저체중 출생아의 모아상호작용 : 수유와 교육상황을 중심으로 = The Study of the Mother-Infant Interaction in Low Birth Weight Infants

다국어 초록 (Multilingual Abstract)

The purpose of this study was to determine changes in the degree of mother-infant interaction of low birth weight infants for the period up to three months of mother and infant living together, and to care of them for prevent their developmental problems.
24 dyad of low birth weight infant and his mother were selected by convenience sampling from two general hospitas and one pediatric hospital in Seoul. Data were collected by the researcher throughout the three phage(zero, one, and theree months of the period of mother-infant living together) for 11 months from January, 20 to December 20, 1992.
This study were based on the mother-infant interaction model developed by Banard. Mother-infant interaction were collected by using observation and interview. and Maternal Attitud, self-conception, and Symptoms of Stress were ollected by using questionare.
Data were analyzed using repeated measures ANOVA, Pearson correlation coefficients, t-test or ANOVA, frequency, and mean.
Findings of this study was summarized as follow;
1. The average of infants´s gestational period was 35.04 weeks, modified age was 36.67 weeks, and mother-infant seperational peried was 25.95 days.
The average of mother´s age was 30.25 years, and morriage period was 28.4 months.
2. The comparison of two groups for the mother-infant interaction according to the period the mother and infant were living together.
1) At discharge mother-infant interaction during feeding was 41.1% of total score, but at one and three month the scores were graduall increased (one month, 61.1%; three moth, 63.2%). So there was statistically significant difference (p=.000). Within mother´s mother-infant interaction categories, except the catogory of [response to distress] as most of infants didn´t response this catogory, [Cognitive growth fostering] were lower than the other category, but [Cognitive growth fostering] were the most high.
2) At one month fter discharge mother-infant interaction during teaching was 41.6% of total score, but three month of the period of the mother and infant living together scores were increased(52.9%), so there was statistically significant difference(p=.005). Within mother´s mother-infant interaction categories, except the catogory of [response to dis-tress as most of infants didn´t response this category, [Cognitive growth fostering´ were lower than the other category, but [social-emotional growthe fostering] were the most high.
3. 1) Mother characteristios
The result of observation about the factors affecting the mother-infant interaction, mother-infant interaction during feeding were affected by infant´s sex and birth weight. At the zero month peried of the mother and infant living together, male infant was higher than female. And the higherbirth weihgt, the more mother-infant interaction (γ=.4833, p=.029). At one month of the period the mother and infant living together, marrital period were negatively correlated with the mother-infant interaction during teaching (γ=-.7197, p=.004), but self-conception were positively correlated (γ=.5019, p=.027).
2) Infant characteristics
At three month of mother-infant living together, Gestational period was positively correlate with mother infant interaction(γ=.620, p=.006).
INconclusion, the period of mother-infant living together was positively correlated, therefore these findings suggest the need for nursing intervention directed at impoving the quality of the interaction between mother and infant. During feeding and teaching, it was necessary for mother to concern on [cofnivive development fostering]. The result suggest that the mother-infant interaction can be enhanced by providing prenatal education and supporting the mother for mother´s self-conception was directly affected to mother-infant interaction. It is necessary that mother provided to infant with educational environment and had more sensitivity on her baby´s cues although her baby was immature.