• 제목/요약/키워드: infant's development

검색결과 340건 처리시간 0.023초

Effect of Neonatal Developmental Intervention Program (NDT) on Motor Development and Growth in Premature Infants

  • Park, Geun-Hwa;Choi, Sang-Youn;Kim, Sung-Mi;Kim, Mi-Ae;Lee, Eun-Ju
    • Neonatal Medicine
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    • 제17권2호
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    • pp.207-216
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    • 2010
  • 목적: 본 연구의 목적은 미숙아에게 조기 중재 프로그램을 시행할 때 운동 발달과 성장에 미치는 효과와 발달 평가 도구(NBAS, HNNE)의 유용성을 조사하고자 하였다. 방법: 부산성모병원에서 태어난 42명의 미숙아와 부산성모병원과 좋은문화병원에서 태어난 20명의 만삭아를 대상으로 하였다. 조기 중재 프로그램과 발달 평가는 신생아 중환자실 물리치료사에 의해 시행되었다. 자료는 전향적으로 수집되었다. 결과: 재태주령 34주 미만의 미숙아 중재 그룹에서 인공호흡기와 폐표면활성제 사용, 심한 기관지 폐 이형성증, 뇌실 내 출혈, 수술을 시행한 동맥관 개존증이 재태주령 34주 이상 37주 미만 미숙아 중재 그룹보다 많았다. 미숙아 중재 그룹은 1번째, 2번째, 3번째 평가에서 NBAS와 HNNE 평균 점수의 향상을 보였다 (P=0.000). 미숙아 중재 그룹은 재태주령 40주 평가에서 만삭아 대조 그룹에 비해 더 높은 NBAS와 HNNE 평균 점수를 보였다(P=0.000). 재태주령 34주 이상 37주 미만 미숙아 중재 그룹은 1번째와 3번째 평가 사이에 체중과 두위의 더 많은 성장을 보였다(P<0.05). 미숙아 중재 그룹은 중재와 평가 중 무호흡, 서맥, 후기 패혈증이 없었다. 결론: 조기 중재 프로그램은 미숙아의 운동 발달과 성장에 양호한 영향을 미쳤다. 발달 평가 도구(NBAS, HNNE)는 미숙아의 운동 발달을 평가하는 안전하고 유용한 도구로 사용될 수 있다고 생각한다.

미숙아 발달지지를 위한 간호역량 측정도구 개발 (Development of the Developmental Support Competency Scale for Nurses Caring for Preterm Infants)

  • 김정순;신희선
    • 대한간호학회지
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    • 제46권6호
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    • pp.793-803
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    • 2016
  • Purpose: Developmental care has been recognized as a very important component for the development and health promotion of preterm infants. However, research on how to assess developmental nursing competency has not been studied as expected. This study was done to develop and evaluate a new scale to measure nursing competency for developmental support of preterm infants. Methods: Concept analysis was done with using the Hybrid model of Schwartz-Barcott and Kim (2000), from which a preliminary new scale (30 items) was developed. To test the validity and reliability of the new scale being developed, data were collected from 122 NICU nurses at 4 hospitals in 3 cities in the Republic of Korea, from December, 2014 to March, 2015. Results: The final version of the Developmental Support Competency Scale for Nurses (DSCS-N) caring for premature infants was a 4-point Likert type scale, consisting of 19 items, and categorized as 6 factors, explaining 62.5% of the total variance. Each of the factors were named as follows; 'environmental support' (4 items), 'parental support' (3 items), 'interaction' (3 items), 'critical thinking' (3 items), 'professional development' (3 items), and 'partnership' (3 items). The Cronbach's ${\alpha}$ coefficient for the scale was .83 and the reliability of the subscales ranged from .60~.76. Conclusion: The psychometric evaluation of the new scale demonstrated an acceptable validity and reliability. Findings indicate that the DSCS-N can be used as the tool to test the effect of educational programs for nurses and contribute to advance developmental care for preterm infants.

가족과 함께하는 창의성 경진대회 평가연구

  • 송규운;황동주;윤정진
    • 영재교육연구
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    • 제11권2호
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    • pp.127-150
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    • 2001
  • 다가오는 21세기에는 기존에 없던 새로운 것을 생각해 내어 문제를 해결해내는 창의적인 문제해결력이 요구되는 지식기반 사회이다. 이러한 요구에 창의적 문제 해결력을 신장시킬 수 있는 창의성 프로그램이 절실히 요구된다. 창의적인 문제해결력이란 문제의 해결을 필요로 하는 상황에서 기존의 아이디어를 좀더 발전시키거나 지금가지 없었던 새로운 아이디어를 생각해 내어 문제를 해결 해 내는 능력이다. 유아의 경우 창의성 교육은 특히 중요하다. 왜냐하면, 열린 사고. 참신한 사고의 싹은 어려서부터 자라고 틀지워 지기 때문이다. 이미 창의성 교육은 사회에서 또 학교 및 사회교육에서, 현실적으로 당연하고 필연적이며 중심적인 당면과제로 떠오르고 있다. 1997년 교육개혁위원회에서 교육개혁의 핵심을 ‘인성교육’과 ‘창의성 교육’으로 규정한 바도 그러하다. 이러한 시대적 요청과 당위성에 부응하여 영진전문대학 부설 영·유아 창의성 계발 연구소에서는 창의성을 발현하기 위한 다양한 프로그램을 통합적으로 개발하고 있으며 이러한 창의성 교육의 저변적 확산을 위한 하나의 대안으로 2000 가족과 함께 하는 창의성 경진대회를 개최하였다. 이는 기존의 많은 경시대회가 유아를 제외한 초등학교 이상을 대상으로 거의 실시되어져 오고 있으며 서울 중심으로 개최되고 있는 여러 가지 한계점을 극복하고 국내에서 최초로 유아를 대상으로 하는 창의성 경진대회라는 점과, 창의성 교육의 큰 축인 가족들에게 창의성 계발의 중요성을 일깨우는 계기가 되었다는 점에서 큰 의미가 있는 것으로 사려되어진다. 본 창의성 경진대회에서 유아는 빔 프로젝트의 애니메이션을 통해서 제기된 문제상황에 대한 다양한 해결방법을 참여한 가족원과의 논의를 통해서 하게 된다. 이러한 논의를 거친 뒤 유아와 가족원은 연구소 측에서 제시한 한정된 재료만을 이용하여 문제해결에 대한 창의적인 구조물을 완성하게되며, 이러한 산출물은 객관적인 심사로 평가받게 된다. 경진대회의 최종적인 평가는 문제해결을 하고 난 다음의 작품이외에 가족원들과의 협동하는 팀워크이나 참여태도가 관찰되어져 평가받게 된다. 이러한 평가기준은 창의성이란 창의적인 사고와 창의적인 태도를 함께 고려 해야한다는 관점에서 이루어진 것이다. 수상자 선정에 있어 점수의 집계가 수 작업으로 이루어져 최종심사결과통보가 지연되었으며, 홈페이지를 통해서만 결과를 발표해 아직 PC가 보편화되지 않은 학부모들이 불편을 겪었다는 점등이 차후 개선되어져 야 할 문제점으로 남았다. 만일 프로이드의 말처럼 인간의 성격이나 탐구의 태도가 아동 초기의 어린 시절에 형성되어지는 것이라면, 한사람의 창의력 또한 어린 시절에 그 기초가 형성될 것이며 이러한 기초형성에 가장 큰 요인을 형성하는 1차적 환경이 가정이라는 점에서 2000 가족과 함께 하는 창의성 경진대회는 창의성 축제의 한마당이었다고 감히 결론짓고자 한다.

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산욕부의 가정간호 요구도에 관한 연구 (A Study on the Home Health Care Needs of Postpartum Women)

  • 유연자
    • 여성건강간호학회지
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    • 제7권4호
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    • pp.579-595
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    • 2001
  • This study was carried out to understand the home health care needs of postpartum women during the postpartum period. The goal of this study was to obtain data needed to develope postpartum home health care programs and to improve the nursing quality for postpartum women. A convenient sample of 105 healthy women who were discharged after delivery at a maternity hospital in Ulsan, Korea were studied from January 25 to April 15, 2001. Data collection was done with a structured questionnaire (maternal concerns questionnaire) by mailing. Data was collected from 1 to 4 weeks after delivery. The Results of this study were as follows: 1. The mean score of home health care need of postpartum women was 2.51. The degree of nursing need according to the category of home health care needs was 'concerns about the infant ($2.91{\pm}.68$)', 'maternal physical and emotional concerns ($2.62{\pm}.52$)', 'concerns related to the husband ($2.45{\pm}.73$)', 'concerns related to the family ($2.16{\pm}.64$)', 'concerns related to the community ($2.03{\pm}.60$)' in rank. Among the items, 'recognizing illness in the newborn ($3.36{\pm}.83$)', 'normal growth and development ($3.33{\pm}.92$)' were high. 2. Among items of concerns about infant ($2.91{\pm}.68$), 'recognizing illness in the newborn ($3.36{\pm}.83$)', 'normal growth and development ($3.33{\pm}.52$)' showed high nursing needs. 3. Among items of maternal physical and emotional concerns ($2.62{\pm}.52$), 'being a good mother ($3.31{\pm}.86$)', 'return of their figures to normal ($3.04{\pm}1.05$) showed high nursing needs. 4. Among items of concerns about husband ($2.45{\pm}.73$), 'husband being a good father ($2.84{\pm}1.00$) shows high nursing needs. 5. Among items of concerns related to the community ($2.03{\pm}.60$), 'getting to health care facilities ($2.69{\pm}.90$) shows high nursing needs. 6. On considering the relationship between the postpartum women s home health care needs and their general characteristics, parity (t=2.436, p=.017) and delivery type (t=2.074, p=.041) were statistically significant.

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한국 영아어머니의 산후우울 변화와 양육 관련 체계변인간의 관계 분석 (Analyzing the Relationships between Changes in Postpartum Depression and Child-rearing System Variables in Korean Mothers)

  • 천희영;옥경희
    • 가정과삶의질연구
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    • 제29권6호
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    • pp.153-167
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    • 2011
  • This study analyzed changes in postpartum depression in mothers from one month after childbirth to the first year using panel data collected overtime, in an effort to determine the relationship between the amount of change and child-rearing system variables. The subjects were 1097 mothers who belonged to both the lower and upper $30^{th}$ percentile groups in the depression change distribution of the 2008 Korean Children Panel Study (PSKC), a large, population-based study conducted by the Korea Institute of Childcare and Education. The data were analyzed by t-tests, $x^2$ tests, partial correlation coefficient analyses and regression analyses. The results are summarized as follows: First, the mothers' postpartum depression showed a significant increase during the first year as opposed to the first month after birth. Second, after controlling for socio-demographical variables of the mothers, the changes related to depression showed a positive relationship with child-rearing stress, and the child's emotional temperament, but showed a negative relationship with the mother's self-esteem, the child's birth order, and the father's participation in child-rearing activities. Third, variables having a significant effect on changes in postpartum depression were the mother's self-esteem and child-rearing stress, the child's age in months, and social support. Variables pertaining to the mother's characteristics variables had a more powerful effect than other child-rearing system variable categories. The results suggest the necessity to develop a parental education program or a mother-child health service in consideration of the variables that affect mothers, as determined in this study, in an effort to prevent postpartum depression.

Role of Interleukin-4 (IL-4) in Respiratory Infection and Allergy Caused by Early-Life Chlamydia Infection

  • Li, Shujun;Wang, Lijuan;Zhang, Yulong;Ma, Long;Zhang, Jing;Zu, Jianbing;Wu, Xuecheng
    • Journal of Microbiology and Biotechnology
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    • 제31권8호
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    • pp.1109-1114
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    • 2021
  • Chlamydia pneumoniae is a type of pathogenic gram-negative bacteria that causes various respiratory tract infections including asthma. Chlamydia species infect humans and cause respiratory infection by rupturing the lining of the respiratory which includes the throat, lungs and windpipe. Meanwhile, the function of interleukin-4 (IL-4) in Ch. pneumoniae respiratory infection and its association with the development of airway hyperresponsiveness (AHR) in adulthood and causing allergic airway disease (AAD) are not understood properly. We therefore investigated the role of IL-4 in respiratory infection and allergy caused by early life Chlamydia infection. In this study, Ch. pneumonia strain was propagated and cultured in HEp-2 cells according to standard protocol and infant C57BL/6 mice around 3-4 weeks old were infected to study the role of IL-4 in respiratory infection and allergy caused by early life Chlamydia infection. We observed that IL-4 is linked with Chlamydia respiratory infection and its absence lowers respiratory infection. IL-4R α2 is also responsible for controlling the IL-4 signaling pathway and averts the progression of infection and inflammation. Furthermore, the IL-4 signaling pathway also influences infection-induced AHR and aids in increasing AAD severity. STAT6 also promotes respiratory infection caused by Ch. pneumoniae and further enhanced its downstream process. Our study concluded that IL-4 is a potential target for preventing infection-induced AHR and severe asthma.

유아교사의 직무요인이 직무만족에 미치는 영향에 관한 연구 - 기관유형에 따른 조절효과를 중심으로 - (The Effects of Infant Teacher's Job Characteristics on Job Satisfaction -Focusing on Moderating Effects of the Type of Institute-)

  • 김경숙
    • 한국컴퓨터정보학회논문지
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    • 제20권3호
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    • pp.177-184
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    • 2015
  • 본 연구는 유아교사의 직무요인이 직무만족에 미치는 연구로 기관유형에 따른 조절효과분석을 통해 시사점을 도출하는데 연구목적을 두었다. 연구목적을 달성하기 위하여 선행연구를 토대로 유아교사의 직무만족에 대한 변인으로 교사효능감, 감성지능, 동료관계, 보상체계의 관계에 대한 인과모형을 설정한 다음 설문조사를 통하여 실증적으로 분석하였다. 본 연구결과는 유아교사의 교사효능감, 감성지능, 동료관계, 보상체계가 직무만족에 미치는 영향에서는 보상체계가 가장 높게 영향을 미치는 것을 알 수 있었고, 감성지능, 동료관계, 교사효능감의 순으로 나타났다. 기관유형에 따른 조절효과 분석에서는 감성지능은 유치원과 어린이집에 따라 유의미한 차이가 있는 것으로 나타났으며, 교사효능감, 동료관계, 보상체계는 유의미한 차이가 없는 것으로 나타났다. 이러한 연구결과를 바탕으로 유아교사의 직무만족을 효과적으로 달성할 수 있는 방안 모색의 기초자료를 제공하는데 있다.

한국 영아로부터 분리한 Enterococcus faecium의 구강 병원균에 대한 억제 효과 (Inhibitory effects of Enterococcus faecium isolated from Korean infants on oral pathogens)

  • 정은경;이종철;서정윤;김성윤;김완수;윤우혁;김윤상;피성희;유형근;신형식
    • Journal of Periodontal and Implant Science
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    • 제38권1호
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    • pp.31-40
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    • 2008
  • Purpose: The probiotic effects of lactic acid bacteria have widely been researched in diverse human pathogens, but only a few effects are reported against oral pathogens. The antimicrobial effects of the Enterococcus faecium 7413 isolated from Korean infants on the 9 pathogen including 6 oral streptococci were investigated the clinical use of the antimicrobial peptide for oral microflora control. Materials and Methods: E. faecium 7413 was identified by morphological, biochemical tests and 16S rDNA sequence analysis. Inhibitory effects of culture supernatants were determined for their ability to grow on agar plate containing pathogenic bacteria. Result: The culture supernatant of Enterococcus faecium 7413 showed inhibitory effects on oral pathogens, namely Streptococcus pyogenes KCTC 3556, S. pneumoniae KCTC 5080, S. mutans ATCC 25175, S. anginosus ATCC 33397, S. constellatus KCTC 3268, S. intermedius ATCC 27823 and Shigella flexneri KCTC 2008. Whereas it did not affect the multiplication of E. coli strains, KCTC 1041 and ATCC 43894. Conclusion: The data obtained in this study could be useful for future development of effective probiotics allowing prevention for oral pathogens.

국내 시판 유아동 보건용 마스크 구조 및 제품 치수 비교 연구 (A Study of the Structures and Product Dimensions of Hygienic Face Mask for Infants and Children in the Domestic Market)

  • 김지은
    • 한국의상디자인학회지
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    • 제25권3호
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    • pp.113-125
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    • 2023
  • The COVID-19 pandemic has led to the normalization of mask-wearing worldwide, and young children are particularly vulnerable to respiratory diseases. Children's masks come in various sizes and shapes, causing confusion among consumers who struggle to find products that can accommodate their child's unique physical conditions. This research aims to analyze the shape and dimensions of health masks designed for young children. A total of 67 mask varieties were collected, and 58 were subjected to analysis. The masks were found to have two primary shapes: foldable and beak-like, with sizes categorized as small and extra-small. The majority of masks were manufactured in Korea, and the size labeling systems varied among manufacturers. The mask materials were non-woven fabric or polypropylene, and there was diversity in terms of the adjustable earbands and the use of additional accessories. The dimensions of the masks varied depending on their shape, with significant differences in the weight and the length of the wire holes. Subsequent research should focus on conducting wearability evaluations to verify the dimensional suitability of commercially available children's health masks based on shape and size. Additionally, this study aims to provide foundational data that can assist in the development of children's masks with size ranges that differentiate them from adult masks and cater to specific age groups.

미숙아에게 적용한 구강 자극 프로그램이 젖병 수유로의 이행에 미치는 효과 (Effects of an Oral Stimulation Program on the Transition from Tube to Bottle Feeding in Premature Infants)

  • 김희영;방경숙
    • 기본간호학회지
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    • 제18권2호
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    • pp.160-167
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    • 2011
  • Purpose: The purpose of this study was to identify the effects of an oral stimulation program on premature infant's transition from tube feeding to bottle feeding, decrease in desaturation during feeding, and early discharge. Methods: This quasi-experimental study was performed in one neonatal intensive care unit (NICU) of an university hospital. The control group data (n=69) were obtained from June 2008 to May 2009, and the experimental group data (n=67), from June 2009 to May 2010. The oral stimulation program (OSP) was provided daily before feeding for the experimental group until transition to bottle feeding was completed. Results: The OSP group began bottle feeding earlier and were on complete bottle feeding earlier than control group. Discharge delay due to feeding desaturation was lower than for the control group. Conclusion: The results indicate that OSP for premature infants was helpful in transition from tube feeding to bottle feeding and early discharge and thus can contribute health and development in premature infants.