• 여성건강간호학회지
• /
• 제7권1호
• /
• pp.7-17
• /
• 2001

The purpose of this study was to evaluate the effects on maternal-fetal attachment and self efficacy for delivery using the Taekyo-oriented prenatal class. This class is for 2 hours/week for 4 weeks. The program covers the contents of fetal growth and development including their responding ability, the importance of the uterine environment, sharing the motive and purpose of pregnancy, sharing experiences about pregnancy, sharing of prejudices against delivery, training of maternal-fetal interaction, understanding delivery, relaxation breathing techniques, maternity exercises, writing letters or prayers to the baby, and declaration of loving the baby. This study took place from March 4th to June 15th, 2000, in a university hospital and community care center, and was done by with a pretest-posttest design, with 55 pregnant women who were within 32-36 weeks pregnant and who agreed to participate in this study. Data was measured twice by self-report by the Cranley's Maternal-fetal Attachment Scale(MFAS, 1981), and the Shin's(1997) Self Efficacy for Delivery Scale at the beginning and at the completion of the class. Data was analyzed by SAS. The study results were: 1. The score of maternal-fetal attachment was significantly increased after the Taekyo perspective prenatal class than before the class. (t=7.389, p=0.000) 2. The score of self efficacy for delivery was significantly increased after the Taekyo perspective prenatal class than before the class. (t=8.885, p=0.000) The above results proved that the present Taekyo perspective prenatal education program was effective in increasing maternal-infant attachment and self efficacy for delivery. Therefore, it is concluded that the existing prenatal class should include Taekyo perspective elements. However, further study is needed to compare the effects with preexisted prenatal class.

• Child Health Nursing Research
• /
• 제20권4호
• /
• pp.247-254
• /
• 2014

목적 본 연구의 목적은 산전 임부를 대상으로 태아애착, 태교실천, 피로 및 사회적 지지 정도를 확인하고 태아애착에의 영향 요인을 파악하는 데 있다. 방법 대상자는 월평균 분만 100건 이상의 여성전문병원에 산전관리를 위해 외래를 방문한 임부 중 임신합병증을 동반하지 않은 건강한 임부 211명이다. 일반적 특성에 따른 태아애착의 차이를 비교하였으며 태아 애착을 평가하기 위한 Maternal-Fetal Attachment Scale, 태교실천은 Mun과 Choi (2002)의 도구, 피로를 측정하기 위해 Milligan 등(1997)이 개발한 Fatigue Symptom Checklist 및 Curry 등(1994)의 사회적지지 측정도구를 사용하였다. 수집된 자료는 SPSS WIN 18.0 프로그램을 이용하여 기술통계, t-test, ANOVA, Pearson's correlation coefficients, Stepwise multiple regression analysis를 이용하여 분석하였다. 결과 임부의 태아애착 정도는 $93.74{\pm}13.69$점(점수범위 25-125점)이었으며 산과력, 모유수유 경험 및 태교 경험에 따라 유의한 차이를 보였으며, 초임부, 모유수유 경험이 없는 경우, 태교 경험이 있는 경우 태아애착 정도가 유의하게 더 높았다. 임부의 태아애착은 태교실천(r=.71, p < .001), 피로(r=.15, p =.032), 사회적 지지(r=.38, p <.001)와 정적 상관관계에 있었고 태교 실천 정도는 사회적 지지 정도와 유의한 정적 상관관계를 보였다(r=.40, p <.001). 임부의 태아애착에 영향을 미치는 요인으로는 태교실천(${\beta}=.67$), 피로(${\beta}=.21$), 사회적 지지(${\beta}=.13$) 순으로 나타났으며 설명력은 55.2%였다. 결론 임부의 태아애착 증진을 위해 태교실천 및 태교실천 프로그램 효과를 입증하는 하나의 근거자료로 활용될 수 있을 것이며 임부의 피로를 단순히 임신증상으로 인식하는 수준에서 벗어나 이를 태교실천을 통해 중재하는 것이 필요할 것이다. 또한 사회적 지지를 통해 태교실천을 더욱 더 잘 실천함으로 태아애착이 증진될 수 있을 것이다.

• 부모자녀건강학회지
• /
• 제9권2호
• /
• pp.128-139
• /
• 2006

The purpose of this study was to compare the differences of anxiety-depression and maternal fetal attachment between pregnant women with preterm labor and normal pregnant women. The number of subjects was 132 convenienced sample. The sample were 66 pregnant women with preterm labor admitted in clinics and 66 normal pregnant women visited OB outpatient department at 1 general hospital in Busan. The data were collected by a self-reported questionnaire from Aug. 1st to Oct, 31th. 2006 and were analyzed with t-test, ANOVA, chi-square test using SPSS/Win PC+ 12.0. The research results were as follows: 1. The general characteristics between normal and preterm pregnancy were homogeneous. 2. It was significantly differed according to anxiety-depression between two groups, but it was not significantly differed according to maternal fetal attachment. 3. There were negative correlations with anxiety-depression and maternal fetal attachment. In conclusion, the special program should be created for each pregnant women and ante-natal nursing service may assessed and consulted on anxiety-depression and maternal fetal attachment, and needed the development of professional and educational nursing intervention on anxiety-depression and maternal fatal attachment enhancement in prenatal health care.

• 여성건강간호학회지
• /
• 제4권2호
• /
• pp.245-257
• /
• 1998

The characteristics of health behavior related pregnancy and childbirth have reflected on the cultural belief and value in the society. The efforts for women's health promotion through the current illumination of the traditional health care are the prompting assignment to be in nursing. The process of motherhood already progress before the motherhood actually. The functional state as the expectant mother can be the important predicting factor of the postpartum state, the quality of a married life. Motherhood was analyzed by Walker and Avant's method to clarify the concept 'to be a mother' using the various concepts like Koreans' Taekyo, transition to motherhood, maternal identity, maternal role attainment, maternal fetal attachment, and maternal fetal interaction. Upon the concept analysis, naturalness, responsibility, attachment, readiness, controllability were identified as the defining characteristics of motherhood. The antecedents of motherhood were consist of maternal affection, positive self esteem, pregnancy acceptance, fetus recognition and the consequences of motherhood were consist of positive maternal identity, maternal fetal attachment, confidence about the maternal role, the healthy mother and the healthy baby. The empirical referents of motherhood were consists of recognition of motherhood, expectation about motherhood, fetal recognition with ultrasonography and fetal movement, experience of unification between mother and fetus, expression of affection to the fetus, concern about fetal health, concern and practice about Taekyo, adaptation behavior about physical change and discomfort due to pregnancy. Therefore it is necessary to develop the instruction program of motherhood including the defining attributes identified in this study.

• 대한간호학회지
• /
• 제29권4호
• /
• pp.940-950
• /
• 1999

One hundred two high-risk women(HRW) and 115 low-risk women(LRW) were studied at post-partal hospitalization and at 1, 4, and 8 months after giving birth to determine whether they would differ in the achievement of perceived maternal acquisition and whether predictors of maternal acquisition would differ for the two groups over time. The subjects were 102 HRW and 115 LRW, all in the above 27 weeks, admitted to two hospitals and to two clinic in the Kyoungnam area between July 1, 1998 and May 4, 1999. The data were analyzed by a SPSS program and the results are as follows ; 1) Predictors of Maternal role acquisition in the HRW were fetal attachment, maternal attachment, state anxiety, relationships of partner, social support in the early postpartum, maternal attachment, relationships of partner, depression, infant's health status in the postpartal 1 month, relationships of partner, self-esteem, educational degree in the postpartal 4 month, and maternal attachment, social supports in the postpartal 8 month. 2) Predictors of Maternal role acquisition in the LRW were fetal attachment, social supports, perceived experience about labor and delivery in the early postpartum, maternal attachment, sense of mastery in the postpartal 1 month, sense of mastery, experience with infants, relationships of partner in the postpartal 4 month and maternal attachment, experience with infants, social supports in the postpartal 8 month. 3) The hypothesis that HRW would score significantly lower on maternal competency than LRW was rejected. 4) The hypothesis that maternal acquisition would be significantly related to maternal attachment was accepted.

• 디지털융복합연구
• /
• 제16권9호
• /
• pp.197-206
• /
• 2018

본 연구의 목적은 임부의 자아존중감, 신체상 및 태아애착행위 정도를 측정하고 그 관계를 규명하며, 태아애착행위의 영향요인을 파악하여 산전교육프로그램 개발을 위한 기초 자료를 제공하는데 있다. 본 연구는 188명의 임부를 대상으로 하여, 자료분석은 t-test, ANOVA, Scheffe's test, Pearson's correlation coefficient, Stepwise Regression Analysis를 이용하였다. 대상자의 자아존중감은 평균 $30.85{\pm}4.71$점으로, 종교 유무, 수입에 따라 유의한 차이가 있는 것으로 나타났다. 대상자의 신체상은 평균 $79.26{\pm}11.32$점으로, 계획된 임신 여부에 따라 유의한 차이가 있는 것으로 나타났다. 대상자의 태아애착행위는 평균 $74.09{\pm}11.62$점으로, 종교 유무, 계획된 임신 여부에 따라 유의한 차이가 있는 것으로 나타났다. 대상자의 태아애착행위는 자아존중감, 신체상과 유의한 수준의 정적 상관관계가 있는 것으로 나타났으며, 자아존중감은 신체상과는 유의한 수준의 정적 상관관계가 있는 것으로 나타났다. 태아애착행위에 영향을 주는 요인은 신체상, 종교, 계획된 임신이었다. 독립변수들의 상대적인 영향력은 신체상, 종교, 계획된 임신 순이었다. 본 연구결과는 임부의 태아애착증진을 위한 산전교육에 유용한 자료로 활용될 수 있을 것이며, 향후 임부의 태아애착행위증진을 위한 표준화된 간호중재프로그램 개발이 필요하다.

• 대한불안의학회지
• /
• 제14권2호
• /
• pp.106-111
• /
• 2018

Objective : High-risk pregnant women are exposed to the physical and emotional crisis associate with the condition of high-risk pregnancy, making these women emotionally unstable, exhibiting such conditions as depression and anxiety. The aim of this study was to examine what effects the temperament and character of high-risk pregnant women had on their depression, anxiety, and maternal-fetal attachment. Methods : A hundred and five high-risk pregnant women were recruited in the maternity ward of the Keimyung University medical center. All subjects were administered a sociodemographic and obstetric questionnaire, Temperament and Character Inventory, Beck Depression Inventory-II, State Trait Anxiety Inventory-State, and Maternal-Fetal Attachment Scale. Results : First, higher scores on the harm-avoidance scale and lower scores on the self-directedness scale were associated with higher depression scores. Second, higher scores on the harm-avoidance and reward-dependence scale were associated with higher anxiety scores. Lastly, higher scores on the cooperativeness scale were associated with higher maternal-fetal attachment scores. Conclusion : Temperament and character in high-risk pregnant women were associated with the degree of depression, anxiety, maternal-fetal attachment. Based on these findings, it is suggested that examining temperament and character in advance and screening for vulnerability in pregnant women can help to prevent emotional problems for high-risk pregnant women.

• 대한간호학회지
• /
• 제34권3호
• /
• pp.504-514
• /
• 2004

Purpose: The purpose of this study is to identify the influencing factors of mother-infant attachment and construct a descriptive model that explains mother-infant attachment during the early postpartum period. Method: The hypothetical model of this study consisted of 8 variables with 23 constructed paths. The subjects of this study were 152 postpartum women. Data was analyzed to test the hypothetical model using covariance structure analysis. Result: The final model which is modified from the hypothetical model improved to Chi-Square 41.92, GFI .95, AGFI .89, RMSR .02, RMSEA .06, NFI .94, and NNFI .95. Mother-infant attachment during the early postpartum period was proven to be influenced directly by neonatal perception, maternal sensitivity, and maternal-fetal attachment and also indirectly by social support, maternal-fetal attachment and maternal identity. These variables accounted for 32% of the variance of the mother-infant attachment during the early postpartum period. Conclusion: It is necessary that the nurses provide postpartum women with an intervention using social support for improving maternal identity and alleviating maternal role strain. It can be helpful to improve maternal sensitivity and in the end it will facilitate the mother-infant attachment during postpartum period.

• 여성건강간호학회지
• /
• 제22권2호
• /
• pp.71-77
• /
• 2016

Purpose: This study was a comparative study to understand the levels of anxiety, pain and maternal-fetal attachment between women who became pregnant after infertility treatment and became pregnant naturally. Methods: This study used a comparative survey design. Data were collected by 50 couples of natural pregnancy and of who became pregnant after infertility treatment who visited delivery room in C Medical hospital, Seoul. These couples were to have first baby, and cervix dilatation of women was less than 3 cm regardless of diagnosis. Results: The score of anxiety of infertile women was significantly higher than that of naturally pregnant women; however, that of spouses showed no difference. The pain score for infertile women was significantly higher in both the active and transition phases. Pain scores that reported by their spouses did not show differences in either phase. The score of maternal-fetal attachment showed no difference between two groups of women. Conclusion: The result showed the importance of nursing intervention to reduce women's anxiety and pain, through both antenatal-childbirth education programs and assertive nursing interventions. It is necessary to develop and evaluate new intervention which would be more effective for reducing pain and anxiety for couples who became pregnant after infertility treatment.

• 대한간호학회지
• /
• 제40권4호
• /
• pp.571-579
• /
• 2010

Purpose: The purpose of this study was to explore the effects of a taegyo program on parents-fetal attachment and parenthood in first pregnancy couples (mothers and spouses). Methods: The research design was a nonequivalent control group pretest-posttest experiment. Study participants were 52 first pregnancy couples visiting two medium-scale obstetrics and gynecology clinics located in Gwangju. A total of 52 couples were assigned to the experimental group (25 couples) and the control group (27 couples). The experimental couples were provided with a taegyo program for 4 weeks. Data were analyzed by chi square test, t-test, and ANCOVA using the SPSS program. Results: Post-treatment maternal- fetal attachment, paternal-fetal attachment and motherhood significantly increased in the experimental group as compared to the control group, but post-treatment fatherhood, anxiety, blood pressure and pulse of participants in the experimental group showed no significant difference from those in the control group. Conclusion: From these results, it is suggested that the taegyo program has beneficial effects in enhancing parent-fetal attachment and motherhood in first pregnancy couples. Therefore, a taegyo program can be recommended as a nursing intervention program for first pregnancy couples.