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ICT 의료시설 기반에서 미숙아 어머니의 퇴원 교육 요구도와 간호사의 교육수행 정도

The Needs for Discharge Education and Educational Performance of Nurses Perceived by Premature Infants Mothers In the ICT Medical Service

  • 투고 : 2016.06.20
  • 심사 : 2016.07.24
  • 발행 : 2016.07.31

초록

본 연구는 ICT 시대에서 미숙아 어머니의 퇴원 교육 요구도와 미숙아 어머니가 인지한 간호사의 교육수행 정도를 알아보고 관련 있는 요인들을 파악하고자 실시되었다. 대상자는 G광역시 2차 진료기관인 K종합병원의 신생아 중환자실에 입원한 미숙아 어머니 중에서 연구에 동의한 54명이며, 자기 기입식 설문을 통해 조사하였다. 퇴원 교육 요구도와 간호사의 교육수행 정도에 유의한 차이를 보인 영역은 '이상증상 확인과 관리'($0.55{\pm}0.97$, p=0.001), '배설관리'($0.45{\pm}1.11$, p=0.004), '성장발달'($0.41{\pm}1.08$, p=0.007)이었다. 퇴원교육 요구도는 분만형태(질식분만: $4.41{\pm}0.47$, 제왕절개: $4.03{\pm}0.47$, p=0.040)와 출생순위(첫째: $4.37{\pm}0.53$, 둘째: $4.25{\pm}0.51$, 셋째이상: $3.75{\pm}0.72$, p=0.031)에 따라 유의한 차이를 보였다. 미숙아 어머니가 인지한 간호사의 교육수행도는 조력자의 유무(있음: $4.15{\pm}0.66$, 없음: $3.48{\pm}0.67$, p=0.002)에 따라 유의한 차이를 보였다. 그러므로 이런한 결과를 기반으로 미숙아 어머니의 퇴원 교육 요구도에 근거한 실질적으로 도움이 되는 ICT 기반하의 퇴원교육 프로그램 개발 연구를 제안한다.

The current research focused on the needs for discharge education and the educational performance of nurses perceived by mothers of premature infants. The subjects for the current research were 54 mothers of premature infants hospitalized in the neonatal intensive care unit at K general hospital in G metropolitan city. The data was collected between June 9, 2014 and September 30, 2014 through self-recording surveys. The needs for discharge education were $4.21{\pm}0.60$ and the perceived educational performance of nurses was $3.95{\pm}0.73$. There was a significant difference between the needs for discharge education and the perceived educational performance in abnormal symptom monitoring and management ($0.55{\pm}0.97$, p=0.001), excrement management ($0.45{\pm}1.11$, p=0.004) and growth development ($0.41{\pm}1.08$, p=0.007). The needs for discharge education was significantly different according to delivery type (vaginal delivery: $4.41{\pm}0.47$, caesarean section: $4.03{\pm}0.47$, p=0.040) and birth order (first: $4.37{\pm}0.53$, second: $4.25{\pm}0.51$, over third: $3.75{\pm}0.72$, p=0.031). Perceived educational performance of nurses was significantly different according to baby sitter (yes: $4.15{\pm}0.66$, no: $3.48{\pm}0.67$, p=0.002). ]

키워드

참고문헌

  1. B. Kim, "A Buffer Size-based Retransmission Persistence Control for ARQ Protocols," J. of the Korean Institute of Electronic Communication Sciences, vol. 6, no. 4, 2011, pp. 487-492.
  2. M. Kleine, A. Ouden, and L. Kollee, "Development and Evaluation of a Follow Up Assessment of Preterm Infants at 5 Years of Age," Archives of Disease in Childhood, vol. 88, no. 10, 2003, pp. 870-875. https://doi.org/10.1136/adc.88.10.870
  3. D. Dffonso, I. Hurst, and L. Jayberry, "Stressors Reported by Mothers of Hospitalized Premature Infants," Neonatal Network, vol. 11, no. 6, 1992, pp. 63-70.
  4. M. Kwon, H. Kim, and N. Sim, "Postpartum Depression and Maternal Role Confidence, Parenting Stress, and Infant Temperament in Mothers of Young Infants," J. of Korean Academy of Child Health Nursing, vol. 12, no. 3, 2006, pp. 314-321.
  5. I. Hee, "Construction a Website for Premature Infant - Based on the Survey of Previous Homepages -," Korean J. of Child Health Nursing, vol. 15, no. 2, 2009, pp. 210-218. https://doi.org/10.4094/jkachn.2009.15.2.210
  6. J. Park and K. Bang, "Knowledge and Needs of Premature Infant Development and Rearing for Mothers with Premature Infants," Korean Parent-Child Health J., vol. 16, no. 1, 2013, pp. 17-26.
  7. Y. Ahn and S. Lee, "The Effects of the Integrated NICU Hospitalization Education on Maternal Attachment, Maternal Self-Esteem, and Postpartum Depression in the Mothers of High-Risk Infants," Korean J. of Child Health Nursing, vol. 10, no. 3, 2004, pp. 340-349.
  8. A. Song, I. Park, and A. Joo, "Effects of Supportive Care using the Telephone for Mothers of Premature Infants on Anxiety and Confidence of Baby Care after Discharge," J. of the Korean Society of Maternal and Child Health, vol. 11, 2007, no. 1, pp. 98-108. https://doi.org/10.21896/jksmch.2007.11.1.98
  9. Y. Jang, "Effects of a Maternal Role Promotion Program for Mothers of Premature Infants on Maternal Role Strain, Maternal Role Confidence and Maternal Identity," Korean J. of Child Health Nursing, vol. 11, no. 4, 2005, pp. 472-480.
  10. H. Min and Y. Moon, "Relationship among Mother's Knowledge of Infant Development, Maternal Parenting Stress, Maternal Parenting Behavior and Infant Development," K2orean J. of Human Ecology, vol. 22, no. 1, 2013, pp. 43-56. https://doi.org/10.5934/KJHE.2013.22.1.43
  11. H. Lee, J. Lee, and S. Jung, "A Design and Implementation of Digital Textbook for Elementary School Computer Education based on Smart phone," J. of the Korean Institute of Electronic Communication Sciences, vol. 8, no. 5, 2013, pp. 687-693. https://doi.org/10.13067/JKIECS.2013.8.5.687
  12. B. Choi, B. Hong, and S. Kim, "Interactive self-mode-based RTE System," J. of the Korean Institute of Electronic Communication Sciences, vol. 5, no. 1, 2011, pp. 47-52.
  13. S. Choi and M. Kwon, "A Comparative Study on Education Needs in Low Birth Weight Infant's Mother at Discharge and after One Month at Home," Korean Parent-Child Health J., vol. 3, no. 1, 2000, pp. 73-94.
  14. I. Han, "A Study on Mother's Educational Needs about Neonatal Cares," Unpublished masters' thesis, Chonbuk National University, 2003.
  15. M. Im and J. Oh, "Integrative Review on Caring Education Papers for Parents with a Premature Infant," Child Health Nursing Research, vol. 19, no. 2, 2013, pp. 120-129. https://doi.org/10.4094/chnr.2013.19.2.120
  16. Y. Park, "Perceived Training Needs of Mothers of Premature Infants Hospital Discharge Education," Unpublished masters' thesis, Donga University, 2011.
  17. C. Phillips, Family-centered Maternity Care, Jones & Bartlett Learning, 2003.
  18. E. Lee, "A Study on the Relationship between the Primiparous' Self Confidence on the Maternal Role and the Sensitivity in Mother-Infant Interactions on Feeding Context," Unpublished doctors' thesis, Ewha University, 1987.
  19. K. Lee, "The Study of Mother's Nursing Need and Perceived Her Role During Puerperium Period," J. of Korean Academy of Nursing, vol. 12, no. 2, 1982, pp. 67-79.
  20. M. Kim, "A Study on Nursing Educational Needs and Nurses' Educational Performance Recognised by Parents with Hospitalized Child," Unpublished masters' thesis, Kwandong University, 2005.
  21. J. Oh, Y. Oh, and Y. Nam, "The Paternal Attachment to Neonate in One Hospital," Korean Parent-Child Health J., vol. 8, no. 2, 2005, pp. 137-146.
  22. J. Oh, "A Structural Model on the Quality of Life of Grandmothers Caring for Their Grandchildren," J. of Korean Academy of Child Health Nursing, vol. 13, no. 2, 2007, pp. 201-211.
  23. K. Cho, Y. Jung, and K. Lee, "The Educational Needs of the Mothers of LBW infant and Normal Neonate," Korean J. of Child Health Nursing, vol. 3, no. 1, 1997, pp. 5-18.
  24. D. Wilson-Costello, M. Hack, and R. Martin, Follow-Up for High-Risk Neonates, St Louis: Elsevier 2011, pp. 1037-1048.
  25. K. Lee, "A Study of Education for the Discharge Patients in General Hospital," Unpublished masters' thesis, Ewha University, 1995.
  26. E. Jung and K. Ha, "Effect of Male Spouses' Bicultural Stress, Communication and Their Marital Satisfaction in Multi race & Culture Family," J. of The Korea Contents Association, vol. 12, no. 2, 2012, pp. 222-231.