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.

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.

음악요법이 응급실에 내원한 수술대기 환자의 불안에 미치는 효과 : 급성충수돌기염 환자 중심으로

고효정,박경민,김종남 대한임상건강증진학회 2005 Korean Journal of Health Promotion Vol.5 No.1

This study is to examine the effects of music therapy a nursing interventions, on the anxiety of the patients with acute appendicitis with a nonequivalent control group non-synchronized design.The subjects of the study consisted of 20 patients for the intervetion group and 20 patients for the control group waiting for operations of acute appendicitis in the emergency room of a general hospitalin Daegu. The data were collected from July 1 to September 20 in 2003 after the preliminaryexamination. The state of anxiety was measured with vital sign as well as Visual Analogue Scale(VAS) developed by Cline et al.(1992). The experimental group had listened to the classical music made byLee(2001) including natural sounds for 20 minutes. The data of general characteristics, trait-anxiety, vital sign and state - anxiety were measured immediately after music therapy. The hypothesis that the intervention group who was provided with music therapy will have lower degree of state anxiety than the control group was supported(F=4.84. p=0.034). The hypothesis that theintervetion group who was provided with music therapy will have lower degree of systolic and diastolic blood pressure, pulse rate and respiration than the control group was abandoned.Music therapy is regarded as one of the effective interventions that alleviates the state anxiety of the patients waiting for operations in the emergency room and improves the degree of patients satisfaction. 응급실에 내원하여 급성 충수돌기염 진단 하에 수술대기중인 환자를 대상으로 음악요법을 적용하여 상태불안과 활력징후에 미치는 효과를 확인하고 임상실무에서 독자적인 간호중재 전략으로 활용하고자 시도된 비동등성 대조군 전후시차설계의 유사 실험 연구이다.연구대상자는 대구시에 소재하는 일개 종합병원 응급실에서 급성 충수돌기염 진단 하에 당일 수술시간이 결정되어 수술대기중인 환자이며 실험군 20명, 대조군 20명, 총 40명으로 구성하였다. 자료수집은 2003년 7월 1일부터 2003년 9월20일까지 이루어졌다. 연구도구는 불안을 측정하기 위해 Cline 등(1992)의 시각적 상사척도(Visual Analogue Scale)와 활력징후를 이용하였다. 중재로는 음악요법으로 이혜란(2001)이 제작한 자연의 소리가 포함된 고전음악을 중재군에게 20분 동안 제공하였다. 자료수집은 음악요법 실시 후 즉시 이루어졌으며 일반적 특성, 기질불안, 활력징후 및 상태불안을 측정하였다. 자료분석은 빈도, 백분율, χ²-test, t-test, Repeated measures ANOVA를 사용하였다.음악요법을 제공받은 중재군이 제공받지 않은 대조군보다 상태불안(F=4.84. p=0.034)은 감소할 것이라는 가설은 받아들여졌으며, 수축기 혈압, 이완기 혈압, 맥박, 호흡수가 감소할 것이라는 가설은 모두 기각되었다.음악요법은 응급실 수술대기 환자의 상태불안을 유의하게 감소시켜 심리적 긴장을 완화시키고 안정감을 주며 환자의만족도를 높이는데 매우 유용하였으며 임상실무에서 적용가능한 개별화된 간호중재로 적극 활용할 가치가 있다고 사료된다.

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.

여성건강 간호연구의 최근 동향

고효정,정금희,박경민,김혜영,Koh, Kyo-Jung,Jeong, Geum-Hee,Park, Kyung-Min,Kim, Hye-Young 한국여성건강간호학회 1997 여성건강간호학회지 Vol.3 No.2

For the purpose of improving the nursing research on the woman's health the nursing papers form Korea were analyzed by subject and content. This work was anticipated to suggest the direction of the research on the filed of woman's health. A total of 420 papers form journals, TaeHan KanHo, Journal of Academy of Nursing, and Journal of Korean Woman's Health Nursing Academic Society published from 1992 to 1996 were analyzed by Dubar and Patterson's criteria. The Number of papers on the woman's health was 66(15.7%), and those of mother's role and other clinical studies were 36(8.6%) and 318(75.7%) each. Special fields of the 66 papers on the woman's health and its number were health management 27(40.9%), psychiatric health 15(22.7%), postmenopausal period 5(7.6%), sex 5(7.6%), menstruation 4(6.1%), abortion 3(4.5%), nursing need 2(3.0%), violence 1(1.5%) respectively. Considering the subjects according to the life cycle, the subject on pregnant and middle aged period were more frequent than that on juvenile, peripartum, married or aged periods. According to above results, the proposals for promoting the nursing research were followings : Woman should be included as a subjects more frequently in general nursing research. The methodology for comparison study on the sex difference should be developed to understand the multifaced phenomena of woman's health. The factor analysis affecting the woman's health inadequately should be done.

여성인력개발센터에 관한 연구

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

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.

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

중년기 여성의 건강문제 실태조사

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

자궁적출술을 받은 중년기 여성의 성생활 만족과 배우자 지지에 관한 연구

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