• Child Health Nursing Research
• /
• 제13권2호
• /
• pp.119-127
• /
• 2007

Purpose: The purpose of this study was to identify factors influencing parenting confidence in first-time mothers and to provide basic data for development of maternal role education programs. Method: The participants were 194 first-time mothers of babies aged 1-6 months who visited well-baby clinics in 4 hospitals. Instruments used in this study were self-reported questionnaires. The data were analyzed using descriptive statistics, Pearson correlation coefficient and stepwise multiple regression. Results: The parenting confidence level was moderate with a mean score of 3.26(range 1-6). Infant temperament was significantly correlated with maternal role confidence. Maternal role confidence was significantly correlated with child-rearing environment. Infant temperament and parenting stress were significant predictors explaining 50% maternal role confidence. Conclusions: Nursing Interventions to promote parenting confidence among first-time mothers of infants in their first year are needed to improve maternal perception to infant temperament and reduce parenting stress.

• Child Health Nursing Research
• /
• 제11권4호
• /
• pp.415-426
• /
• 2005

Purpose: The purpose of this study was to identify relations among the parenting stress, maternal sensitivity to infant cues, parenting environment of first-time mothers. Method: The participants were 194 first-time mothers of babies aged 1-6 months who visited well-baby clinics in 5 hospitals. The data were collected from April 15 to June 15, 2003. Results: The parenting stress level was moderate with a mean score of 2.4(range 1-5). The parent domain and parent-child relationship domain of the parenting stress scale were significantly correlated with maternal sensitivity to infant feeding cues (r=-.178, p<.05; r=-.197, p<.01). Parenting stress was significantly correlated with childrearing environment(r=-2.19, p<.01). Parenting stress and childrearing environment were significantly different according to the educational level of the mothers and their prenatal care. Conclusions: Nursing interventions to reduce parenting stress in first-time mothers are needed to improve maternal sensitivity to infant cues and childrearing environment which foster infant development.

• Child Health Nursing Research
• /
• 제13권4호
• /
• pp.390-398
• /
• 2007

Purpose: This comparative descriptive study was conducted to determine differences in maternal health related characteristics, child rearing burden, and social support depending on economic status. Method: Using home visits, data were collected from 100 poverty stricken mothers, 51 in the extremely poor group and 49 in the low income group, and 200 mothers of a general group being seen in one public health center. The instrument used for this study was a self-report questionnaire to identify maternal health variables including child rearing burden and social support. Results: Parent's education level, marital status, and primary caregiver were significantly different according to socioeconomic status. Poverty stricken groups showed poor rates for prenatal checkups, lower Fe supplementation, and more artificial abortions and history of cesarean section. Continuing breast feeding as planned was significantly lower for mothers with low economic status. Present health problems of the mother, child-rearing burden, and social support were not significantly different among the three groups. Conclusion: These findings suggest that special attention and interventions for the poverty stricken groups is important to improve maternal and child health status.

• 대한지역사회영양학회지
• /
• 제13권6호
• /
• pp.805-817
• /
• 2008

The aim of this study was to determine the predictors of desirable pregnancy outcomes. The subjects were 795 pregnant women participating in the 2007 Mom and Baby Expo. They were grouped by gestational age: group I (3-12 wk: n = 95), group II (13-25 wks: n = 263) and group III (26-42 wks: n = 437). We collected data for general characteristics, sociocultural factors, life styles and nutrient intakes. We also collected pregnancy outcome data of 634 pregnant women including birth weight, maternal weight gain and gestational age. Dietary intakes of the subjects were estimated by Food Frequency Questionnaire. folate, iron and calcium intakes from foods of pregnant women were 88%, 79% and 58% of KDRIs, respectively. Bivariate analysis showed that birth weight was significantly associated with pre-pregnancy BMI, maternal weight gain, maternal age, gestational age and intakes of iron, potassium, $vitaminB_1$, $B_6$, fatty acids, MUFA. And also, bivariate analysis showed that maternal weight gain was significantly associated with pre-pregnancy BMI, maternal age, gestational age and intakes of energy, potassium. Further multivariate analyses suggest that vitaminB6 may be a significant predictor for low birth weight and energy intake and maternal age for maternal weight gain. Our findings suggest that dietary and lifestyle interventions during pregnancy can improve maternal and infant pregnancy outcomes. Prepregnancy weight control and intakes of energy and vitamin $B_6$ need to be taken into considerations in developing strategic prenatal care programs to promote desirable pregnancy outcome.

• 한국사회복지학
• /
• 제38권
• /
• pp.180-205
• /
• 1999

이 연구의 목적은 장애아모의 스트레스에 대한 대처전략과 적응 간의 관계를 정립하는 것이었다. 특히 장애아모의 적응에 영향을 미친다고 알려진 장애아모와 장애자녀의 개인 및 환경적 특성의 영향력을 통제한 상태에서 대처전략의 적응에의 순수한 독립적 영향력을 분석하는 데에 연구의 초점을 두었다. 서울, 창원, 대구의 장애인복지관에 등록된 장애아동의 어머니 92명을 대상으로 한 설문조사 분석결과, 대처전략과 장애아모의 적응간의 유의미한 관계가 입증되었다. Stepwise multiple regression 분석을 통해 밝혀진 장애아모의 적응 예측에 기여한 대처전략은 직면전략, 책임수용 전략 그리고 긍정적 재평가전략이었다. 직면과 책임수용전략은 장애아모의 적응에 부정적인 영향을 미친 반면, 긍정적 재평가전략은 장애아모의 적응에 긍정적인 영향을 미쳤다. 이들 직면, 책임수용, 긍정적 재평가전략의 적응에의 효과는 다른 예측변수의 영향력을 보수적인 방법으로 통제한 상태에서도 통계학적으로 유의미한 것으로 나타났다. 연구결과를 바탕으로 장애아모를 위한 사회사업개입방안이 논의되었다.

• 여성건강간호학회지
• /
• 제26권4호
• /
• pp.318-325
• /
• 2020

Purpose: The purpose of this study was to identify the influence of self-differentiation, psychological discomfort, and marital dyadic adjustment on maternal-fetal attachment in primigravida. Methods: In total, 108 primigravida participated in this descriptive correlational study. The participants answered self-report questionnaires. Data were collected from January to May, 2020, and were analyzed using descriptive statistics, the t-test, analysis of variance, Pearson correlation coefficients, and hierarchical multiple regression with SPSS for Windows ver. 23.0. Results: The mean age of the primigravida was 31.66 years. The mean score for the degree of maternal-fetal attachment was 76.81 out of 96 points. Participants' scores for maternal-fetal attachment differed significantly based on age (t=2.08 p=.039) and marital status (t=2.05, p=.043). Maternal-fetal attachment was significantly negatively correlated with psychological discomfort (r=-.39, p<.001), and significantly positively correlated with self-differentiation (r=.36, p<.001) and marital dyadic adjustment (r=.36, p<.001). Self-differentiation explained 24.1% of variance in participants' maternal-fetal attachment, and its effect was statistically significant (F=7.79, p<.001). Conclusion: In primigravida, more self-differentiation was associated with stronger maternal-fetal attachment. To strengthen maternal-fetal attachment in primigravidae, educational program that increases the level of self-differentiation and minimizes psychological discomfort may be helpful for first time pregnant women. Additionally, it is recommended to provide nursing interventions to encourage couples to work together throughout the gestational period.

• 대한지역사회영양학회지
• /
• 제14권1호
• /
• pp.77-86
• /
• 2009

Effective parenting attitudes have been known to be associated with children's health practices including dietary intake and physical activity. The objective of this study is to compare children's body weights and eating habits by maternal parenting attitudes. Data were collected at school (N = 396; 4th and 5th grade students) using self-administered questionnaires on maternal parenting attitudes, eating habits and physical activity. Parenting attitudes were categorized as 1 of 4 parenting attitudes (overprotective, authoritarian, democratic, and neglectful) using affection and control median cut points. Children's body weights, frequency of breakfast, eating out and fastfood, and physical activity were compared by maternal parenting attitudes. Children's body weights were related with mother's employment status (p < 0.05) and parenting attitudes (p < 0.01). Children of unemployed mothers were more likely to be overweight. Children of neglectful mothers (p < 0.01) were more likely to be underweight, compared with children of mothers with other parenting attitudes. Since, unfortunately, the number of children of neglectful mothers was very limited in this study, we could hardly assess eating habits of children of neglectful mothers. Children of authoritarian mothers ate breakfast more regularly (p < 0.05), but ate snacks less regularly (p < 0.01). Children of democratic mothers ate fastfood less frequently (p < 0.01) and ate snacks more regularly (p < 0.01). Meanwhile, children of overprotective mothers ate breakfast less regularly (p < 0.05) and ate out less frequently (p < 0.01). However, maternal parenting attitudes were not related to children's physical activities. In conclusion, the maternal democratic parenting attitude was associated with healthy eating habits including regular snack time and less fastfood. On the other hand, the maternal neglectful parenting attitude was associated with high risk of children's underweight. Understanding the mechanism through which parenting attitude is related with underweight risk and healthy eating habits may lead to the development of better interventions.

• 여성건강간호학회지
• /
• 제27권1호
• /
• pp.14-26
• /
• 2021

Purpose: This study aimed to identify the effects of nursing intervention programs for women with gestational diabetes mellitus (GDM) through a critical review of recent studies. Methods: Studies related to effects of nursing intervention programs for women with GDM published in English or Korean between 2000 and 2019 were extracted from 10 electronic databases. The quality of the studies was evaluated and double-checked for accuracy by two reviewers using the Revised Cochrane Risk-of-Bias tool for randomized controlled trials. Results: Twenty studies were selected, of which 19 had a low risk of bias and one had a high risk of bias. Interventions fell into six main groups: (1) integrated interventions, (2) self-monitoring of blood glucose levels, (3) dietary interventions, (4) exercise, (5) psychotherapy, and (6) complementary therapy. This review found that nursing interventions for GDM were of many types, and integrated interventions were the most common. However, low-carbohydrate diets and blood glucose monitoring interventions did not show statistically significant results. Evidence shows that various nursing intervention programs applied to GDM improved diverse aspects of maternal, fetal, and neonatal health, including both physical and psychological aspects. Conclusion: The composition and delivery of integrated interventions continue to evolve, and these interventions affect physical and psychological indicators. Although interventions affecting physical health indicators (e.g., blood glucose levels, diet, and exercise) are important, many studies have shown that programs including psycho-emotional nursing interventions related to anxiety, depression, stress, self- efficacy, and self-management are also highly useful.

• 대한가정학회지
• /
• 제41권1호
• /
• pp.1-13
• /
• 2003

The purpose of this study was to examine how mothers intervened in conflicts between siblings aged 3-5. The subjects of this study were 51 sibling dyads and their mothers. The siblings were asked to carry out 4 different tasks. The sibling conflicts occurring during the tasks and their mothers' interventions were observed and recorded. The results were as follows. Fist, mothers tended not to intervene in sibling conflicts. Second, when they intervened, they tended to use strategies considered less desirable such as ‘parental control’ Third, although small in numbers, some mothers intervened in sibling conflict in a positive way. In such cases, sibling conflicts ended in compromise and reconciliation. The implications for parent education were discussed.

• Child Health Nursing Research
• /
• 제16권4호
• /
• pp.239-248
• /
• 2010

Purpose: This study was done to evaluate effects of a mother-fetus interaction promotion program on maternal and infant sleep/activity regulation, and examine the correlation between maternal and infant sleep/activity. Methods: Thirty-four mother-infant dyads were recruited from an OB-GY clinic with postpartum care center, and assigned to the intervention group (17) or control group (17). Data were collected from January 18 to August 5 2005. A programmed education focused on mother-fetus interaction was provided to the intervention group in the 3rd trimester. Maternal sleep/activity record was completed at 32-36 weeks gestation and infant sleep/activity record was completed for one month after birth. Results: During the 3rd trimester, there were no significant differences in maternal sleep/activity between the groups, except for frequency of mothers' night awakening and urination at night. There were no significant differences in infant sleep, but significant difference was found in feeding times between the groups. Correlation of maternal sleep in the 3rd trimester and infant waking times was significant. Conclusion: The results of this study indicate that maternal sleep/activity during pregnancy influences infant sleep/activity at 3-4 weeks, and that nursing interventions to regulate maternal sleep/activity provided to primiparas can be beneficial to the regularity of infant sleep/activity patterns.