• Child Health Nursing Research
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• 제28권4호
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• pp.269-279
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• 2022

Purpose: This study investigated the factors that influence parenting stress, including hardiness, parent-child interactions, and social support, to provide basic data for developing a program to reduce parenting stress in North Korean refugee mothers. Methods: A descriptive study design was used. Data were collected between September and December 2021, and 123 North Korean refugee mothers participated. Results: The mean scores were 69.42 out of 135 for hardiness, 48.45 out of 144 for interactions, 47.32 out of 90 for social support, and 51.84 out of 90 for parenting stress. The parental distress score was higher than that of child-related stress. Hardiness was significantly related to North Korean refugee mothers' parenting stress. Multiple regression analysis indicated that the explanatory power for hardiness and the number of supporters was approximately 19% for parenting stress (F=6.84, p<.001). As such, the factors with a relatively strong influence on parenting stress were hardiness (β=-.40, p<.001) and having four or more supporters (β=-.27, p=.027). Conclusion: This study's findings suggest the need to identify ways to increase North Korean refugee mothers' psychological hardiness and encourage them to extend their sources of social support and enhance their style of parenting.

• Journal of Yeungnam Medical Science
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• 제16권1호
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• pp.52-59
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• 1999

미숙아의 여러 가지 합병증 중에서도 선생아 호흡 곤란 증후군은 가장 빈도가 높고 사망률도 높은 질병이다. 이제까지 많은 저자들이 자궁내 성장기 동안에 폐 표면 활성제 생성을 증가시킴으로써 신생아 호흡 곤란 증후군을 예방할 수 있는 약제로 corticosteroid에 대한 연구를 하였으나, 산모와 태아 감염에 중요한 위협 요인이 되어 이 약의 사용이 제한적이다. 따라서 steroid의 부작용 때문에 태아의 폐를 성숙시킬 수 있는 ambroxol에 관심을 가지게 되었으며 이에 저자들은 출생 전 산모에게 투여한 ambroxol이 신생아 호흡 곤란 증후군의 발생 빈도에 어떤 영향을 미치는지와 그 부작용에 대해 알아보고자 하였다. 1996년 1월부터 1997년 12월까지 영남대학교 의과대학 부속 병원 산부인과에 입원하였던 36주 이전의 조산이 예견된 산모에게 ambroxol(Mucosolvan$^{(R)}$, Boehringer Ingelheim) 1,000mg을 5% glucose 용액에 녹여 2시간 이상 정주하며 3일에서 5일간 투여하였다. 또한 대조군에서는 생리 식염수를 정주하였다. 조기 분만의 원인이나 대상 환아 평균 재태 연령, 남녀비, 출생 체중과 1, 5분 Apgar 점수가 7점 미만인 미숙아의 수에는 양 군간의 의미있는 차이는 없었다. 그러나 대조군에서는 21명 중 13명에서 신생아 호흡 곤란 증후군이 발생하였고 ambroxol 사용군에서는 21명 중 6명에서 신생아 호흡 곤란 증후군이 발생하여 두 군간에 의미있는 차이가 있었다(p<0.05). 출생 후 산소 치료와 인공 환기를 필요로 했던 경우는 대조군에서는 각각 18, 12명이었고 ambroxol 사용군에서는 각각 9, 8명이었다. 산소치료를 요구된 시간은 ambroxol 군에서 낮았으나 인공 환기가 필요하였던 시간은 ambroxol 군에서 더 길었다. 그 외 미숙아에게 나타난 주산기 합병증의 빈도는 ambroxol 사용군과 대조군을 비교해 보면 두 군이 같거나 ambroxol 군이 더 적었다. Ambroxol 투여 전과 후의 산모의 혈액학적, 생화학적 검사에 의미있는 변화는 없었다. 그리고 ambroxol 사용군에서 산모가 호소하는 부작용으로는 경미한 오심이 3례 있었으나 구토, 두통이나 현기증, 알레르기 반응 등은 나타나지 않았다. 그러므로 본 연구에서는 미숙아 출생 전 산모에게 투여한 ambroxol은 신생아 호흡 곤란 증후군의 발생 빈도를 감소시킨다고 생각되며 이를 위해 산모에게 안전하게 사용할 수 있는 약제로 생각된다.

• 대한간호학회지
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• 제28권1호
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• pp.7-16
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• 1998

Various difficulties and inconveniences arise from having a mentally handicapped child in a family and these place many demands on mothers. There are few studies in Korea on these demands nor on what mothers go through with their mentally handicapped daughters' menarche and puberty. The purpose of the study was to examine the experiences of mothers of mentally handicapped daughters, as it relates to their daughters' menarche and the beginning of puberty. With indepth interviews, both in person and by telephone and participant observation the study used a qualitative research methodology to attempt to understand the experiences of these mothers. The data were gathered from October 1995 to April 1996. The subjects for the research included nine mothers of mentally handicapped daughters whose ages ranged from 12 to 18 and who attended one of three special schools located in either Inchon or Seoul. The data were recorded and analyzed : meaningful statements were grouped according to subjects raised by the mothers. Content Analysis was also applied to identify similar content and confirm common experiences. and to highlight concepts and categorized them. The results of this study are as follows. Five categories were identified : mothers' emotional responses to their mentally handicapped daughters' menarche and menstration were of severe despair accompanied by anxiety, guilt, fear, anguish, shame and pity because the mothers were afraid their daughters would not be able to use appropriate hygienic measures during menstration and the mothers felt heavily burdened in having to look them. The mothers also had negative feelings about their daughters' physical development. The experience of mothers related to their daughters' possibilities for marriage and pregnancy were of powerlessness, distress, withdrawal, fear. pity and desperation and they were afraid that their daughters might be violated sexually. The mothers rejected the possibility of marriage and pregnancy for their daughters and instead planned very restricting futures for them. The mothers used various coping methods to bring meaning to their lives. Because the negative emotional responses of the mothers. nurses need to work to empower mothers to overcome these negative responses. Sex education can also play an important role especially for the daughters especially through the use of visual aids. Further, nurses should understand the tearing difficulties of mentally handicapped daughters, what mothers need and also what they experience with their mentally handicapped daughters. In conclusion, nurses should understand the negative experiences of the mothers in relation to their mentally handicapped daughters' menarche, help the mothers cope with the negative. emotions through real life education and counselling. In addition, there is a need for nursing interventions and an administrative system which will minimize the prejudices of society towards handicapped people.

• 한국가족복지학
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• 제54호
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• pp.263-296
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• 2016

이 연구는 발달장애 자녀를 둔 어머니의 양육부담과 성장경험을 이해하고자 한 것이다. 이를 위해 오케스트라 활동에 참여하는 발달장애 자녀를 둔 어머니를 대상으로 포토보이스를 활용한 초점집단인터뷰와 개별면접을 실시하였다. 분석 결과, 발달장애 자녀를 둔 어머니의 양육 경험은 "눈앞이 캄캄해도 걸어감"으로 나타났으며, 이 과정에서 어머니들은 "동행하며 함께 나아감"을 경험하는 것으로 나타났다. 어머니들은 자녀의 발달장애로 인해 여러 고통과 어려움을 경험하면서도 양육과정에서 또 다른 기쁨과 성장을 경험하고 있었다. 특히 오케스트라 활동이라는 매개체를 통해, 어머니는 자녀에 대한 인식 뿐 아니라 양육자로서의 자신에 대한 인식, 주변 지지체계와의 관계에도 의미있는 변화가 나타남이 확인되었다. 이러한 결과를 바탕으로 이 연구는 사회복지적 함의를 제시하고 있다.

• Clinical and Experimental Pediatrics
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• 제55권12호
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• pp.462-469
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• 2012

Purpose: In this study, we aimed to investigate the perinatal clinical conditions of very low birth weight (VLBW) infants born to mothers with pregnancy-induced hypertension (PIH) focusing on the effects of early postnatal neutropenia. Methods: We reviewed the medical records of 191 VLBW infants who were born at Konyang University Hospital, between March 2003 and May 2011. We retrospectively analyzed the clinical characteristics of the infants and their mothers and compared the incidence of perinatal diseases and mortality of the infants according to the presence or absence of maternal PIH and neutropenia on the first postnatal day. Results: Infants born to mothers with PIH showed an increased incidence of neutropenia on the first postnatal day (47.4%), cesarean delivery, and intrauterine growth restriction. When the infants born to mothers with PIH showed neutropenia on the first postnatal day, their incidence of respiratory distress syndrome (RDS) was increased (P=0.031); however, the difference was not found to be significant through logistic regression analysis. In all the VLBW infants, neutropenia on the first postnatal day was correlated with the development of RDS. The incidence of the other perinatal diseases involving sepsis and mortality did not significantly differ according to the presence or absence of neutropenia in infants born to mothers with PIH. Conclusion: In VLBW infants born to mothers with PIH, the incidence of neutropenia on the first postnatal day was increased and it was not significantly correlated with the development of perinatal diseases involving RDS, sepsis, and mortality.

• 대한간호학회지
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• 제29권6호
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• pp.1355-1364
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• 1999

Mother and infant relationship has a great influence on child's developments. In this study, nursing intervention to increase maternal sensitivity to the infant's cues was applied to 25 primiparas (Experimental Group). Mother and infant interacations of these primiparas were compared with those of 25 primiparas (Control Group) who did not receive the nursing intervention. Fifty primiparas and infants were recruited from a university hospital, a general hospital, and an OBGY clinic located in Taegu city. Mother and infant interactions were assessed at 6 weeks after birth using videotapes. Feeding situations were videotaped and two trained observers analyzed the tapes. Data were collected from March 23rd to July 27th of 1998. Mother and infant interactions during feeding were assessed by the response rating scale which was modified by the author based on NCAST feeding scale (Barnard, 1978a) and AMIS scale (Price, 1983). The validity of the modified rating scale was verified by faculty members and researchers who previously had research experience in the area. Cronbach's Alpha of the modified scale for this study was .90. The data was analyzed by SAS program, using wilcoxon rank sums test, chi square test, Fisher's exact test, and ANOVA. Findings were as follows: 1. Mothers in the experimental group were more likely to have higher scores in mother and infant interactions during feeding than mothers in the control group. 2. Mothers in the experimental group showed better sensitivity to infant's signals or cues, provided growth fostering, and had higher responsibility to the infant's distress than mothers in the control group. 3. Infants in the experimental group showed higher clarity of cues and responsibility to the mother's behaviors than infants in the control group. 4. Mothers and infants in the experimental group showed higher synchronic responses than mothers and infants in the control group. In conclusion, this study has shown that the applied nursing intervention promoted mother and infant interaction among primiparas. Therefore, this study suggests that the nursing interventions to increase maternal sensitivity to the infant's cues should be broadly applied to primiparas, which can be beneficial to the social, affective, and cognitive developments of their children.

• 한국콘텐츠학회논문지
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• 제17권5호
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• pp.137-152
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• 2017

본 연구는 이혼을 경험한 여성 한부모들의 자립 경험을 탐색하여 한부모들의 자립을 도울 수 있는 사회복지실천 방안을 모색하는데 목적이 있다. 이를 위해 이미 자립을 한 10명의 이혼여성을 대상으로 자립 및 적응 경험을 심층면접 하였다. 연구결과, 참가자들은 이혼 당시 배우자에 대한 배신감과 실망감, 우울 등의 심리 정서적 어려움과 자녀양육의 어려움과 경제적 문제, 주거 빈곤을 경험하였으며, 이런 사회경제적 어려움을 극복하기 위해 다양한 임시직을 경험하고 지속적인 정보탐색 및 고등교육 과정의 이수, 자격증 취득 등 경력을 개발하는 노력을 하였고 자녀와 긍정적인 관계를 유지하려고 노력했다. 이 과정에서 정서적으로는 이혼을 수용하고 자녀와 전배우자 간 관계를 재정립했으며, 생활과 자녀관계에 대해서는 자아통제력을 행사하였다. 또 원가족의 승인과 한부모 자조모임, 지역사회지지 망을 확보하였으며, 어려운 상황에서도 중장기 계획과 목표를 수립하여 매진하는 삶을 삼으로써 희망과 기대를 놓지 않은 것으로 나타났다. 이와 같은 연구결과를 바탕으로 결론에서는 자립 및 적응을 지원할 수 있는 실천 방안을 제언하였다.

• 한국산업융합학회 논문집
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• 제22권3호
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• pp.303-314
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• 2019

The purpose of this study was to explore the experiences of parents with amblyopic children. The data were collected from August 2018 to May 2019. This study involved semi-structured in-depth individual interviews and was analyzed in terms of Giorgi's phenomenological methodology. The participants of this study were 7 mothers with amblyopic children. Verbatim transcripts were analyzed. Four themes-clusters were identified: passing without realizing the clues of action, experiencing emotional distress, enduring the long and tough process of treatment, and making every effort to escape from amblyopia. The findings from this study provide a deep understanding of mothers'experiences of caring for amblyopic children. Based on the findings, health care providers need educational programs that include a step-by-step eye health program. In addition, compliance needs to be improved.

• 여성건강간호학회지
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• 제11권1호
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• pp.5-11
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• 2005

Breast feeding can play a very important role in the development of strong, healthy children. Many studies over the years have shown that breast milk provides defense against common ailments of childhood such as otitis media, gastrointestinal distress, and atopic diseases (allergies). For these reasons the American Academy of Pediatrics recommends breast feeding for at least the first twelve months of an infant's life. Goals of the Health People 2010 Initiative include that at least 75% of mothers will be breast feeding upon discharge from the hospital and at least 50% will be still nursing at six months post-partum. Currently, about 60% of new mothers initiate breast feeding and about 26% are still breast feeding at six months. However, research has shown that breast feeding trends are below these averages in rural areas of the United States. This may be due in part to lack of breast feeding knowledge and teaching in rural areas. Rural hospitals and birthing centers have not initiated many of the breast feeding promotional programs, such as the Baby Friendly Hospital Initiative and Best Start, that have been successful in improving breast feeding trends in urban areas. Often new mothers who live in rural areas do not have access to a lactation consultant to help them with proper follow up. This paper will examine these concerns and propose recommendations to improve breast feeding in rural areas.

• Child Health Nursing Research
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• 제25권2호
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• pp.85-94
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• 2019

Purpose: This study presents methodological research that aimed to verify the content validity, construct validity, reliability, and criterion-related validity of the Child Abuse Potential Inventory (CAPI), originally developed by Milner and then translated into Korean by Ahn. Methods: Data used in this study were collected from 209 mothers of infants, toddlers, and children of preschool age in D metropolitan city. The collected data were analyzed using SPSS version 24. Results: The Korean version of the Child Abuse Potential Inventory (K-CAPI) was developed by condensing 44 of the original 77 CAPI items. Four factors of K-CAPI were extracted using principal component analysis. These 4 factors-distress; problems with child, self, family, and others; unhappiness; rigidity-accounted for 54.01% of variance. The Cronbach's ${\alpha}$ was .96, the Guttman split-half coefficient was .88, and test-retest reliability was r=.86 (p<.001). Conclusion: The results of this study established the reliability and validity of the K-CAPI and found it to be an appropriate tool to evaluate mothers' potential to abuse their children.