에서는 보다 효과적인 정책개발의 근간을 마련하기 위하여 조건부 순위별 출산율을 제안하고, 이를 이용하여 한국의 출산정책 효과를 파악하였다. 조건부 순위별 출산율을 사용하면 순위별 출산율을 사용하는 것보다 합계출산율의 변화와 효과를 명확히 산출할 수 있으므로, 다양한 순위별 출산율의 시나리오에 따라 합계출산율의 변화를 비교하였다. 이를 통하여 현재 정부의 셋째 아 출산지원 정책으로 도달할 수 있는 합계출산율 및 둘째 아 또는 첫째 아의 출산지원을 하였을 때 도달할 수 있는 합계출산율을 산출할 수 있었다. 또한 지속적인 저출산으로 빠르게 감소하고 있는 가임여성(15-49세)을 고려하여 합계출산율에 따른 출생아수를 함께 제시하여 실질적인 출생아수의 증가를 유도하는 정책개발에 도움이 될 수 있도록 연구결과를 정리하였다.

• 기독교교육논총
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• 제72권
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• pp.49-70
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• 2022

연구 목적 : 본 연구는 대한민국 사회와 한국교회가 직면하게 된 저출산 시대라는 위기와 변화를 기독교 교육적 돌봄을 통한 대응과 해결 방안을 제시하기 위한 목적이다. 이를 위하여 대한민국 사회와 교회에 현실이 된 인구절벽, 저출산 문제를 하나님의 축복으로 임신과 출산 그리고 부모됨에 대한 의미를 성경적 측면에서 대안을 찾고자 함이다. 연구 내용 및 방법 : 저출산 시대에 부모가 된다는 부모 됨은 매우 어렵고 힘든 일이지만, 한편으로는 행복과 기쁨을 준다. 부모가 된다는 것은, 하나님의 축복이고, 일생에 가장 중요하고 가치 있는 일이다. 그러나 현대 사회는 부모가 되는 것을 스스로 선택할 수 있는 권리와 필요성을 강조한다. 핵가족화와 자녀 수의 감소, 그리고 아동 연구 발달 등으로 인해서 부모들은 어느 때보다 자녀 양육에 대한 많은 책임감과 경제적인 부담을 느끼게 한다. 따라서 부모가 되는 시기를 연기하거나 자발적으로 자녀를 갖지 않는 사람들도 점자 늘어나고 있는 것이 현실이다. 결론 및 제언 : 따라서 자녀 양육에 대한 책임감 저하로 인한 부모 됨에 대한 부정적인 인식을 개선하고자 하는 목적을 따라서, 기독교 교육적 관점에서 결혼과 임신과 출산 그리고 양육에 대해서 조명해 보아야 한다. 그리고 부모 됨의 인식과 이해 그리고 자녀 출산 및 양육의 특징을 파악하고, 과거와 현재의 가치변화 양상을 분석하고 원인을 논의와 저출산 해결을 비롯한 전반적인 육아 양육에 대한 기독교 교육적 돌봄을 제공하고자 한다.

• 대한간호
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• 제34권3호
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• pp.85-98
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• 1995

The purpose of this study is to provide basic data regarding effective learning opportunities in childbirth education classes. Also analysis of the data indicates the optimum conditions for the welfare and improvements in the promotion of health in childbearing mothers. The results of this study are as follows; 1) The average age of the subjects in this study was 30.6 years and the total number of subjects was 58 pregnant women. The average number of children was one and 84.5% of the subjects were unemployed even though 63.8% of them held over bachelor's degrees. It was found that 22.4% of the subjects were living in an extended family. Also 61.5% of them were living with parents-in-law. The number of pregnancies were calssified as one, two, or three to nine times with the percentages of 58.7%, 22.4% and 18.9%, respectively. Further, 72.4% of the subjects had no abortion experience and 15.5% had one aborion experience. While 89.7% of the subjects planned to feed their babies with breastmilk, mixed feeding were used by only 22.4% of the sample. These data were collected at about 6 months after delivery. Thus one can see that a low rate of breastfeeding was common. 2) The length of one period of childbirth education is four weeks. It was found that 36.2% of the subjects participated in childbirth education only once, where as 13.8% participated four times and 19% of the subjects participated in this class more than four times. pregnant at least once. Further, 75.9% of the participants were participated in this education through their own will. Their motivation for participation developed through information, advertisement and posters which contained information on childbirth education. Those with unplanned pregnancies 92.9% participated after a suggestion by the nurses. The number of participants in terms of percentage according to the childbirth education contents can be classified as following. The most active participation was shown in preparation of delivery(77.6%), postpartrm management(56.9%) fetal development(37.6%) and physiology of pregnancy(17.2%). It was found that 75.9% of the subjects were willing to participate again if they were given a chance. The reason can be summarized as following: The content of the education is very helpful(47.7%). Scientific knowledge can be obtained through this program(20.5%). Participation helps in achieving psychological stability(9.1%). Participation enables one to establish a friendly relationship with other participants(6.8%) of the sample. 24.1% of the participants did not want to participate again. The reasons can be as following: They do not want another baby(42.9%). The first paricipation in childbirth education gave enough knowledge about childbirth(21.4%). Another reason for not want to participate again was because they had a cesarean birth(14.3%). Only 7.1% of them responded with a negative view. A response that they do not need childbirth education after their operation can be traced back to the general belief that childbirth education is the place where one prepares for natural birth through the Lamaze breathing technique. Of the subjects, 91.4% suggested that this program could be recommended to other childbearing mothers, because this program gave educational content along with psychological stability for childbearing women. Of the subjects 41.4% did not see any efforts towards the welfare of the baby, where as 88.2% did. Among the subjects 58.6% made some effort to eliminate the discomfort of labor by breathing and imagination and breathing and walking. Further 41.7% of the 24 subjects did not do anything toward the welfare of the baby, because they did have a cesarean section so that they didn't have a chance even though they had been educated about childbirth. Also 33.3% of the subjects did not do anything toward the welfare of the baby, because they lacked a willingness. After leaving the hospital, only 75.9% of the subjects did some exercises. The subjects who tried participate this program with their husband accounted for 20.7% of the sample. Interviewing with the subjects solved some of the uneasiness and. fear of delivery, increased self-confidence in parenting and active coping in the delivery process.

• 보건의료산업학회지
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• 제5권2호
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• pp.131-146
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• 2011

The purposes of this study were to identify and compared the selection conditions of spouses and the perceptions of marriage and childbirth by sex. Moreover, this study tried to find the number of child the study subjects want to have in their marriage and what factors were important for whether they have no or one child or more than two children. The study subjects were college students who were belong to 6 health care related departments selected randomly from all health care related departments in one metropolitan area. In the selection conditions as their spouses, they ranked 'love', 'personality' and 'wealthiness' as important factors in order. Male ranked females' employment as 10th but female ranked it 5th. In conclusion, there were concordances and dis-concordances on the perceptions of marriage and child birth by sex. Understanding these factors caused by gender roles in our society could contribute to making new policies for promoting marriage rate in younger age and overcoming the problems of low birth rates by giving more specific data to policy makers for increasing child birth rate.