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안윤문 ( Ahn Yoon-Moon ) - 성분도병원 간호부
이영은 ( Lee Young-Eun ) - 고신대학교 간호학과
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Abstract
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-서론-
산욕 초기의 간호목표 및 간호사의 역할은 산모와 영아의 건강을 증진시키기 위하여 모아
접촉 및 양육행동의 경험 등 모아 상호작용을 통하여 어머니 역할을 획득하도록 도우며 영
아와 가족의 상호이해를 통해서 변화된 가족관계에 적응하고 가족이 새로운 역할을 적당히
감당할 수 있도록 돕는 것 등을 포함한다. 이러한 산욕 초기의 간호목표를 달성하기 위해서
는 모아의 조기접촉이 우선되어야 한다고 본다. 왜냐하면 출생 직후가 모아애착행위를 높일
수 있는 최적의 시기일 뿐만 아니라 어머니로서 역할을 수행해 봄으로써 어머니의 역할을
획득하는데 중요한 시기이기 때문이다. 그런데 인간에 있어서 가장 의미있고 친밀한 관계는
모아의 결속(bonding)관계이며 이는 분만 후 1시간에서 6시간까지가 민감기이기 때문에 이
때 가장 강하게 형성되며 이후 점차로 약화된다. 그런데 이를 위해서는 출생 직후부터 모아
가 함께 있도록 하는 모자동실제도가 효과적인 것으로 알려져 있다.
모자동실제도(Rooming-in system)란 분만 직후부터 퇴원할 때까지 영아를 산모의 침대
옆에 있게 하여 항상 산모와 영아가 접촉할 수 있고 영아를 돌볼 수 있으며 가족중심적 간
호를 할 수 있는 제도로서 산모와 영아 사이에 애정적 결합을 초기에 형성할 수 있고, 산후
첫 2개월간은 조기접촉에 의하여 모아의 애착이 형성되므로 매우 중요한 것으로 지적되고
있으며, 특히 분만 2시간에서 2주까지의 기간은 모아관계의 기호를 설정하는 중요한 시기이
므로 이때의 조기접촉은 산욕기 동안 모성의 애착행동에 영향을 미친다. 신생아의 조기 접
촉의 중요성을 강조하고, 출생 직후가 모아의 애착행위를 높일 수 있는 절정의 기간으로 보
며, 신생아가 모자동실에 도착하는 평균시간이 짧아지면서 엄마와 신생아의 상호관계가 좋
아지는 것으로 나타났다.
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The early postpartum period is crucial for recovery from childbirth and attainment of the maternal role, especially mother-infant attachment. To foster mother-infant attachment, the rooming-in system has been known as the most ideal approach. For successful implementation of the enforcement of rooming-in system, it is essential that the mothers and health professionals appropriately perceive and actively participate on this system. The purpose of this study is to do a comparative study on the perceptions of early postpartum mothers, physicians, and nurses on the rooming-in system. The significance of the study is to contribute to the promotion of rooming-in system in the early postpartum period. Data was gathered by questionnaire on the perception of the rooming-in which was developed by the researcher based on references and consultation with the health professionals. The data was collected from Feb. 25th to Mar. 15th 1996 from the sample which included 120 nurses, 86 physicians, and 111 early postpartum mothers in one general hospital utilizing part-time rooming-in system, and 7 general hospitals with room separation nursery system. The data was analyzed using descriptive statistics, ANOVA, t-test and Cronbach’s Alpha.
The result were summarized as follows :
Among the perceptions of the nurses on the rooming-in system, the factor with the highest score was found to be the perception on successful implementation method(M=3.68, SD=0.52). The factor with the lowest score, on the other hand, was the desirable method on the system(M=2.66, SD=0.84).
Among the perceptions of the physicians on the rooming-in system, the factor with the highest score was the perception on successful implementation method(M=3.45, SD=0.63). On the contrary, the factor with the lowest score was the recognition of the meaning of the system(M=2.42, SD=1.01).
Among the perceptions of the mothers in postpartum, the factor with the highest score was the perception on the successful implementation method(M=3.43, SD=0.78), while the factor with the lowest score was the evaluation of advantages and disadvantages of the system(M=2.58, SD=0.84).
Comparing the perceptions of the nurses, physicians, and mothers in postpartum on the rooming-in system, we concluded that :
a) The attitudes towards rooming-in system differed significantly among three groups(P<0.01).
b) The recognition of the meaning of the rooming-in system differed significantly among three groups(P<0.001).
c) The perceptions of the desirable method differed significantly among three groups(P<0.001).
d) The evaluation of advantages and disadvantages of the rooming-in system differed significantly among three groups(P<0.001).
e) The perceptions of the problems of the rooming-in system differed significantly among three groups(P<0.001).
f) The perceptions of the successful implementation method of the rooming-in system differed significantly among three groups(P<0.001).
Finally, the results of significant tests for the variables which related the perception of nurses, physicians, mothers were as follows :
The significance test for the variables which related the perception of nurses toward the rooming-in system
1. The perceptions of the desirable method of the rooming-in system differed significantly according to the religion(p<0.05) and the degree of educational background(P<0.04).
2. The perceptions of the successful implementation method of the rooming-in system differed significantly according to whether or not they known of the meaning of the rooming-in system was known(P<0.001).
3. The evaluation of advantages and disadvantages of the rooming-in system differed significantly according to the position of each individual in the department hierarchy(P<0.001).
4. The perceptions of problems associated with the rooming-in system differed significantly according to the position(P<0.02) and total clinical tenure of each interviewee(P<0.001).
The significance tests for the variables which showed the perception of mothers in regard to the rooming-in system :
1. The recognition of meaning of the rooming-in system differed significantly according to whether there was prior information about the rooming-in system(P<0.05), and according to whether there was a caregiver or not(P<0.05).
2. The evaluation of advantages and disadvantages of the rooming-in system differed according to whether the has older children or not(P<0.03) and the delivery method(P<0.05).
3. The attitudes toward rooming-in system differed significantly according to the degree of educational background(P<0.04).
4. The perceptions of the problems of the rooming-in system differed significantly according to whether or not the sex of newborn was the one the mother anticipated(P<0.03).
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KeyWords
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perception, rooming-in system
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원문 및 링크아웃 정보
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등재저널 정보
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