보건소 건강관리회원의 진단적 연구

다국어 초록 (Multilingual Abstract)

Objectives : This study was conducted to evaluate the maternal child health services provided by public health centers in Pyungtaek city.
Methods : Data were collected based on multiple sources of official records. A questionnaire survey was obtained from 50 mothers with premature babies, and 89 mothers with full- term babies, in order to compare their demographic factors, and physical, obstetrical, and emotional status. In addition, the investigators collected data on pre and post follow-up care for the remature group to evaluate the effects of home visiting services on them. Moreover, additional data were collected from 135 pregnant women and 315 mothers with infants, to assess their degree of satisfaction for prenatal education course and breast feeding practices.
Results :
1) The pregnant women's satisfaction for the prenatal education course, knowledge, and practices on self care were considered to be high.
2) Of the mothers with infants, 62.9% experienced breast feeding, but only 35.9% of them did it for six months.
3) Premature birth rate in the region was 5.6%, and 75.6% of all premature babies received follow-up care.
4) The mothers with premature babies experienced premature rupture of membrane, placenta previa, preeclampsia, and cesarean section more frequently than the mothers with full-term babies.
5) At the pre-intervention data collection point, mothers with premature babies experienced significantly less social support than mothers with full-term babies. In addition, mothers with premature babies reported higher levels of stress and care-giving burdens, and lower level of self esteem, than mothers with full-term babies, although the differences were not statistically significant.
6) In the premature group, stress, care giving burdens, and postpartum depression decreased after the intervention, whereas maternal self esteem, and the husband's support were increased after the intervention. Social support from significant others were somewhat decreased.
7) Satisfaction for the home visiting service in the mothers with premature babies was very high.
Conclusion : These results showed a possibility that the recently started maternal child health services provided by the public health centers may be efficient. Although statistically significant differences were not found, the investigators found a potential for changes in a positive direction. Long-term effects of the health services on maternal child health needs should be addressed in future studies.

목차 (Table of Contents)

• Ⅰ. 서론 1
• 1. 연구의 필요성 1
• 2. 연구목적 2
• Ⅱ. 연구 방법 2
• 1. 연구대상자 2
• 1) 임산부 건강관리 2
• 2) 미숙아 건강관리 2
• 3. 연구도구 2
• 1) 서비스 만족도 2
• 2) 스트레스 2
• 3) 양육 부담감 2
• 4) 산후 우울 3
• 5) 모성자존감 3
• 6) 사회적 지지 3
• 4. 자료분석방법 3
• Ⅲ. 연구 결과 3
• 1. 모자보건사업 운영체계 3
• 1) 사업구성 및 사업 목적 3
• 2) 인력개발 및 교육 3
• 3) 사업 평가지표 및 도구 개발 3
• 4) 사업 추진을 위한 조직 구성 3
• 2. 임산부 건강관리사업 운영결과 분석 3
• 1) 사업내용 및 실적 3
• 2) 임산부 건강관리사업 평가 3
• 3. 미숙아 건강관리사업 운영결과 분석 5
• 1) 미숙아 출생률 및 추구관리 등록률 5
• 2) 미숙아 출산 관련 기초자료 6
• 3) 미숙아 건강관리사업 평가 7
• Ⅳ. 논의 8
• V. 결론 및 제언 10