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A Phenomenological Study on Mother-Infant Interacting Behavior Patterns Related to Newborn Infant Feeding in Korea

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KMID : 0350819870020010077
ÇÑ°æÀÚ ( Han Kyung-Ja ) - Ewha Womans University

Abstract

The purpose of this study was to describe mother-infant interating behavior patterns related to newborn infant feeding and to explore the mother¢¥s cultural belief about their infant.
The data collection was conducted by observation and interview. Twenty-five mothers and their newborn infants who were normally delivered were also planned to breastfeed, and were comprised as the subjects of this study.
All subjects were interviewed and observed individually at 1 to 5 days after the delivery at the hospital, midwife¢¥s clinic, Maternal Child Health Center and their home throughout the country from remote area to big city.
The observation data were recorded with symbolic letter on a recording sheet newly developed as a result of preliminary study. The interview data taperecorded and then recoded in narrative form.
Mother-infant interaction behaviors in early feeding period were analyzed on 19 analytic sub-categories and their composing elements.
Units of analysis were behaviors of mother, infant and mother-infant dyad. 8 analytic categories draw from the data.
Each was preparation, instrument, interaction inducing, evaluation, referred to mother¢¥s behavior, preparation, instrument, interaction inducing referred to infant¢¥s behavior and synchronic behaviors referred to mother-infat dyad.
Frequencies of behavior items based on the categories were converted to percent.
The result showed that mother¢¥s preparation behavior and the breast condition of Korean mother can be an affecting factor for mother-infant interaction during feeding, and vocalization behavior was observed most frequently in interaction inducing behavior while the least frequent behavior observed was contacting.
Subcultural characteristics of mother-infant interaction behaviors were analyzed for their relationships between groups of mothers who have lived in remote area vs urban area, and who were multipara vs primipara.
Using a chi-square test, there were statistically significant relationships in the activity of psychological readiness in preparation behavior and the movement of extremities for the position ofinstrumental behavior in both groups.
However, interaction inducing behaviors was not related with statistical significance in any set of groups.
Accomplishment of marriage, bonding and emotional mediation of family members were the categories related to mother¢¥s "cultural belief about the infant in aspect of functional values. Infant at birth is considered little more than a biological organism without social capabilities. Although the newborn infant is still attached to his mother, he makes his mother extend her territoriality.
The mother¢¥s interacting behavior toward her infant based on those beliefs appeared task oriented, separative behavioral series.
On the other hand, it was seen that infant reacted independently to his mother¢¥s behavior by the innate perceptual abilities.
Thcse independent behavioral series of mother and infant on the feeding situation were synchroni:ed at any moment.
Nurses have a unique position to teach mothers about their infant¢¥s capabilities and help reducing some of uncertainty about infant¢¥s behaviors.
Study results indicated that the informations of infant¢¥s social capabilities and breast feeding should be given to the mothers. The results of this study have several implications for nursing.
First, the study results will be used as fundamental resources for the development of the assessment tool about the early mother-infant interaction.
Second, the results could be a relevant information in the field of maternal child nursing education as real and useful data.
Third, the behavioral patterns of early mother-infant interaction which were classified on the qualitative analysis could be used for nursing theory development as very fundamental data.
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