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      • KCI등재

        에센셜 오일을 적용한 분만간호가 초산부의 분만 스트레스 반응, 분만 중 불안 및 산후 상태불안에 미치는 효과

        허명행,정남연,윤혜성,이미경,송영신 한국간호과학회 2005 Journal of Korean Academy of Nursing Vol.35 No.8

        Objectives: This study was designed to investigate the effect of delivery nursing care using essential oils on labor stress response, labor anxiety and postpartum status anxiety for primipara. Methods: This study used nonequivalent control group pretest-posttest design. The subjects of this experiment consisted of forty eight primipara with single gestation, full term, & uncomplicated pregnancies. Twenty four primipra were in the experimental and control group each. Their mean age was 27.9 years old, their mean gestation period 279.9 days. As a treatment, delivery nursing care using essential oils was applied by nurses. Data collected epinephrine, norepinephrine, anxiety during labor. In the 24 hours after birth, the data for the postpartum mother's status anxiety was collected. Data was analyzed by t-test, repeated measures ANOVA, Mann-Whitney U test, & Wilcoxon signed ranks test with SPSS Program. Results : Plasma epinephrine, norepinephrine were significantly low in the experimental group (P=0.001, P=0.033, respectively). There was no significant difference between the two groups in anxiety during labor and postpartum mother's status anxiety. Conclusion : These findings indicate that delivery nursing care using essential oils could be effective in decreasing plasma epinephrine, norepinephrine. But, that could not be verified in decreasing mother's anxiety.

      • KCI등재

        Effects of a Thermoelectric Element Band on Venipuncture-associated Pain and Anxiety: A Randomized Controlled Trial

        허명행,최희수 한국간호과학회 2021 Asian Nursing Research Vol.15 No.5

        Purpose Venipuncture is an invasive procedure for diagnosis and treatment, which is often attributed to pain and anxiety. In this study, a thermoelectric element (TEE) band was developed to apply heat therapy (40∼45°C), cold therapy (0∼10°C), or thermal grill illusion (TGI) therapy (40∼45°C, 0∼10°C) to cause an illusion of pain by simultaneously applying heat and cold. This band was subsequently used to investigate its effect on patient pain, anxiety, and satisfaction. Methods This was a randomized controlled study. Participants, who were to undergo venipuncture, were randomly assigned to the heat therapy, cold therapy, TGI therapy, or control groups. Each group had 30 participants. The interventions were employed for 10 seconds during venipuncture, and the pain, anxiety, and satisfaction were measured before and after the procedure. Results Subjective pain, anxiety, and physiological responses after TEE band intervention were not significantly different between the four groups. However, there was a significant difference in satisfaction (F = 4.21, p = .007) between the four groups, and the cold therapy group showed the highest satisfaction. Conclusion In this study, when heat, cold, and TGI therapy were applied with a TEE band, pain and anxiety relief effects were not confirmed, but satisfaction was high. TEE band is a newly developed product that can easily apply hot and cold treatments without using ice packs or hot water packs. Further studies with various individual characteristics of chronic pain or repeated venipuncture are warranted to evaluate the effect of TEE. Purpose Venipuncture is an invasive procedure for diagnosis and treatment, which is often attributed to pain and anxiety. In this study, a thermoelectric element (TEE) band was developed to apply heat therapy (40∼45°C), cold therapy (0∼10°C), or thermal grill illusion (TGI) therapy (40∼45°C, 0∼10°C) to cause an illusion of pain by simultaneously applying heat and cold. This band was subsequently used to investigate its effect on patient pain, anxiety, and satisfaction. Methods This was a randomized controlled study. Participants, who were to undergo venipuncture, were randomly assigned to the heat therapy, cold therapy, TGI therapy, or control groups. Each group had 30 participants. The interventions were employed for 10 seconds during venipuncture, and the pain, anxiety, and satisfaction were measured before and after the procedure. Results Subjective pain, anxiety, and physiological responses after TEE band intervention were not significantly different between the four groups. However, there was a significant difference in satisfaction (F = 4.21, p = .007) between the four groups, and the cold therapy group showed the highest satisfaction. Conclusion In this study, when heat, cold, and TGI therapy were applied with a TEE band, pain and anxiety relief effects were not confirmed, but satisfaction was high. TEE band is a newly developed product that can easily apply hot and cold treatments without using ice packs or hot water packs. Further studies with various individual characteristics of chronic pain or repeated venipuncture are warranted to evaluate the effect of TEE.

      • 임부의 임신, 분만, 산욕에 관한 교육 요구도 조사연구

        허명행 김천과학대학 1999 김천과학대학 논문집 Vol.25 No.-

        This study was done to find the educational needs about pregnancy, birth, postpartum. The purposes of this study were ① to identify the educational needs about pregnancy, birth, postpartum ② to find the variate related to educational needs. The subject for this study consisted of 133 pregnant women(mean age 28 years, mean gestational age 32 weeks). Questionnaire was used to measure the educational needs about pregnancy, birth, postpartum. The data was analyzed by SAS. The general characteristics were calculated by percent, maximum, minimum, mean and standard deviation. Group differences were determined by t-test, ANOVA. The results of this study were as follows: ① Chronbach's alpha, internal consistency of the scale of educational needs about pregnancy, birth, postpartum was 0.95. ② The mean score of the educational needs about pregnancy, birth, postpartum was 109. 24. The item mean score of the educational needs about pregnancy, birth, postpartum was 3.03. Each of the mean score of the educational needs about pregnancy, birth, postpartum was 53.65, 21.00, 34.59. Each of the mean score of the educational needs about neonate, mother was 28.43, 80.81. The most responding items were 'parent role', 'fetal surveillance', 'neonatal vaccination', 'food after birth', 'taegyo during pregnancy', 'fetal development during pregnancy', 'Korean sanhujori method', 'risk symptoms during pregnancy', 'nutrition during pregnancy', pregnancy test', 'postpartum contraception'. ③ The variable to relate to the educational needs about pregnancy, birth, postpartum was history of birth(P<0.01). ④ The variables to relate to the educational needs about pregnancy were history of birth, occupation (P<0.05). ⑤ The variables to relate to the educational needs about birth was history of birth (P<0.01). ⑥ The variables to relate to the educational needs about postpartum was history of birth (P<0.05). ⑦ The variables to relate to the educational needs about neonate was history of birth (P<0.01). ⑧ The variables to relate to the eduactional needs about mother was history of birth (P<0.05).

      • 실무과학으로서 고위험임신 대상자를 간호하기 위한 Caring Package

        허명행 김천과학대학 1996 김천과학대학 논문집 Vol.22 No.-

        The purpose of this study was to identify the need of the caring package in Nursing and to develop the caring package for high-risk pregnancy as a practical science The caring package means the nursing interventions that nurses can do them independently and nurses must give the client care including the area of physical, psychological, social, spiritual cares and others as crises Pregnancy is very something special to pregnant women and her family and high-fisk pregnancy is vary something special and also, very dangerous to them. So, as a practical science Nursing must give the caring package including physical, psychological, social, spiritual cares for high-risk pregnant and her family.

      • 임부의 산전간호행위, 태아애착, 배우자의 지지, 자아개념에 관한 연구

        허명행,정경옥 김천과학대학 1997 김천과학대학 논문집 Vol.23 No.-

        This study was done to find the relationships of prenatal nursing care behavior, maternal fetal attachment, perceived spouse support and self concept and other variables and other general characteristics. The purposes of this study were ① to identify the prenatal nursing care behavior ② to find the relationships of prenatal nursing care behavior, maternal fetal attachment, perceived spouse support, self concept and other variables and ③ to find the explanatory variables related to prenatal nursing care behavior. The subject for this study consisted of 122 pregnant women. To measure the prenatal nursing care behavior, maternal fetal attachment and perceived spouse support, self concept and general characteristics, prenatal nursing care behavior(Lee, Chang), maternal fetal attachment scale(Cranley), scale of perceived spouse support(Ann), scale of self concept(Rogenberg, Choi) and questionnaire about general characteristics were used. The data was analyzed by SAS. The general characteristics were calculated by percent, maximum, minimum, mean and standard deviation. Group differences were determinded by T-test, ANOVA. Also, multiple regression analyses were regression analyses were done to find independent variables to predict the prenatal nursing care behavior. The results of this study were as follows: ① The mean score of the prenatal nursing care behavior was 93.30. And the mean score of maternal fetal attachment was 90.51 and the mean score of perceived spouse support was 74.07. And also the mean score of self concept was 115.31. ② The variables to relate prenatal nursing care behavior was frequency of prenatal care(p<0.01). ③ The Pearson's correlation coefficient of prenatal nursing care behavior and maternal fetal attachment was 0.543(p=0.0001). The Pearson's correlation coefficient of prenatal nursing care behavior and self concept was 0.466(p=0.0001). The useful independent variables to explain the prenatal nursing care behavior by forward selection procedure of multiple regression were maternal fetal attachment, self concept, frequency of prenatal care. The total R² of three variables was 43.0%. The total R² of three variables and perceived spouse support was 43.3%. The regression equation was PNCB=25.15+0.43×MFAS-0.07×Hus+0.26×Sc+3.02× (freq of prenatal care). [PNCB: Prenatal nursing care behavior, MFAS: Maternal fetal nursing care behavior, Hus:Perceived spouse support]

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