산후 퇴원교육 효과에 대한 질평가

문길남,조겸순 日新基督病院 1997 日新基督病院論文集 Vol.12 No.-

임신중 경증 불편감과 임부가 인지한 배우자 지지 정도와의 상관관계 연구

문길남,이선옥,김애리 日新基督病院 1996 日新基督病院論文集 Vol.11 No.-

산후 첫주간의 모유수유 문제에 관한 연구

김영자,정은순,문길남,배정이,정주희,이선옥,조겸순 여성건강간호학회 1998 여성건강간호학회지 Vol.4 No.3

In Korea, breast-feeding practice has been decreased since 1980's. The purpose of this study was to determine the factors that influence breast-feeding practice. The total numbers of study subjects were 139 mothers in their postpartum one week. The study was carried out for the period of three months from June 17 to August 26, 1998. The tool for breast-feeding problem was developed by Kearney et. al(1990). The data were analyzed by SAS and the results were as follows : 1. The reported breast-feeding problems were nipple pain, demand of frequent feeding, prolonged feeding, milk leakage, experience of difficulty in breast feeding. 2. Breast-feeding problem defined were prolonged feeding, baby's whimpering after breast-feeding, nipple pain, experience of difficulty in breast feeding, difficulty of breast feeding due to mother's general discomfort.

중년 여성의 갱년기 증상과 우울에 관한 연구

권숙희,김영자,문길남,김인순,박금자,박춘화,배정이,송애리,여정희,정은순,정향미 동의대학교 기초과학연구소 1997 基礎科學硏究論文集 Vol.7 No.1

This study was done for the purpose of analyzing the relationship between menopausal symptoms and depression. Data was collected by a questionaire from November 28 to December 30, 1995. The subjects were 134 women between 40-61 years of age. The instruments used for this study were The Menopausal symptom scale by Neugartom and Depression scale by Zung. The results of the study were as follows. 1. Mean score of menopausal symptoms was 1.59. Mean score orders of experienced symptoms were $quot;$quot;Back pain and joint pain$quot;$quot;(2.02), $quot;$quot;General weakness$quot;$quot; (1.98), $quot;$quot;Nervousness$quot;$quot;(1.96). The most serious menopausal symptom was psycho-somatic symptom.(1.88). Total score orders of experienced symptoms was 27.9 and over 90.3% of women complained menopausal symptom, 2. Mean score orders of depression was 39.13. It was normal range of depression. 85.1% of the women was normal range of depression and 14.2% of women mild depression. 3. The relationship between menopausal symptoms and depression was statistically significant(r=0.5307, P=0.000). When the relationship among three demensions of menopausal symptoms were explored the psycho-somatic symptom(r=0.4090, P=0.000), Physical symptom(r=0.319, P=0.000) were statistically significant. 4. General characteristic variable were significantly related to the level of menopausal symptoms as follows : enviroment of living (F=2.89, p=0.038). religion (F=4.18 p=0.007), times of birth(F=2.66, p=0.043). The analysis of this study have implication for management of middle aged women's health, to solve the nursing problems, and to prevent and relieve climacteric symptoms.

중년 여성의 갱년기 증상과 우울에 관한 연구

권숙희,김영자,문길남,김인순,박금자,박춘화,배정이,송애리,여정희,정은순,정향미,Kwon, Sook-Hee,Kim, Yung-Ja,Moon, Guil-Nam,Kim, In-Soon,Park, Geum-Ja,Park, Choon-Hwa,Baim, Jeung-Yee,Sing, Ae-Ri,Yoe, Jung-Hee,Chung, Eun-Soon,Jung, Hyang- 한국여성건강간호학회 1996 여성건강간호학회지 Vol.2 No.2

This study was done for the purpose of analyzing the relationship between menopausal symptoms and depression. Data were collected by a questionnaire from November 28 to December 30, 1995. The subjects were 134 women between 40-61 years of age. The instruments used for this study were The Menopausal symptom scale by Neugartom and Depression scale by Zung. The results of the study were as follows. 1. Mean score of menopausal symptoms was 1.59. Mean score orders of experienced symptoms were "Rack pain and joint pain"(2.02), "General weakness"(1.98), "Nervousness"(1.96). The most serious menopausal symptom was psychosomatic symptom.(1.88) Total score orders of experienced symptoms was 27.9 and over 90.3% of women complained menopausal symptom. 2. Mean score orders of depression was 39.13. It was normal range of depression. 85.1% of the women were normal range of depression and 14.2% of women mild depression. 3. The relationship between menopausal symptoms and depression was statistically significant(r=0.5307, p=0.000). When the relationship among three dimensions of menopausal symptoms were explored the psychosomatic symptom(r=0.4090, P=0.000), Physical symptom(r=0.319, P=0.000), Physical symptom(r=0.319, P=0.000) were statistically significant. 4. General characteristic variables were significantly related to the level of menopausal symptoms as follows ; environment of living(F=2.89, p=0.038), religion(F=4.18, P=0.007), times of birth(F=2.66, p=0.043). The analysis of this study have implication for management of middle aged women's health, to solve the nursing problems, and to prevent and relieve climacteric symptoms.

멸균품의 유효기간 제도 변경과 그 효과

전영남,노미애,문길남 日新基督病院 2000 日新基督病院論文集 Vol.15 No.-

모유수유실천 예측요인

이선옥,정은순,박남희,안숙희,문길남 한국아동간호학회 2003 Child Health Nursing Research Vol.9 No.4

Purpose: The purpose of this study was to determine rate of breastfeeding practice at 3 months and to examine predictors for breastfeeding practice. Method: Study subjects were 114 mothers who gave birth at one hospital in Busan area. Data regarding breastfeeding practice and potentially related factors to breastfeeding were collected through a self-administered questionaire at 1 weeks and a telephone survey at 3 months. Logistic regression was used to identifiy significant the predictors on breastfeeding practice. Result: Rate of breastfeeding practice was 46.5% at three months of postpartum. The significant predictors for performing breastfeeding were lower the experience of breastfeeding trouble problem(OR=.88 compared with breastfeeding women, 95% CI; 78-.99), higher first breastfeeding satisfaction (OR=1.81 compared with non-breastfeeding women, 95% CI; 1.08-3.32), higher breastfeeding confidence(OR=1.84 compared with non-breastfeeding women, 95% CI; 1.08-3.32). Conclusion: The findings suggest the necessity of support program for mothers during the positive postpartum period to provide correct information about breastfeeding knowledge and attitude and to teach problem-solving skills for any breastfeeding problems for highere rate of breastfeeding practice

스피닝 교육 프로그램이 자연주의 출산과 간호중재에 미치는 의미 탐색

박현순 ( Park Hyunsoon ),문길남 ( Moon Guil Nam ),이신영 ( Lee Shin Young ) 인하대학교 교육연구소 2018 교육문화연구 Vol.24 No.5

본 연구 목적은 국내 의료기관에서에서 제공하는 스피닝 교육 프로그램이 자연주의 출산에 사회적, 학문적으로 어떻게 기여하며, 간호중재로서 임상실무에 적용가능성을 탐색하였다. 연구방법으로 국내 의료기관에서 스피닝 교육 프로그램을 실천한 참여자(초산모n=22, 경산모=7)의 특성과 임상실무의 간호중재로 적용 가능성은 양적연구로 탐색하였으며, 스피닝 교육 프로그램의 효과 내용은 질적연구로 탐색한 혼합설계연구이다. 연구결과는 본 스피닝 교육 프로그램이 여러 운동기법과 조명, 음악, 호흡법, 수중입욕, 둘라의 장점을 포함한 프로그램 구성이었고, 핵심 기전에는 향후 체계적인 연구가 필요하다. 출산 시 진통조절과 의학적 개입은 자연주의 출산에서 미미한 반면, 성공적인 출산을 이끄는 데는 개인, 가족, 간호 중재자의 신념과 의지가 더욱 요구되는 것으로 나타났다. 본 교육의 핵심은 스피닝베이비 원칙에 따라 균형, 중력, 움직임으로 골반근육 유연성을 증가시켜 편안하고 부드러운 출산으로 이끄는 데 있다. 이 연구는 임부의 골반과 태아 아두 직경과의 상관관계에서 최적화 기점을 찾아 자연 생리적 솔루션을 해결하는 데 유의미했다. 결론적으로 본 연구에서 출산 시 적용한 스피닝 교육 프로그램은 게일(Gail Tully)이론의 장점을 근거기반함과 동시에 이미 검증된 다른 중재들의 장점을 혼합한 교육 프로그램으로서 임상실무에서 간호중재로 적용 가능하다. The purpose of this study was to investigate the social and academic contribution of spinning education program to natural birth provided by domestic medical institutions to apply it to clinical practice as nursing intervention. This study accepted mixed research design. First, with quantitative research method, it investigated the characteristics of participants(primipara = 22, multipara = 7), who practiced spinning education at domestic medical institutions. Second, with qualitative research method, this study explored the impact of spinning education program by analyzing scientific principles and acceptability as a nursing intervention during delivery. The results of the study were the composition of the program, which included several exercise techniques and benefits of lighting, music, breathing, underwater bathing, because the core mechanism requires systematic research in the future. While labor control and medical intervention in childbirth were minimal in naturalistic births, it was found that it took more faith and will of individuals, families and nurse mediators to lead successful births. The key of spinning education is to search for natural more comfortable and smooth delivery through balance, gravity, exercise and flexibility according to the principles of Spinning Babies. The study was significant in finding the optimal point in the relationship between a pregnant woman's pelvis and a fetal head diameter in solving natural physiological solutions. In conclusion, the training program applied at birth in this study is based on the benefits of Gale theory and can be applied in clinical care as a mix of the benefits of other already verified interventions.

제왕절개술 초산모의 자가 착유 행위 효과

여정희 ( Jung Hee Yeo ),문길남 ( Gui Nam Moon ),이선옥 ( Sun Ok Lee ) 여성건강간호학회 2012 여성건강간호학회지 Vol.18 No.2

Purpose: This study was done to identify the effects of self-breast pumping on breastfeeding rates and, the degree of breast milk fullness among primiparous women giving birth by cesarean section. Methods: The study design was a non-synchronized posttest control group experiment with repeated measures. The participants were 60 women, 31 in the experimental group who used a manual pump 5 times a day after exclusive breastfeeding and 29 in the control group who breastfed exclusively with no other interventions. Results: While self-breast pumping did not improve breastfeeding rates or the degree of breast milk fullness at any of the time points studied, breastfeeding rates continued to remain high till 12 weeks postpartum in both groups. Conclusion: Although some modifications in research methods will be required to identify the effects of breast pumping and exclusive breastfeeding, both these approaches can be used as interventions to improve breastfeeding rates and breast milk quantity.

한국 조산사 자연출산관리 교육의 표준화지침 구축을 위한 임상실무 프로토콜 분석

강남미,박현순,이신영,김옥진,김상진,문길남,이찬희 한국국제문화교류학회 2020 문화교류와 다문화교육 Vol.9 No.5

본 연구의 목적은 한국 조산원 및 조산사 수련기관 포함 조산사로 구성된 종합병원 의 조산술을 파악하여 조산사 자연출산관리 교육의 임상실무 프로토콜(CPP) 표준화 지침을 제시하였다. 연구방법은 국내 활성화 중인 조산원(n=13), 조산사로 구성된 종 합병원(n=2)을 대상으로 자연출산 관리 임상실무 내용을 양적, 질적으로 탐색한 횡단 적 혼합설계 연구이다. 자료 분석 중 양적분석은 SPSS Ver. 23.0을 사용하여 양적자료 는 기술통계분석하였고, 복수응답은 문항에 따라 이분형과 순위형 다중응답분석으로 제시하였다. 질적분석은 WHO의 조산사 교육 행동 강령 틀과 조산원대표들의 자연출 산 관리 내용을 1, 2차 심층인터뷰를 기반으로 CPP 설계 및 확산에 대한 의미 프레임워 크 코딩 과정을 거쳐 내용분석 하였다. 연구결과는 양적분석 결과에서 산모상담 적절 시기가 조산원은 20∼24주, 병원은 6∼12주부터 시작되는 것으로 나타났고, 기관 내 적 정 산후관리 기간으로 조산원은 출산 후 6시간(46.2%), 병원은 2박 3일 머무는 것으로 나타났으며, 응급사례와 고위험 산모분류체계에서는 병원 이송 사례가 가장 높게 나타 났다. 또한, 임신, 출산, 신생아 관리 및 가족 상담에서 산전·후 운동프로그램, 산후 아 기건강관리, 모유수유, 영양관리 등에서 조산사의 도움이 꼭 필요한 서비스로 나타났다. 질적분석 결과로 대분류 12개 영역, 중분류 24개 항목, 소분류 90개의 세부항목이 도출되었다. 결론적으로 조산원의 자연출산 관리 임상실무 프로토콜 표준화 지침마련 은 조산사 및 조산원, 출산 관련 의료기관의 질 향상과 국내 모자보건사업의 교육 혁신 확산에 기여 가능함이 시사되었다. The purpose of this study was to establish guidelines for the standardization of clinical practice protocol (CPP) of natural birth management education for midwives by identifying midwives in general hospitals consisting of midwives including midwives and midwives training centers in Korea. This study used a cross-sectional mixed-method design to quantitatively and qualitatively explore clinical practices on natural birth management in Korean women's healthcare hospitals (n=2) having midwives and maternity centers (n=13). For quantitative data analysis, this study used frequency analysis, means and standard deviations using SPSS ver. 23.0. Multiple response questions were analyzed with dichotomies and weight-categories multiple response analysis. Qualitative data analysis was performed using the content on natural birth management among directors of maternity centers by involving data coding of meaning framework on the design and spread of CPP gathered from primary, secondary in-depth interviews based on WHO’s midwives code of conduct. The findings of the quantitative analysis revealed that the appropriate time to commence initial counseling for mothers were 20-24 weeks (53.8%) in maternity centers and 6-12 weeks (100.0%) in hospitals. Moremore, the proper duration of maternal care in the postpartum period was 6 hours (46.2%) after the birth in maternity centers and three days-two nights (100.0%) in hospitals. Hospital transfer accounted for the largest percentage of all emergency cases in the high-risk classification system of pregnant women. Furthermore, the aid of midwives was found to be an essential service required to assist exercise programs in the pre and postnatal periods, healthcare of newborn infants, breast-feeding, and nutritional management in pregnancy, childbirth, newborn care, and family counseling. In the results of the qualitative analysis, the data on CPP analysis were classified into 12 sub-items in major group, 24 sub-items in sub-major group, and 90 sub-items in minor group. In conclusion, the establishment of the guidelines for the standardization of clinical practice protocol for natural birth management in maternity centers is expected to contribute in improving the quality of midwives, maternity centers and childbirth-related health facilities and expanding the educational innovation of domestic maternal and child health programs.