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.

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.

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

여성인력개발센터에 관한 연구

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

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.

색깔놀이

고효정 고요아침 2018 한국동시조 Vol.- No.9

마이코플라스마 폐렴 소아 환자에서 조기 진단을 위한 항마이코플라스마 항체(IgM)의 의의: 2015년 단일기관연구

고효정,김민섭,이광연,강동희,이성규,안연화 대한 소아알레르기 호흡기학회 2019 Allergy Asthma & Respiratory Disease Vol.7 No.3

Purpose: Recently, the incidence of refractory Mycoplasma pneumoniae (MP) pneumonia has increased in Korea. Given that its early diagnosis is helpful in selection of the treatment, this study aimed at investigating the value of the antimycoplasma antibody (IgM) for early diagnosis of MP pneumonia. Methods: A total of 315 children admitted with MP pneumonia from September 2015 to May 2016 were investigated with the IgM and polymerase chain reaction (PCR) for the diagnosis of MP pneumonia. Specifically, patients were grouped into nonrefractory respiratory MP and refractory MP groups according to their response to macrolide therapy. Results: In the 44 PCR-negative seroconversed children, seroconversed IgM was more frequent in the refractory MP group compared with the nonrefractory respiratory MP group with statistical significance (P<0.001). In the 264 IgM-positive children, the time of antibody reaction was more delayed in the refractory MP group compared to the nonrefractory respiratory MP group with statistical significance (P<0.001). Conclusion: This study showed that there was a higher incidence of seroconversed IgM and delayed antibody reaction in the refractory MP group. In children with suspect MP pneumonia, follow-up studies of antibody are necessary, even through initial antibody and PCR showed negative findings. In addition, this result may suggest that the diagnosis of refractory MP pneunomia will be helpful in establishing the strategy of the treatment.

초등학생 어머니의 성격유형에 따른 양육태도 및 양육스트레스

고효정,권윤희,김민영 지역사회간호학회 2009 지역사회간호학회지 Vol.20 No.2

Purpose: This study was performed to examine parenting attitude and stress according to personality type in elementary school students' mothers. Methods: The subjects consisted of 206 mothers of students. The measurement instrument was the questionnaire consisting of Korean-version MBTI and PSI test. Data was collected from March 15th to April 15th, 2008. Results: Among personality types by function, ST type was most, occupying 60.2%. Among personality types by temperament, SJ type was most, occupying 59.2%. The score of affective attitude was highest among the parenting attitudes. Parenting attitude was significantly different according to age, education, economic status, number of children, planned pregnancy, factor of stress, and family type. Parenting stress was significantly different according to planned pregnancy and factor of stress. In parenting attitudes by personality types, affective attitude was significantly different. Parenting stress was significantly different according to personality type by function. There was a negative correlation between affective and autonomic attitudes and parenting stress. There was a positive correlation between rejective attitude and parenting stress. Conclusion: It would be essential to provide dynamic developmental programs for increasing the children's social ability, and nursing intervention, education and counseling programs for decreasing parenting stress through understanding mothers' personality type.

취업초산모의 역할긴장과 대처 및 지지에 대한 고찰

고효정 中央醫學社 1994 中央醫學 Vol.59 No.12

The purpose of this study is to find the role strains of working new mothers regarding stress, coping and social supports " paradigms by reviewing relevant literature, to present coping strategies based on this findings and to provide basic materials for the development of nursing interventions which can mitigate and buffer their role strains. The traditional norms are still dominant which force men work outside and women do household duties due to paterfamilias and distinction between the sexes even in the modern social structure. Working mothers have dual role overload as they are forced to serve faithful and traditional women's role more at home. Furthermore working new mothers have to return back to work after one month's short maternity leave even though 6-8 weeks' rest is necessary for recovery of health. Working new mothers who return back to work will have role overloads or role strains as they are forced to do new role in addition to existing ones as spouse, housewives and workers. These role strains affect working new mothers as - stressors so hinder then to achieve maternal role performance and give negative effect upon maternal role attainments and. formation of maternal identities. Therefore coping and social supports are necessary as strategy to mitigate and lessen role strains of working new mothers. Social supports mitigate stress and coping intervene events and results of stressor in relation to personal factors. And coping help personal adaptation by managing and mitigating stress smoothly. So social supports and coping will be used as efficient buffer systems as they can evade, eliminate and mitigate discomfort due to stressors. Through these coping strategies and social supports, nurses have to able to help working new mothers achieve maternal role attainments and form positive maternal identity by mitigating their role strains and giving their self-confidence when they perform maternal roles.