Child Healh Nurs Res, Vol.23, No.4, Ocober 2017: [5],.,. 93.6% 86.3% 1.,,, [6]. [7]. Lim,,,, [7] % [8]., [7,9].,, [10] %, 9.4%,

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1 ORIGINAL ARTICLE Child Healh Nurs Res, Vol.23, No.4, Ocober 2017: hs://doi.org/ /chnr ISSN(Prin) ISSN(Online) 김영미, 조갑출 중앙대학교적십자간호대학 Effecs of he Culurally Sensiive Educaion of Perinaal Care on Knowledge, Skills, and SelfEfficacy among Korean Husbands and Vienamese Wives Youngmee Kim, KaChul Cho Red Cross College of Nursing, ChungAng Universiy, Seoul, Korea Purose: The sudy was underaken o see wheher he culurally sensiive educaion for erinaal care using a face o face aroach imroves undersanding of souse s culure, knowledge of regnancy and arening skills, and selfefficacy among Korean husbands and Vienamese wives. Mehods: This sudy has a re and oses sudy design conduced in a oal of 13 coules who live in Seoul and agreed o ariciae. The educaion rogram consised of lecure and hands on racice. The selfadminisered quesionnaires and he checklis develoed based on he educaional urose were used o assess he educaion effecs. Resuls: The knowledge scores on Korean/Vienamese culure, regnancy and arening skills as well as he erformance scores on hand washing, elvic srenghening, feedings and newborn bahing echniques were significanly imroved in boh husbands and wives afer educaion, bu elvic floor exercises were imroved only in wives. Conclusion: Overall, he individual educaion for culurally sensiive erinaal care was effecive in our sudy aricians. Key words: Perinaal care, Knowledge, Skill, Selfefficacy, Vienamese Corresonding auhor KaChul Cho Red Cross College of Nursing, ChungAng Universiy, Building 103, Room 201, 84, Heukseokro, Dongjakgu, Seoul 06974, Korea TEL FAX kcho@cau.ac.kr *. *This sudy was suored by he Seoul Meroolian Governmen gran. Key words,,,, Received 25 Seember 2017 Received in revised form 18 Ocober 2017 Acceed 20 Ocober 2017 서 론 연구의필요성 2015, 2008, [1]. 22, % This is an Oen Access aricle disribued under he erms of he Creaive Commons Aribuion Non Commercial License (h://creaivecommons.org/licenses/bync/4.0/) which ermis unresriced noncommercial use, disribuion, and reroducion in any medium, rovided he original work is roerly cied. 7.4%. 62.6% [1], [2], %,,,,,. 19, % [1], [3].,, [3]. 9 [4],.,,,. Coyrigh 2017 Korean Academy of Child Healh Nursing 515

2 Child Healh Nurs Res, Vol.23, No.4, Ocober 2017: [5],.,. 93.6% 86.3% 1.,,, [6]. [7]. Lim,,,, [7] % [8]., [7,9].,, [10] %, 9.4%, 8.3% [8]. [11]., [7].,.., Kim [9] ( ) 6.3, 4~6, % 2 [2], [1215]...,, [13,14]. [16]. Kim [12].,, [17].,, [18].,,,,.,,,,

3 hs://doi.org/ /chnr ,.,. 13, 26. 연구목적..,,.,.,. 프로그램개발및운영 1.,., 2 30.,... 연구방법 연구설계. 연구대상., ( ),., 3.,,. 제1 단계,. 제2 단계,, , , ,,,,,.. 1, ,,,,,,,,, 김영미, 조갑출 517

4 Child Healh Nurs Res, Vol.23, No.4, Ocober 2017: ,. 제3 단계.,.. 연구도구 22,, 30, 27 79, 15,, 30, ,,, 5. 10, 4, 4, 11, 18 50,. 문화지식, 임신 출산및영아양육지식, 5. 10, 2, 10, 2, ,,,, 5., 2 10, 1 010,.,,,,,,,, 5. 10,, 2, 1 0~10.. 건강증진행위에대한자기효능감 27 [19]. : 1 ~ : 4 4 Liker,. Chronbach s α.94, Cronbach s α.80. 술기수행능력,,,, , 4, 7, 11, 18, 50,. 5. 자료수집방법및윤리적고려 C. C ( HR004102).,,.,..,, 518

5 hs://doi.org/ /chnr 자료분석방법 SAS 9.4.,. es. 연구결과 대상자의일반적특성 13 Table , %, 100% Table 1. General Characerisics of Sudy Paricians (N=26) Characerisics Caegories Married immigran women (n=13) n (%) or M±SD Souse (n=13) n (%) or M±SD Mean age (year) ± ± 4.07 Educaion level (graduaion) Elemenary school Middle school High school College/Universiy 5 (38.5) 5 (38.5) 10 (76.9) Number of children (61.5) Duraion of say in Korea <1 year 1~3 years 8 (61.5) 5 (38.5) Time o ge regnan afer marriage <1 year 1~3 years 4 (85.7) 1 (14.3) Subjecive language roficiency Reading High Mid Low Seaking High Mid Low Wriing High Mid Low 9 (69.2) 9 (69.2) 4 (30.8) 10 (76.9) Lisening High Mid Low 9 (69.2) Knowledge level on culure of souse s counry High Mid Low 10 (76.9) 5 (38.5) 8 (61.5) Knowledge resource abou regnancy and birh Hosial Inerne Books Family Vienamese friend 4 (30.8) 6 (46.2) Knowledge resource abou arening Hosial Inerne and books Family Vienamese friend 7 (53.9) 4 (30.8) 7 (53.9) 김영미, 조갑출 519

6 Child Healh Nurs Res, Vol.23, No.4, Ocober 2017: , 76.9%, 61.5%.,. 53.9%,, (30.8%). 부부대상개별교육프로그램이건강증진행위에대한자기효능감에미치는효과 Table ± ± 7.87 ( <.001) ± ± (=.004). 부부대상개별교육프로그램이문화, 임신 출산및양육지식에미치는효과, Table ± ± 0.83 (<.001) ± ± 1.03 (<.001) ± ± 1.04 ( <.001) ± ± 1.19, (=.002). (=.011, =.004) 부부대상개별교육프로그램이술기수행능력에미치는효과 Table ± ± 0.28 (<.001). (0.00 ± 0.00) (3.89 ± 0.30) (<.001), 1.25 ± ± 0.00 (=.005) ± ± 0.48 (<.001), ± ± 0.87 (<.001) ± ± 0.38 Table 2. Knowledge on Culure, gnancy, Child Birh, and Parening Skills before and afer Educaion (N=26) Tes Iem (Score range: 0~10 er each iem) Knowledge on culure Korean culure Vienamese culure Married immigran women (n=13) Souse (n=13) M±SD M±SD M±SD M±SD 7.00± ± < ± ± <.001 Knowledge on regnancy and birh 6.84 ± ± < ± ± Knowledge on arening skills 6.76 ± ± ± ± values by aired es. Table 3. SelfEfficacy on Healh Promoion before and afer Educaion (N=26) Variable (Score range: 27~108) Married immigran women (n=13) Souse (n=13) M±SD M±SD M±SD M±SD Selfefficacy ± ± < ± ± values by aired es

7 hs://doi.org/ /chnr Table 4. Performance Scores of he Skills Needed during gnancy and Early Parenhood before and afer Educaion (N=26) Skill Iem (No. of skill iem correcly erformed=score) Married immigran women (n=13) Souse (n=13) M±SD M±SD M±SD M±SD Hand washing (0~10) 7.15 ± ± < ± ± <.001 Pelvic srenghening (0~4) 0.00 ± ± < ± ± <.001 Pelvic floor exercise (0~7) 1.25 ± ± ± ± Bole feeding (0~11) 7.15 ± ± < ± ± <.001 Newborn bahing (0~18) ± ± < ± ± <.001 values by aired es. (<.001), (3.89 ±0.33) (<.001) ± ± 0.00 ( =.088) ± ± 0.67 (<.001), ± ± 0.85 (<.001). 논의. 40~49, %, 35.4, [1] %, % [1].,.. 7,... 1, 1, 86.3% 1 [6,20]..,,, [21]..,,.,, [7,20].,. [20,22].,, 김영미, 조갑출 521

8 Child Healh Nurs Res, Vol.23, No.4, Ocober 2017: ,.. [23], [24].,,,,, [24,25],., [18]. [26].,. [27],,, [27].,. [28],... 20,,, [29].,... 12,, 1~2, [30]..,,,.,, 522

9 hs://doi.org/ /chnr ,,..,.,,.,,. 결론.,,. Conflic of Ineres No oenial or any exising conflic of ineres relevan o his aricle was reored. References 1. Saisics Korea Muliculural dynamics of oulaion saisics [Inerne]. Seoul: Saisics Korea; 2016 [cied 2017 Seember 10]. Available from: h://kosa.go.kr/oral/korea/kor_nw/2/2/1/index.board?bmode= read&aseq=357476, 2. Korea Immigraion Service Annual Reor [Inerne]. Seoul: Korea Immigraion Service; 2016 [cied 2017 Seember 10]. Available from: h:// d=104000&srrnurl=imm_6040&srallorgyn=n&srthispa ge=1 &srfilepah=imm/ 3. Cho JE, Cho GJ. A sudy on changes of he effec of facors o married immigran women s healh: muliculural families survey (2009, 2012). The Journal of Muliculural Sociey. 2014;7(2):528. h://dx.doi.org/ /jms Song J, Roh EH, Park SM. Sysemaic review of quaniaive research relaed o maernal adaaion among women immigrans by marriage in Korea. Korean Journal of Women Healh Nursing. 2015;21 (1):5570. h://dx.doi.org/ /kjwhn Je M, Son HM, Kim YH. Develomen and effec of a culural comeency romoion rogram for nurses in obsericsgynecology and ediarics. Child Healh Nursing Research. 2015;21(2): h://dx.doi.org/ /chnr Han EJ, An J, Yang SJ. Sociodemograhic facors relaed o healh informaion seeking behavior among asian immigran women in Korea. Healh & Nursing. 2016;28(1): Lim HS. The exerience of healh care in regnancy and childbirh among married immigran women in Korea. Journal of Qualiaive Research. 2014;15(2): Minisry for Healh, Welfare and Family Affairs. Survey resuls on reroducive healh of married immigran women [Inerne]. Seoul: Minisry for Healh, Welfare and Family Affairs; 2009 [cied 2017 Augus 31]. Available from: hs:// uid=30&id=51&bid=3&ageindex= Kim HR. Maernal healh and nuriional saus of marriagebased women immigrans in Korea and olicy direcions. Healh and Welfare Policy Forum. 2009;155: Kim MJ. A comaraive sudy on birh oucomes beween Korean women and immigran women. Korean Journal of Women Healh Nursing. 2011;17(4): h://dx.doi.org/ /kjwhn Kim MY, Koh HJ. A sudy abou inermarriage foreign wives renaal 김영미, 조갑출 523

10 Child Healh Nurs Res, Vol.23, No.4, Ocober 2017: educaion needs, healh belief and renaal care comliance. Keimyung Journal of Nursing Science. 2008;12(1): Kim SH. Healh care exeriences of Vienamese marriage immigran women during regnancy, childbirh, and osarum eriod in Korea. Journal of Korean Public Healh Nursing. 2015;29(2): h://dx.doi.org/ /jkphn Trang PTH, Kim YS, Park BS. A sudy on he children care exerience of Vienamese marriage immigran women. Journal of Educaion & Culure. 2014;20(4): Choi D. A sudy on he meaning of becoming a moher of Vienamese migran women. Journal of Diasora Sudies. 2015;9(2): Chung BY, Kim JS Yu K. gnancy and osarum exeriences of immigran in a Vienam. Family & Culure. 2014;26(2): Ju HO, Park SY, Lee J. Menal healh and healh risk behaviors of muliculural adolescens according o heir mohers naive counry: using daa from he 11h Korea youh risk behavior webbased survey Child Healh Nursing Research. 2017;23(1): hs://doi.org/ /chnr Kim JH, Lee MH. Dieary Behavior of marriage migran women according o heir naionaliy in muliculural families. Korean Journal of Communiy Nuriion. 2016;21(1): h://dx.doi.org/ /kjcn Park MK, Moon SH. Effecs of an individual breasfeeding romoion rogram for married immigran women. Journal of Korean Academy of Nursing. 2016;46(1): h://dx.doi.org/ /jkan Becker H, Suifbergen A, Oh HS, Hall S. The selfrelaed abiliies for healh racices scale: A healhefficacy measure. Healh Value. 1993: Chang K. Sudy on regnancy, childbirh and child rearing of married immigran women. Journal of MuliCulural Conens Sudies. 2013;14: Choi EY. Saus and challenges of early childhood educaion and care olicies for muliculural families wih young children. Conemorary Sociey and Muliculure. 2015;5(2): Kim SO, Kim HS. Effecs of suor from souse and family on he child rearing among marriage immigran women. Journal of he Korea Conens Associaion. 2016;16(6): h://dx.doi.org/ /jkca Ludwig DS, Currie J. The relaionshi beween regnancy weigh gain and birh weigh : a wihin family comarison. Lance. 2010;376 (9745): h://dx.doi.org/ /s (10) Lee YE, Oh E. Knowledge and educaion demand oward newborn care in muliculural mohers. Journal of he Korean sociey of Maernal and Child Healh. 2015;19(1): Kim JH, Joo EJ. A sudy on infan feeding and weaning racices in muliculural families. Family Environmen Research. 2013;51 (4): h://dx.doi.org/ /fer An SY, Hong D, Kim TH. The effecs of immigran women s social suor and arening confidence on arening saisfacion. Korean Journal of Human Ecology. 2017;26(1):120. h://dx.doi.org/ /kjhe Park M. The effecs of acculuraive sress on arening sress among marriage migran women in Korea. Journal of Korean Sociey of Child Welfare. 2014;46: Kim H. Emowermen rogram develomen and effecs for inernaionally married women in social enerrises. Journal of he Korea Conens Associaion. 2016;16(4): h://dx.doi.org/ /jkca Baek SH, Kim Y. Evaluaion of an educaion rogram in hand washing and elvic floor muscle exercise for erinaal immigran women and heir Korean husbands: a ilo sudy. Korean Journal of Sors Science. 2016;25(2): Kim KA, Kim JS. The develomen of a maernal role educaion rogram for married immigran women focusing mohers of infan and oddler. Korean Journal of Family Social Work. 2015;48:

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386-390.hwp 386 HANYANG MEDICAL REVIEWS Vol. 29 No. 4, 2009 우리나라 미숙아의 통계와 의료비용 Statistics and Medical Cost of Preterm in Korea 윤혜선 을지대학교 노원을지병원 소아청소년과학교실 Hye Sun Yoon, M.D., Ph.D., Department of Pediatrics, Nowon