분만유형에 따른 산욕기 산모의 산후 우울 비교

고효정 ( Hyo Jung Koh ),이자영 ( Ja Young Lee ),김혜영 ( Hye Young Kim ) 부모자녀건강학회 2010 부모자녀건강학회지 Vol.13 No.2

Purpose: This study is intended to identify difference postpartum depression according to delivery mode in the postpartum women. Methods: The subjects were 239 postpartum women in D and A city. Data collected from June 9, 2006 to August 6, 2007 using structured questionnaire surveys and convenience sampling. Measuring instrument was BDI (Beck Depression Inventory) translated By Lee and Song (1991). Collected data was analyzed by x2-test, ANCOVA, Stepwise Multiple Regression with SPSS/PC 14.0. Results: There were significant differences in postpartum period (x2=12.40, p = .002) and sleeping hours (x2=9.09, p = .011) as analysed distribution of the subjects according to delivery mode. As result of analyzing the difference of postpartum depression according to delivery mode using ANCOVA, C-sec women`s postpartum depression was higher than vaginal delivery women statistically (F=6.32, p = .013). As a result of Multiple Regression, income was a influencing factor of postpartum depression in vaginal delivery women and support of spouse and sleeping hours were influencing factors in C-sec women. Conclusion: There were differences in postpartum depression and their influencing factors according to delivery mode. Therefore it is necessary to develop and study a concrete nursing intervention and strategies for reducing the postpartum depression according to delivery mode.

수유형태에 따른 산욕초기 초산모의 어머니로서의 정체감 형성정도 비교

고효정(Koh Hyo Jung) 계명대학교 간호과학연구소 1998 계명간호과학 Vol.2 No.1

This study attempted to confirm the difference of the identity formation as Mother for the first-time mother in early puerperium period according to feeding patterns. This study's design was descriptive one and the subjects were 133 first-time mothers who delivered vaginally at an university hospital in Daegu City, Korea from December 1994 to October 1995. The Semantic Differential Scale (Osgood and others, 1957), which was developed into "Myself as Mother(SD-Self)" and "My Baby(SD-Baby)" by Walker(1977), was used to evaluate the formation of idendity as mothers. The reliability value of "Myself as Mothers" was Cronbach's alpha .81 and "My Baby" was Cronbach's alpha .73. The data were analyzed by using the SAS(Statistical Analysis System) program and got the following conclusion: 1) Mean age was 27.6(S.D.+2.24) and mean duration of marrage was 18 years(S.D.+1.09). The percentage of the employed subjects was 43.61% and the average family income was 1,621.800(S.D±81.63)Won 81.20% of the subjects wanted pregnancy and the percentage of female infants was 51.88%. The percentage of the mixed milk, the breast feeding and the milk groups were 48.87%, 31.58% and 19.55% respectively. The result of test of hypothesis was: 2) The was a significant difference statistically in SD-Self according to feeding patterns, so the hypothesis 1 was accepted(F=3.69, p=0.0277). The mixed milk group scored the highest mean SD-Self, followed by the breast feeding group and the milk group. The Tukey test, conducted as the post-test, showed a significant difference of SD-Self between the milk group and the mixed milk group of the first-time mothers. This showed the difference of SD-Self according to the feeding patterns. 3) There was a significant difference statistically in SD-Baby according to feeding patterns, so the hypothesis 2 was accepted(F=3.44, p=0.0351). The mixed milk group scored the highest mean SD-Baby, folowed by the breast feeding group and the milk group. The Tukey test, conducted as a post-test, showed a significant difference of SD-Baby between the milk group and the mixed milk group of the first-time mothers. This showed the differences of SD-Baby according to the feeding patterns.

미취학 자녀를 가진 취업모의 양육스트레스와 지원양상에 관한 고찰

고효정(Koh Hyo Jung),이은주(Lee Eun Ju) 계명대학교 간호과학연구소 2003 계명간호과학 Vol.7 No.1

The purpose of this studies is to review parental stress on child-rearing practice according to developmental stage and coping pattern of working mothers with preschool children. Stress on child-rearing of work mothers have definitions that is a stress on concrete condition and a anticipated stress in developmental process striking against family system. Work mothers have role complication with multi -role play, a taking charge problem of child and an insufficiency of rest time and energy. Working mother's child-rearing stress is higher mother with infant than early child. First delivery of Mother with infant is needed to change life-policy and life-style because of parent role change. And a stress to child-rearing get accumulated according to occupational condition, family condition and environment background. On the other hand preschooler child is related ill child character and beneath one's notice event. The study on supporting system of work mothers is rare, but supporting system of work mothers are child-rearing system harmonious of work condition and matter' information support. And supporting system are both work field and family. Work field supporting is flexibility of work time, condition et al. But husband's supporting has very important effect. It is suggested the following to following future research should be conducted. 1) investigate to developed social supporting system and a taking charge of child with safety and faith. 2) study to identify efficiency of social support system. 3) must identify causes on child-rearing with considering of multi-dimension; social, families, work conditions and so forth.

중년기 여성의 취업유무에 따른 자아정체감에 관한 연구

고효정(Koh Hyo-Jung),박경민(Park Kyung min),김혜영(Kim Hye Young) 계명대학교 간호과학연구소 1997 계명간호과학 Vol.1 No.1

This study was conducted to compare levels of subareas of ego-identity and identify the variables that are associated with subareas of ego-identity of middle-gaed woment by employment status. The purpose of this is to provide fundamental data for the nursing strategy. This study subjects included 289 mothers of college students(4 college in 1 university) in Taegu city whose age was between 40 and 59 years old. The instrument used in this study was a ego-identity questionnaire developed by Suh(1975) and modified by Nam(1975) Ego-identity have subareas of Stability, Goal-Directedness, Uniqueness, Interpersonal role expectation, Self-acceptance, Self-assertiveness, Sense of self and Interperceptional relation. 1) There were significant differences in the age(p=0.004), marriage period(p=0.001) and the number of children(p=0.021). 2) Most of the subarea levels of ego-identity were higher for women who were employed than for women who did not work. The level of self-acceptance area was statistically higher for the women who were employed than for the women who were not employed(t=2.124, p=0.035). 3) Coal-Directedness was significant positive correlation with the support of spouse(r=0.141, p<0.05) and health state(r=0.124) p<0.05). Uniqueness was associated with educational level of the subjects(r=171, p<0.001). Interpersonal role expectation was associated with marriage satisfaction(r=0.209, p<0.001). Self-acceptance was associated with the satisfaction for marriage(r=0.246, p<0.001), the support of spouse(r=0.140, p<0.05) and health state(r=0.218, p<0.001). Self-assertiveness was correlated with health state(r=0.124, p<0.05). Interperceptional relation was correlated with age(r=0.138, p<0.05), the number of children(r=0.186, p<0.01) and the satisfaction for marriage(r=0.181, p<0.01). 4) Employment states was associated with self-asseptance of the subareas of ego-identity(F=8.87,p=0.000).

고려수지요법이 여성노인의 무릎통증에 미치는 효과

고효정(Koh, Hyo-Jung),정미경(Jung, Mi-Kyung),권윤희(Kwon, Yun-Hee) 한국산학기술학회 2011 한국산학기술학회논문지 Vol.12 No.9

본 연구는 고려수지요법이 여성노인의 무릎통증에 미치는 효과를 검증하기 위해 실시되었다. 연구설계는 비 동등성 대조군 사전 사후설계 유사 실험 연구이며, 연구대상자는 D시 1개 노인병원에 입원하여 있는 여성노인 환자 중 서암봉 요법을 적용한 실험군 A 35명, 서암뜸 요법을 적용한 실험군 B 35명, 대조군 35명으로 총 105명이었다. 실험처치인 고려수지요법은 주 3회씩 6주간 실시하였으며, 자료처리는 SPSS/win 17.0 통계프로그램을 이용하 여 χ<SUP>2</SUP> -test, One-way ANOVA, Repeated measure ANOVA를 이용하여 분석하였다. 본 연구의 결과는 서암봉 요법을 적용 한 실험군 A(p=.000), 서암뜸 요법을 적용한 실험군 B(p=.000)는 처치를 받지 않은 대조군보다 무릎통증이 감소되었 다. 그리고 서암뜸 요법을 적용한 실험군 B는 서암봉 요법을 적용한 실험군 A보다 무릎통증이 감소(p=.001)되었다. 이상에서 고려수지요법은 여성노인의 무릎통증 완화에 효과적인 대체 요법이라고 볼 수 있다. The study was done to identify the effects of Koryo Hand Therapy(KHT) of woman elders′knee pain. This is an quasi-experiment with nonequivalent control group pre- & post-test design. The subjects consisted of 105 woman elders were admitted to in elders' hospital in D city. They are randomized 35 for the experimental group A by using ceramic Seo Am pellet therapy, 35 for the experimental group B by using Seo Am moxa therapy and 35 for the control group. The Koryo Hand Therapy(KHT) was conducted 3 times per week for 6 weeks. Data analyzed using χ<SUP>2</SUP> -test, One-way ANOVA and repeated measure ANOVA with SPSS Win 17.0 version. The results of this study was knee pain of the experimental group A provided with ceramic Seo Am pellet therapy(p=.000), the experimental group B provided with Seo Am moxa therapy(p=.000) would be lower than that the control group. Knee pain of the experimental group B provided with Seo Am moxa therapy would be lower than that the experimental group A provided with ceramic Seo Am pellet therapy(p=.001). Koryo Hand Therapy(KHT) was to be effective in relieving knee pain woman elders' and it is suggested that the therapy should be used for managing.

중년기 여성의 결혼만족도와 건강지각의 관계

고효정(Koh Hyo Jung),박경민(Park Kyung Min),김혜영(Kim Hye Young) 계명대학교 간호과학연구소 2001 계명간호과학 Vol.5 No.1

The purpose of this study is to ascertain the relationship between satisfaction of marriage and perceived health status of middle-aged women. The study was designed as descriptive correaltional study. Data was collected from questionnaires completed by 133 middle-aged women between 40-59 years old. The data was analyzed using the SPSS program and included, descriptive statistics, t-test, ANOVA, Partial Pearson correaltion and Multiple regression. The results were as follows. 1) With satisfaction of marriage, there were significant differenciations on duration of marriage(F=4.17, p=0.018), support of spouse(F=7.353, p=0.001) among the general characteristics. 2) With perceived health status, there were no significant differenciations among the general characteristics. 3) According to the correlation between satisfaction of marriage and perceived health status controlled for duration of marriage and support of spouse, there was a significant positive correlation(R=0.1925,p=0.033). 4) According to the multiple regression, support of spouse and perceived health statud showed the explanatory power of the satisfaction of marriage with 10.9% On the basis of above findings, the following is suggested. It is needed health-promotion program for middle-aged women that is inspired satisfaction of marriage, perceived health status and support of spouse. Also it is needed re-studies with more larger sized sampling.

퇴원 후 산모의 간호요구에 관한 연구

고효정(Koh Hyo Jung),김혜영(Kim Hye Young) 계명대학교 간호과학연구소 1999 계명간호과학 Vol.3 No.1

The purpose of this study was conducted to assess the nursing care needs and to obtain basic data for nursing care services fort postpartum mothers. The subjects were 21 mothers who delivered at K university hospital in Taegu City, Korea from Mar, 1998 to Nov, 1998 Among these, 20 were primipara and I was multipara. The data were collected by nursing students interviewed with a subject who done self reported questionnaire. The data analysis was done using SPSS/PC Program. The Results of this study were summerized as follows' 1. According to the results of examining contents and the degree of maternal nursing care needs of the subjects, the field of the sex with 3 items showed the most cumulative frequency. Especially contraception item is the most Engorgement item in the field of the breast management is the most weighted score. 2 According to the results of examining contents and the degree of neonatal nursing care needs of the subjects, the fields of vaccination and feeding are the most cumulative frequencies Especially in the field of vaccination tuning of injection item and injected method item are the most. And the feeding method item in the field of feeding is the most. Umbilical care item in the field of the umbilical management is the most weighted score. With the above results, we suggest the following proposals. 1) According to the results of this study, developing a program of home visiting nursing care for the postpartum is needed.

여성건강 간호연구의 최근 동향 : [1998~2003년]

고효정(Koh Hyo-Jung),권윤희(Kwon Yun Hee),남승희(Nam Seung Hee),전경미(Jun Kyung Mi),정은숙(Jung Eun Sook) 계명대학교 간호과학연구소 2005 계명간호과학 Vol.9 No.1

  Purpose: With the Purpose to improve the nursing research on the women"s health, the nursing papers from Korea were analyzed by subject and content. This study was anticipated to suggest the direction of the research on the field of women"s health. Method: A total of 422 papers from journals, such as Journal of Korean of Academy Nursing, Journal of Korean Academy of Fundamentals of Nursing, Journal of Korean Community Nursing, Korean Journal of Woman Health Nursing, and Journal of Korean Academy of Child Health Nursing Academic Society published from 1998 to 2003 were analyzed by Dunbar and Patterson"s criteria. Result: The number of papers on the women"s health was 309(73.2%), and those of mother"s role and other clinical studies were 62(14.7%) and 51(12.1%) each. Special fields of the 309 papers on the women"s health were health management 101(32.7%), psychiatric health 61(19.8%), postmenopausal period 34(11.0%), nursing need 26(8.4%), menstruation 17(5.5%), sexuality 14(4.5%), and plan of family 6(1.9%), respectively. Analyzing the journals according to the life cycle, they were categorozed into pregnancy, juvenile, peripartum, married and aged periods. Conclusion: According to the above results, the suggestions to promote the women"s health nursing research were: The methodology for comparison study on the sex difference should be developed to understand the multifaced phenomena of women"s health.

홧병(火病)여성에 대한 고찰

고효정(Koh Hyo Jung),김혜영(Kim Hye Young) 계명대학교 간호과학연구소 1999 계명간호과학 Vol.3 No.1

This study attempted to have literatures review in regards to the definition, etiological factors, coping mechanisms, treatments and nursing cares. Hwabyung was considered as our traditional culture-bound syndrome which was originated from the special background of the suppressed-culture boundary m Korea. Literature review on the etiological factors of hwabyung revealed some common demographic characteristics Hwabyung was more prevalent m women, old ages and the law educated and income classes. It is understood that the Confucian ideas still have an strong influence on the thought of the Korean middle-aged women. It was also revealed some common family and social relationships of hwabyung patients such as the conflicts due to husband's extramarital affair, conflicts between housewives and mother-in-laws and financial loss or poverty. The accompanying physical manifestations were heat or hot feeling of body, something pushing-up in chest, palpitation, lump in throat and neck and dry mouth together with the usual neurotic and somatic symptoms such as headache and indigestion. The main coping styles were somatization, suppression, orality, isolation, withdrawal, projection, regression and shared concern. Literature review on hwabyung showed different treatments between psychiatrists and herb doctors Psychiatrists' main treatments were medical care, psychiatric care and counselling but the herb physicians treated the patients with the Chinese medicine, medication, mental and religious cares. Nursing care for the hwabyung patients required the physical and psychological cares simultaneously. And nurses' good hearing and will to help the patients gave them much assistance. Also nurses must help them ta1k With significant person. Nurses also must help the patients develop the coping skill. It IS necessary to recommend the health promotion behaviors such as the expression of feeling, the progressive relaxation, physical activities, relaxation and good sleeping. Hwabyung will require the individual and hollistic nursing cares as it was not occured within a short period but from an accumulation in a long period. It is necessary to study this subject further m regard to the nursing on the basis of the theoretical data obtained through these literatures review as the research on this subject is not sufficient enough yet.

모유수유 교육이 초산모의 모유수유 방법, 태도 및 지속정도에 미치는 효과

안신영,고효정,Ahn, Sin-Young,Koh, Hyo-Jung 한국여성건강간호학회 1999 여성건강간호학회지 Vol.5 No.1

The purpose of this study is to investigate the effect of breast-feeding education on skills, attitude, and duration of breast-feeding among primipara mothers. The educational session was offered during the period of June through September at the T medical center in T city. One hundred thirteen primiparas were selected for this study, 61 who received breast-feeding education(lecture, demonstration, and additional telephone counselling) served as the experimental group and 52 who did not as the control. Data collection was done by self-reporting method. the reliability of the instrument was from .77 to .87. Duration of breast-feeding was classified into I through V according to the WHO classification at the time point of 4 weeks of postpartum. The results were as follows : 1. The score for the experimental group on the skills of breast-feeding techniques was significantly higher than those of the control(t=9.12, p=.000). 2. The score for the experimental group in the attitude toward breast-feeding was significantly higher than those of the control(t=6.12, p=.000). 3. Duration of breast-feeding for the experimental group was significantly longer than that of the control at the time of 4 weeks of postpartum($x^2$=20.79, p=.001). In conclusion, the breast-feeding practice can be promoted effectively through the breast-feeding education.