신생아집중치료실 간호사의 캥거루 돌보기에 대한 인식과 장애

다국어 초록 (Multilingual Abstract)

Perception and Barriers of Kangaroo Care
among Nurses in the Neonatal Intensive Care Unit.



Jeong Sun Kyung
Dept. of Nursing Science
Graduate School, Daejeon University
(Directed by Prof. Kim Tae Im, Ph.D., RN)



Abstract

This study was conducted to investigate the perception and barriers of Kangaroo Care (KC) among nurses in Neonatal Intensive Care Unit (NICU), in order to provide the baseline data for the development of education program of KC for nurses in NICU.
Participants in this study were 131 nurses working in NICU from five university hospitals in Daejeon and Chungcheong area. Data collection was conducted through the use of self-report questionnaires which included information regarding perception, barriers, and practice of Kangaroo Care scale. Collected data were analyzed using SPSS 18.0 program for descriptive statistics, t-test, ANOVA, and pearson correlation coefficients.

The main results of this study were following;
1. 33.6% of respondents reported the practice of KC in their NICU.
2. While 75.6% of respondents wanted to receive training in KC, only 31.3% of them received KC education.
3. Most nurses agreed that KC enhances attachment, parental confidence, and effective breast feeding, and that it has positive effects on physical well-being of infants. However, respondents showed a negative perception in providing KC for premature infants weighing less than 1000 grams or intubated premature infants.
4. Major barriers to practicing KC were safety of infants, possible work overload of nurses, as well as absence of consistent guideline.
5. Barriers of KC among nurses who received the KC training were lower than those who did not receive the KC training (t=-2.11, p=.037).

From the results above, KC has been partially practiced in NICU as a supportive neonatal nursing care. Although the demand for KC education among nurses is high, the actual number of nurses who received KC training is still low. Most nurses agreed that KC is effective interventions in the enhancement of the role of parents toward premature infants and growth and development of prematures, but they did not agree with applying KC to the high-risk newborns using ventilator or weighing less than 1000g. Perception of KC among nurses in NICU was somewhat positive but they had concerns for the safety of premature infants, absence of consistent guidelines about KC, and possible work overload.
The study results suggest that education program and standardized clinical practice protocol should be developed to foster the positive perception and to reduce barriers of KC for nurses. Further studies are needed to verify and accumulate the empirical evidence of the effects of KC education program.

key word : kangaroo care, nurses in neonatal intensive care unit, perception, barrier.

목차 (Table of Contents)

• <목 차>
• Ⅰ. 서 론 1
• 1. 연구의 필요성 1
• 2. 연구의 목적 3
• 3. 용어정의 4
• 1) 캥거루 돌보기 4
• 2) 미숙아 4
• 3) 캥거루 돌보기에 대한 인식 4
• 4) 캥거루 돌보기에 대한 장애 4
• 4. 연구의 제한점 5
• Ⅱ. 문헌고찰 6
• 1. 미숙아 출생률과 생존율 6
• 2. 캥거루 돌보기 8
• 3. 간호사의 캥거루 돌보기에 대한 인식과 장애 13
• 4. 이론적 기틀 15
• Ⅲ. 연구방법 18
• 1. 연구설계 18
• 2. 연구대상 및 기간 18
• 3. 연구도구 18
• 1) 대상자의 일반적 특성 18
• 2) 캥거루 돌보기에 대한 실행경험 18
• 3) 캥거루 돌보기에 대한 인식 19
• 4) 캥거루 돌보기에 대한 장애 19
• 4. 연구의 자료수집방법과 윤리적 고려 19
• 5. 자료분석방법 20
• Ⅳ. 연구결과 21
• 1. 대상자의 일반적 특성 21
• 2. 캥거루 돌보기 실행경험 23
• 3. 캥거루 돌보기에 대한 인식 25
• 4. 캥거루 돌보기에 대한 장애 27
• 5. 일반적 특성에 따른 캥거루 돌보기에 대한 인식 29
• 6. 일반적 특성에 따른 캥거루 돌보기에 대한 장애 30
• 7. 캥거루 돌보기에 대한 인식과 장애의 상관관계 32
• Ⅴ. 논 의 33
• 1. 캥거루 돌보기 실행경험 33
• 2. 캥거루 돌보기에 대한 인식 35
• 3. 캥거루 돌보기에 대한 장애 37
• 4. 일반적 특성 및 캥거루 돌보기 실행 여부에 따른 캥거루돌보기에 대한 인식과 장애 38
• Ⅵ. 결론 및 제언 41
• 1. 결론 41
• 2. 제언 42
• 참고문헌 43
• 부록 55
• 부록 1. 캥거루 돌보기를 실행하는 병원 간호사의 인식과 장애의 상관관계 55
• 부록 2. 기관생명윤리위원회 심의결과 통지서 56
• 부록 3. 도구 사용 승인 메일 57
• 부록 4. 연구자 보관용 연구 동의서 58
• 부록 5. 참여자 보관용 연구 동의서 59
• 부록 6. 설문지 60
• 부록 7. 피험자 모집 63
• Abstract 64