산소요법 적용 미숙아 어머니에 대한 재가 돌봄 퇴원프로그램 효과
Effects of a Home-based Discharge Program for Mothers of Premature Infants on Oxygen Therapy at Home
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본 연구는 산소요법을 적용하는 미숙아 어머니를 대상으로재가 돌봄 퇴원프로그램을 개발하고 적용함으로써 미숙아 어머니가 지각하는 불안과 모성자신감에 미치는 효과를 규명함으로써, 실효성 있는 간호중재 프로그램을 제시하고자 시도되었다. 연구결과 본 연구에서 개발된 재가 돌봄 퇴원프로그램이미숙아 어머니의 불안을 감소시키고 모성자신감 향상에 효과적인 간호중재프로그램임을 확인하였다. 따라서 미숙아 부모를 대상으로 본 프로그램을 활용한다면 미숙아 재가 간호에 질적 향상에 크게 기여할 것으로 사료된다. 이상의 연구결과를 토대로 다음과 같이 제언하고자 한다. 본 연구는 퇴원 시 산소요법 적용 미숙아 어머니를 대상으로 한정하여 중재 효과를 확인하였으므로 일반적인 미숙아 부모로 더 넓은 범위의 대상자에게 중재효과를 확인하는 것이 필요하다. 또한 본 연구의 결과를토대로 퇴원 후 1일에 가정간호를 통해 미숙아 어머니의 가정에서의 초기적응을 돕는 재가 돌봄 지지프로그램 개발에 대한연구를 제언한다.
Abstract
Purpose: This study was done to develop and test a home-based discharge program. Methods: The study design was a pretest-posttest nonequivalent nonsynchronized quasi-experimental design. Participants were mothers of premature infants on oxygen therapy at home. The participants, 49 mothers, were assigned to either the experimental group (24) or control group (25). Data collection was conducted from September, 2008 through February, 2009. Maternal confidence and anxiety were measured using a questionnaire. Chi-square test, t-test and Repeated Measures ANOVA were used to analysis the data. Results: Two hypotheses, aternal confidence in the experimental group will be higher than that of the control groupand erceived anxiety level in the experimental group will be lower than that of the control group were set up and both hypotheses were supported as there was a statistically significant difference between the two groups. Conclusion: It suggests that the discharge program developed in this study is an efficient intervention method to boost maternal confidence of the mothers with premature infants and to decrease their anxiety; therefore, this program is expected to be of use in nursing interventions.
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