고위험 신생아 간호

조결자 대한간호협회 1996 대한간호 Vol.35 No.2

집단 영아경락마사지가 영아의 성장, 어머니의 양육스트레스와 양육효능감에 미치는 영향

조결자,이명희,지은선 한국아동간호학회 2008 Child Health Nursing Research Vol.14 No.3

Purpose: This study was done to investigate effect of Meridian massage on the growth of infants and on parenting stress and parenting self-efficacy in their mothers. Method: The participants were 65 mothers of infants who visited one public health center in Yangju City. Data were collected from February, 2007 to December, 2007. Infants in the experimental group were given Meridian massage for 50 minutes (lecture 20 minutes, practice 15 minutes, preparation and arrangement 15 minutes) once a week for 6 weeks. Percentages, means with standard deviation, Fisher's Exact Test, χ2 test, Repeated Measured ANOVA and ANCOVA were used, with the SPSS program, to analyze the data. Results: Infants in the experimental group showed an increase in height compared to those in the control group, but there was no difference in infant weight between the two groups. Compared to the control group, mothers in the experimental group has significantly less Parenting Stress and Parenting Self-efficacy. Conclusion: The above findings suggest that maternally administered Meridian massage should be applied in clinical practice to improve growth of infants, emotional condition of mothers and interaction between infants and their mothers.

경락마사지가 모성 애착과 역할 만족도 및 영아의 행동상태에 미 치는 효과

조결자,지은선,이명희 한국아동간호학회 2006 Child Health Nursing Research Vol.12 No.4

=The Effects of Meridian Massage on Behavioral State of Infants, Mothering Role Satisfaction and Mother-Infant Attachment

조기출산 어머니의 신생아에 대한 지각, 부모역할 스트레스 및 불안

조결자,최양자 여성건강간호학회 2000 여성건강간호학회지 Vol.6 No.4

The purpose of this study was to contribute to maternal nursing in the early postpartum stage and neonate nursing. Data were collected through self-report questionnaires which were constructed to include perception of the newborn scale, parental role stress scale and anxiety scale. The subjects consisted of 81 mothers of preterm babies at seven hospitals in Seoul and Kyoungki-Do, from July 15 to September 30, 2000. Data were analysed by SPSS/PC using frequency, percentage, mean, standard deviation, ANOVA, t-test and Pearson correlation coefficient. The results were summarized as follows ; 1. The mean of perception of the newborn in the early postpartum stage was 1.35. The mean of parental role stress was 10.78. The mean of anxiety of mother was 39.74. 2. There were significant positive correlation between parental role stress and anxiety of mothers. 3. There were not significant influencing general characteristics to perception of the newborn and parental role stress. General characteristics related to the level of anxiety were economic status, expectation of pregnancy, birthing order, newborn weight. The above findings indicated that the level of parental role stress and anxiety of preterm birth mothers were correlated. Therefore nursing intervention for reducing parental role stress and anxiety should be provided for preterm birth mothers.

경락마사지가 신생아의 체중과 모아상호작용에 미치는 효과

조결자,백승남 한국아동간호학회 2005 Child Health Nursing Research Vol.11 No.3

Purpose: This study was done to develop a new nursing intervention, Meridian Massage, and to investigate its effect on weight in infants and mother-infant interaction. Method: This study was conducted using a quasi experimental non equivalent control group pretest-posttest design. Thirty-one newborn infants from a postpartum Management Center were selected and assigned to two groups, experimental and control. Data were collected from February 1 to September 30, 2004. Infants in the experimental group (16) were given Meridian massage for 15 minutes daily for 6 days and weighed every day at 10 am. Using the Nursing Child Assessment Feeding Scale(1978), mother-infant interaction was determined before the treatment, after 1 week and 1 month after the massage. Results: Infants in the experimental group had a higher average weight than those in the control group and the difference was significant (Z=-2.29, p=.022). For mother-infant interaction, the experimental group had higher scores than the control group, and the difference was significant between both the two groups, and the 3 measurement times. Conclusion: The Meridian Massage in this study showed positive weight gain and positive mother-infant interaction. This study shows that meridian massage is an effective nursing intervention in improving infant development.

아동간호학 국가시험문제 보완을 위한 교과목 강의 내용 분석

조결자,송지호,최명애,신희선,김순애,정현숙,탁영란,Cho Kyoul Ja,Song Ji Ho,Choe Myoung Ae,Shin Hee Sun,Kim Soon Ae,Jung Hyun Sook,Tak Young Ran 한국아동간호학회 1998 Child Health Nursing Research Vol.4 No.1

The purpose of nursing education is to prepare the professional pratictioner as nurse who will be interesteed in the health and the related aspects of community and will assume responsibility for con tributing toward the improvement of the health for the all. This means that nursing education must provide opportunities for the development of knowledge, skills, and attitudes which make this possible. Consequently, this approach has relavence for nursing education. Faculty engaged in endless debates about what is to be included, and to what de1th, and what will be given short shrift as a result. Thus, it can be seen why there is so much confusion and lack of agreement between the emphasis and objectives in nursing. This study attempted to review and identify the curriculum content of child nursing in Korea to build and develop the standard curriculum contents for national board examination for nurses and child's health needs for the coming 21st centry. The questionnaire was consisted of items for selection and organization of the knowledge components and type of unit with weigh to be attained in child nursing. Response of 34% of nursing program in university and junior college. Content analysis was done by using consensual validation of essential knowledge for curriculum content to identify what is obvious or trivial. This study pointed out that it is not yet apparent that demographic fact has greatly influenced child nursing curriculum content. In a similar vein the majority of content of child nursing devote little time and weigh to social and epidemically significant to child health. It seems to be needed that the content of child nursing may push the paradigm shift in nursing education such as health promotion and prevention for potentional roles of child and family. In conclusion, it is the time to convoke and debate for convergence of model on essential content and standarization on job analysis for national board exam for nurses in Korea.

집단 영아경락마사지가 영아의 성장, 어머니의 모아상호작용과 모아애착 및 역할만족도에 미치는 영향

조결자,이순남,이명희,지은선 한국아동간호학회 2009 Child Health Nursing Research Vol.15 No.1

Purpose: This study was done to investigate effects of Meridian massage on the growth of the infant and on mother-infant interaction, mother-infant attachment, and the mother's satisfaction with her mothering role. Method: The participants were 39 mothers of infants who were seen at one of two urban public health centers located in Yangju or Seoul. Data were collected from February 2008 to December 2008. Infants in the experimental group were given Meridian massage for 50 minutes (lecture 20 minutes, practice 15 minutes, preparation and arrangement 15 minutes) once a week for 6 weeks. Percentages, means with standard deviation, χ² test, repeated measured ANOVA, and ANCOVA were used with the SPSS program to analyze the data. Results: Infants in the experimental group showed an increase in weight & height compared to those in the control group. Mother-infant interaction, mother-infant attachment, and satisfaction with mothering role were significantly higher in the experimental group than the control group. Conclusion: The above finding suggest that Meridian massage should be applied in clinical practice to improve growth of infants, interaction and attachment between infants and their mothers, and the mother's satisfaction with her mothering role.

경락마사지가 신생아의 행동상태와 체중에 미치는 효과

조결자,지은선,김영란 한국아동간호학회 2003 Child Health Nursing Research Vol.9 No.4

Purpose: This study was implemented to develop new nursing intervention, Meridian Massage, and to investigate its effect on weight, behavioral state in infants. Method: This study has been conducted on the non equivalent control group pretest-posttest design in quasi experimental basis and newly born infants from Postpartum Management Center were selected in two groups of 35 infants. Data has been collected from February 1st to October 30th of 2002. The experimental group(20) took Meridian massage for 15 minutes daily twice during 6 days and control group took Field massage as same time. Weight has been determined 10:00 hours everyday morning and behavior status has been determined before and after 5 minutes beth by Anderson et al.(1990) tools. Data was analyzed by SPSS 11.0 Program using t-test, χ2-test and repeated measures ANOVA. Result: The results were as follow. In the aspect of behavioral status, Meridian massage group(55.8%) showed increase「positive」state than Field massage group(42.6%). And there was statistical significance(p=.002). Meridian massage group showed higher in the average weight than Field massage group(F=6.753, p=.014), and there was significant term between the two groups(F=10.129, p=.000). But there was no interaction group and term. Conclusion: The Meridian Massage in this study showed more positive aspect in weight gain and positive behavior status than Field Massage. This study has informed that meridian massage is an effective nursing intervention in improving Infant development.

수지침요법이 중학생의 두통 완화에 미치는 효과

조결자,강현숙 한국아동간호학회 2004 Child Health Nursing Research Vol.10 No.1

Purpose: The purpose of this study was to identify the effect of hand acupuncture on reduction of headache. Method: This study used a quasi-experimental pre-test and post-test design. 45 middle school girls who complained of headache were selected as subjects. The study lasted from November 2002 to June 2003. There were 22 girls in the experimental group while 23 girls were control group; convenience assignment was used. The two groups were homogeneous on characteristics. The experimental group received hand acupuncture. The treatment was to puncture corresponding points (A33, B27, M1, I2) on both the palm and the back of a hand with disposable acupuncture needles, and then remove them after a 20-30 minutes recess during which the subjects reclined on a bed. The data were analyzed using the SPSS PC with Fisher's Exact χ²-test, and Mann Whitney U-test. Result: The results of this study were as follows: 1) In the experimental group, objective pain decreased after hand acupuncture (U= -2.51, p= .01). As for the objective pain degree, a significant reduction in voice change was observed in the experimental groups (U= -2.35, p= .02). Facial expressional changes were observed (U= -1.87, p= .06) and perspiration degree (U= -.99, p= .32) has reduced. However, these differences were not statistically significant between the experimental and control group. 2) Subjective pain degree decreased after hand acupuncture in the experimental as compared to the control group. 3) No statistical significant difference in comfort (U= -.29, p= .78) or distress (U= -1.51, p= .13) between experimental and control group were found. Conclusion: These findings indicate that hand acupuncture is an effective method for reducing headache. Therefore, hand acupuncture can be considered as an independent nursing intervention for headache reduction.

저출생체중아 어머니와 정상신생아 어머니의 간호교육요구도 조사

조결자,정연,이군자,Cho Kyoul Ja,Yun Jung,Lee Kun Ja 한국아동간호학회 1997 Child Health Nursing Research Vol.3 No.1

This study was designed to compare the educational needs of the mothers of LBW infant and normal neonate for development of the educational program. The subjects for this study were 37 mothers of LBW and 60 mothers of normal neonate at 3 general hospitals in Seoul and Inchon. The data were collected during the period from July to November, 1996. The Educational Need for Infant Care was measuerd by questionnaire that has developed by researchers. The data were analized by descriptive statistics, non-paired t-test, ANOVA, ANCOVA using SPSS PC/sup +/. The results were as fellow : 1) The educational needs of the mothers of LBW infant were higher than the mothers of normal neonate(F=14.50, P=.000). 2) There were significant associations between the educational needs of the mothers of LBW infant and delivery history(nullipara. or multipara. ) and caregiver of postpartum(t:-2.08, P=.045 ; F=3.94, P=.0282). 3) There were significant associations between the educational needs of the mothers of normal neonate and numbers of children and caregiver of postpartum(F=5.53, P=.0064 ; F=3.22, P=.0480) .4) The educational need by content was signs, symptomes and management of disorders (i. g. cyanosis, seizure, fever, vomiting etc.) were higher than general care of baby(i. g. feeding, diaper change etc.) at two groups. In conclusion, when the nurses teaching the method of infant care to mother, there sholud be in consideration of delivery history and caregiver of postpartum. Also, its educational contents must be Included of signs, symptomes and management of disorders.