분만 스트레스와 분만 스트레스 감소를 위한 Doula식 분만간호의 적용

허명행 김천과학대학 1998 김천과학대학 논문집 Vol.24 No.-

The purposes of this study was to review the delivery stress and to identify the possibility of application of Doula-type-delivery nursing care. In many studies, to evaluate the delivery stress, researchers measured physiologic variables, cortisol, β-endorphin, epinephrine during pregnancy and delivery. Physiologic variables, cortisol, β-endorphin, epinephrine were rapidly increased in serum of parturient after 4 Cm of cervical dilatation. Delivery stress influenced woman's wellbeing and their baby's wellbeing. Therefore, to reduce this delivery stress, nursing intervention strategies should be developed and applicted. 'Doula' means an woman helping another woman. Now, means of doula is to give continuous emotional, informational, physical help to pregnant and laboring woman. 'Doula-type-delivery nursing care' also uses this methods to reduce delivery anxiety and stress. Caring package of Doula-type-delivery nursing care consists of emotional support as continuous nurse's presence, acceptance, encouragement and music listening, informational support as giving information and physical support as massage. In literature, many studies resulted that doula support decreased duration of delivery, diastolic pressure, frequency of oxytocin use and analgesics use of mother, and meconium staining of baby, and that doula support increased satisfaction of mother and frequency of breast feeding. This Doula-type-delivery nursing care developed and renewed and refined in Korean style caring package that adequate and applicable for Korean parturient. And then developing Doula-type-delivery nursing caring package must be researched the effect of them in Korean parturient and must be evaluated cost-efficacy of them in Korean environment.

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.

일대일 분만지지간호가 초산모의 분만동통, 분만스트레스 반응, 분만경험 및 신생아 상태에 미치는 효과

허명행 여성건강간호학회 2001 여성건강간호학회지 Vol.7 No.2

This study was designed to investigate the effect of one-to-one labor support on labor pain, labor stress response, childbirth experience and neonatal status for primipara by a quasi experiment (nonequivalent control group pretest-posttest design), from April 30, 1999 to February 20, 2000. The subjects of this experiment consisted of eighty two primipara with single gestation, full term, uncomplicated pregnancies. Forty one were in the experimental group and forty one in the control group. Their mean age was 25.95 years, their mean gestation period was 39.9 weeks. A caring package of one-to-one labor support had three components. Physical support consisted of massage, back pressure, touch. Emotional support was provided by a continuous nurse's presence, acceptance and encouragement. Informational support involved teaching breathing skills, relaxation skills and knowledge about the labor process. Data assessed labor pain, pulse rate and blood pressure to measure labor stress response. Also, in measuring the value of labor stress response, plasma epinephrine, plasma norepinephrine and serum cortisol were measured. In the 24 hour's after birth, the data far the postpartum mothers childbirth experiences was collected. Umbilical cord arterial blood pH, one minute and five minute Apgar score were measured after birth. Data was analyzed by t-test, x²-test, repeated measures ANOVA. ANCOVA with SAS Program. The results were as follows; 1. Labor pain was significantly low in the experimental group (P=. 016). 2. No significant group effects were found, but significant time effects were found for plasma epinephrine, norepinephrine, and serum cortisol, pulse rate and blood pressure. 3. The childbirth experience of the experimental group was significantly more positive than the control group (P = .005). 4. The umbilical cord arterial blood pH of the experimental group was significantly higher than the control group (P=. 014). There was no significant difference between the two groups in neonatal one minute and five minute Apgar scores. In conclusion, these findings indicate that one-to-one labor support could be effective in decreasing labor pain, and increasing positive childbirth experiences, also increasing the neonatal umbilical cord arterial blood pH for primipara. So, one-to-one labor support could be applied as an effective nursing treatment for primipara.

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).

구조화된 정보제공이 당일 부분마취 수술환자의 불편감, 불안 및 환자만족도에 미치는 효과

허명행,김은선 한국간호과학회 2010 한국간호과학회 학술대회 Vol.2010 No.10

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.

대학생들의 성행동 및 피임지식과 태도와의 관계

허명행,안혜영,곽은아,김경미,박지영,이제일라 한국간호과학회 2007 Journal of Korean Academy of Nursing Vol.37 No.3

임부의 태아애착에 관계되는 요인으로서 자아개념, 배우자의 지지행위와 기타 제 개념에 관한 분석

허명행 김천과학대학 1995 김천과학대학 논문집 Vol.21 No.-

This study was done to find the relationships of maternal fetal attachment and perceived spouse support and self concept and other general characteristics. The purposes of this study were ① to identify the maternal fetal attachment and perceived spouse support, ② to find the relationships of maternal fetal attachment and perceived spouse support and other variables and ③ to find the explanatory variables related to maternal fetal attachment. The subject for this study consisted of 122 pregnant women. To measure the maternal fetal attachment and perceived spouse support and self concept and general characteristics, 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 determined by T-test, ANOVA. Also, multiple regression analyses were done independent variables to predict the matermal fetal attachment. The results of this study were as follows: ① The mean score of the maternal fetal attachment scale and perceived spouse support scale and self concept scale was 90.51, 74.07, 115.31. ② The variables to relate the maternal fetal attachment significantly were plan of the pregnancy(p<0.05), need of wanted fetal sex(p<0.05), maternal age(p<0.05) and frequency of prenatal care(p<0.01). ③ The variables to relate the perceived spouse support significantly was number of child (p<0.01) ④ The Pearson's correlation coefficient of maternal fetal attachment and perceived spouse support were 0.19156(p=0.0345). The Pearson's correlation coefficient of maternal fetal attachment and self concept were 0.36233(p=0.0001). The Pearson's correlation coefficient of perceived spouse support and self concept were 0.25352(p=0.0065). The Pearson's correlation coefficient of perceived spouse support and number of child were -0.25440(p=0.0050). ⑤ The useful independent variables to explain the maternal fetal attachment by stepwise mutiple regression were self concept, frequency of prenatal care, plan of the pregnancy. The total R2of three variables was 24.65%. The regression equation was MFAS=47.84×0.19+Hus+0.27×Sc-6.75×plan.+3.48(freq of preg).

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]

아로마테라피가 산모의 회음부 불편감과 회음부 치유에 미치는 효과

허명행 한국모자보건학회 2004 한국모자보건학회 학술대회 연제집 Vol.2004 No.2