모-태아 상호작용 증진 프로그램이 임부 및 영아의 수면-활동 양상에 미치는 효과

한경자,권미경,최미영,방경숙 한국아동간호학회 2010 Child Health Nursing Research Vol.16 No.4

본 연구는 임신 말기 초임부를 대상으로 시행한 태교관점 모-태아 상호작용증진 프로그램이 출산 전 어머니의 수면-활동양상과 출생 후 영아의 수면-활동 양상에 미치는 효과를 규명하기 위하여 모자 동실 산후조리원에서 초임부와 초임부로부터 출생한 영아를 대상으로 중재군 17명, 대조군 17명 총 34명246 한경자∙권미경∙방경숙 외 1인J Korean Acad Child Health Nurs 16(4), 2010년 10월The shortest sleep time of mother .379No. of mother’s night awakening at .377LMP 35-36 weeks Table 5. Relationship between Mother's Sleep and Infant’s Sleep (n=34)Variables rNo. of infant night awakening 을 대상으로 종단적 연구를 수행하였다. 연구 결과 출산 전 두군 초임부의 수면/활동 양상에는 별 차이를 보이지 않았으며,출생 후 영아의 수면 양상에서도 유의한 차이가 없는 것으로 나타났다. 비록 중재 프로그램의 효과는 나타나지 않았으나 본 연구 결과 출산 전 어머니와 출생 후 영아의 수면 간에는 유의한상관관계가 있음을 확인한 것은 임신기 동안 초임부에게 수면/활동 조절 중재의 적용이 필요함을 나타내는 결과이며, 이러한연구결과들은 국내 아동간호실무영역에서 실무지식개발의 자료로서 활용될 수 있을 것으로 사료된다. 본 연구의 결과를 근거로 태교관점 모-태아 상호작용 증진프로그램의 반복 연구를 실시하여 경험적 증거를 확대하고, 종단적 연구를 통해 임신모와 영아의 수면 및 활동에 대한 자기조절에 관한 좀 더 장기적인 효과를 검증할 수 있는 추후 연구가이루어지기를 제언하며, 어머니 및 영아의 수면-활동 리듬에대한 질적 측정과 서술적 분석을 기초로 구체적인 중재를 적용한 후 효과를 검증해보는 연구를 시도해 볼 필요가 있다.

소아과 간호학임상교육과정의 문제점

한경자 대한간호협회 1977 대한간호 Vol.16 No.4

신생아집중간호단위 환경과 저체중출생아의 반응에 대한 연구

한경자,Han Kyung Ja 한국아동간호학회 1998 Child Health Nursing Research Vol.4 No.2

In effort to conduct comparative study on the caregiving environment of Neonatal Intensive Care Unit(NICU) in both U. S and Korea, this study was been conducted first in the U.S. Purpose : The purpose of this study is to identify the physical environment and direct caregiving practices to lowbirth weight infants in NICU in the US. It also aims to examine the NICU outcome status and behavioral reponses of lowbirth weight infants. Methods : A study design using descriptive and inferential statistics was been conducted through an observational, field method. A sample of 15 preform infants admitted to NICU were recruited for the study. The subjects were those with birth weight between 1,000 gm to 1,500 gm, born at the gestation period of 27 to 33 weeks, and without any chromosomal or other genetic anomalies, major congenital infections, or maternal illness. Thirty minutes observation(three times of ten minutes of continuous observation)of the infant's behavior and physiological status, and an four-hour observation of the physical environment and direct care giving procedures were been conducted on the 3rd and 10th day after birth, and on the day of discharge from the NICU or at 34weeks postconception. The data to be collected were in four areas : the demograghic characteristics of the infants, the physical environment and care giving procedures, the frequency of the infant's designated behavior and physiological response, and NICU outcome variables. A descriptive analysis and Kruskal-Wallis, Pearson r were been applied according to variable characteristics. Results : 1. Mother's mean age was 29.47. The sample consisted of 6 males and 9 females. Mean gestational ages were 29.17 weeks. Mean birth weight was 1236.33g. Mean Apgar scores at one minute were 6.6, and 7.8 at five minutes. 2. The location for the incubator was in the distance from the light, X-ray screens and nursing station, in proximity to side-lamp, telephone and faucet on the third day after birth. The location for the incubator was in the distance from the light and radio on the tenth day and in proximity to nursing station on the day of dischage from the NICU or at 34weeks postconception. 3. Nesting was the most applying aids to the infants. And foot roll, shielding and plastic frame were frequently using by nurses for facilitating well modulated restful posture. 4. There were statistically significant changes in the patterns of physical environment included locating the infant's incubator and bedding, specific aids to self regulation on the 3rd and 10th day after birth, and on the day of discharge from the NICU or at 34weeks postconception. 5. Statistically significant changes were not appeared in the patterns of direct caregiving procedure to the infants included stress inducing or reducing manipulations on the 3rd and 10th day after birth, and on the day of discharge from the NICU or at 34weeks postconception. 6. The stress response of the infants in NICU were significantly reduced as the infants grow older. 7. There were not statistically significant correlation between the physical envronment and the stress responses of the infants in NICU. 8. There were statistically significant correlation between the direct caregiving procedure to the infants and the stress response of the infants in NICU in the second and third observation on the day three. 9. Average weight gain per day from birth to discharge was 38.73g, number of days in the hospital was 42.60, number of days before bottle feeding was 3.6. Postconception age starting bottle feed ing was 31/sup +5/ weeks. Number of days on mechanical ventilator was average 7.64, 11.42 was an average number of days of oxygen need. Conclusion : It, thus, appears that to minimize the sensorymotor stimulation for the low birthweight preterm infant in NICU, manipulation of care giving practices to the babies whatever the stress inducing or reducing procedures, have to be limited in the immediate early stage after birth. And it

임상실습 지도교수에게 요구되는 역학특성의 중요도에 대한 교수-학생의 인식 비교연구

한경자 최신의학사 1983 最新醫學 Vol.26 No.6

영유아 건강과 보육, 간호역할

한경자 부모자녀건강학회 2001 부모자녀건강학회지 Vol.4 No.1

Megakaryoblastic Crisis of Chronic Myelogenous Leukemia -2예 보고-

한경자,이교영,심상인,김선무 大韓血液學會 1987 大韓血液學會誌 Vol.22 No.2

영유아 성장발달 크리닉 운영모형 개발 및 시범사업 결과 분석

한경자,방경숙,윤순녕 지역사회간호학회 2001 지역사회간호학회지 Vol.12 No.1

Purpose; This study was intended to develop the framework of public health center based ‘Child growth and developmental clinic’ and analyze the efficiency of services. This was the part of Mother-Child Health Guidance Project by the Public Health Center in Seoul. The purposes of this project were to improve children‘s health and development with early detection of developmental delay by screening test, and to assist and guide the parent for child care and rearing, so that children can reach their maximum potential. Method; Framework and standards for operation of 'Child growth and development clinic' were developed. We selected screening tool, developed parent education materials, and educated the personnel of public health center. Result; 243 children were enrolled for developmental screening, and we detect the children with developmental delay and referred them for further evaluation. The proportion of developmental delayed children was approximately 2% of the enrolled children. Also, we analyzed the characteristics of enrolled children, and their parental needs and attitude on child rearing. Some problems in operation of developmental clinic were discussed. Conclusion; Though we can found some limitations, we are confident that pubic health center can be charge of important role for improving child development for the majority. This study will be the basis of children's developmental clinic running by public health center.

浦島伝説の近世的変容―「日本意識」のあらわれ

韓京子 한양대학교 일본학국제비교연구소 2021 한양대학교 일본학국제비교연구소 학술대회 Vol.2021 No.11

NICU Network Neurobehavioral Scale(NNNS, N'S)

한경자,Han, Gyeong-Ja 부모자녀건강학회 1998 부모자녀건강학회지 Vol.1 No.-

NNNS는 정상, 고위험신생아의 포괄적 검사를 위하여 고안된 것으로서 (1) 중추신경계의 통합성을 반영하는 항목들 뿐만아니라 능동 및 수동 근육탄력성과 원초적 반사작용들을 사정하는 고전적 신경학적 항목; (2) 의식상태, 감각 및 상호작용 반응들을 포함하는 행동종목들; (3) 스트레스/위축항목들의 세 부분으로 구성된다. 이와같이 NNNS는 발달과 행동의 성숙, 중추신경계의 통합성 그리고 영아의 스트레스반응들을 사정한다.

API 20C Auxanogram을 이용한 Yeast 동정 경험

한경자,서광수,이교영,심상인,김선무 대한임상검사정도관리학회 1987 臨床檢査와 精度管理 Vol.9 No.1