• 제목/요약/키워드: postpartum care center

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미숙아 출산 산모 돌봄 가정간호가 산모의 자기효능감과 산후 우울에 미치는 효과 (Effects of a Maternal Care Program on Self-Efficacy and Postpartum Depression in Mothers with Preterm Babies)

  • 조영이;박영혜;장정숙;이종은
    • 가정간호학회지
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    • 제22권2호
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    • pp.187-195
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    • 2015
  • Purpose: This study aimed to evaluate the effects of Maternal Care Program(MCP)-carried out by trained home care nurses on self-efficacy and postpartum depression in mothers with preterm babies. Methods: This study was a quasi-experimental study comparing the effects of an MCP on self-efficacy and postpartum depression before Participants were 34 mothers who were referred to the home care nursing center of the C University Hospital in Seoul from April 8 2014 to January 12 2015. Results: The average self-efficacy score was 97.24 points before and 123.26 points after receiving the program, showing a significant increase of 26.03 points (p<.001). Postpartum depression scores were 8.65 points before the program and 5.56 points after, showing a significant decrease of 3.09 points (p<.001). Conclusions: The normal development of preterm babies was confirmed-through regular physical examinations in the MCP. Professional services were provided by-education and consultation on problems related to child-rearing and health to deal with psychological and social problems as well as physical care to mothers by trained home care nurses.

산후조리원 이용 산모의 산후조리 인지도와 수행도 (A Study on the Level of Recognition & Performance of Traditional Postpartal Care for postpartal Women in Postpartum Care Center)

  • 박심훈;김현옥
    • 여성건강간호학회지
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    • 제8권4호
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    • pp.506-520
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    • 2002
  • The purpose of this study is to research the degree of recognition & performance of traditional postpartal care for postpartal women and to provide the basic data for improvement of service in a postpartum care center. The respondents of this study were 100 women of 6 postpartum care centers within a C province from Oct. 20 to Dec. 10, 2000. The instruments of measure were used for collecting data on the degree of recognition & performance of traditional postpartal care developed by the researcher. Data analysis consisted of frequency, percentage, mean, standard deviation, paired t-test, t-test, ANOVA which are calculated by Scheffe test and Cronbach's alpha which is used as a reliance level by using a SPSS-PC+. The results of the study were as follows:1. The average score for the degree of recognition of traditional postpartal care(Sanhujori) for postpartal women was $3.09{\pm}.31$, and they recognized that it was important. The methods which were ranked were as follows; Protecting the body from a harmful state, invigorating the body by the argumentation of heat and avoidance of cold, handling with whole heart, and keeping clean, resting without working, eating well. 2. The average score for the degree of performance of traditional postpartal care (Sanhujori) for postpartal women was $2.81{\pm}.31$, and they performed that it was important, too. The methods which were ranked were as follows; Protecting the body from a harmful state, invigorating the body by the augumentation of heat and avoidance of cold, eating well, handling with whole heart, and keeping clean, resting without working. 3. There were significant differences statistically (paired-t=-8.39, p=.000) of the degree of recognition & performance of traditional postpartal care(Sanhujori) for the postpartal women. The degree of recognition was higher than the degree of performance. So, the recognition of traditional postpartal care (Sanhujori) was higher than the performance of it. 4. There were no statistical differences of the degree of recognition & performance of traditional postpartal care(Sanhujori) among the postpartal women's age, religion, job, educational background, delivery frequency, delivery method or the sex of baby. So, the Characteristics of the respondents were not influenced as far as the degree of recognition & performance of traditional postpartal care(Sanhujori). 5. There were significant differences statistically of the degree of performance of traditional postpartal care(Sanhujori) among the 5 postpartum care centers except 1 postpartum care center(p<.01). So, the recognition of traditional postpartal care(Sanhujori) was higher than the performance of traditional postpartal care(Sanhujori) in the 5 postpartum care centers. But there was performed as good as recognition in only 1 postpartum care center.

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산후관리시설의 이용자 만족도와 현 실태에 관한 연구 - 산모실을 중심으로 - (A Study on the user′s Satisfaction and Actual Condition in the Postpartum Care Center. - Focused on the Private Room for Postpartum Mother.)

  • 이종희
    • 디자인학연구
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    • 제16권3호
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    • pp.381-390
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    • 2003
  • 이 논문은 산후관리시설의 현 실태와 시설을 이용한 사용자들의 만족도를 비교 조사하여 산후관리시설의 효율성과 만족도를 높이기 위한 기초 자료를 제공하는 것을 목적으로 연구된 것이다. 상세한 연구를 위해 산후관리시설 중 산모실로 연구 대상을 한정 하였다. 이 논문을 위한 기초 자료는 240명의 산모를 대상으로 한 설문조사와 산후관리시설에 대한 관찰 조사를 병행하여 수집하였다. 설문조사는 2003년 3월 8일부터 2003년 3월 29일에 걸쳐 실시되었고 이 자료는 SPSS-WIN을 이용하여 빈도분석 하였다. 논문의 주요 결론은 다음과 같다. 첫째, 사용자의 만족도를 결정하는 부분에 있어 산모실의 소음, 통풍, 자연채광 같은 환경요소가 대단히 중요함을 알 수 있었다. 둘째, 산모실 면적, 창문의 유무, 개인 화장실 및 샤워실 등의 기능적인 요소들도 산모들의 이용 만족도에 중요한 요소가 됨을 발견 하였다.

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잘못된 산후관리로 인한 산후질환 1례 보고 (A Case Report of Postpartum Disease Induced by Inadequate Postpartum Care)

  • 이진무;이창훈;조정훈;장준복;이경섭;김은숙
    • 대한한방부인과학회지
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    • 제20권3호
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    • pp.238-245
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    • 2007
  • Purpose: In postpartum period, women are very weak and liable to various diseases. So postpartum care is very important. But excessive heating and sweating cause postpartum diseases. Methods: The patient in this case, 37 years-old female was in Kyunghee University East-West neo medical center for 8days(27th/Oct/2006 - 3rd/Nov/2006). Her chief complains when she was admitted in the hospital were sweating, chilling, and mild dizziness. These symptoms were caused by excessive heating and sweating. We thought that her condition was deficiency of Qi. After giving her the therapies with herb medicine, acupuncture and moxibustion, her symptoms got almost disappeared and her condition got better. Results: After the oriental medical treatment, the clinical symptom of postpartum disease was improved. Conclusion: This case study shows that excessive heating and sweating cause postpartum diseases and the oriental medical therapy is effective in treating postpartum disease. And the guideline of postpartum care is needed.

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산후조리간호 관리자 교육과정 개발 연구 (A Study on the Development of an Education Curriculum for Maternal-Child Health Center Managers)

  • 최양자;조갑출;안은숙
    • 여성건강간호학회지
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    • 제10권2호
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    • pp.109-118
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    • 2004
  • Purpose: The purpose of this study was to develop a specialized education curriculum aimed at helping nurses prepare for running and managing a Maternal-Child Health Center (Postpartum Care Center). Method: This study was conducted by an academy and industry joint research group consisting of professors of Nursing, and nurses actually running a Postpartum Care Center. The group compiled job descriptions of nursing through document research, interviews and observation during site visits, surveys, and seminars. They then performed a feasibility study and developed the final curriculum. Result: The education curriculum is a 32-week(2semester) program compromised of a theory part (12 credits, 180 hours) covering maternal and infant care and business start-up and field practice (3 credits, 45 hours). Courses in the theory part include an antenatal care, overview and details of maternal care, starting a business and its management. Of these courses, the overview of a maternal care course was developed with web-based contents. Field practice is designed to give students opportunities to visit Postpartum Care Centers, observe the care provided, and get hands-on experience. Conclusion: The specialized education curriculum is a 32-week course comprised of 12 credits on theory of antenatal care, overview and details of maternal care, infant care, starting and operating a business and 3 credits of field practice.

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산욕기 첫 출산 부부를 위한 산후관리 행동기술 강화 프로그램 효과 (Effects of a Reinforcement Program for Postpartum Care Behavioral Skills of Couples with Their First Baby)

  • 박미라;박경민
    • 대한간호학회지
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    • 제49권2호
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    • pp.137-148
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    • 2019
  • Purpose: This study aimed to investigate the effects of a reinforcement program for behavioral skills in postpartum care for couples with their first baby. Methods: The study used a non-equivalent control group and pretest-posttest design. It was conducted from January 14 to April 10, 2016 at a postpartum care center in D city. It analyzed 43 couples (22 in the experimental group and 21 in the control group.) For data analysis, descriptive statistics, test of homogeneity in pretest, independent t-tests, and repeated measures ANOVA were used. Results: For maternal fulfillment of postpartum care and postpartum fatigue, there was no significant difference in the interaction between group and time. In terms of parent-newborns attachment, the interaction between group and time showed a significant difference for mothers (F=13.63, p=.001) and fathers (F=6.51, p=.001). In marital intimacy, the interaction between group and time showed a significant difference for mothers (F=14.40, p<.001) and fathers (F=9.46, p=.004). In parenting stress, the interaction between group and time showed a significant difference for mothers (F=31.8, p<.001) and fathers (F=11.69, p=.001). A significant difference was found for the mothers' postpartum sleeping hours (F=0.14 p=.004). Conclusion: This program for behavioral skills in postpartum care, which is based on the information-motivation-behavioral skills model, improves postpartum care, parent-newborn attachment, marital intimacy, parenting stress, and maternal postpartum sleeping, by reinforcing behavioral skills required for postpartum care.

공공산후조리원 확대의 타당성에 관한 융합 연구: 편익-비용 분석을 중심으로 (A Convergence Study on Feasibility of Expanding Establishment of Public Postpartum Care Centers: Benefit-Cost Analysis)

  • 배현지;김진현
    • 한국융합학회논문지
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    • 제11권12호
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    • pp.409-418
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    • 2020
  • 본 연구는 저소득층 산모의 산후조리를 돕는 공공산후조리원의 경제성을 평가하여 향후 공공산후조리원 확대의 타당성을 제시하고자 하였다. 이를 위해 8개의 공공산후조리원 중 현재 운영 중인 6개를 대상으로 고정비용, 변동비용, 그리고 운영 현황에 대한 자료를 정보공개 포털을 이용하여 수집하였다. 분석방법으로는 순편익과 편익/비용 비로 분석하였고, 조리원 이용 산모수 감소에 따른 산모실 회전율을 지표로 민감도 분석을 하였다. 분석결과, 총비용은 37억 1,339만원, 총 편익은 55억7,896만원으로 추계되어, 편익/비용 비는 1.50로 1보다 큰 값을 나타냈고, 순편익은 18억 6,557만원으로 경제적 타당성이 있는 것으로 평가되었다. 민감도 분석에서는 산모실 회전율 17.4인/1실 경우 B/C는 1.42이고, 15.4인/1실 경우는 1.26으로 추계하였다. 따라서 지방자치단체가 준비 중인 공공산후조리원의 개원은 경제적으로 타당성이 있는 것으로 평가되었다. 이에, 공공산후조리원의 효과적인 확대 운영을 위한 다양한 지원방안과 민간산후조리원과의 협력 방안을 마련하기 위한 후속 연구를 제안한다.

산후조리원의 화재안전성 향상을 위한 기초연구 (Basic Study for Improving the Fire Safety of Postpartum Care Centers)

  • 이재원;진승현;김시국;권영진
    • 한국화재소방학회논문지
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    • 제33권1호
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    • pp.138-146
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    • 2019
  • 본 연구는 산후조리원의 화재안전성 향상을 위한 기초연구이다. 산후조리원 시설의 경우 신생아 및 산모가 24시간 상주하고 있으며, 시설의 고층화 및 다중이용시설 내에 위치하고 있어 다양한 화재상황에 따른 대책이 필요하지만, 국내 매뉴얼 상에는 화재안전에 관한 대책은 매우 부족한 실정이다. 이에 본 연구에서는 산후조리원 시설 화재사례 분석과 관련 규정조사를 통해 화재안전상의 문제점을 파악하고, 산후조리원 안전관리에 관한 직원 및 산모의 화재안전 의식에 대해 설문을 통한 실태조사를 실시하고, 직원과 산모의 화재안전 의식에 대하여 분석하였다.

한방병원 부속 산후조리원을 이용한 산모의 산후 오로 기간과 특징에 관한 고찰 (A Study on the Duration and Character of Lochia in Women Hospitalized at Korean Medical Postpartum Care Center)

  • 조승희;김송백
    • 대한한방부인과학회지
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    • 제26권3호
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    • pp.59-72
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    • 2013
  • Objectives: The aim of this study was to assess the duration of lochia in women hospitalized at Korean medical postpartum care center and to identify factors that influence duration of lochia. Methods: On the obstetric variables of 315 cases, the duration of lochia was analyzed. In the postpartum care center, the obstetric variables were asked of 315 cases of women, and who examined a body composition. After discharge, women were surveyed for the duration of lochia by telephone. Results: The median duration of lochia was 30 days and the range was 18~53 days. Maternal age, parity and mode of delivery were associated with its duration. So, its duration was longer on women over the age of 35, multipara and women had a Cesarean section. Its duration was correlated with gestational age and BMI before pregnancy, but not neonatal gender, birth weight, maternal BMI change during pregnancy, maternal body weight gain, BMI before delivery. Conclusions: It was 30 days that the median duration of lochia of women who had been got Korean medical postpartum care management, and which was slightly different from previous studies. And it was influenced by maternal age, parity, mood of delivery, gestational age and BMI before pregnancy. In future more studies or surveys for the duration of lochia of women with no treatment, lochial pattern and so on should be done.