감각자극이 모아 상호작용, 모성자존감 및 영아기질에 미치는 효과

장군자 한국아동간호학회 2005 Child Health Nursing Research Vol.11 No.1

Purpose: The purpose of this study was to investigate the effects of sensory stimulation conducted by primiparas on mother-infant interaction, maternal self-esteem and infant temperament. Method: A non-equivalent control group post-test study design was used. The data were collected from December 1, 2001 to March 30, 2003. The participants were 39 primiparas with normal birth weight infants. They were divided into two groups, 20 mothers in the intervention group and 19 in the control group. The mothers in the intervention group were given instruction on sensory stimulation by the researcher, and the mothers, in turn, used this technique on their infants twice a day during the first 2 months of life. Both groups were measured for maternal self-esteem and infant temperament using the maternal self-report inventory (MSRI) and What My Baby Is Like (WBL) and a film was made of the feeding situation when each infant was between 8 and 10 weeks of age. Results: Compared to the control group, the experimental group had significantly higher scores in mother-infant interaction, maternal self-concept and infant temperament. Conclusion: This suggests that sensory stimulation conducted by primiparas may improve the mother-infant interaction, maternal self-esteem and infant temperament.

퇴원 후 전화 상담을 통한 지속적인 모유수유 지지가 모유수유 실천에 미치는 효과

장군자,김선희 병원간호사회 2010 임상간호연구 Vol.16 No.2

Purpose: This research was aimed to investigate the effect of postpartum breastfeeding support on breastfeeding rates. Methods: The participants of this study were 43 mothers who admitted to the delivery room of a university hospital which was selected as a Baby-Friendly Hospital Initiative (BFHI) in Daegu. Data collection period was from September 17, 2008 to September 20, 2009. Twenty three mothers were assigned to the experimental group and 20 mothers, to the control group. During hospitalization, breastfeeding education was given to the both groups. But postpartum breastfeeding support by nurse's phone call to the experimental group was provided once a week for 4 weeks postpartum. Data regarding breastfeeding rates at postpartum 1, 2, 3, 4 weeks and 3 months were collected by phone call. Results: The breastfeeding rate of the experimental group was significantly higher than that of the control group at postpartum week 2, 3, 4 and 3 months. Conclusion: Postpartum breastfeeding support may be a useful intervention to increase breastfeeding rate and the first month is the most important time to establish breastfeeding.

모유수유 교육 및 지지 서비스가 모유수유 실천율과 영아 성장에 미치는 효과

장군자,김선희 한국간호과학회 2010 Journal of Korean Academy of Nursing Vol.40 No.2

Purpose: This study was done to investigate the effects of breast-feeding education and support services on rate of breast-feeding three and six months after birth, and the effect on infant’s growth (weight, height, body mass index [BMI]). The experimental group which had both education and support services was compared with the control group which had only breast-feeding education. Methods: This study was a quasi-experimental study with a time-series design. The participants were 39 mothers who were hospitalized for childbirth. Twenty mother were assigned to the experimental group and 19 mothers, to the control group. The breast feeding education was done during hospitalization, and support services were provided once a week after discharge for a month (a total 4 times) by a maternity ward nurse. Data regarding breastfeeding rate at one month after childbirth was collected by phone call; the breast-feeding rates at three and six months after childbirth were collected in a visit to the families. The child’s weight and height were also measured during the visit. Results: The experimental group had a statistically significant higher rate for frequency of breast-feeding at one, three and six months after childbirth than the control group. However, there was no meaningful difference between the two groups for infant growth. Conclusion: The results of this study suggest that breast-feeding education is helpful for a start, but support services are also necessary to sustain breast-feeding.

통합감각자극이 저체중아의 성장 및 모아 상호작용에 미치는 효과

장군자 한국아동간호학회 2007 Child Health Nursing Research Vol.13 No.1

The Effects of Multimodal Sensory Stimulation Combined with Chiropractic Therapy on Growth and Mother-Infant Interaction in Infants with Low Birth Weight

Factors Influencing the Anxiety of Nursing Students in Clinical Practice during the COVID-19 Pandemic

장군자,박신정,고상진 한국보건정보통계학회 2022 보건정보통계학회지 Vol.47 No.4

Objectives: Due to the prolonged COVID-19, the current society is experiencing increased anxiety and confusion about health care. In spite of this pan- demic situation, nursing students are participated in practical training in the medical field to complete the curriculum. The purpose of this study was to determine the influencing factors of nursing students’ anxiety in participating in clinical practices during the COVID-19 pandemic. Methods: This was a cross-sectional study. A total of 172 nursing students participated in the online self-questionnaire. The collected data were analyzed by descriptive statis- tics, Pearson’s correlation coefficient, independent t-test, and multiple linear regression analysis using the SPSS software version 28.0. Results: There were significant differences in only anxiety according to gender (t = -4.42, p < 0.001). Also, Anxiety showed a statistically significant negative correlation with attitude (r = -0.16, p = 0.037) and preventive practice (r = -0.16, p = 0.036). Results of regression analysis, gender (β = 0.33, p ≤ 0.001) and attitude (β = 0.18, p = 0.026) were significant factors for the anxiety, and explanatory power was 16% (F = 4.45, p ≤ 0.001). Conclusions: The results of this study can be used to develop nursing interventions that reduce anxiety and promote preventive practice for COVID-19 among nursing students. .

간호사의 모유 수유 지지가 모유 수유 실천에 미치는 효과

장군자,김선희,정경순 한국간호과학회 2008 Journal of Korean Academy of Nursing Vol.38 No.1

Purpose: The purpose of this study was to investigate the effects of the professional nurse’ postpartum breast-feeding support on breast-feeding prevalence for mothers who delivered in Baby-Friendly Hospitals (BFH). Methods: This quasi experimental study was designed with a nonequivalent control group post test. The subjects of this study were 55 mothers who were hospitalized in the delivery room of a university hospital which was selected as a BFH in Daegu from October 1, 2005 to June 30, 2006. Twenty nine mothers were assigned to the experimental group and 26 mothers to the control group. Postpartum breast-feeding support by nurses’telephone calls to the experimental group was provided once a week for 4 weeks postpartum and then once a month for 16 weeks postpartum. Four post tests were given at postpartum week 4, 8, 12, and 16. The control group was given a telephone call at postpartum week 4, 8, 12, and 16. Results: The breastfeeding prevalence of the experimental group was significantly higher than that of the control group for each period. Conclusion: Postpartum breast-feeding support by nurses may be a useful intervention to increase breast-feeding prevalence.

DPT 예방접종 시 냉각 스프레이와 EMLA의 통증경감 효과

장군자,전은영,이은실,Jang, Gunja,Jeon, Eunyoung,Lee, Eunsil 한국데이터정보과학회 2014 한국데이터정보과학회지 Vol.25 No.4

우리나라 질병관리본부는 전염병 예방을 목적으로 국가 필수 예방접종을 정하여 특정 시기에 접종하도록 권장하는데, 대부분의 예방접종이 만 2세 전에 집중되어 있어 필수 예방접종만 투여 받더라도 영아는 14~20회 정도 접종을 받게 된다. DPT (diphtheria, pertussis, and tetanus) 는 제2군 법정전염병인 디프테리아, 백일해, 파상풍 예방을 목적으로 생후 2, 4, 6, 18개월 영아에게 근육주사하게 된다. 근육주사 시 주사 바늘 천자 및 약물 주입에 따른 통증이 유발되는데, 본 연구는DPT 예방접종을 받는 2, 4, 6개월 영아 49명을 대상으로 예방접종 시 유발되는 통증경감을 위해 국소마취용 크림인 EMLA (eutectic mixture of local anaesthetics)와 냉각 스프레이의 통증경감 효과를 조사하였다. 연구 결과 EMLA 적용군이 대조군과 냉각 스프레이 적용군에 비하여 주사 전후 맥박수와 산소포화도에 변화가 거의 없어 생리적 반응에서 통증경감 효과가 있는 것으로 나타났다. 결론적으로 EMLA 적용 군이 통증반응에 대한 생리적 변수, 즉 맥박수와 산소포화도를 정상범주로 유지하는데 있어서 냉각스프레이보다 더 효과적인 중재로 검증되었으므로 향후 DPT 예방접종 시 EMLA 크림의 적용 가능성을 시사하는 바이다. This study aimed at identifying the effect of vapocoolant spray and EMLA (eutectic mixture of local anesthetics) cream upon DPT (diphtheria-pertussis-tetanus)vaccineassociated injection pain in infants. A nonequivalent control group pretest-posttest design was used. The subjects were 49 infants, 19 of them for control group, 15 of them for vapocoolant group, and 15 infants for EMLA group. Pulse and oxygen saturation as pain indicators were measured before and after DPT vaccination. FLACC was also measured after vaccination. The data were collected between October 2009 and June 2010 and analyzed using SPSS WIN 20.0. EMLA group had significant a little changes in pulse (F=43.37, p <.001) and oxygen saturation (F=9.86, p=.003) compared to the control and vapocoolant group. But there was no difference in FLACC pain score among three groups. This results showed that EMLA cream is an effective agent for reducing DPT vaccination-associated pain. Therefore, EMLA cream can be used to reduce pain at public health centers and clinical settings.

항암요법을 받은 폐암환자의 삶의 질

장군자,박점희,류은경,김현미 慶北大學校 醫科大學 1996 慶北醫大誌 Vol.37 No.3

목적 : 항암요법을 받은 폐암환자의 삶의 질 정도를 파악하여 효과적인 암환자 간호를 하기 위한 기초자료를 제공하기 위해 본 연구를 시도하였다. 대상 및 방법 : 1995년 10월 1일부터 1996년 3월 31일까지 대구시내 소재 1개 대학교 병원에 입원하여 폐암을 진단받은 후 항암요법을 받은 환자 97명을 대상으로 하여 구조화된 질문지를 이용하여 자료를 수집하였으며, 자료의 분석은 SAS program을 이용하여 실수, 백분율, 최소값, 최대값, 평균, 표준편차, t-test 및 ANOVA, 단계적 중회귀분석을 하였고, 도구의 신뢰도는 Cronbach's α값을 구하였다. 결과 : 항암요법을 받은 폐암환자의 삶의 질 평균은 4.67이었고, 영역별로는 신체적 영역 3.90, 정신적 영역 4.23, 사회경제적 영역 5.65였다. 인구학적 특성에 따른 삶의 질은 연령과 교육수준에서, 질환특성에 따른 삶의 질은 신체적 활동정도에서 유의한 차이가 있었고, 항암제 종류와 항암치료횟수에 따른 삶의 질은 유의한 차이가 없었다. 결론 : 항암요법을 받은 폐암환자의 삶의 질 정도는 4.67로 다른 암진단을 받은 환자들에 비해 낮은 편으로 폐암에 대한 간호학적인 지식의 축적과 효과적인 간호중재에 대한 계속적인 연구, 항암요법이 폐암환자의 삶의 질에 미치는 영향에 대해서 더 많은 연구가 필요하다고 생각된다. This study was designed to investigate the quality of life in lung cancer patients with chemotherapy. Ninety seven patients with chemotherapy were sampled from one university hospital located in Taegu. The data were analyzed by percentage, mean, t-test. ANOVA. and stepwise multiple regression analysis, using the SAS program. The results were as follows; The mean score of quality of life was 4.67/10. The mean score of psychological dimension was 4.23/10. The mean score of socio-economic dimension was 5.65/10. The general characteristics related to quality of life were age. education level. A cancer characteristics related to quality of life was performance state. There was no statistically significant difference between chemoagents, chemotherapy frequency and quality of life.

웹 기반 모유수유 교육이 후기 미숙아의 신체성장 및 신생아 이환율에 미치는 효과

장군자,김복자 한국간호과학회 2018 한국간호과학회 학술대회 Vol.2018 No.10

후기 미숙아의 재태 연령별 모유수유 실천 예측 요인 비교

장군자 한국아동간호학회 2015 Child Health Nursing Research Vol.21 No.4

Purpose: The purpose of this study was to compare the rate of breastfeeding and factors which affect late preterm infants’ (LPIs) breastfeeding according to gestational age. Methods: Participants were LPIs of 34 weeks (n=70), 35 weeks (n=75), and 36 weeks (n=88). Data were collected from July to December, 2011 from four university hospitals in D city. Descriptive statistics and odds ratio were used to compare three groups. Results: The rate of breastfeeding at 1 week after LPIs’ discharge was 32.9%, 37.3%, 23.9% at 34, 35 and 36 weeks, respectively. The tendency to breastfeed in LPIs of 34 weeks was lower for LPIs born by Cesarean-section, while it was higher for LPIs with a longer period of breastfeeding during hospitalization and higher body weight at the first day of feeding. The prevalence of breastfeeding in LPIs of 35 weeks and 36 weeks was higher for infants with a history of more frequent breastfeeding during hospitalization. Conclusion: The rate of breastfeeding in LPIs of 36 weeks was the lowest. This study suggests that nurses should give more customized education to mothers with LPIs of 36 weeks during their stay in hospitals.