• 제목/요약/키워드: labor control

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이완요법이 조기진통 임부의 불안과 스트레스에 미치는 효과 (The Effects of Relaxation Therapy on Anxiety and Stress of Pregnant Women with Preterm Labor)

  • 최명숙;박영주
    • 여성건강간호학회지
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    • 제16권4호
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    • pp.336-347
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    • 2010
  • Purpose: The purpose of this study was to identify the effect of relaxation therapy on state anxiety, preterm labor stress, blood pressure, skin temperature, pulse rate of pregnant women with preterm labor and heart rate of their babies. Methods: The participants were 55 pregnant women with preterm labor who hospitalized from May, 2009 to January, 2010. 29 participants were assigned to experimental group and the other 26 participants to control group. All of them were not have any other complications except preterm labor. The relaxation therapy was applied to the experimental group for 5 days. Data were analyzed by the SPSS/WIN 14.0 program. Results: The state anxiety score and the preterm labor stress score of experimental group were statistically significant lower than those of control group. In addition, the systolic and diastolic blood pressure, pulse rate of experimental group were statistically lower than those of control group. The skin temperature of experimental group was higher than that of control group. However, the fetal heart rate of experimental group was not statistically significant lower than fetal heart rate of control group. Conclusion: From these findings, it is concluded that relaxation therapy may be an effective nursing intervention for pregnant women with preterm labor.

분만 중 전신마사지가 초산부의 분만진통과 분만스트레스 반응에 미치는 효과 (Effects of Full Body Massage on Labor Pain and Delivery Stress Reaction for Primipara during Labor)

  • 이군자;장춘자;조현숙
    • 여성건강간호학회지
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    • 제9권3호
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    • pp.224-234
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    • 2003
  • Purpose: This study was to test the effects of a full body massage on labor pain and delivery stress reaction for primipara during labor. Method: This study employed a quasi- experimental method(nonequivalent control group, pre-post test design). The subjects of this study were 57 primipara hospitalized at the U OB & GYN hospital in Inchon from November 1. 2001 to July 31, 2002. 28 women were assigned to the experimental group and 29 to the control group. The experimental group was given 20 minutes full body massage for each of three delivery phases. The control group was given conventional delivery care. The levels of labor pain were measured by the Visual Analogue Scale and the expression scores of the labor pain and the levels of delivery stress reaction were measured by pulse rate, respiration rate, and blood pressure, and State-Anxiety Scale. Data were analyzed using the repeated measures analysis of covariance(ANCOVA), t-test, $X^2$- test, simple ANCOVA with SPSS program. Result: There was no interaction effect between time and group(F=.370, p=.693), but significant time effects were found for subjective labor pain(F=3.840, p=.028). There was no interaction effect between time and group(F=.112, p=.894), but significant group effects were found for objective labor pain(F=12.299, p=.001). There was no interaction effect between time and group for PR(F=.172, p=.843), RR(F=.626, p=.539), SBP(F=.089, p=.915), DBP(F=.748, p=.479), but significant group effects were found for SBP(F=7.547, p=.008). The level of status anxiety of the experimental group was significantly lower than the control group(F=11.787, p=.001). Conclusion: This study showed that the full body massage has partially positive effect on labor pain and delivery stress reaction. Therefore this study suggested that the full body massage might be used clinically to help primipara during labor.

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복식호흡이 조기진통임부의 상태불안, 스트레스, 진통억제제 투여량에 미치는 효과 (Effects of Abdominal Breathing on State Anxiety, Stress, and Tocolytic Dosage for Pregnant Women in Preterm Labor)

  • 유우정;송주은
    • 대한간호학회지
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    • 제40권3호
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    • pp.442-452
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    • 2010
  • Purpose: The purpose of this study was to identify the effects of abdominal breathing on state anxiety, stress and tocolytic dosage for pregnant women in preterm labor. Methods: The participants were 60 pregnant women in preterm labor who were hospitalized from April to July, 2009. Thirty participants were assigned to the experimental group and 30 to the control group. None of them had any other complications except preterm labor. The modified Mason's breathing technique was used with the experimental group 3 times a day for 3 days. Data were collected using a self-report questionnaire and chart review, and analyzed with the SPSS 13.0 WIN program. Results: "State anxiety of the experimental group will be lower than that of the control group" was supported. "Stress of the experimental group will be lower than that of the control group" was supported. "The Ritodrine dosage for the experimental group will be lower than that of the control group" was supported. "The Atosiban dosage for the experimental group will be lower than that of the control group" was supported. Conclusion: These results indicate that abdominal breathing is an effective nursing intervention for pregnant women in preterm labor.

일대일 분만지지간호가 초산모의 분만동통, 분만스트레스 반응, 분만경험 및 신생아 상태에 미치는 효과 (Effects of one-to-one Labor Support on Labor Pain, Labor Stress Response, Childbirth Experience and Neonatal Status for Primipara)

  • 허명행
    • 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.

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통합 뉴스룸 도입 이후 뉴스생산 노동과정의 변화: CBS 통합뉴스룸 사례연구 (Changes in News-Production Labor Process Since The Introduction of Convergent Newsroom : A Case Study on The CBS Convergent Newsroom)

  • 윤익한;김균
    • 한국언론정보학보
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    • 제55권
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    • pp.164-183
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    • 2011
  • 디지털 컨버전스의 기술 혁신은 언론 부문에서 핵심적인 노동이라고 할 수 있는 기자노동에도 막대한 영향을 주고 있다. 노동과정론에 따르면, 자본주의적 생산양식에서 기술혁신으로 인해 노동자들은 노동에 대한 통제력을 상실해가면서 탈숙련화의 과정을 겪어 왔고, 경영진들은 억압적인 노동조건을 은폐하고 노동자들을 더욱 효율적으로 통제하기 위해 이데올로기적, 정치적 장치들을 도입해 왔다. 이러한 문제의식 위에서 본 연구는 뉴스룸 통합의 기술혁신이 기자노동의 숙련도에 어떠한 영향을 주는지, 또 경영진들이 기자들을 통제하기 위해 사용하는 전략이 무엇인지를 CBS 통합뉴스룸의 사례를 통해 실증적으로 분석하였다. 분석 결과, 통합뉴스룸 도입으로 인해 기자들은 숙련노동에 대한 통제력을 상실해가면서 탈숙련화되고 있었다. 또한, 경영진들은 새로운 뉴스생산관행, 가족주의 노사문화에 대한 노동자들의 동의를 획득해 나갔으며, 내부노동시장 분절화를 통해 기업권력의 강화와 노동사회의 고립화 전략을 취하고 있었다.

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잡초방제 기술보급실태와 문제점 (The Realities and Problems of the Dissemination of Efficient Weed Control Methods)

  • 강희영;전태하
    • 한국작물학회지
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    • 제23권3호
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    • pp.12-15
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    • 1978
  • The agriculture in Korea has been gradually changed from a labor-intensive type to a labor-saving one which aims to maximize productivity of labor. Herbicides have been utilized in rice farming since 1955. The consumption of herbicides rapidly increased during the last decade. However, the technology of weed control with herbicides has not been developed yet. For the dissemination of efficient weed control methods in farming, both research and extension activities on herbicide utilization should be strengthened. Appropriate research and guidance units on weed control should be established as early as possible, in order to provide the necessary technical information.

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Is there an association between labor induction and attention-deficit/hyperactivity disorder among children?

  • Jenabi, Ensiyeh;Seyedi, Mahdieh;Bashirian, Saeid;Fereidooni, Bita
    • Clinical and Experimental Pediatrics
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    • 제64권9호
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    • pp.489-493
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    • 2021
  • Background: There is evidence of destructive effects of oxytocin use during labor on neurodevelopment. Purpose: This meta-analysis pooled all observational studies to determine the association between labor induction and the risk of attention-deficit/hyperactivity disorder (ADHD) among children. Methods: All observational studies (case-control and cohort) were reviewed until September 2020 after searches of the PubMed, Scopus, and Web of Science databases, the gray literature, and conference proceedings. The pooled odds ratios (ORs), relative ratios (RRs), and 95% confidence intervals (CI (swere calculated as random effect estimates of association among studies. Results: All observational studies were reviewed, including 4 cohort studies including 2,885,743 participants and 3 case-control studies including 51,135 participants (10,961 with ADHD and 40,174 in control groups) with a sample size of 2,936,878 participants. The pooled estimates of OR and RR did not indicate a significant association between labor induction and ADHD among children (OR, 1.13; 95% CI, 0.90-1.35) and (RR, 1.10; 95% CI, 0.96-1.24). Conclusions: The findings showed that labor induction is not associated with an increased risk of ADHD among children. However, more studies are needed to investigate the relationship between labor induction and ADHD.

배우자의 아로마테라피 제공이 분만통증, 불안 및 분만 만족도에 미치는 효과 (Effects of the Spouse's Aromatherapy Massage on Labor Pain, Anxiety and Childbirth Satisfaction for Laboring Women)

  • 이미경;허명행
    • 여성건강간호학회지
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    • 제17권3호
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    • pp.195-204
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    • 2011
  • Purpose: The purpose of this study was to determine the effects of the spouse's aromatherapy massage on labor pain, anxiety during labor and childbirth satisfaction for laboring women. Methods: The subjects of this study were laboring women who didn't have any complication during pregnancy and who have admitted for childbirth with their spouse to E. hospital in D city. This study was carried out from June to November in 2007. The subjects were allocated into three groups: spouse's aromatherapy massage group, spouse's carrier oil massage group and control group. Aromatherapy massage and carrier oil massage was applied for ten minutes every hour after the cervix dilated 5cm. The subjects in the control group were with their spouse during labor. Results: The labor pain by VAS was significantly different among the three groups (Kruskal-Wallis $x^2$=7.09 p=.029) in the deceleration phase. The anxiety during labor by VAS were significantly different among the three groups (Kruskal-Wallis $x^2$=6.77 p=.034) in the deceleration phase. There was no significant difference in childbirth satisfaction among the three groups. Conclusion: The spouse's aromatherapy massage using Lavender, Clary sage, Frankincense and Neroli could be effective in decreasing labor pain and decreasing anxiety level during labor.

정보제공이 조기진통임부의 스트레스와 모성역할자신감에 미치는 효과 (Effects of Providing Information on Stress and Maternal Role Confidence of Women with Preterm Labor)

  • 오진아
    • 부모자녀건강학회지
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    • 제10권2호
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    • pp.99-109
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    • 2007
  • Purpose: The purpose of this study was to examine the effects of providing information on Stress and maternal role confidence of pregnant women with preterm labor. Methods: The sample were 66 pregnant women with preterm labor admitted at 1 hospital in Busan. In the subjects, 33 were the experimental group and 33 were the control. Data was collected from March 1st to October 31st, 2007. A hand-out including the knowledge of preterm labor, fetus state and curing process. The tool for the stress had 14 questionnaires including the levels of anxiety and depress. And the tool for the maternal role confidence had 23 questionnaires. The data analyzed by $X^2$-test, t-test and pearson correlation coefficient with SPSS 12.0/pc program. Results: After providing information, the stress of the experimental group decreased significantly than the control(t=1.95, p=.048). And the maternal role confidence of the experimental group increased significantly than the control(t=-2.40, p=.016). There is a significant correlation between the stress and maternal role confidence(p<.01). Conclusion: The special program or educational nursing intervention should be created for each pregnant women with preterm labor and ante-natal nursing service may assessed and consulted on anxiety-depression and maternal role confidence.

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일개대학병원 가족분만실에서 듈라(Doula)식 분만지지간호가 초산부의 불안, 분만통증 및 분만경험지각에 미치는 효과 (Effects of Doula Support in LDR (Labor-Delivery-Recovery) on Anxiety, Labor Pain, and Perceived Childbirth Experience of Primiparas)

  • 박광희;최정선;이정화;진보경
    • 임상간호연구
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    • 제14권3호
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    • pp.87-97
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    • 2008
  • Purpose: The purpose of this study was to evaluate the effects of Doula support during labor on anxiety, labor pain, and perceived childbirth experience of primiparas. Method: Of 65 primiparas who were hospitalized in LDR from March 1 to September 30, 2007. 32 women were placed in the Doula group and 33 in the control group. VAS was used to measure the degree of labor pain and anxiety in the latent, active, and transitional phases. Perceived childbirth experience was measured within 2 hours after birth. Results: The Doula group had a significantly lower anxiety level than the control group in the active phase (t=-2.13, p=.04) and the transitional phase (t=-3.99, p=.000). The degree of labor pain of the Doula group was significantly lower than that of the control group for the active phase (t=-3.10, p=.003) and the transitional phase (t=-7.24, p=.000). Also, There was no significant difference in perceived childbirth experience between the two groups (t=.19, p=.85). Conclusion: The results of this study show Doula support in LDR decreases not only anxiety of primiparas but also labor pain in the active and transitional phases. Therefore Doula support by nurses in LDR can be a useful intervention during childbirth.

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