모유수유 교육이 초산모의 모유수유 방법, 태도 및 지속정도에 미치는 효과

고효정,안신영 여성건강간호학회 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 Ⅰthrough 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 on 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(x²=20.79, p=.001). In conclusion, the breast-feeding practice can be promoted effectively through the breast-feeding education.

여성인력개발센터에 관한 연구

고효정,김묘경 이화여자대학교 경영대학 비서학과 2003 비서학연구 Vol.- No.23

자궁적출술을 받은 중년기 여성의 성생활 만족과 배우자 지지에 관한 연구

고효정,김혜영 한국모자보건학회 2004 한국모자보건학회지 Vol.8 No.1

복강경 위절제술을 시행한 노인 위암환자에서의 P-POSSUM을 이용한 위험예측 모델 적용

고효정,김기현,이시학,최철웅,김수진,최창인,김대환,전태용,김동헌,황순휘 대한내시경복강경외과학회 2016 Journal of Minimally Invasive Surgery Vol.19 No.3

Purpose: The physiological and operative severity score for the enumeration of mortality and morbidity (POSSUM) is a validated scoring system for auditing surgical outcomes. However, evaluation of this system has primarily been applied to open surgical techniques. The present study demonstrates the validity of P-POSSUM in predicting morbidity and mortality in the treatment of elderly patients with gastric cancer who underwent curative laparoscopic gastrectomy. Methods: All patients aged 70 years or over, who underwent curative laparoscopic gastrectomy between January 2014 and January 2015, were collected from our hospital database. A case-note review was used to collate data in terms of clinical and operative factors as described in P-POSSUM. Observed/Estimated ratio of morbidity and 30-day mortality were calculated. Results: Laparoscopic gastrectomy was performed in 101 patients. The mean age was 74.9 years (70~83 years). A significant postoperative morbidity was observed in 20 (19.8%) of 101 patients. There was no 30-day mortality. Using exponential analysis, P-POSSUM predicted morbidity in 22 patients. Thus, O/E ratios for morbidity and mortality were 0.9 and 0, respectively. Conclusion: P-POSSUM scoring slightly overestimated predictions of morbidity and mortality. An assessment of its application to laparoscopic gastrectomy of elderly patients with gastric cancer merits further evaluation. Also, laparoscopic gastrectomy was a feasible and safe treatment for elderly patients in terms of P-POSSUM.

초산모와 경산모의 신생아 간호교육 요구도 비교

고효정,임경희 한국아동간호학회 2002 Child Health Nursing Research Vol.8 No.2

-Key concept : Primipara, Multipara, Educational needs for the infant care

색깔놀이

고효정 고요아침 2018 한국동시조 Vol.- No.9

중년기 여성의 건강문제 실태조사

고효정,권영숙,김명애,박경민,박정숙,박청자,신영희,이병숙 한국모자보건학회 1999 한국모자보건학회지 Vol.3 No.2

간호사가 지각한 의료체계의 남성중심성

고효정,정금희 여성건강간호학회 1999 여성건강간호학회지 Vol.5 No.3

Female nurses in Korea have historically experienced discrimination on the basis of their gender as part of the traditional societal views on women and as a result of the male dominated hospital environments. This discrimination may interfere with the ability of female nurses to promote the health of their patients. To better understand this bias, we collected and analyzed 16 cases of alleged sexual discrimination reported by female nurses with more than 5 years work experience. The cases were classified into 10 subjects and further into 4 categories: personnel administration, daily working environment, female gender bias, and health care delivery. There were 7 cases (11.3%) of unjust personnel changes consisting of demotion (1), termination (4), and reallocation of position (3), Twenty three (37.1%) of cases related to problems in the daily workplace including biases in communication between female nurses and male physicians (12), daily work (8), and responsibility for adverse outcomes (3). We noted 17 cases (27.4%) of female gender bias as reported by female nurses (7), female physicians (7), and female patients (3). Lastly, there were 15 (24.3%) cases of problems with health care delivery due to sexual discrimination, including enrollment in the health care system (4) and decisions regarding medical care (4). These results suggest that sexual discrimination towards women is pervasive in the Korea hospitals, not only towards female nurses but also towards female physicians and patients. More vigorous efforts are needed to overcome these discriminatory practices in a timely fashion such that better nursing care can be provided to patients and their families.

어머니역할의 개념 분석

고효정 대한모자간호학회 1994 모자간호학회지 Vol.4 No.1

취업유무에 따른 초산모의 배우자 지지와 역할긴장간의 관계 및 변화

고효정 여성건강간호학회 1998 여성건강간호학회지 Vol.4 No.1

This study attempted to determine the relation between the maternal role strain and their husbands' support in employed and nonemployed first-time mothers, and how it changed over times. A descriptive, longitudinal and comparative study design was conducted to collect and analyze the data at three times(at 3-4days, at 4-6wks and at 3-month postpartum) regarding the change of maternal role strain and their husbands' support in employed and non-employed first-time mothers. The subjects were 133 first-time mothers who delivered vaginally at K university hospital in Deagu, Korea from Dec, 1994 to Oct, 1995. Among these, 58 were employed and 75 were nonemployed first-time mothers. This instruments used to data collection in this study were by Hobbs(1968 : The Difficulty Index for First-time Parents), Steffensmeier(1982 : Transition Difficulty Measure), Tayer(1976 : Emotional Support from Husband), Lee, Hae Kyoung(1992 : Physical Support from Husband). The analysis of data was done with SAS/PC program which included percentage, x²-test, Pearson correlation. Repeated Measure ANOVA, Time Contrast Analysis and t-test. The results were as follows : 1. There was a significant negative correlation only at 3-4days(r=-.19, P=.0265) and at 4-6wks postpartum(r=-.18, P=.0392) between maternal role strain and husband's support of the first-time mothers. Thus, the more support from husband, the less maternal role strains the first-time mothers felt. Therefore, the 1st hypothesis that "the more husband's support the first-time mother felt at all the time of testing, the less maternal role strains they got" was partially supported at 3-days and 4-6 weeks postpartum. There was no correlation between maternal role strain and husband's support of the employed first-time mothers at all testing times(at 3-4days postpartum : r=-.95, P=.9548, at 4-6 wks postpartum : r=-.0960, P=.4733 and at 3-month postpartum : r=-05, P=.7306). On the contrary, the unemployed first-time mothers felt less maternal role strain when they received more support from their husband at 3-4 days postpartum(r=-.31, P=.0073) and at 4-6 wks postpartum(r=-.23. P=.0490). 2. There was no difference of maternal role strain between two groups with regards to employment status(F=.97, P=.3270). But the maternal role strains of two groups were changed differently each other over time(F=3.89, P=.00234). Therefore, the 2nd hypothesis that "there was the difference in the maternal role strains with regard to employment status and over time" was rejected. 3. There was no difference in husband's support between the employed and the non-employed first-time mothers(F=3.06. P=.0826). But there was a significant interaction between employment status and over time(F=3.64, P=.0267), so the support from husband of the employed and the unemployed first-time mothers was changed differently each other over time. The support from husband of the employed first-time mothers was lowered significantly and continuously at 4-6wks (F=5.20, P=.0263) and at 3-month postpartum(F=6.47, P=.0137) than at 3-4 days postpartum. On the contrary, there was no difference in change of husband's support of the employed first-time mothers between the 3-4 days and the 4-6wks postpartum(F=1.70, P=.1962) and between the 3-4 days and the 3-month postpartum(F=.21, P=.6513). Mean husband's support of the nonemployed first-time mothers was raised at 4-6 wks postpartum than at 3-4 days postpartum but lowed at 3-month postpartum. The support from husband of both groups was tending downwards at 3-month postpartum than at 4 -6 wks postpartum, but the one between two groups was changed differently each other over time. The husband's support of the employed first-time mothers (M±SD=64. 26±8.63) was higher than the one of the non-employed first-time mothers (MtSD=59. 16±11.11)(t=-2.98, P=.0035), so the 3rd hypothesis that "there was the difference in the husband's support with regard to employment status and over time" was supported. On the basis of these conclusions, the following suggestion is proposed. This study examined the change and relationship between maternal role strain and husband's support in the employed and the nonemployed first-time mothers. So the further study regarding the comparison between the employed and the nonemployed multiparas is necessary.