• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.7
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• pp.4632-4640
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• 2015

The purpose of this study was to investigate the education needs related to prenatal care program in married immigrant women and to suggest the meaningful data in developing prenatal care programs. Data collection was conducted in a multi-cultural center, D-city from 2014 Mar to 2015 April and a total of 71 subjects participated in this study. Education needs related to prenatal care programs were investigated using a questionnaire including infertility, human reproductive structures, prenatal educations, vaccinations, health problems managements and so on. Scores in education needs related to prenatal care programs were high in newborn baby safety managements, vaccinations, health care managements, newborn baby normal developments and newborn baby care managements. In addition, education needs related to fertility in the married immigrant women from Vietnam were higher than the married immigrant women from China and others (F=5.53, p<.05). Thus, based on the results of this study, the contents of an educational program needs to focus on newborn baby normal developments and nursing care management for them.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.5
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• pp.417-425
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• 2020

This study was conducted to identify the effects of baby care using dolls on nursing students' major satisfaction, class satisfaction, and knowledge of newborn care. A quasi-experimental nonequivalent control group, pretest-posttest design was used. The subjects of the study were 95 nursing college students who agreed to participate. The control group (n=47) received lecture education consisting of watching newborn videos while the experimental group (n=48) received a practical education involving caring for a doll resembling an infant. Data were collected from March to May, 2019 and analyzed using descriptive statistics, χ²-tests, and t-tests with the SPSS/WIN 21.0 program. The major satisfaction score of the experimental group was higher than that of the control group, but it was not statistically significant (t=1.64, p=.107). The score for class satisfaction differed significantly between the experimental group and control group (t=2.08, p=.043). The knowledge of newborn care score for the experimental group was higher than that for the control group, and there was a statistically significant difference (t=-5.82, p<.001). Overall, the results show that baby care using a doll has positive effects on class satisfaction and knowledge of newborn care. In the future, it will be necessary to develop and apply effective teaching methods in line with the times.

• Journal of Korean Academy of Nursing
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• v.8 no.1
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• pp.139-151
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• 1978

This study is to observe the effects of nursing care according to change of position for comfort during labor and safe delivery of newborn infants and perturbment women. Fifty antepartal primipara with labor pain who were admitted to the delivery room of H University Medical Center from September 1, 1976 to November 15, 1976 (Estimate Delivery Confinement) were selected for this investigation. Among the 50 parturiencys, the experimental group (28 primipara) were placed in 30 degree upright sitting position and the control group (22 primipara) were placed in the supine position. following placement, both groups were observed. The summarized findings of the study were as follows; 1. There was a noticeably significant difference in the duration of the first stage of labor (defined as 4 cm. dilatation of the cervical os with the fetal presenting part engaged to full or 10 cm. dilatation) , between the two groups. For women in the 30 degree upright sitting position, the first stage of labor was close to 33.66 minutes shorter. than for the women in the supine position. (t : 32.79, D.F : 48, p<0.0,i) 2. Although slight differences were observed between the Apgar Scores of the newborn infants of primipara in the two groups, these were not significant. The mean Apgar Score among the newborn infants of primipara in the 30 degree upright sitting position was 9.64 compared with 9.04 for the newborn infants of primipara in the supine position, a difference of 0.6. (x$^2$= 2.44, D.F : 2, p〉0.05) 3. There was a significant difference in the conformability of the perturbment women between the two groups because the shortened duration of the first stage and the high level of comfort score calculated for six factors (body activity, serving bed pan, serving kidney basin, pushing, deep breathing and perturbment women's feelings), that affect nursing care.

• Journal of Korean Academy of Nursing
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• v.13 no.3
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• pp.119-126
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• 1983

Early extra-uterine development of the newborn infant has the potential for clarifying important questions of nature and care taking environment. In this study, tactile and auditory stimulation is used on .a group of infants to determine the effects of their response. Infants were tested by EKG at 24∼48 hrs after birth ana all they are free from complication. Stimuli presented were-touch and sound (40dB, 70dB and 40∼70dB). The result of the study were as follows: 1) The heart rate was seen to depend on their sleep-wake state. (light sleep ; 125/min, eyes: open & motor activity increase ； 151/min crying ; 185/min). 2) The heart rate affected by tactile & auditory stimulus. The heart rate response was acceleration above the prestimulus level. (tactile, 231min increase, auditory ; 16∼21/min increase), and heart rate change was seen to depend on prestimulus rate. (γ=.73) 3) There was a decrease in heart rate when they were soothe. (touch ; 24.8sec, 21/min decrease, pacifier ; 14.5sec, 26/min decrease) and significant difference in time between touch and pacifier (t= 1.76, p<0.05). This result support the evaluation of newborn infant's sensory abilitics, and has even begin to influence changes in nursing care. But systemic monitoring of newborn infants response would. further define.

• Child Health Nursing Research
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• v.17 no.2
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• pp.69-73
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• 2011

Purpose: This study was designed to identify mother and infant related factors that influence child-care stress among the mother of newborn infants. Methods: Data were collected through self-administered questionnaires and descriptive statistics, correlation and multiple regression were used to analyze the data. The data survey was conducted with 957 conveniently selected mothers of infants when they visited a public health center in Seoul to have their children immunized. Results: The average item score for the Childcare Stress Inventory was 38.03, for the Edinburgh Postnatal Depression Scale, 9.31 and for the Degree of Bother Inventory, 23.42. The CSI was positively correlated to EPDS (r=.44, p<.001) and DBI (r=.40, p<.001). Also these two variables explained 30.0% of CSI in infants' mothers. Conclusion: These findings are expected to expand the understanding about postpartum mothers' child-care stress and can contribute to the development of comprehensive interventions based on community health nursing.

• Child Health Nursing Research
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• v.21 no.4
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• pp.293-301
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• 2015

Purpose: This study was done to analyze the effectiveness of simulation-based integrated practice program (maternal-child) on nursing knowledge, self-confidence, and clinical competence of nursing students. Methods: A nonequivalent control group pre-post experimental design was used to compare experimental and control group. The experimental group received the integrated simulation practice and the control group received a separate simulation for maternal care and for newborn care. Results: The experimental group who had the integrated simulation had significantly higher scores for self-efficacy on nursing handover (F=0.480 p=.012) and oxygen therapy in newborn care (F=3.262 p=.037), and for clinical competence (F=2.639, p<.001) and personal satisfaction with debriefing compared to the control group (F=2.179, p=.044). But the experimental group did not have significantly higher scores in nursing knowledge. Conclusions The results indicate that an integrated simulation practice is an effective practice method to improve self-confidence, clinical competence and satisfaction. Also this study had significance in providing a setting similar to the clinical situation.

• Women's Health Nursing
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• v.27 no.4
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• pp.278-285
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• 2021

Purpose: This study aimed to examine the effect of a newborn care education program using ubiquitous learning (UL-NCEP) on exclusive breastfeeding and maternal role confidence of first-time mothers in Vietnam. Methods: This quasi-experimental study with a nonequivalent control group design was conducted at a university hospital in Hue city, Vietnam, between June and July 2018. Eligible first-time mothers were conveniently allocated to the experimental (n=27) and the control group (n=25). Mothers in the control group received only routine care, whereas mothers in the experimental group received UL-NCEP through tablet personal computers in addition to routine care in the hospital. Then, the educational content was provided to mothers by their smartphone for reviewing at home. UL-NCEP was developed based on the World Health Organization's "Essential Newborn Care Course" guidelines. The exclusive breastfeeding rate and maternal role confidence level after birth and at 4 weeks postpartum were assessed in both groups to assess the effect of UL-NCEP. Results: At 4 weeks postpartum, the experimental group showed a significantly higher level than the control, for exclusive breastfeeding rate (p<.05) as well as mean maternal role confidence (p<.05). Conclusion: UL-NCEP was a feasible and effective intervention in increasing first-time Vietnamese mothers' exclusive breastfeeding rate and maternal role confidence level. This program may be integrated into routine care for postpartum mothers to promote mother and infant health among first-time mothers in Vietnam.

• Child Health Nursing Research
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• v.26 no.3
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• pp.348-356
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• 2020

Purpose: This study aimed to identify correlations between the status of the umbilical cord and neonatal health status. Methods: In total, 172 newborns were enrolled who were admitted to the newborn nursery with a gestational age of 35 weeks or older and a body weight of 2 kg or above. Data were collected on the basic personal information of the newborns, the diameter and soft tissue status of the umbilical cord, and neonatal health status after birth. Analyses were performed using t-test, analysis of variance, χ² test, and Fisher exact test. Results: Umbilical cord diameter exhibited a statistically significant difference by sex (t=2.71, p=.007). A thin umbilical cord diameter was associated with a 1-minute Apgar score less than 8 points (t=2.47, p=.015) and with being transferred to the intensive care unit (t=2.45, p=.015). Poor soft tissue status of the umbilical cord was associated with a 1-minute Apgar score of less than 8 points (χ²=16.68, p<.001) and with oxygen being supplied (χ²=4.81, p=.028). Conclusion: Assessing the umbilical cord diameter and status in newborns is an important tool for evaluating neonatal health status after birth, and this point also underscores the importance of professionals' careful observations in the newborn nursery.

• Women's Health Nursing
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• v.4 no.3
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• pp.322-331
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• 1998

The postpartum is a period of transition to motherhood where a childless woman transforms into a woman with children. Parents, especially mothers must perform an essential role of implementing instrumental and emotional care behaviors on part of the helpless, dependent, and immature infant. First-time mothers, however, suddenly face the responsibility of round the clock duty without neither parenting training during pregnancy, nor a time to gradually adapt to growing responsibilities after birth, with confusion and frustration as a result. Thus, after providing first-time mothers with childcare education as maternal role preparation, this study will try to examine its effects on childcare behaviors and confidence in maternal role during the early postpartum period. This quasi-experimental study using a nonequivalent control group non-synchronized design, was carried out from March 1995 to May 1996 to verify the effects of a childcare education program with first-time mothers who had vaginal delivery in Ewha University Hospital, Seoul, Korea, and collected data from 60 subjects who consented to the study. The education was given in the early postpartum period(48-72 hours after delivery) and to measure its effects, a posttest was done 4 weeks later with the results analyzed by SPSS shown in the following : 1. The childcare behavior score of the experimental group that had received the newborn care education was higher than the control group(t=3.5, P=.001). 2. The control group and the experimental group which had received the education showed no difference in degree of confidence in maternal role. 3. The higher the childcare behavior score, the higher the degree of confidence in maternal role was among the subjects(r=.56, P=.001). The preceding results are significant in that childcare practices can be promoted by providing child-care education to first-time mothers in the early postpartum period. Thus, this education can be used as a nursing intervention strategy in the early postpartum period.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.6
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• pp.3805-3812
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• 2014

The aims of this study were to examine the effects of a newborn care program (NCP) using an infant model. The subjects of this study were 48 mothers in the G city postpartum center. The NCP educational program was provided orally and via demonstration three times in two weeks. Pre and post questionnaires were given and the data was collected in July 2013 to September 2013. The findings suggest that knowledge of the newborn levels were increased significantly after the NCP (Mean=2.27 vs. 2.81, t=-7.049, p<.001). Parenting efficacy levels were increased significantly after the NCP (Mean=2.69 vs 2.89, t=-5.545, p<.001). The satisfaction with the education levels was 4.12. These findings suggest that providing a structured NCP educational program will be useful for adapting and obtaining a new mother role by improving the level of parenting efficacy and newborn care knowledge.