ORIGINAL ARTICLE Child Healh Nurs Res, Vol.23, No.4, Ocober 2017: 515524 hs://doi.org/10.4094/chnr.2017.23.4.515 ISSN(Prin) 22879110 ISSN(Online) 22879129 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 +8228205660 FAX +8228247961 EMAIL 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]. 22,462 7.9% 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],. 2015 [2], 2015 84.7%,,,,,. 19,729 4.5% [1], 2014 214 [3].,, [3]. 9 [4],.,,,. Coyrigh 2017 Korean Academy of Child Healh Nursing 515
Child Healh Nurs Res, Vol.23, No.4, Ocober 2017: 515524 [5],.,. 93.6% 86.3% 1.,,, [6]. [7]. Lim,,,, [7]. 2009 62.4% [8]., [7,9].,, [10].. 19.6%, 9.4%, 8.3% [8]. [11]., [7].,.., Kim [9] ( ) 6.3, 4~6,.. 23.1% 2 [2], [1215]...,, [13,14]. [16]. Kim [12].,, [17].,, [18].,,,,.,,,,. 516 www.echnr.org
hs://doi.org/10.4094/chnr.2017.23.4.515,.,. 13, 26. 연구목적..,,.,.,. 프로그램개발및운영 1.,., 2 30.,... 연구방법 연구설계. 연구대상., ( ),., 3.,,. 제1 단계,. 제2 단계,, 2 30. 2, 30.. 1, 40 20.,,,,,.. 1, 40 20.,,,,,,,,, www.echnr.org 김영미, 조갑출 517
Child Healh Nurs Res, Vol.23, No.4, Ocober 2017: 515524,. 제3 단계.,.. 연구도구 22,, 30, 27 79, 15,, 30, 27 72.,,, 5. 10, 4, 4, 11, 18 50,. 문화지식, 임신 출산및영아양육지식, 5. 10, 2, 10, 2, 1 010..,,,, 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,,,,. 1 1. 10, 4, 7, 11, 18, 50,. 5. 자료수집방법및윤리적고려 2014 6 28 12 7 C. C ( 104107820136HR004102).,,.,..,, 518 www.echnr.org
hs://doi.org/10.4094/chnr.2017.23.4.515.. 자료분석방법 SAS 9.4.,. es. 연구결과 대상자의일반적특성 13 Table 1. 23.4, 41.6. 92.3%, 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) 23.38 ± 2.99 41.61 ± 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 0 1 2 8 (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) www.echnr.org 김영미, 조갑출 519
Child Healh Nurs Res, Vol.23, No.4, Ocober 2017: 515524. 0, 76.9%, 61.5%.,. 53.9%,, (30.8%). 부부대상개별교육프로그램이건강증진행위에대한자기효능감에미치는효과 Table 3. 95.23 ± 9.14 106.77 ± 7.87 ( <.001). 94.07± 9.65 101.00 ± 10.31 (=.004). 부부대상개별교육프로그램이문화, 임신 출산및양육지식에미치는효과, Table 2. 7.00 ± 1.35 9.23 ± 0.83 (<.001). 6.46 ± 1.51 8.69 ± 1.03 (<.001). 6.84 ± 1.34 8.92 ± 1.04 ( <.001). 6.76 ± 1.48 8.61 ± 1.19, (=.002). (=.011, =.004) 부부대상개별교육프로그램이술기수행능력에미치는효과 Table 4.. 7.15 ± 1.14 9.92 ± 0.28 (<.001). (0.00 ± 0.00) (3.89 ± 0.30) (<.001), 1.25 ± 1.50 7.00 ± 0.00 (=.005). 7.15 ± 2.15 10.69 ± 0.48 (<.001), 13.46 ± 3.07 17.38 ± 0.87 (<.001).. 7.77± 1.17 9.84 ± 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±1.35 9.23±0.83 5.24 <.001 6.46 ± 1.51 8.69 ± 1.03 4.01 <.001 Knowledge on regnancy and birh 6.84 ± 1.34 8.92 ± 1.04 5.67 <.001 7.15 ± 1.57 8.53 ± 0.88 3.01.011 Knowledge on arening skills 6.76 ± 1.48 8.61 ± 1.19 3.97.002 6.84 ± 1.77 8.62 ± 1.12 3.57.004 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 95.23 ± 9.14 106.77 ± 7.87 7.44 <.001 94.07 ± 9.65 101.00 ± 10.31 3.49.004 values by aired es. 520 www.echnr.org
hs://doi.org/10.4094/chnr.2017.23.4.515 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 ± 1.14 9.92 ± 0.28 9.14 <.001 7.77 ± 1.17 9.84 ± 0.38 6.72 <.001 Pelvic srenghening (0~4) 0.00 ± 0.00 3.89 ± 0.33 35.00 <.001 0.44 ± 0.73 3.89 ± 0.33 14.22 <.001 Pelvic floor exercise (0~7) 1.25 ± 1.50 7.00 ± 0.00 7.67.005 2.75 ± 3.40 7.00 ± 0.00 2.50.088 Bole feeding (0~11) 7.15 ± 2.15 10.69 ± 0.48 6.30 <.001 6.46 ± 2.26 10.42 ± 0.67 6.01 <.001 Newborn bahing (0~18) 13.46 ± 3.07 17.38 ± 0.87 5.32 <.001 11.92 ± 2.90 17.31 ± 0.85 6.90 <.001 values by aired es. (<.001), (3.89 ±0.33) (<.001). 2.75 ± 3.40 7.00 ± 0.00 ( =.088). 6.46 ± 2.26 10.42 ± 0.67 (<.001), 11.92 ± 2.90 17.31± 0.85 (<.001). 논의. 40~49, 42. 23 19. 2015 10 37.7%, 35.4, 27.9 7.5 [1] 45 22.7%, 20 29.8% [1].,.. 7,... 1, 1, 86.3% 1 [6,20]..,,, [21]..,,.,, [7,20].,. [20,22].,, www.echnr.org 김영미, 조갑출 521
Child Healh Nurs Res, Vol.23, No.4, Ocober 2017: 515524.,.. [23], [24].,,,,, [24,25],., [18]. [26].,. [27],,, [27].,. [28],... 20,,, [29].,... 12,, 1~2, [30]..,,,.,, 522 www.echnr.org
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