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JOURNAL OF THE KOREAN SOCIETY OF MATERNAL AND CHILD HEALTH

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수록정보
수록범위 : 1권1호(1997)~24권4호(2020) |수록논문 수 : 520
한국모자보건학회지
24권4호(2020년 10월) 수록논문
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KCI등재

1난임·우울증상담센터 대상자 특성에 근거한 서비스 체계 고찰 및 개선 방안 - 난임 환자 중심으로 -

저자 : 김장래 ( Jangrae Kim ) , 추경진 ( Kyungjin Chu ) , 이승재 ( Seung Jae Lee ) , 이택후 ( Taek Hoo Lee ) , 전승주 ( Seung Joo Chon ) , 조서은 ( Seo-eun Cho ) , 태철민 ( Chul Min Tae ) , 정기현 ( Ki Hyun Chung ) , 최안나 ( Anna Choi )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 24권 4호 발행 연도 : 2020 페이지 : pp. 181-195 (15 pages)

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Purpose: This study aimed to review the history and examine the current service system of the Korea Counseling Center for Fertility and Depression (KCCFD) by analyzing the characteristics of its users, and to suggest measures to improve the system.
Methods: Data on 883 infertile patients counseled through the KCCFD's counseling service over the last 2 years were collected for a demographic analysis. The clinical information of 396 female subjects who received regular counseling after registration were analyzed to investigate factors influencing depression. Finally, a matching sample t-test was conducted to verify the effects of the counseling service.
Results: The screening test showed that 50.7% of the infertile patients in our study were registered at our centers and received registered counseling. A total of 27.6% of the subjects was identified as being at high-risk for depression, and 71.3% of those at high-risk received registered counseling. The logistic regression analysis showed that being a homemaker, having a history of psychiatric disorder, and having undergone in vitro fertilization three or more times were significant factors that predict moderate or more severe depression. The female infertility patients who underwent counseling showed a significant decrease in depression, anxiety, general stress, and infertility stress.
Conclusion: Screening tests need to be performed prior to assisted reproductive technology if any of the 3 risk factors is present. The rate of registered counseling, regular follow-up using psychological tests, and cross-linkages with affiliated agencies should serve as the metrics for the quality control of the counseling service. Early detection of individuals at high-risk for depression calls for an activated liaison among affiliated agencies and expanded regional centers.

KCI등재

2자궁 내 염증이 동반된 임신에서 멜라토닌의 태아 보호 효과에 대한 고찰

저자 : 김장미 ( Jang Mee Kim ) , 이지연 ( Ji Yeon Lee )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 24권 4호 발행 연도 : 2020 페이지 : pp. 196-203 (8 pages)

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Intrauterine inflammation is defined as the inflammation of the chorion, amnion, and placenta. Untreated inflammation increases the risk of fetal inflammatory response syndrome, which may result in multiorgan diseases involving the brain, cardiovascular system, lung, eye, and intestine. Therefore, controlling inflammation is critical in pregnant women to reduce the risk of diseases. However, there are no safe and effective anti-inflammatory drugs for administration during pregnancy. Although the primary function of melatonin is to control circadian rhythms, it has protective effects against cellular insults occurring from hypoxia, oxidative stress, and inflammation. While animal studies support the effective and safe role of melatonin in improving pregnancy-related morbidities, it leaves plenty of opportunities for clinical studies investigating its anti-inflammatory, antioxidant, and protective effects against insults induced by intrauterine inflammation. Therefore, it will be worthwhile to investigate antenatal supplementation of melatonin in pregnant women with intrauterine inflammation to reduce the incidence of associated comorbidities.

KCI등재

3임신 중 음주 관련 건강행태 분석: 지역사회건강조사 중심으로

저자 : 김은경 ( Eun-gyeong Kim )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 24권 4호 발행 연도 : 2020 페이지 : pp. 204-211 (8 pages)

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Purpose: The purpose of this study was to investigate drinking as a health behavior during pregnancy.
Methods: Secondary data obtained from the 2018 Korean Community Health Survey were analyzed using descriptive statistics, t-tests, Pearson correlation coefficients, and multiple regression analysis via the software IBM SPSS Statistics ver. 21.0.
Results: The multiple regression analysis revealed that age, monthly income, job, depression, lifetime smoking habit, breakfast frequency, and experiences of unmet medical needs were significant drinkingrelated factors connected with health behaviors during pregnancy.
Conclusion: Several factors are associated with drinking during pregnancy. To improve health promotion during pregnancy, alcohol prevention programs should be developed that consider one's socioeconomic status and health behaviors.

KCI등재

4임신 여성의 자아존중감과 배우자 지지가 산전 우울에 미치는 영향

저자 : 이은주 ( Eun Joo Lee ) , 이지영 ( Ji Yeong Lee ) , 이수진 ( Su Jin Lee ) , 유세은 ( Se Eun Yu )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 24권 4호 발행 연도 : 2020 페이지 : pp. 212-220 (9 pages)

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Purpose: This study aimed to identify the effect of self-esteem and spouse support on prenatal depression.
Methods: The subjects were 131 pregnant women who visited two women clinics located in Changwon City. Data were collected from September 25 to November 20, 2019, and the self-report questionnaire included spouse support, self-esteem, and prenatal depression. The collected data were analyzed by IBM SPSS Statistics ver. 23.0 using descriptive statistics, independent t-test, one-way analysis of variance, Pearson correlation coefficients, and multiple regression analysis.
Results: Prenatal depression had a significant negative correlation with self-esteem (r=-0.39, p=0.001) and spouse support (r=-0.36, p<0.001). The factors affecting prenatal depression were religion (β=-0.16, p=0.035), monthly family income (β=-0.15, p=0.040), self-esteem (β=-0.25, p=0.002), and spouse support (β=-0.19, p=0.017); these variables explained 28.4% of the variance in prenatal depression.
Conclusion: To prevent depression in pregnant women, professional counseling and support systems such as spouses, religious and social environments should be applied to pregnant women, especially those with low self-esteem. Additionally, more financial support should be provided for low-income pregnant women. Further, there is a need to screen and manage the risk of depression in pregnancy.

KCI등재

5난임 센터 간호사의 상담 경험에 대한 질적 연구

저자 : 박점미 ( Jummi Park ) , 신나연 ( Nayeon Shin )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 24권 4호 발행 연도 : 2020 페이지 : pp. 221-233 (13 pages)

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Purpose: This study explored the counseling experience of infertility nurses using in depth interview.
Methods: The study participants included nurses of infertility centers located “Seoul” city, Korea. The data collection involved fieldwork in nursing at the infertility center of 2 hospitals. Data were analyzed using text analysis and qualitative research was conducted to analyzed the data.
Results: The analysis yielded four essential themes: (1) therapeutic communication, (2) identifying the problem of infertile patients and proceeding consultation, (3) professional image and polite attitude, and (4) counseling relaxed comfortably.
Conclusion: Infertility nurses' counseling experience is directed toward the development of an infertility counseling model.

KCI등재

6인터넷 육아커뮤니티에 나타난 영유아 어머니의 양육 관련 질문 내용 분석

저자 : 유정옥 ( Jung Ok Yu ) , 전경자 ( Kyung Ja June ) , 박선화 ( Sun Hwa Park ) , 우민수 ( Min Soo Woo )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 24권 4호 발행 연도 : 2020 페이지 : pp. 234-243 (10 pages)

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Purpose: This study aimed to investigate mothers' questions related to parenting young children in the internet community.
Methods: One representative in the internet community was selected and parenting questions were collected over 2 weeks in October 2019. A total of 15,016 questions were analyzed by frequency and proportion after categorizing of 10 themes; health and daily care, connecting and communicating, play and learning, development and growth, poos and wees, sleep, feeding, solid foods, safety, behavior.
Results: The most frequently asked questions per age ranged from 1 to 3 months (32.2%). The most frequently asked questions by theme per age were about feeding newborn up to 6 months, solid foods from 7 to 12 months, health and daily care from 13 to 24 months, and play and learning from 25 to 71 months.
Conclusion: As these results reflect mother's need for information and support, it is suggested that more specific and targeted online/offline support per age should be developed.

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