7 research outputs found
(A) study on demographic, social and pther characteristics as variables influencing prenatal care and family health decision maker in a rural area of Korea
κ°νΈνκ³Ό/μμ¬[νκΈ]
1956λ
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μ κ³μ μΆμ§λμ΄ μκ³ , λͺ¨μ건κ°μ¬μ
μ μ²λμΈ λͺ¨μ±μ¬λ§, μ£Όμ°κΈ°μ¬λ§, μμμ¬λ§μ¨μ μ μ°¨μ μΈ κ°μμ κ²½ν₯μ 보μ΄κΈ΄ νμ§λ§ μ μ§κ΅μ λΉκ΅νλ©΄ λ§€μ° λμ μ¬λ§μ¨μ΄λ€. λͺ¨μ건κ°μ¬μ
μ κ³νκ³Ό μ§νμ λμμ£Όλ―Όμ μΈκ΅¬μ¬ννμ νΉμ± λ° λ¬Ένμ νΉμ±μ΄ κ³ λ €λμ΄μΌλ§ ν¨μ¨μ μΈ κΈ°λ₯μ λ°νν μ μλ€. λ°λΌμ, κ°μ 건κ°λ¬Έμ κ²°μ κΆκ³Ό μ°μ κ°νΈγμΈλ±μ€γμ λν΄ μΈκ΅¬μ¬ννμ λ³μμμ κ΄κ³λ₯Ό μμλ³΄κ³ μ λ€μκ³Ό κ°μ λͺ©μ μ μ€μ νμλ€.
1) λμμμ μΌλ°μ νΉμ±λΆμ
2) κ°μ 건κ°λ¬Έμ κ²°μ κΆκ³Ό μΈκ΅¬μ¬ννμ νΉμ±κ³Όμ κ΄κ³νμ
3) μ°μ κ°νΈ γμΈλ±μ€γμ μΈκ΅¬μ¬ννμ νΉμ±κ³Όμ κ΄κ³νμ
μ°κ΅¬μλ£λ μ°μΈλνκ΅ κ°νΈνμ°κ΅¬μμ μΈκ΅¬ λ° κ°μ‘±κ³νμ°κ΅¬μμμ 1974λ
7μ 19μΌλΆν° 29μΌκΉμ§ 10μΌκ°μ κ±Έμ³ μ‘°μ¬νλ° μλ, γκ±΄κ° λ° κ°νΈμꡬμ μ¬νμ λμ κ΄ν μμ§μ μ’
ν©μ°κ΅¬γμ μν μλ£μ€μμ λͺ¨μ±κ±΄κ°μ κ΄ν μ¬νμ μ¬μ©νμλ€.
μ°κ΅¬λμκ°κ΅¬λ μ΄251κ°κ΅¬λ‘μ κ°μ 건κ°λ¬Έμ κ²°μ κΆμ λν μ°κ΅¬λμμ΄ 251κ°κ΅¬μ΄λ©°, μ΄μ€μμ μ°μ κ°νΈ μ°κ΅¬λμ 32κ°κ΅¬λ₯Ό μμ μμ λΆλ§ν 6μ£Όμ΄λ΄ λΆμΈμΌλ‘ μ ννμλ€. ν΅κ³μ λΆμλ°©λ²μΌλ‘λ X**2 -testμ t-testμ μ΄μ©νμλ€.
μ°κ΅¬κ²°κ³Όλ₯Ό μμ½νλ©΄,
1. μ°κ΅¬λμμμ μΌλ°μ νΉμ±μ μ 체νκ· μ°λ Ή 35.6μΈλ‘μ μ€λ
λΆμΈ μΈ΅μ΄λ©°, μ°μ κ°νΈμ°κ΅¬λμμ νκ· μ°λ Ήμ 29.8μΈλ‘μ 30λ λ―Έλ§μ λΆμΈμΈ΅μ΄μλ€. κ΅μ‘μμ€μ κ΅λ―Όνκ΅ μ΄νμ΄κ³ , κ²½μ μμ€μ μ€μ΄νμ΄λ€.
2. κ°μ 건κ°λ¬Έμ κ²°μ κΆ μμ¬μ μΈκ΅¬, μ¬ννμ λ³μμμ κ΄κ³λ, κ°μ 건κ°λ¬Έμ κ²°μ κΆμ μν₯μ μλ λ³μλ μ°λ Ή, κ²½μ μμ€μ΄μκ³ , μλ€μ, κ΅μ‘μμ€, μ΄λ¨Έλν μ°Έμ¬λ κ²°μ κΆμ μν₯μ μ£Όμ§ λͺ»νμλ€.
3. μΈκ΅¬μ νΉμ±κ³Ό μ°μ κ°νΈμμ κ΄κ³λ μ°λ Ήμ΄ μ κ³ , μλ€μ΄ μκ³ , μμ μλͺ¨κ° λ§μ λΆμΈμμ μ°μ κ°νΈ γμΈλ±μ€γ μ μκ° λμ²΄λ‘ λμ κ²½ν₯μ 보μμΌλ. ν΅κ³7μ μΌλ‘ μ μμμ€ 5%μμ μ μν μ°¨λ μλμλ€.
4. μ¬ννμ νΉμ±κ³Ό μ°μ κ°νΈμμ κ΄κ³λ κ²½μ μμ€κ³Ό κ΅μ‘μμ€μ΄ λμ λΆμΈμμ μ°μ κ°νΈγμΈλ±μ€γμ μκ° λμ κ²½ν₯μ 보μκ³ , μ΄λ¨Έλν μ°Έμ¬λ μ°μ κ°νΈμ μν₯μ΄ μμμΌλ©°, λ¬Έλͺ
μ΄κΈ° μ¬μ©λκ° λμμλ‘ μ°μ κ°νΈ γμΈλ±μ€γ μ μκ° ν΅κ³μ μΌλ‘ μ μμμ€ 5%μμ μ
μν μ°¨μ΄λ₯Ό 보μλ€.
5. κΈ°νλ³μμ μ°μ κ°νΈμμ κ΄κ³λ, κ°μ 건κ°λ¬Έμ κ²°μ κΆμ΄ λΆμΈμκ² μλ κ²½μ°μ, μ°μ μ§μ°° νμ μ΄μ λ₯Ό μκ³ μλ κ²½μ°μ λΉκ΅μ λμ νκ· μ μ°μ κ°νΈγμΈλ±μ€γμ μλ₯Ό 보μμΌλ ν΅κ³μ μΌλ‘ μ μμμ€ 5%μμ μ μν μ°¨μ΄λ μλμλ€
κ²°λ‘ μ μΌλ‘, λ³Έ μ°κ΅¬μμ μ νν μΈκ΅¬ μ¬ννμ λ³μλ λλΆλΆ, κ°μ 건κ°λ¬Έμ κ²°μ κΆ μμ¬μ μ°μ κ°νΈμ μν₯μ μ£Όλ κ²½ν₯μ 보μμΌλ, ν΅κ³μ μΌλ‘ 3κ°μ λ³μμΈμ μ μν μν₯μ΄ μλμμΌλ―λ‘, μ’λ μ°κ΅¬ λμ΄μ§ νμκ° μλ€κ³ μκ°λλ€
[μλ¬Έ]
Korea has been implementing maternal and child health services since 1956. Even though there is a tendency toward declining maternal, perinatal and infant mortality, they are still much higher than in developed countries, the planning and implementing of maternal and child health services should be based on demographic and social characteristic in order to obtain effectiveness of the services.
This study has the following study objectives:
1. To describe the general characteristics of the study population.
2. To examine the relationship between the decision maker regarding family health and demographic-social characteristics.
3. To examine the relationship between the demographic-social characteristics and a prenatal nursing care index.
The study poulation defined and selected was all of the eligible women, curruntely married housewives (N=251) aged under 49, living in Kang Wha Island, Korea. Data of the presented analysis were obtained from "A Comprehensive Study about Health and Nursing Need, and a Social Diagram of the Community, conducted by the Nursing Research Institute and Center for Population and Family Planning, Yonsei University during July, 1974. Statistical analysis of the above data was X**2 -test and t-test.
The finding could be summarized as follows:
1. General characteristics of the study population; The total population's average age was 35.6 years old, and the average age of the 32 prenatal care cases was 29.8 years old. The majority of the population had a primary school level of education, and their economic status was middle lower class.
2. Relationship between the family health decision maker and the demorpraphic and social variables: Variables which influenced family health decision maker were age, economic level, having a son and educational level. Attending mothers club meeting had no influence.
3. In the relationship between demographic characteristics and prenatal nursing, the group of younger mothers with no sons and having more pregnancy wastage and a tendency for higher prenatal nursing care, but no statistical significance was found.
4. In the relationship of social characteristics so prenatal care, the group with higher education and economic status also had a tendency for higher prenatal nursing care. There is no relationship between attending mother club meetings and prenatal care. The group having higher index of modernity also had a higher prenatal nursing care index, which is statistically significant.
5. In the relationship of other variables to prenatal care, the group of women who were decision maker about family health problems and who realized the reasons and needs for prenatal nursing care had a tendency of a higher prenatal nursing care index. This was, however, not statistically significant.restrictio
Effect of informational intervention on parental coping capability during invasive procedure
κ°νΈνκ³Ό/λ°μ¬[νκΈ]
λ³Έ μ°κ΅¬μμλ μΉ¨μ΅μ μ²μΉλ₯Ό κ²½ννκ² λ μ
μ νμ λΆλͺ¨λ₯Ό λμμΌλ‘ λμ²λ₯λ ₯ κ°νλ₯Ό μν μ 보λ₯Ό μ 곡ν ν μ΄ μ λ³΄κ° λΆλͺ¨μ λμ²λ₯λ ₯μ λ―ΈμΉλ μν₯μ κ²μ¦νμλ€. μ°κ΅¬ μ€κ³λ 무μμ λ ꡬ룹 μ¬μ μ¬ν μ€κ³(randomized two groups pre-post test design)μ μν μ μ¬μ€ν μ°κ΅¬μ΄λ€ μ°κ΅¬μ μ΄λ‘ μ κΈ°νμ Johnson(1984)μ μκΈ°μ‘°μ μ΄λ‘ (Self-Regulation theory)κ³Ό Carver(1982)μ ν΅μ μ΄λ‘ (Control theory)μ κ·Όκ±°νμλ€. μ΄ λ μ΄λ‘ μ κ·Όκ±°νμ¬ νμμ μΉ¨μ΅μ μ²μΉμΈ μ±ν λ° μ λ§₯μ£Όμ¬ μν©μμ λΆλͺ¨μ μν μ κ°ννκΈ° μν λ³Έ μ°κ΅¬μ λͺ¨νμ λμΆνμλ€.
μ°κ΅¬κΈ°κ°μ 1998λ
10μ 6μΌλΆν° 1999λ
3μ 4μΌκΉμ§μ΄κ³ , μ°κ΅¬λμμ Uμμ μμ¬ν Uλνκ΅ λΆμλ³μμ μμκ³Ό μ
μ νμ λΆλͺ¨λ‘μ μ€νκ΅° 27λͺ
, λμ‘°κ΅° 29λͺ
μ΄λ€. μ€ν μ²μΉλ₯Ό μνμ¬ "λΆλͺ¨μν νμ κ°ν νλ‘κ·Έλ¨"μ λΉλμ€ νλ‘κ·Έλ¨μΌλ‘ μ μν ν μ€νκ΅°μκ² μ¬μ©νμλ€. μλ£ μμ§μ νμ λΆλͺ¨λ₯Ό λμμΌλ‘ μ€νκ΅°κ³Ό λμ‘°κ΅°, μ΄ 56λͺ
μκ² μ€λ¬Έμ‘°μ¬ λ° κ΄μ°°μ ν΅νμ¬ μννμλ€.
μ°κ΅¬λꡬλ‘μ λΆλͺ¨μ λ¬Έμ μ€μ¬μ λμ²μ μΈ‘μ μ Melnyk(1994)μ΄ κ°λ°νκ³ μ°κ΅¬μκ° λ²μ μμ ν "μΉ¨μ΅μ μ μ°¨λμ λΆλͺ¨μ§μ§ νμμ§μ(Index of Parental Support during Intrusive Procedure)"λ₯Ό μ¬μ©νμκ³ , μ μ μ€μ¬μ λμ²μ μΈ‘μ μ McNair(1971)μ κ·Έμ λλ£λ€
μ΄ κ°λ°ν POMSλ₯Ό μ΄νμ₯(1991)μ΄ λ²μν κ²μ μ¬μ©νμλ€. μ 보λ₯Ό λ°μ λΆλͺ¨μ λ΄μ κ³Όμ μΈ λΆλͺ¨μν νμ μ Melnyk(1994)μ΄ κ°λ°νκ³ μ°κ΅¬μκ° λ²μ μμ ν λΆλͺ¨μν νμ μ²λ(Parental Belief Scale)λ₯Ό μ¬μ©νμλ€.
μλ£λΆμμ SAS PC+λ₯Ό μ΄μ©νμκ³ , λμ§μ±κ²μ¦μ t-testμ γX**2 λ₯Ό, λΆλͺ¨μν νμ μ Paired t-testλ‘, λΆλͺ¨μ§μ§ νμμ§μλ t-testλ‘, λΆλͺ¨μ κΈ°λΆμν νκ°λ paired t-testλ‘ λΆμνμλ€.
μ°κ΅¬κ²°κ³Όλ λ€μκ³Ό κ°λ€.
1. μ 1 κ°μ€ "λΆλͺ¨ μν νμ κ°ν νλ‘κ·Έλ¨μ μ 곡λ°μ μ€νκ΅°μ μ§μ§νμμ λλ νλ‘κ·Έλ¨μ μ 곡λ°μ§ μμ λμ‘°κ΅°λ³΄λ€ λμ κ²μ΄λ€."λ, μ€νκ΅°μ΄ λμ‘°κ΅° λ³΄λ€ λΆλͺ¨μ§μ§ νμκ° ν΅κ³μ μΌλ‘ μ μνκ² λμλ€(t=3.55, p= .00).
2. μ 2 κ°μ€ "λΆλͺ¨ μν νμ κ°ν νλ‘κ·Έλ¨μ μ 곡λ°μ μ€νκ΅°μ μ μμνλ νλ‘κ·Έλ¨μ μ 곡λ°κΈ° μ λ³΄λ€ νμ μ’μμ§ κ²μ΄λ€."λ, μ€νκ΅°μ κΈ°λΆμνκ° νλ‘κ·Έλ¨ μ 곡μ λ³΄λ€ μΉ¨μ΅μ μ²μΉνμ ν΅κ³μ μΌλ‘ μ μν μ°¨μ΄λ₯Ό κ°μ§κ³ μ’μμ‘λ€(t=2.30, p= .03).
3. μ 3 κ°μ€ "λΆλͺ¨ μν νμ κ°ν νλ‘κ·Έλ¨μ μ 곡λ°μ μ€νκ΅°μ λΆλͺ¨μν νμ μ νλ‘κ·Έλ¨μ μ 곡λ°κΈ° μ λ³΄λ€ νμ λμ κ²μ΄λ€."λ, μ€νκ΅°μμ λΆλͺ¨μ μν νμ μ΄ ν΅κ³μ μΌλ‘ μ μν μ°¨μ΄(t=-4.94, p=.00)λ₯Ό κ°μ§κ³ νλ‘κ·Έλ¨ μ 곡 μ λ³΄λ€ νμ λΆλͺ¨μν νμ μ΄ μ¦κ°νμλ€.
μ°κ΅¬κ²°κ³Όλ₯Ό μ’
ν©ν΄ λ³Ό λ λ³Έ μ°κ΅¬μ κ°μ€μ λͺ¨λ μ§μ§λμλ€. μ΄κ²μ νμμκ² μνλλ μΉ¨μ΅μ μ²μΉμ κ°μ μ€νΈλ μ€ μ¬κ±΄μμ, μ
μ νμ λΆλͺ¨μκ² μ 곡ν μ 보, μ¦ μκΈ°μ‘°μ μ΄λ‘ λ° ν΅μ μ΄λ‘ μ κ·Όκ±°ν λΉλμ€νλ‘κ·Έλ¨μ λΆλͺ¨μ λμ²λ₯λ ₯κ°νμ ν¨κ³Όμ μμ΄ μ
μ¦λμλ€. μ΄ νλ‘κ·Έλ¨μ λΆλͺ¨μ μν νμ μ μ¦κ°μν€κ³ νμλ₯Ό μν λΆλͺ¨μ μ§μ§νμμ λΆλͺ¨μ μ μμ‘°μ ν¨κ³Όκ° μμμ΄ κ²μ¦λμλ€.
[μλ¬Έ]
The purpose of this study was to evaluate the effect of informational intervention on parental coping capability during the invasive procedure after child's hospitalization. The parents who would experience the invasive procedure soon was treated with informational intervention which strengthened the parental coping capability. The design of this study was a randomized two groups pre-post test design to compare the two experimental groups.
The theoretical framework for this study was derived from the self-regulation theory by Johnson(1984) and the control theory by Carver(1982). Based on these two theories a model was developed to strengthen the parental coping capability under the situation of hospitalized children's invasive procedure such as blood sampling and β
£ therapy.
The experiments were carried out at the pediatric unit, U university hospital located at the U city from 6 October 1998 to 4 March 1999. The experimental groups were the hospitalized children's parents including 27 members in the treatment group and 29 members in the control group. For experimental treatment by informational intervention a video program called "program for parental beliefs of their role" was made and provided for the treatment group. The data were collected through interviews using two structured questionnaire and observation by trained nurses.
The instruments used in this study were followings. An Index of Parent Support during Intrusive Procedure was used for monitoring the parent's functional coping, which was developed by Melnyk(1994) and translated and modified by the author. The
POMS was use for monitoring emotional coping, which was developed by McNair(1971) and her colleagues and translated by Lee(1991). The Parental Belief Scale was used for monitoring the parental beliefs about their role which was parental inner process by informational intervention, that was developed by Melnyk(1994) and translated and modified by the author.
The data analysis was carried out using the t-test and X**2 for evaluating homogeneity, the paired t-test for evaluating parental beliefs for their roles, the t-test for evaluating the index of parent support during intrusive procedure and the paired t-test for testing parental emotional status.
The results from this study were following.
1. The hypothesis, "the supporting behavior of the treatment group who received the program for parental belief of their role would be higher than that of the control group" was statistically significant(t=3.55, p= .00).
2. The hypothesis, "the emotional status of the treatment croup who received the program for parental belief of their role would be better than that of the control group" was statistically significant(t=2.30, p= .03).
3. The hypothesis, "the parental belief on their role of the treatment group who received the program for parental belief of their role would be higher than that of the control group" was statistically significant(t=-4.94, p= .00).
In conclusion, it was proved that the informational intervention to the hospitalized children's parents was effective for improving their functional coping capability during the children's invasive procedure. The informational intervention
was a video program made based on the Self-regulation and Control Theories which was to strengthen parental belief for their role during the stressful occasion such as hospitalized children's invasive procedure. I was confirmed that this program was effective for enhancing the parental beliefs for their role, improving the supporting behavior of the parent and controlling the emotional outcome of coping for the children.restrictio