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"Premature infant"

Original Articles

Effects of a breastfeeding coaching program on growth and neonatal jaundice in late preterm infants in South Korea
Gun Ja Jang, Sangjin Ko
Child Health Nurs Res 2021;27(4):377-384.   Published online October 31, 2021
DOI: https://doi.org/10.4094/chnr.2021.27.4.377
Purpose
This study examined the effects of a breastfeeding coaching program for mothers on growth and neonatal jaundice in late preterm infants (LPIs).
Methods
This was a quasi-experimental study (non-randomized intervention) with a time-series design. The study was conducted among 40 LPIs who were admitted to the neonatal intensive care unit of a university hospital in Daegu, South Korea. In the order of admission, the first 21 infants were assigned to the experimental group, and 19 were assigned to the control group. The intervention program consisted of home- based and web-based practical breastfeeding support education for mothers across a total of 5 sessions. Infant growth was measured using body weight, length, and head circumference, and neonatal jaundice was assessed using transcutaneous bilirubin levels.
Results
The likelihood of breastfeeding for infants in the experimental group at 4 weeks after discharge was the same as on the day of discharge, whereas it steadily decreased in the control group. There were significant differences in head circumference between the groups. However, weight, length, and transcutaneous bilirubin levels did not show a significant group-time interaction.
Conclusion
A formal breastfeeding coaching program should be considered in clinical settings and at home within the first few weeks postpartum.

Citations

Citations to this article as recorded by  
  • Interventions to support parents, families and caregivers in caring for preterm or low birth weight infants at home: A systematic review and meta-analysis
    Amie Wilson, Carol Bedwell, Valentina Actis Danna, Natalie Tate, Kerry Dwan, Anayda Portela, Tina Lavender, Giridhara Rathnaiah Babu
    PLOS Global Public Health.2026; 6(2): e0005690.     CrossRef
  • Mother’s Own Milk Provision During the First 12 Weeks of Life by Gestational Age
    Aloka L. Patel, Joshua Wilson, Melissa Holmes, Tricia J. Johnson
    JAMA Network Open.2025; 8(3): e250024.     CrossRef
  • Changes in anthropometry in full‐term breastfed newborns and associated factors for the first month
    Beril Aydın, Siddika Songül Yalçin
    American Journal of Human Biology.2024;[Epub]     CrossRef
  • Interventions to Improve Breastfeeding Outcomes in Late Preterm and Early Term Infants
    Sarah Dib, Kulnipa Kittisakmontri, Jonathan C. Wells, Mary Fewtrell
    Breastfeeding Medicine.2022; 17(10): 781.     CrossRef
  • 7,622 View
  • 335 Download
  • 4 Crossref
Parenting experiences among fathers of prematurely-born children with cerebral palsy in South Korea
Jisun Park, Kyung-Sook Bang
Child Health Nurs Res 2021;27(1):75-85.   Published online January 31, 2021
DOI: https://doi.org/10.4094/chnr.2021.27.1.75
Purpose
The symptoms and impairments caused by cerebral palsy usually require long-term treatment, resulting in a substantial burden on the family of affected children. This study explored the experiences of fathers with prematurely-born children with cerebral palsy, with a focus on how such experiences influenced their families.
Methods
A qualitative case study method was used. Nine subjects were recruited from April 2018 to June 2019 at one hospital, and each was interviewed three times by a neonatal nurse.
Results
Five core experiences of fathers were identified: "regret for an insufficient initial response", "confronting my child born as a premature baby", "the position of being a dad who can't do anything", "the process of treatment like a tunnel with no exit", and "a father's getting meaning in life through children". These stories covered an individual's timeline and family interactions.
Conclusion
Our findings suggest that fathers of prematurely-born children tend to suppress their emotions; therefore, a novel intervention program to encourage fathers' emotional expression and to support healthier interactions with their families is needed. Moreover, our findings could contribute basic information for the construction of a community-based support system to aid families, including prematurely-born children and other persons with impairments.

Citations

Citations to this article as recorded by  
  • Factors influencing fathers’ involvement in the care of hospitalized preterm newborns in Balaka, Malawi
    Patani Mhango, Alinane Linda Nyondo-Mipando
    BMC Pediatrics.2023;[Epub]     CrossRef
  • 6,360 View
  • 230 Download
  • 1 Crossref
Purpose
This study aimed to evaluate the effects of a rational emotive behavior therapy (REBT)-based emotional regulation program for mothers of premature infants in the neonatal intensive care unit (NICU).
Methods
The study utilized a nonequivalent control group pretest-posttest design. Seventeen mothers were recruited for the experimental group and 21 mothers for the control group. Data were collected from July 9, 2018, to Oct 12, 2018 from mothers of premature infants in the NICU regarding parental stress, state anxiety, depression, and maladaptive cognitive emotion regulation. The experimental group received eight sessions of the REBT-based emotional regulation program for 3-4 weeks, and the control group only received standard nursing care.
Results
Significant differences were found between the two groups in maladaptive cognitive emotion regulation (Z=-3.88, p<.001), stress (Z=-2.76, p=.006), state anxiety (Z=-3.72, p<.001), and postpartum depression(Z=-2.62, p=.009) after the intervention in the experimental group.
Conclusion
The REBT-based emotional regulation program for mothers of premature infants was effective for reducing maladaptive cognitive emotion regulation, stress, anxiety, and postpartum depression. Therefore, it may be necessary to provide an REBT-based emotional regulation program for mothers of premature infants in the NICU in clinical practice.

Citations

Citations to this article as recorded by  
  • Effectiveness of psychosocial interventions for parents with preterm infants: A commentary on a systematic review
    Victoria Gray, Jay Thomas, Marilena Hadjittofi, Natalie Holman, James Edward Hill, Catherine Harris
    Journal of Family and Child Health.2025; 2(12): 533.     CrossRef
  • Effectiveness of psychosocial interventions on the psychological outcomes of parents with preterm infants: A systematic review and meta-analysis
    Sian Hui Chan, Shefaly Shorey
    Journal of Pediatric Nursing.2024; 74: 23.     CrossRef
  • Predicting Children’s Mental Well-Being During COVID-19 Pandemic Based on Maternal Cognitive Emotion Regulation
    Delaram Dehnashi
    Psychology and Behavioral Sciences.2024; 13(5): 129.     CrossRef
  • PREDICTING CHILDREN’S MENTAL WELL-BEING DURING COVID-19 PANDEMIC BASED ON MATERNAL COGNITIVE EMOTION REGULATION
    Delaram Dehnash
    ASEAN Journal of Psychiatry.2024;[Epub]     CrossRef
  • Fordyce happiness training program on the competence of mothers of premature infants admitted to the NICU from Middle East: A quasi-experimental study
    Fereshteh Ghaljaei, Marie Hastings-Tolsma, Nasrin Rezaee
    Pediatrics & Neonatology.2023; 64(5): 512.     CrossRef
  • Identifying the common elements of psychological and psychosocial interventions for preventing postpartum depression: Application of the distillation and matching model to 37 winning protocols from 36 intervention studies
    Yuping Lin, Xiangchun Zhang, Tianchun Zhou, Feng Xu, Xinli Zhu, Huixin Zhou, Xiao Wang, Yan Ding
    Early Intervention in Psychiatry.2023; 17(10): 947.     CrossRef
  • Mindfulness Intervention Improves Coping and Perceptions of Children’s Behavior among Families with Elevated Risk
    Jill T. Krause, Samantha M. Brown
    International Journal of Environmental Research an.2023; 20(23): 7092.     CrossRef
  • The effect of Mindful Parenting Training on Parent–Child Interactions, Parenting Stress, and Cognitive Emotion Regulation in Mothers of Preschool Children
    Zahra Bondar kakhki, Ali Mashhadi, Seyed Amir Amin Yazdi, Shirin Saleh
    Journal of Child and Family Studies.2022; 31(11): 3113.     CrossRef
  • 9,086 View
  • 311 Download
  • 8 Crossref
Purpose
This study aimed to determine the influence of a breastfeeding coaching program (BCP) for mothers of late preterm infants (LPIs) on the breastfeeding rate and neonatal morbidity within 1 month after discharge.
Methods
This was a non-randomized quasi-experimental study with a time series design. The participants were 40 LPIs and their mothers who were hospitalized in a neonatal intensive care unit at a university hospital. Nineteen LPIs were assigned to the control group, and 21 to the experimental group. The mothers of the LPIs in the experimental group received the BCP once on the discharge day and then once a week for 1 month. Neonatal morbidity was defined as an outpatient department or emergency room visit due to an LPI's health problem.
Results
The breastfeeding rate in the experimental group was significantly higher than in the control group at the fourth week after discharge (x2=7.17, p=.028). Five and two LPIs in the control group and the experimental group, respectively, visited a hospital due to neonatal jaundice. Neonatal morbidity was not significantly different between the two groups (x2=1.95, p=.164).
Conclusion
The BCP was useful for improving the breastfeeding rates of LPIs and may have potential to reduce neonatal morbidity.

Citations

Citations to this article as recorded by  
  • Mother’s Own Milk Provision During the First 12 Weeks of Life by Gestational Age
    Aloka L. Patel, Joshua Wilson, Melissa Holmes, Tricia J. Johnson
    JAMA Network Open.2025; 8(3): e250024.     CrossRef
  • Effects of an Online Theory‐Based Educational Programme for Primiparous Women on Improving Breastfeeding‐Related Outcomes: A Randomised Controlled Trial
    Mei Sze Wong, Wai Tong Chien
    Scandinavian Journal of Caring Sciences.2025;[Epub]     CrossRef
  • A qualitative study on the perspectives of prenatal breastfeeding educational classes in Ireland: Implications for maternal breastfeeding decisions
    Jennifer Kehinde, Claire O’Donnell, Annmarie Grealish, Trhas Tadesse Berhe
    PLOS ONE.2024; 19(12): e0315269.     CrossRef
  • The Effect of Breastfeeding and an Intensive Breast Milk Nutritional Support Program on Hospitalization Rates for Hyperbilirubinemia in Term Newborns: An Open Randomized Controlled Trial
    Nursan Cinar, Özge Karakaya Suzan, Ibrahim Caner, Sultan Peksen, Pinar Tabakoglu, Vedat Cinar
    Journal of Tropical Pediatrics.2022;[Epub]     CrossRef
  • Effects of a breastfeeding coaching program on growth and neonatal jaundice in late preterm infants in South Korea
    Gun Ja Jang, Sangjin Ko
    Child Health Nursing Research.2021; 27(4): 377.     CrossRef
  • 7,554 View
  • 252 Download
  • 5 Crossref
Purpose
This study was conducted to evaluate the efficacy of a community-based follow-up program on parenting stress, parenting efficacy, and coping among parents with premature infants.
Methods
A non-equivalent control group pre-post quasi-experimental design was used. This program consisted of structured home visits and self-help group meetings for 6 months. The experimental group (n=29) received visits by an experienced neonatal intensive care unit (NICU) nurse and the control group (n=27) was visited by a visiting nurse. Data were analyzed using the x2 test, t-test, and analysis of covariance.
Results
Parents' coping behavior significantly differed in the experimental group compared to the control group (t=3.14, p=.003). In particular, coping subscale I, for maintaining the family situation (t=2.63, p=.011), and subscale III, for understanding the infant's medical situation (t=4.30, p<.001), showed significant differences in the experimental group. There were no significant between-group differences in parenting stress or parenting efficacy.
Conclusion
The findings of this study suggest that home visits by an experienced NICU nurse provided through a community-based follow-up program were an effective intervention to improve coping behavior among parents with premature infants.

Citations

Citations to this article as recorded by  
  • The effect of health promotion package based on BASNEF model on self-efficacy and parenting stress in primiparous pregnancy: A clinical trial study
    Zahra Babakhani, Zahra Boroumandfar, Samin Shafiei, Fatemeh Torabi
    Journal of Education and Health Promotion.2026;[Epub]     CrossRef
  • Interventions to support parents, families and caregivers in caring for preterm or low birth weight infants at home: A systematic review and meta-analysis
    Amie Wilson, Carol Bedwell, Valentina Actis Danna, Natalie Tate, Kerry Dwan, Anayda Portela, Tina Lavender, Giridhara Rathnaiah Babu
    PLOS Global Public Health.2026; 6(2): e0005690.     CrossRef
  • A national survey of neonatal community outreach practices in England, Wales and Scotland
    Chuen Wai Lee, Janine Snook, Burak Salgin
    Journal of Neonatal Nursing.2025; 31(6): 101744.     CrossRef
  • A Mobile Health App (mHealth)-Based Post-NICU Discharge Intervention for Parents of Preterm Infants
    Han Na Lee, So Jin Lee, Yun Kyeong Lee, Haeryun Cho
    Journal of Perinatal & Neonatal Nursing.2025;[Epub]     CrossRef
  • Health education for preterm infants families during the COVID-19 pandemic from the perspective of Indonesian nurses: A qualitative descriptive study
    Herlina, Yeni Rustina, Dessie Wanda
    Journal of Neonatal Nursing.2024; 30(1): 53.     CrossRef
  • Best Practices to Support Maternal Mental Health During the Transition from Neonatal Intensive Care Unit to Home
    Jazmin D. Ramirez, Danielle Altares Sarik, Yui Matsuda, Joy Ortiz
    Critical Care Nursing Clinics of North America.2024; 36(2): 261.     CrossRef
  • The effects of a hospital-to-home care transition program on perceived stress and readiness for hospital discharge in mothers of children with congenital heart disease undergoing corrective surgery
    Zohre Komijani, Meimanat Hosseini, Malihe Nasiri, Parvaneh Vasli
    Journal of Pediatric Nursing.2024; 78: e66.     CrossRef
  • Effective stress intervention programs for parents of premature children: A systematic review
    Melissa Liher Martínez‐Shaw, Yolanda Sánchez‐Sandoval
    Stress and Health.2023; 39(2): 236.     CrossRef
  • Improving the self-efficacy of caregivers of children with seizures using evidence-based practice
    Malorie Brooks, Natalie Palau
    Journal of Pediatric Nursing.2023; 73: 53.     CrossRef
  • Development and Effects of Mobile-Application-Based Parenting Support Program for Premature Infants’ Mothers
    Hye Young Ahn, Hyun Jeong Ko, Hee Jee Jo
    Healthcare.2023; 11(19): 2639.     CrossRef
  • Effect of a Follow-up Program Involving an Early Intervention and Self-help Group on Parenting Stress, Depression, and Parenting Efficacy for Mothers of Premature Infants
    Eun Sun Ji, Jinhee Choi, Kaka Shim
    Journal of The Korean Society of Maternal and Chil.2023; 27(4): 256.     CrossRef
  • Scoping review of interventions to support families with preterm infants post-NICU discharge
    Thao Griffith, Anamika Singh, Margaret Naber, Patricia Hummel, Caroline Bartholomew, Sachin Amin, Rosemary White-Traut, Lindsey Garfield
    Journal of Pediatric Nursing.2022; 67: e135.     CrossRef
  • Parenting experiences of mothers of moderate-to-late preterm children in South Korea: a qualitative study
    Sangmi Lee
    Child Health Nursing Research.2022; 28(4): 247.     CrossRef
  • 8,131 View
  • 219 Download
  • 13 Crossref
Noise Level and Frequency Experienced by Premature Infants Receiving Incubator Care in the Neonatal Intensive Care Unit
So Hyun Joo, Tae Im Kim
Child Health Nurs Res 2020;26(2):296-308.   Published online April 30, 2020
DOI: https://doi.org/10.4094/chnr.2020.26.2.296
Purpose
The purpose of this study was to identify the noise level and frequency experienced by premature infants receiving incubator care in the neonatal intensive care unit (NICU).
Methods
The participants were 20 premature infants receiving incubator care in the NICU of a university hospital in Daejeon Metropolitan city. The noise level was measured using a professional sound-level meter (ET-958, FLUS, Shenzhen, China) based on a noise classification table developed by the author. The data were analyzed with descriptive statistics, the t-test, analysis of variance, and Pearson correlation coefficients using SPSS for Windows version 22.0.
Results
The average noise level experienced by premature infants receiving incubator care in the NICU was 51.25 dB (range: 45.0~81.7 dB). The frequency of noises was highest for factors related to nursing activities (40.3%), followed by human factors (29.1%), machine alarm sounds (20.1%), incubator operation (6.6%), and internal environmental factors (3.9%).
Conclusion
According to the above results, the noise level experienced by premature infants receiving incubator care in the NICU exceeded the recommendations of the American Academy of Pediatrics. Therefore, it is necessary to develop an interventional program to reduce noise in the NICU, and to conduct follow-up studies to verify its effectiveness.

Citations

Citations to this article as recorded by  
  • Development and Evaluation of Infection Control Nursing Simulation Education Program for Nurses in a NICU
    Min-hee Cho, Sunghee Kim
    Journal of Korea Society for Simulation in Nursing.2024; 12(2): 1.     CrossRef
  • Noise Produced by Neonatal Ventilators Inside and Outside of the Incubators
    Lea Bergez, Gilles Jourdain, Daniele De Luca
    Respiratory Care.2023; 68(12): 1693.     CrossRef
  • Differences in perceived parental stress between parents with very low birth weight infants and nurses in neonatal intensive care units, South Korea
    Seol-Hee Moon, Ho-Ran Park, Dong Yeon Kim
    Child Health Nursing Research.2021; 27(3): 297.     CrossRef
  • 10,001 View
  • 602 Download
  • 3 Crossref
Effects of a Breastfeeding Support Program on the Prevalence of Exclusive Breastfeeding and Growth in Late Preterm Infants
Gun Ja Jang, Yeon Ran Hong
Child Health Nurs Res 2020;26(1):90-97.   Published online January 31, 2020
DOI: https://doi.org/10.4094/chnr.2020.26.1.90
Purpose
The purpose of this study was to investigate the effects of a breastfeeding support program (BSP) on the prevalence of exclusive breastfeeding and growth in late-preterm infants.
Methods
A quasi-experimental study was conducted. The participants were 40 late preterm infants (LPIs), of whom 20 were assigned to the experimental group and 20 to the control group. For the mothers in the experimental group, a BSP was provided prior to the LPIs’ discharge and reinforced once a week for 4 weeks. Information on the feeding type was collected by observation and the LPIs’ body weight was measured.
Results
There were significant differences in feeding type by group and time. Exclusive breastfeeding was 5.18 times more common in the experimental group than in the control group (odds ratio=5.18, 95% confidence interval=1.11~16.70). However, weekly weight gain did not show a significant relationship with group and time (F=0.40, p=.712).
Conclusion
The BSP was helpful for increasing the rate of exclusive breastfeeding in LPIs. Furthermore, the LPIs in the experimental group, which had a higher likelihood of being exclusively breastfed, showed an equivalent amount of weight gain as the LPIs in the control group, in which infants were more likely to be formula-fed.

Citations

Citations to this article as recorded by  
  • Effectiveness of Postnatal Maternal or Caregiver Interventions on Outcomes among Infants under Six Months with Growth Faltering: A Systematic Review
    Ritu Rana, Barkha Sirwani, Saranya Mohandas, Richard Kirubakaran, Shuby Puthussery, Natasha Lelijveld, Marko Kerac
    Nutrients.2024; 16(6): 837.     CrossRef
  • Impact of theory of planned behavior based intervention on breastfeeding patterns of the mothers with preterm infants: a randomized trial
    Shirin Okhovat, Mojgan Janighorban, Ashraf Kazemi
    BMC Public Health.2024;[Epub]     CrossRef
  • Challenges and Choices in Breastfeeding Healthy, Sick and Preterm Babies: Review
    Susanne H. Bauer, Harald Abele, Joachim Graf
    Healthcare.2024; 12(23): 2418.     CrossRef
  • Nutritional Management of Moderate- and Late-Preterm Infants Commenced on Intravenous Fluids Pending Mother's Own Milk: Cohort Analysis From the DIAMOND Trial
    Tanith Alexander, Michael Meyer, Jane E. Harding, Jane M. Alsweiler, Yannan Jiang, Clare Wall, Mariana Muelbert, Frank H. Bloomfield
    Frontiers in Pediatrics.2022;[Epub]     CrossRef
  • Effects of a breastfeeding coaching program on growth and neonatal jaundice in late preterm infants in South Korea
    Gun Ja Jang, Sangjin Ko
    Child Health Nursing Research.2021; 27(4): 377.     CrossRef
  • Influence of a Breastfeeding Coaching Program on the Breastfeeding Rates and Neonatal Morbidity in Late Preterm Infants
    Gun Ja Jang
    Child Health Nursing Research.2020; 26(3): 376.     CrossRef
  • 9,941 View
  • 304 Download
  • 6 Crossref
Purpose
The purpose of this study was to evaluate the effects of an education program for mothers of late-preterm infants on parenting confidence, breastfeeding rate, and infants’ growth and readmission rate.
Methods
The participants were 53 mothers of late-preterm infants (26 in the experimental group and 27 in the control group). The experimental group was administered the late-preterm care education program while the control group received standard care. The program consisted of two sessions during hospitalization after birth, one session at the time of discharge, and telephone and social networking service consultations at weekly intervals for the month following discharge. The collected data were analyzed using the t-test, x2 test, and repeated-measures analysis of variance.
Results
Parenting confidence and the breastfeeding rate were significantly higher in the experimental group than in the control group. However, there was no significant difference in the late-preterm infants’ growth and readmission rates between the experimental and control groups.
Conclusion
A care education program for mothers of late-preterm infants can be a useful nursing intervention in clinical practice.

Citations

Citations to this article as recorded by  
  • Mother’s Own Milk Provision During the First 12 Weeks of Life by Gestational Age
    Aloka L. Patel, Joshua Wilson, Melissa Holmes, Tricia J. Johnson
    JAMA Network Open.2025; 8(3): e250024.     CrossRef
  • The Effect of QR Code Supported Newborn Care Training Given to Mothers With Premature Infant on Self‐Efficacy and Anxiety: A Randomised Controlled Study
    Sinem Yalnızoğlu Çaka, Sümeyra Topal, Sinem Öztürkler, Fatma Tuncer Çelenkoğlu, Ayla Günlemez
    Scandinavian Journal of Caring Sciences.2025;[Epub]     CrossRef
  • Effectiveness of a Nurse-Led Infant Health Promotion Education Program on Knowledge Among First-Time Pregnant Women in a Middle Eastern Country
    Suhaila Halasa, Judie Arulappan, Nadin M Abdel Razeq, Mahmoud Ai-Hussami, Dua’ Al-Maharma, Ommayah Nassar, Manar Nabolsi, Shawqi Saleh, Ibrahim Al Faouri
    Sage Open Nursing.2025;[Epub]     CrossRef
  • The impact of postpartum in-home and telephone supportive counseling on maternal quality of life: A randomized controlled clinical trial
    Bita Eskandari, Roghaiyeh Nourizadeh, Esmat Mehrabi, Rasoul Heshmati, Reyhaneh Ivanbagha, Zahra Akbarivand
    Health Care for Women International.2025; : 1.     CrossRef
  • Academy of Breastfeeding Medicine Clinical Protocol #7: Model Maternity Policy Supportive of Breastfeeding
    Maria-Teresa Hernández-Aguilar, Melissa C. Bartick, Paula K. Schreck, Elise M. Chapin
    Breastfeeding Medicine.2025; 20(11): 771.     CrossRef
  • Characteristics of late preterm infant readmissions: A systematic review
    Jennifer A. Joyner, Amy E. Papermaster, Jane Dimmitt Champion
    Journal of the American Association of Nurse Pract.2024; 36(6): 329.     CrossRef
  • Effectiveness of Postnatal Maternal or Caregiver Interventions on Outcomes among Infants under Six Months with Growth Faltering: A Systematic Review
    Ritu Rana, Barkha Sirwani, Saranya Mohandas, Richard Kirubakaran, Shuby Puthussery, Natasha Lelijveld, Marko Kerac
    Nutrients.2024; 16(6): 837.     CrossRef
  • The Effect of Video-assisted Breast Milk and Breastfeeding Training Given to the Mothers of Hospitalized Newborns on the Breastfeeding Self-efficacy Success: A Semi-experimental Study
    Esra TURAL BÜYÜK, Nazlı BALTACI, Şenay ÇOŞĞUN
    Bezmialem Science.2023; 11(4): 417.     CrossRef
  • A survey among healthcare professionals from seven countries reported diverse nutritional practices of late preterm infants
    Hon Kit Cheang, Chun‐Yan Yeung, Irene Cheah, Guslihan Dasa Tjipta, Bugis Mardiana Lubis, Raul Garza‐Bulnes, Dagoberto Delgado‐Franco, Adejumoke Idowu Ayede, Chinyere V. Ezeaka, Mamun Al Mohammad Abullah, Adedotun Owolabi, Anne Schaafsma, Urszula Kudla, Le
    Acta Paediatrica.2022; 111(7): 1362.     CrossRef
  • Interventions to Improve Breastfeeding Outcomes in Late Preterm and Early Term Infants
    Sarah Dib, Kulnipa Kittisakmontri, Jonathan C. Wells, Mary Fewtrell
    Breastfeeding Medicine.2022; 17(10): 781.     CrossRef
  • Effects of a breastfeeding coaching program on growth and neonatal jaundice in late preterm infants in South Korea
    Gun Ja Jang, Sangjin Ko
    Child Health Nursing Research.2021; 27(4): 377.     CrossRef
  • Influence of a Breastfeeding Coaching Program on the Breastfeeding Rates and Neonatal Morbidity in Late Preterm Infants
    Gun Ja Jang
    Child Health Nursing Research.2020; 26(3): 376.     CrossRef
  • Factors Influencing Breast Milk Feeding in Singleton Late Preterm Infants
    Su Jin Kim, Gun Ja Jang
    Journal of Health Informatics and Statistics.2020; 45(4): 311.     CrossRef
  • 9,443 View
  • 373 Download
  • 13 Crossref
Influence of Partnerships with Nurses and Social Support on Readiness for Discharge among Mothers of Premature Infants
Soyeon Yoon, Jeongok Park, Hyejung Lee, Ari Min
Child Health Nurs Res 2019;25(4):417-424.   Published online October 31, 2019
DOI: https://doi.org/10.4094/chnr.2019.25.4.417
Purpose
The purpose of this study was to investigate partnerships with nurses, social support and readiness for discharge among mothers of premature infants in the neonatal intensive care unit (NICU) and to examine the factors associated with readiness for discharge.
Methods
A survey was conducted among 85 mothers of premature infants hospitalized in a NICU in Seoul, Korea. The collected data were analyzed with descriptive statistics, the t-test, one-way analysis of variance, Pearson’ correlation coefficients, and multiple linear regression using SPSS version 25.0.
Results
The results of the regression analysis showed that partnerships with nurses (β=.32, p=.011) and parenting experience (β=.32, p=.001) were significantly associated with readiness for discharge.
Conclusion
To improve the readiness for discharge among mothers of premature infants, developing strategies to strengthen their partnership with nurses and to provide family-centered care will be needed.

Citations

Citations to this article as recorded by  
  • Enhancing nurse-parent partnership for NICU nurses by investigating multi-modal learning with a hybrid simulation approach that integrates metaverses and real-world training
    Hee Young Kim, Soon Hyun Myung, In Young Cho
    Nurse Education in Practice.2025; 84: 104294.     CrossRef
  • Spousal support, parent–nurse partnership and caregiver burden among parents of children with chronic diseases: A cross‐sectional study
    Jihye Kim, Heemin Chae, Yoonjung Kim
    Journal of Clinical Nursing.2024; 33(7): 2649.     CrossRef
  • Research trends in nurse–parent partnership: A scoping review of the paediatric field in South Korea
    Seo Jin Park, Ji Yeong Yun, Jina Lee, In Young Cho
    Nursing Open.2024;[Epub]     CrossRef
  • Association of nurse–mother partnerships with parenting stress and family resilience among South Korean mothers of children with congenital heart disease
    Youna Chang, Jiyoung Lim, Hye Won Yoon
    Journal of Pediatric Nursing.2024; 79: 16.     CrossRef
  • Fostering Partnership Between Pediatric Nurses and Parents of High-Risk Infants: A Mixed Method Approach
    In Young Cho, Won-Oak Oh
    Journal of Child and Family Studies.2023; 32(9): 2681.     CrossRef
  • Effects of a Noncontact Visit Program in the NICU for the Prevention of COVID-19
    Hye Young Ahn, Hee Jee Jo, Hyun Jeong Ko
    Healthcare.2023; 11(15): 2152.     CrossRef
  • Discharge Readiness Scale for Parents of High-Risk Infants: A Systematic Review
    Ki-Eun Kim, Hyejung Lee, Na-Young Jeon
    Journal of The Korean Society of Maternal and Chil.2022; 26(4): 205.     CrossRef
  • Analysis of the educational needs of nurses in the neonatal intensive care unit for developmental supportive care
    Da-Ae Shin, Kyung-Sook Bang
    The Journal of Korean Academic Society of Nursing .2021; 27(3): 261.     CrossRef
  • Addressing the Needs of Mothers with Infants in the Neonatal Intensive Care Unit: A Qualitative Secondary Analysis
    Ah Rim Kim
    Asian Nursing Research.2020; 14(5): 327.     CrossRef
  • 8,693 View
  • 258 Download
  • 9 Crossref
Experiences of Mothers of Premature Infants Receiving Rehabilitation Therapy
Hyun-Ju Kang
Child Health Nurs Res 2018;24(3):298-309.   Published online July 31, 2018
DOI: https://doi.org/10.4094/chnr.2018.24.3.298
Purpose
The purpose of this study was to explore and develop a deeper understanding of the experiences of mothers of premature children receiving rehabilitation therapy.
Methods
The participants were 12 mothers with premature children who had received rehabilitation therapy for over 1 year. Individual in-depth interviews were conducted from July to August 2017. The data were analyzed through the phenomenological research method.
Results
The participants’ experience was structured into five thematic clusters: ‘Regret and guilt that premature birth led to rehabilitation therapy’, ‘Burden of life in an endless tunnel’, ‘Changes in personal relationships surrounding me and my child’, ‘Meaning of new life through my child’, and ‘Desire to expand the rehabilitation of premature infants’.
Conclusion
The results of this study will be helpful for developing family-centered care programs for premature infants at high risk of developmental disorders.

Citations

Citations to this article as recorded by  
  • Parent and Therapist Perceptions of Early Therapy for Infants With or at Risk of Cerebral Palsy: A Scoping Review
    Helle Sneftrup Poulsen, Lisbeth Rosenbek Minet, Lone Walentin Laulund, Charlotte Ytterberg, Alice Ørts Hansen
    Child: Care, Health and Development.2026;[Epub]     CrossRef
  • 9,346 View
  • 215 Download
  • 1 Crossref
Purpose
This study was conducted to assess the knowledge and performance of developmentally supportive positioning for premature infants (DSPP) among neonatal intensive care unit (NICU) nurses.
Methods
The participants in this study were 131 nurses working in the NICU at five university hospitals in Daejeon and the city of Cheong-ju. The collected data were analyzed with descriptive statistics, the t-test, analysis of variance, and Pearson correlation coefficients using SPSS for Windows version 22.0.
Results
NICU nurses’ average DSPP knowledge score was 24.7 out of 33.0, and their average DSPP performance score was 3.2 out of 4.0. A statistically significant positive correlation was observed between knowledge and performance of DSPP (r=.32, p<.001).
Conclusion
To improve the level of NICU nurses’ knowledge and performance of DSPP, educational programs should be developed and their effectiveness should be verified.

Citations

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  • Developmentally Supportive Care Among Neonatal Intensive Care Unit Nurses in South Korea
    Han Na Lee, Ji Hyeon Park, Haeryun Cho
    Advances in Neonatal Care.2023; 23(3): E60.     CrossRef
  • Effects of Systematic Discharge Education Program on Anxiety and Parenting Confidence in Mothers of Premature Infants
    Eunyoung Kim, Aeran Jo, Meenam Hwang, Hyunjin Moon, Daeun Jeong, Myungjin Jang, Choyeon Lim
    Journal of The Korean Society of Maternal and Chil.2023; 27(2): 71.     CrossRef
  • Effects of a Neonatal Supportive Positioning Training Video Program for Preterm Infants on the Knowledge and Performance of Nurses in Neonatal Intensive Care Units
    Hyun Jin Moon, Kyung Sook Cho, Mi Young An, Dong Woo Son
    Asian Nursing Research.2022; 16(1): 25.     CrossRef
  • Analysis of research on developmentally supportive care for prematurity in neonatal intensive care unit: a scoping review
    Hanna Lee, Ji Hyeon Park, Haeryun Cho
    Child Health Nursing Research.2022; 28(1): 9.     CrossRef
  • Development and effectiveness of an educational program on developmental positioning for neonatal intensive care unit nurses in South Korea: a quasi-experimental study
    Eun-Ju Yun, Tae-Im Kim
    Child Health Nursing Research.2022; 28(1): 70.     CrossRef
  • Factors that impact the accuracy with which nurses place preterm infants with respiratory distress syndrome in the prone position
    Nur Fitri, Defi Efendi
    La Pediatria Medica e Chirurgica.2021;[Epub]     CrossRef
  • Analysis of the educational needs of nurses in the neonatal intensive care unit for developmental supportive care
    Da-Ae Shin, Kyung-Sook Bang
    The Journal of Korean Academic Society of Nursing .2021; 27(3): 261.     CrossRef
  • Addressing the Needs of Mothers with Infants in the Neonatal Intensive Care Unit: A Qualitative Secondary Analysis
    Ah Rim Kim
    Asian Nursing Research.2020; 14(5): 327.     CrossRef
  • 12,886 View
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Original article

Factors Related to the Development of Premature Infants at 12 and 24 Months Age: A Prospective Study
Kyung-Sook Bang, Hyun-Ju Kang
Child Health Nurs Res 2018;24(1):58-67.   Published online January 31, 2018
DOI: https://doi.org/10.4094/chnr.2018.24.1.58
Purpose
This prospective study aimed to examine the development of premature infants at 12 and 24 months and to explore the factors related to their development.
Methods
Of the 80 premature infants who were recruited, 52 participants at 12 months and 31 participants at 24 months were included in this study. The development of the infants was examined using the Korean Bayley scale of infant development-II. Postnatal depression, husband’s support, social support, mother-infant attachment, and the home environment were assessed using self-report questionnaires completed by the mothers and through the researcher’s observations.
Results
There was significant difference between normal and delay group at psychomotor development at 12 months depending on social support at 6 months (t=2.03, p=.049). Mother-infant attachment at 6 months (r=.71, p<.001), 12 months (r=.37, p=.043), and 24 months (r=.40, p=.026), as well as social support (r=.38, p=.034) and the home environment (r=.41, p=.022) at 24 months, were correlated to mental development at 24 months. There was a significant positive correlation between mother-infant attachment at 6 months and psychomotor development at 24 months (r=.40, p=.046).
Conclusion
To reduce the risk of developmental delay and to promote healthy development in premature infants, early nursing interventions targeting mother-infant attachment, the home environment, and the mother’s social support structure are needed.

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  • Early Parenting Interventions to Enhance Development in Infants and Children Born Prematurely: A Systematic Review and Meta-Analysis
    Won-Oak Oh, Yoo-Jin Heo
    Journal of Pediatric Health Care.2024; 38(6): e1.     CrossRef
  • Effect of a Follow-up Program Involving an Early Intervention and Self-help Group on Parenting Stress, Depression, and Parenting Efficacy for Mothers of Premature Infants
    Eun Sun Ji, Jinhee Choi, Kaka Shim
    Journal of The Korean Society of Maternal and Chil.2023; 27(4): 256.     CrossRef
  • Parenting Experience of Prematurity Parents Based on Grounded Theory
    Jeong Soon Kim
    Journal of The Korean Society of Maternal and Chil.2019; 23(4): 232.     CrossRef
  • Cognitive Ability and Related Factors in Preschoolers Born Prematurely
    Young Mee Ahn, Sangmi Lee
    Child Health Nursing Research.2019; 25(4): 468.     CrossRef
  • 10,570 View
  • 385 Download
  • 4 Crossref
Original Articles
Prospective Study on Factors Related to Development in Premature Infants at Six-Months
Kyung-Sook Bang, Hyun-Ju Kang, Buhyun Lee, Mi-Kyung Kwon
Child Health Nurs Res 2016;22(3):199-206.   Published online July 31, 2016
DOI: https://doi.org/10.4094/chnr.2016.22.3.199
Purpose
This study was conducted to monitor the development of Korean premature infant at six-month age and to explore factors related to developmental status of the premature infants.
Methods
Participants were 58 premature infants whose corrected age was six-months old and their mothers. The developmental states of infants were followed-up with the Korean Prescreening Developmental Questionnaire (KPDQ-II). Clinical characteristics of the infants were identified from the medical records. Other characteristics including Edinburgh Postnatal Depression Scale, husband’s support, social support, and mother-infant attachment were assessed using self-report questionnaires from the mothers.
Results
Forty three percent of the infants were in the group of questionable status of development on the KPDQ-II. There were significant differences between the premature infants with normal developmental status and those with questionable developmental status depending on gender (χ2 = 5.03, p = .034), gestational age (t = 2.59, p = .012), hospital stay (p = .013), revised Neurobiologic Risk Score (p = .005) and mother-infant attachment score (t = 2.12, p = .040).
Conclusion
Mother-infant attachment, as well as physiological state of premature infants, is an important variable in early development. Therefore, early monitoring for the development has to be done for physiologically vulnerable premature groups. Also, providing proper nursing support to improve maternal attachment needs to be considered.

Citations

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  • Developmental Characteristics of High‐Risk Infants According to the Bayley Scales of Infant and Toddler Development–Third Edition
    Ju‐Young Park, Nam‐Hae Jung
    Child: Care, Health and Development.2025;[Epub]     CrossRef
  • Pilot Study to Develop the Korean Screening Index of Early Development-Parent Form
    Hyo-Jeong Jeon, Eun-Kyoung Goh, Min-Jung Kim, Eun-Seol Kim
    Korean Journal of Child Studies.2025; 46(2): 37.     CrossRef
  • Perception and Educational Needs of Developmentally Supportive Care At-Home for Parents of Pre-Term Newborns
    Jeong Soon Kim, Hae Ran Kim
    Healthcare.2023; 11(12): 1700.     CrossRef
  • The Effects of a Continuous Olfactory Stimulation Using Breast Milk (COSB) on Behavioral State and Physiological Responses in Korean Premature Infants
    Young Ah Park, Yeo Jin Im
    Journal of Pediatric Nursing.2020; 53: e114.     CrossRef
  • Factors Related to the Development of Premature Infants at 12 and 24 Months Age: A Prospective Study
    Kyung-Sook Bang, Hyun-Ju Kang
    Child Health Nursing Research.2018; 24(1): 58.     CrossRef
  • Characteristics of Temperament of Preterm Toddlers and Their Relation to Early Language and Communication Development
    YoonKyoung Lee, Jiyoung Lee
    Communication Sciences & Disorders.2017; 22(3): 458.     CrossRef
  • 12,875 View
  • 240 Download
  • 6 Crossref
Analysis of Studies on High-Risk Infants and Quality Assessment of Intervention Studies
Hyejung Lee, Anna Kim, Anna Maeng, Gayeong Kim
Child Health Nurs Res 2016;22(2):153-162.   Published online April 30, 2016
DOI: https://doi.org/10.4094/chnr.2016.22.2.153
Purpose
It is critical that evidence from research is applied to everyday nursing practice to improve the quality of care and health outcomes. Aims of this study were to review high-risk infant related studies published in major nursing and non-nursing journals in Korea and to assess the quality of intervention studies.
Methods
Through the Korean literature search engine of RISS.KR the authors identified 132 studies, and two researchers evaluated each of these studies using the analysis criteria. The quality of intervention studies was assessed using the van Tulder Scale.
Results
Among the studies, 40.2% were either thesis or dissertation and 86.4% were quantitative studies. Convenience sampling was the most commonly used sampling method. All experimental studies were quasi-experiment except one pre-experiment study. Sensory stimulation and kangaroo care were the most common interventions for high-risk infants. Over half of the intervention studies were assessed to be “low risk of bias” but both randomization and blinding processes were not adequately satisfied in most of the studies.
Conclusion
Findings of this study suggest that high-risk infants are more likely to be recruited for experimental studies but types of interventions were very limited. To provide evidence-based care for high-risk infants, rigorously conducted experimental studies should be encouraged.

Citations

Citations to this article as recorded by  
  • Perception and Educational Needs of Developmentally Supportive Care At-Home for Parents of Pre-Term Newborns
    Jeong Soon Kim, Hae Ran Kim
    Healthcare.2023; 11(12): 1700.     CrossRef
  • The Effects of a Continuous Olfactory Stimulation Using Breast Milk (COSB) on Behavioral State and Physiological Responses in Korean Premature Infants
    Young Ah Park, Yeo Jin Im
    Journal of Pediatric Nursing.2020; 53: e114.     CrossRef
  • 14,200 View
  • 338 Download
  • 2 Crossref
Knowledge and Beliefs about Kangaroo Care among Nursing Students
So-Young Park, Sang-Mi Koo, Sun-Mi Choi, Tae-Im Kim
Child Health Nurs Res 2016;22(1):61-69.   Published online January 31, 2016
DOI: https://doi.org/10.4094/chnr.2016.22.1.61
Purpose
This study was conducted to investigate nursing students’ knowledge and beliefs about Kangaroo care (KC).
Methods
A cross-sectional descriptive design was used. Undergraduate students enrolled in departments of nursing (n=322) from three universities in D city participated. Knowledge and beliefs about KC were measured using the Kangaroo Care Questionnaire (KCQ).
Results
The overall level of nursing students’ knowledge about KC was very low with a mean score of 6.9 out of 17. The mean score for nursing students’ beliefs about KC was 87.4 out of 100, indicating relatively positive beliefs. The students who had both education and exposure to KC had higher scores for knowledge and more positive beliefs about KC compared to students with no experience or exposure to KC. There was a positive correlation between knowledge and beliefs about KC (r = .371, p < .001).
Conclusion
The results suggest that there is a need to develop educational programs for nursing students in order to increase their knowledge and develop positive beliefs about KC.

Citations

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  • Hemşirelik ve Ebelik Öğrencilerinin Kanguru Bakımı İle İlgili Bilgi ve Tutumlarının Değerlendirilmesi
    Özlem KARABULUTLU, Fatma BİLGİN
    Cumhuriyet Üniversitesi Sağlık Bilimleri Enstitüsü.2023; 8(2): 223.     CrossRef
  • 12,653 View
  • 230 Download
  • 1 Crossref
Effects of Cycled Lighting on Circadian Rhythms of Premature Infants.
Seong Jin Lee, Kyung Ja Han, Kyung Sook Bang
J Korean Acad Child Health Nurs 2012;18(2):85-94.
DOI: https://doi.org/10.4094/jkachn.2012.18.2.85
PURPOSE
Instead of a chaotic non circadian environmental approach, continuing regular day-night rhythm in neonatal nurseries may benefit the development of preterm infants. The purpose of this study was to define the effects of cycled lighting on circadian rhythms of premature infants.
METHODS
The experimental group included 15 preterm infants, and the control group, 15 premature infants in the NICU of a general hospital in Seoul. All infants were between 32 and 37 weeks' postconceptional age. The experimental group infants were provided with cycled lighting before discharge. The incubator or bassinet cover of the experimental group was off between 7 AM and 7 PM, and was covered between 7 PM and 7 AM.
RESULTS
There were significant differences in the NNNS score (p=.039), and some significant differences in the sleep-activity pattern between the experimental group and the control group, but distinct differences in sleep-activity patterns between the two groups could not be defined.
CONCLUSION
The results of this study suggest that cycled lighting can be helpful in the neurobehavioral development of preterm infants. By modifying the NICU environment to provide a more developmentally supportive milieu, nursing professionals can better meet the infants' physiologic and neurobehavioral needs.

Citations

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  • The effect of different fluoride application methods on the remineralization of initial carious lesions
    Seon Mi Byeon, Min Ho Lee, Tae Sung Bae
    Restorative Dentistry & Endodontics.2016; 41(2): 121.     CrossRef
  • Effect of Lights-Out at Night Time on Body Weight, Physiological Variables, and Behavioral Status in Premature Infants
    Kyeong Nam Lee, Bo Min Seo, Deog Hwan Moon, Ga Won Jeon, Jong Beom Sin
    Neonatal Medicine.2016; 23(2): 102.     CrossRef
  • 5,770 View
  • 112 Download
  • 2 Crossref
PURPOSE
The study was done to explore growth variation in head circumference (HC) in extremely premature infants (EPI) with brain injury.
METHODS
A retrospective cohort study was conducted with 79 cohort samples from the archives of the catch-up growth project. Mean age of the infants was 29.2 weeks of gestation and mean HC, 27.1 cm at birth. Their HC measurements were retrieved from the archives up to 6 month of corrected age (CA) and analyzed against history of brain injury during hospitalization.
RESULTS
Overall growth retardation in HC was observed in the cohort sample compared to longer gestation premature infants. EPI with brain injury showed decreased HC compared to infants without brain injury, and resulting growth variation across 6 month of CA. Highest retardation in HC growth was observed in male infants with brain injury.
CONCLUSION
Extreme preterm birth itself may function as a major obstacle against HC growth toward term age in EPI. Sustainability of brain injury could be observed with higher HC growth retardation after term. Evolutionary favor to female infants may exist in HC growth of EPI. Intensive education on HC monitoring is highly suggested for parents of EPI, particularly with children with brain injury.

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  • Effects of Direct Practice of Newborn Health Assessment on Students’ Nursing Clinical Competence and Self-Efficacy
    Seol Hui Park, Se Ang Ryu
    Child Health Nursing Research.2016; 22(2): 117.     CrossRef
  • Growth of Korean preterm infants in a family‐centered tradition during early infancy: The influence of health risks, maternal employment, and the sex of infants
    Youngmee Ahn, Min Sohn, Sangmi Lee
    Japan Journal of Nursing Science.2014; 11(4): 281.     CrossRef
  • 4,861 View
  • 17 Download
  • 2 Crossref
PURPOSE
To identify the perception and practices of kangaroo care in nurses and doctors working in neonatal intensive care units (NICU) in Korea.
METHODS
One hundred forty-nine nurses and nineteen doctors working in the NICU from six university hospitals completed a survey questionnaire.
RESULTS
Most agreed that Kangaroo care promoted attachment and parental confidence as well as physical health of the infant. However, nurses and doctors showed a negative perception in providing kangaroo care for premature infants under 1,000 grams or within several hours after birth. Major barriers for kangaroo care were worrying about extubation and safety problems of premature infants. Married or senior nurses showed a more positive perception than others. Also nurses who worked in hospitals where kangaroo care was provided had a lower barrier perception than other nurses.
CONCLUSION
Nurses and doctors working in NICU worried about adverse effects of kangaroo care even though they perceived positive effects. Standard education programs and manuals should be developed before dissemination of kangaroo care in Korea.

Citations

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  • A Mother’s Experience of Hospitalization of Her Newborn in the Neonatal Intensive Care Unit
    Euna Choi, Youngeun Lee
    Child Health Nursing Research.2018; 24(4): 407.     CrossRef
  • Knowledge and Beliefs about Kangaroo Care among Nursing Students
    So-Young Park, Sang-Mi Koo, Sun-Mi Choi, Tae-Im Kim
    Child Health Nursing Research.2016; 22(1): 61.     CrossRef
  • Perception and Barriers to Kangaroo-Mother Care Among Neonatal Intensive Care Unit Nurses
    Sun Kyung Jeong, Tae-Im Kim
    Child Health Nursing Research.2016; 22(4): 299.     CrossRef
  • Effects of Kangaroo Care on Physical Development and Adaptation of External Environment of Prematurity, and Maternal Role Confidence who Delivered Premature Infants
    Ji-Won Lee, Yong-Sook Eo, Jung Hwa Han
    Journal of the Korea Academia-Industrial cooperati.2016; 17(12): 128.     CrossRef
  • Efficacy and Safety of Kangaroo Mother Care in Preterm Infants in Korea
    Joo Hee Lim, Jeong-Eun Shin, Soon Min Lee, Ho Sun Eun, Min Soo Park, Kook In Park, Ran Namgung
    Korean Journal of Perinatology.2015; 26(4): 305.     CrossRef
  • 5,731 View
  • 101 Download
  • 5 Crossref
Pain Response to Procedural Pain in Premature Infants.
Jung Sook Kim, Eun Jung Lee, Eun Ha Ham, Ji Hyun Kim, Young Hee Yi
J Korean Acad Child Health Nurs 2010;16(4):352-359.
DOI: https://doi.org/10.4094/jkachn.2010.16.4.352
PURPOSE
To explore premature infants' pain response to routine procedures in the neonatal intensive care unit (NICU).
METHODS
The participants were 56 preterm infants who showed 149 pain responses to 8 high frequency routine procedures which were evaluated using the Premature Infant Pain Scale (PIPS). Videotaped recording was used for data collection. Data were analyzed with descriptive analysis, paired t-test, and Pearson's correlation coefficient.
RESULTS
PIPS scores for each procedure were as follows; for removal of central catheter dressing, 6.17 (2.04), venous sampling, 6.12 (2.87), intramuscular injection, 6.05 (2.38), insertion of a peripheral line, 5.38 (2.16), insertion of feeding tube, 4.40 (1.34), heel stick, 4.33 (1.23), insertion of central line, 4.00 (2.12), and endotracheal suctioning, 2.90 (1.25). PIPS score was negatively correlated with gestational age (r=-.218, p=.007) and birth weight (r=-.249, p=.002) among general characteristics of the infants.
CONCLUSION
The majority of 8 routine procedures were found to be painful for premature infants in the NICU. Therefore, adequate pain management related to procedures should be provided to premature infant in the NICU.

Citations

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  • The analgesic effects of human milk odor in preterm neonates: a systematic review and meta-analysis
    Ana Beatriz Bertol, Barkhá Vijendra, Pedro Henrique Aquino Gil de Freitas, Áurea Maria Salomão Simão, Bianca Lisa de Faria, Rodrigo da Rosa Iop
    Journal of Perinatology.2025;[Epub]     CrossRef
  • Perceptions on Pain Management among Korean Nurses in Neonatal Intensive Care Units
    Ihn Sook Jeong, Soon Mi Park, Jeon Ma Lee, Yoon Jin Choi, Joohyun Lee
    Asian Nursing Research.2014; 8(4): 261.     CrossRef
  • Effect of Optimal Humidification for Extremely Low Birth Weight Infants During Nasal Continuous Positive Airway Pressure
    Jung-Sook Kim, Eun-Jung Lee
    Journal of Korean Academy of Child Health Nursing.2011; 17(2): 145.     CrossRef
  • 4,959 View
  • 52 Download
  • 3 Crossref
PURPOSE
This study was done to examine effects of a discharge education program using on-line community on parenting stress, baby care confidence for mothers of premature infants and health problem of premature infants.
METHODS
Using a non-equivalent control group pretest-posttest quasi-experimental design, 32 participants were assigned to an experimental (17) or a control group (15). Mothers in the experimental group were introduced to the discharge education program 2 weeks before the baby was discharged. They participated in the on-line community for 4 weeks after discharge. Parenting Stress Index and Baby Care Confidence Scale were utilized for data collection. Data were analyzed using descriptive statistics, chi-square-test, Fisher's exact test, and Mann-Whitney U test with the SPSS program 16.0 version.
RESULTS
In the experimental group, mean scores for parenting stress were lower than for the control group (Z=-3.176, p=.001), while scores for confidence in baby care were higher than for the control group (Z=-3.195, p=.001).
CONCLUSION
Findings indicate that discharge education programs using on-line community have the positive effect of decreasing parenting stress and increasing baby care confidence for mothers and decreasing health problems for infants. Therefore utilization of the internet and online community to educate parents of premature infants is recommended.

Citations

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  • Effects of Systematic Discharge Education Program on Anxiety and Parenting Confidence in Mothers of Premature Infants
    Eunyoung Kim, Aeran Jo, Meenam Hwang, Hyunjin Moon, Daeun Jeong, Myungjin Jang, Choyeon Lim
    Journal of The Korean Society of Maternal and Chil.2023; 27(2): 71.     CrossRef
  • Effects of a Community-based Follow-up Program for Parents with Premature Infants on Parenting Stress, Parenting Efficacy, and Coping
    Eun Sun Ji, Ka Ka Shim
    Child Health Nursing Research.2020; 26(3): 366.     CrossRef
  • Experience of Becoming a Father of a High Risk Premature Infant
    Jeong Eon Park, Byoung Sook Lee
    Journal of Korean Academy of Nursing.2017; 47(2): 277.     CrossRef
  • Model Structure for Mother-Child Relationship for Korean Infants and Toddlers and Their Mothers
    Sun-Jung Park, Kyung-Ah Kang, Shin-Jeong Kim
    Child Health Nursing Research.2017; 23(3): 268.     CrossRef
  • Effect of Child Development Knowledge, Rearing Knowledge and Use of Health Care Service on Maternal Confidence among Mothers with Premature Infants
    So Yeon Kim, Sook Jung Kang
    Child Health Nursing Research.2017; 23(4): 407.     CrossRef
  • Effects of a Hospital Based Follow-Up Program for Mothers with Very Low Birth Weight Infants
    Min Hee Kim, Eun Sun Ji
    Journal of Korean Academy of Nursing.2016; 46(1): 79.     CrossRef
  • Parenting Stress in Mothers of Premature Infants.
    Hyun Sook Hwang, Hee Soon Kim, Il Young Yoo, Hyun Sook Shin
    Child Health Nursing Research.2013; 19(1): 39.     CrossRef
  • Integrative Review on Caring Education Papers for Parents with a Premature Infant
    Mihae Im, Jina Oh
    Child Health Nursing Research.2013; 19(2): 120.     CrossRef
  • Are Parent Education Programs in South Korea Really Effective? : A Meta-Analytic Study Using Journal Articles
    Jaerim Lee, Jiae Kim, Donghyuk Cha, Hyanghee Lee
    Journal of Korean Home Management Association.2013; 31(3): 27.     CrossRef
  • Effects on Maternal Attachment, Parenting Stress, and Maternal Confidence of Systematic Information for Mothers of Premature Infants.
    Hyo Sin Choi, Yeong Hee Shin
    Child Health Nursing Research.2013; 19(3): 207.     CrossRef
  • 6,195 View
  • 40 Download
  • 10 Crossref
The Effects of Maternal Heart Sound on the Weight, Physiologic Responses and Behavioral States of Premature Infants.
Mi Kyung Yeum, Young Mee Ahn, Hwa Sook Seo, Yong Hoon Jun
J Korean Acad Child Health Nurs 2010;16(3):211-219.
DOI: https://doi.org/10.4094/jkachn.2010.16.3.211
PURPOSE
The study was done to measure the effects of maternal heart sound on body weight, physiologic reactions (heart rate [HR] and cortisol) and behavioral states of preterm infants.
METHODS
Thirty-five preterm infants were recruited from a neonatal intensive care unit at a university hospital. Institutional Review Board approval and informed consent were obtained. The infants were assigned to an experimental group (n=18) with an auditory stimulation for 7 days of life, a continuous delivery of maternal heart sound using MP3 attached inside the incubator, or to a control (n=17) without any auditory stimulation. The outcome variables, daily variations in weight, HR and behavioral states, and differences in cortisol were analyzed.
RESULTS
There were differences in variations of daily weights (F=3.431, p=.011) and in cortisol (t=3.184, p=.006) between groups, but no difference in variations of daily HR (F=0.331, p=.933) and behavioral states (F=1.842, p=.323).
CONCLUSION
The findings support the safety of continuous maternal heart sound as no changes in HR and behavioral states occurred, and the efficacy as weight increased and cortisol decreased. This auditory simulation may lead to more efficient utilization of energy in preterm infants by consistently providing familiar sounds from intrauterine life and blocking noxious sounds from NICU environments.

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  • Manual Expression of Breastmilk: Integrating Tools with Marmet Technique
    Chele Marmet, Lora Cash
    Clinical Lactation.2025; 16(1-2): 40.     CrossRef
  • Effects of Music Intervention Techniques on Very-Low-Birth-Weight Infants in Neonatal Intensive Care Unit: A Preliminary Study
    Ji Yun Yun, Ji Sun Kim, So-Yeon Shim, Su Jin Cho, Eun Ae Park, Hyun Ju Chong
    Neonatal Medicine.2020; 27(4): 174.     CrossRef
  • Effects of Hearing Recorded Mother's Voice on Physiological Reactions and Behavioral State of Sleep, Weight of Very Low Birth Weight Infants
    Mi-Hyang Choi, In-Soon Kang, Young-Hae Kim
    Child Health Nursing Research.2014; 20(3): 185.     CrossRef
  • Effects of the 'Intervention - Mother's Song' on Physical Response and Behavioral State of Low-Birth Weight Infants in a Neonatal Intensive Care Unit.
    Ji Sun Park, Kyung Ja Hong, Kyung Sook Bang
    Child Health Nursing Research.2013; 19(3): 198.     CrossRef
  • 5,255 View
  • 63 Download
  • 4 Crossref
Effects of a Home-based Discharge Program for Mothers of Premature Infants on Oxygen Therapy at Home.
Ji Min Lee, Soon Ja Oh, Kyung A Kim, Eun Jung Lee, Ji Yoon Lee, Moon Sook Hwang, Jung Sook Kim
J Korean Acad Child Health Nurs 2010;16(2):144-155.
DOI: https://doi.org/10.4094/jkachn.2010.16.2.144
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, "Maternal confidence in the experimental group will be higher than that of the control group" and "Perceived 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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  • Effects of Systematic Discharge Education Program on Anxiety and Parenting Confidence in Mothers of Premature Infants
    Eunyoung Kim, Aeran Jo, Meenam Hwang, Hyunjin Moon, Daeun Jeong, Myungjin Jang, Choyeon Lim
    Journal of The Korean Society of Maternal and Chil.2023; 27(2): 71.     CrossRef
  • Are Parent Education Programs in South Korea Really Effective? : A Meta-Analytic Study Using Journal Articles
    Jaerim Lee, Jiae Kim, Donghyuk Cha, Hyanghee Lee
    Journal of Korean Home Management Association.2013; 31(3): 27.     CrossRef
  • Integrative Review on Caring Education Papers for Parents with a Premature Infant.
    Mihae Im, Jina Oh
    Child Health Nursing Research.2013; 19(2): 120.     CrossRef
  • Development and Evaluation of a Video Discharge Education Program focusing on Mother-infant Interaction for Mothers of Premature Infants
    Jin Suk Ra, Jiyoung Lim
    Journal of Korean Academy of Nursing.2012; 42(7): 936.     CrossRef
  • Effect of Optimal Humidification for Extremely Low Birth Weight Infants During Nasal Continuous Positive Airway Pressure
    Jung-Sook Kim, Eun-Jung Lee
    Journal of Korean Academy of Child Health Nursing.2011; 17(2): 145.     CrossRef
  • 5,836 View
  • 33 Download
  • 5 Crossref
PURPOSE
This study, using a pre-post test design of non-equivalence comparative group, was done to determine effects of Kangaroo care (KC) on growth in premature infants and on maternal attachment (MA). METHODS: Fifty-three premature infants were assigned to the KC (24) or control group (CG) (29). Data were collected from July 2007 to June 2008. KC was given for 60 min at a time, Monday, Wednesday, and Friday for 10 times. Weight, height, and head circumference (HC) of premature infants were checked before the program started. Following the initial measurement, the program was given and measurements were taken again at the end of the program. For measurement of attachment between mother and infant, data collection was done using structured self-reported questionnaires. RESULTS: KC group had a higher weight (t=2.565, p=.013), height (t=2.182, p=.034) and HC (t=2.468, p=.017) than the CG. Compared to the CG, the KC had significantly higher scores in MA (t=2.026, p=.048).
CONCLUSION
The results of this study suggest that the practice of KC in the nursing environment might actively promote attachment between mother and infant as well as acceleration of growth for premature infants as one of the most efficient nursing intervention.

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    Kuo Zhang, Jinlong Su
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  • Effects of an integrated healthcare program for postpartum women: a quasi-experimental study
    Eun Suk Hwang, Ju-Hee Nho
    Journal of Korean Academy of Nursing.2025; 55(4): 506.     CrossRef
  • Effective stress intervention programs for parents of premature children: A systematic review
    Melissa Liher Martínez‐Shaw, Yolanda Sánchez‐Sandoval
    Stress and Health.2023; 39(2): 236.     CrossRef
  • Effect on the practice of the kangaroo method on the formation and strengthening of the mother-baby bond: a systematic review
    Carolina Caetano, Bianca Baptista Pereira, Tulio Konstantyner
    Revista Brasileira de Saúde Materno Infantil.2022; 22(1): 11.     CrossRef
  • A touch-scaffolded model of human prosociality
    Jinlong Su, Yanjie Su
    Neuroscience & Biobehavioral Reviews.2018; 92: 453.     CrossRef
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    Sun-Jung Park, Kyung-Ah Kang, Shin-Jeong Kim
    Child Health Nursing Research.2017; 23(3): 268.     CrossRef
  • Knowledge and Beliefs about Kangaroo Care among Nursing Students
    So-Young Park, Sang-Mi Koo, Sun-Mi Choi, Tae-Im Kim
    Child Health Nursing Research.2016; 22(1): 61.     CrossRef
  • The Effects of Kangaroo Care in the Neonatal Intensive Care Unit on the Physiological Functions of Preterm Infants, Maternal–Infant Attachment, and Maternal Stress
    Eun-Sook Cho, Shin-Jeong Kim, Myung Soon Kwon, Haeryun Cho, Eun Hye Kim, Eun Mi Jun, Sunhee Lee
    Journal of Pediatric Nursing.2016; 31(4): 430.     CrossRef
  • Effects for kangaroo care: systematic review & meta analysis
    Junghee Lim, Gaeun Kim, Yeonghee Shin
    Journal of the Korea Academia-Industrial cooperati.2016; 17(3): 599.     CrossRef
  • Perception and Barriers to Kangaroo-Mother Care Among Neonatal Intensive Care Unit Nurses
    Sun Kyung Jeong, Tae-Im Kim
    Child Health Nursing Research.2016; 22(4): 299.     CrossRef
  • Effects of Kangaroo Care on Physical Development and Adaptation of External Environment of Prematurity, and Maternal Role Confidence who Delivered Premature Infants
    Ji-Won Lee, Yong-Sook Eo, Jung Hwa Han
    Journal of the Korea Academia-Industrial cooperati.2016; 17(12): 128.     CrossRef
  • Integrative Review of Nursing Intervention Studies on Mother-Infant Interactions.
    Sun Jung Park, Shin Jeong Kim, Kyung Ah Kang
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  • Relationship Between Brain Injury and Head Circumference Growth in Extremely Premature Infants
    Young-mee Ahn, Sang-mi Lee
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  • The Effects of Kangaroo Care on Maternal Self-esteem and Premature Infants' Physiological Stability
    Jihye Lee, Kyung-Sook Bang
    Korean Journal of Women Health Nursing.2011; 17(5): 454.     CrossRef
  • A meta-analysis of the effects of attachment enhancement program for children
    Mira Chung, Jeong Yoon Kwon, Sukyoung Park, 홍소영
    Korean Journal of Early Childhood Education.2011; 31(1): 25.     CrossRef
  • Perception of Nurses and Physicians in Neonatal Intensive Care Units on Kangaroo Care
    Kyung-Sook Bang
    Journal of Korean Academy of Child Health Nursing.2011; 17(4): 230.     CrossRef
  • 6,634 View
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PURPOSE
Multiple studies have documented that high resting levels of cardiac vagal tone suggest higher levels of self-regulation. The aim of this study was to evaluate cardiac vagal tone as an indicator of autonomic nervous function in healthy newborn and premature infants. METHODS: This study was conducted using a descriptive comparison design and a convenience sampling strategy. The participants were 72 healthy and 62 premature infants delivered in a university hospital. Continuous heart rate data recordings from the infant's ECG were analyzed and Mxedit software was used to calculate mean heart period and an index of cardiac vagal tone. RESULTS: The healthy infants had significantly higher cardiac vagal tone than the premature infants, when the influence of gestational age was removed using analysis of covariance. However, there were no significant differences in heart rate and heart period between the two groups when the influence of gestational age was removed using analysis of covariance. CONCLUSION: The results of this study show that cardiac vagal tone may be used as an index for determining infant's autonomic nervous function. Nursing staff in pediatric departments can use cardiac vagal tone with ease, as this index can be calculated in a noninvasive method from the ECG.

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  • Cardiac Autonomic Function in the First Hours of Postnatal Life: An Observational Cross-Sectional Study in Term Neonates
    Leva A. Shayani, Carlos J. da Cruz, Luiz Guilherme G. Porto, Guilherme E. Molina
    Pediatric Cardiology.2019; 40(8): 1703.     CrossRef
  • Linking Early Adversity, Emotion Dysregulation, and Psychopathology: The Case of Extremely Low Birth Weight Infants
    Lauren A. Drvaric, Ryan J. Van Lieshout, Louis A. Schmidt
    Child Development Research.2013; 2013: 1.     CrossRef
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    Manja Zupan, Andrew M. Janczak, Tore Framstad, Adroaldo J. Zanella
    Physiology & Behavior.2012; 106(5): 638.     CrossRef
  • 5,055 View
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  • 3 Crossref
PURPOSE
The purpose of this study was to compare the result of one-way ANOVA with that of cross-correlation time series analysis in order to evaluate physiologic responses of premature infants to human voices. METHODS: Four premature infants born prior to 32 weeks gestational age were included in the study. The Gould 4000TA Recording System recorded the preterm infant's heart and respiratory rate while they were listening to a pre-recorded voice recording. Each infant listened to both male and female voices (1 min each) at each testing session. RESULTS: The results of both one-way ANOVA and cross-correlation time series analysis using heart and respiratory rate data were not consistent in some of premature infants. A cross-correlation time series analysis revealed that the responses of premature infant to vocal stimulation occurred at a varying number of seconds after the stimulus was presented and lasted for over 20-30 sec.
CONCLUSION
The results indicate that a time series analysis can provide more detailed information on the rapidly changing physiologic status of premature infant to the auditory stimulus. In addition, the results provide an insight into an auditory responsitivity of premature infants to a naturally occurring sound, the human voice, in the neonatal intensive care unit.

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  • The Effects of Maternal Heart Sound on the Weight, Physiologic Responses and Behavioral States of Premature Infants
    Mi-Kyung Yeum, Young-Mee Ahn, Hwa-Sook Seo, Yong-Hoon Jun
    Journal of Korean Academy of Child Health Nursing.2010; 16(3): 211.     CrossRef
  • 4,722 View
  • 18 Download
  • 1 Crossref
Analysis of Maternal Child Health Services in Korea: Perspective of the Premature Infant.
Hyejung Lee, Kwangok Lee, Mikyung Shin
J Korean Acad Child Health Nurs 2009;15(1):81-87.
DOI: https://doi.org/10.4094/jkachn.2009.15.1.81
In recent years, reductions in infant mortality have mainly been accomplished by improving the survival of premature and low birth weight infants, however premature infants still remain at great risk. The purpose of this study was to review the maternal child health service related to premature infants and to provide a future direction for improving maternal child health (MCH) in Korea. We reviewed two MCH services which are directly related to premature infants: 1) a registry and financial support program for families with a premature infant, and 2) financial support to build neonatal intensive care units in rural public hospitals. Suggestions are made for the development of a national vital signs record system to identify high risk infants and to monitor the trends in infant mortality due to prematurity. Prevention efforts and preconception care for childbearing women is also an important strategy to reduce the rate of preterm births. Finally, we need consider long-term follow-up plans for premature infants for a successful transit to the special education system. Developing MCH policy related to premature infants that decreases the occurrence of premature may decrease infant mortality, and also improve maternal and child health services.

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  • Neonatal Transport and Regionalization of Neonatal Intensive Care: The Perspective of Transferred Preterm Infants in a Single Neonatal Intensive Care Unit of the South-western Area of Gyeonggi-do
    Sang Hoon Shin, Eun Hee Lee, Jeong Hee Shin, Mi Jung Hwang, Young Ok Choi, Won Hee Seo, Byung Min Choi, Hai Joong Kim, Young Sook Hong
    Korean Journal of Perinatology.2013; 24(4): 265.     CrossRef
  • Risk disparities in the globalisation of assisted reproductive technology: The case of Asia
    Jung-Ok Ha
    Global Public Health.2013; 8(8): 904.     CrossRef
  • Effects on Maternal Attachment, Parenting Stress, and Maternal Confidence of Systematic Information for Mothers of Premature Infants.
    Hyo Sin Choi, Yeong Hee Shin
    Child Health Nursing Research.2013; 19(3): 207.     CrossRef
  • Integrative Review on Caring Education Papers for Parents with a Premature Infant.
    Mihae Im, Jina Oh
    Child Health Nursing Research.2013; 19(2): 120.     CrossRef
  • Gender Differences in Awareness of Preconception Care and Pregnancy
    Dong Sook Cho, Eun Jung Kim, Eun Mi Jun
    Korean Journal of Women Health Nursing.2013; 19(4): 219.     CrossRef
  • Effects of Antenatal Depression and Antenatal Characteristics of Pregnant Women on Birth Outcomes: A Prospective Cohort Study
    Hae Won Kim, Yeon Yi Jung
    Journal of Korean Academy of Nursing.2012; 42(4): 477.     CrossRef
  • Effects of a Home-based Discharge Program for Mothers of Premature Infants on Oxygen Therapy at Home
    Ji Min Lee, Soon Ja Oh, Kyung A Kim, Eun Jung Lee, Ji Yoon Lee, Moon Sook Hwang, Jung Sook Kim
    Journal of Korean Academy of Child Health Nursing.2010; 16(2): 144.     CrossRef
  • 5,501 View
  • 48 Download
  • 7 Crossref
PURPOSE
This study was conducted to explore relationships of postpartum depression with socio-demographic and clinical characteristics of preterm infants and mothers.
METHODS
Participants were the mothers of 80 premature infants admitted to neonatal intensive care units. Postpartum depression was measured using the Edinburg Postnatal Depression Scale (EPDS). Clinical characteristics were examined through the medical records. The physiological state for the infants was evaluated using the revised Neurobiologic Risk Score (NBRS). Data were analyzed using the t-test, ANOVA, and Pearson correlation coefficients.
RESULTS
Average for EPDS was 9.75+/-5.06, and 30% of the participants were at high risk for postpartum depression. There were significant differences in postpartum depression according to mother's education level (F=3.493, p=.035), economic state (F=5.828, p=.004), multiple pregnancy (t=2.141, p=.037), chorioamnionitis (t=2.349, p=.021), oligohydramnios (t=-2.226, p=.029), broncho-pulmonary dysplasia (t=2.085, p=.040), germinal matrix hemorrhage (t=2.259, p=.027), and revised NBRS (t=-2.772, p=.007). There was a significant positive correlation between postpartum depression and number of health problem of infants (r=.252, p=.024) and revised NBRS (r=.316, p=.004).
CONCLUSION
As 30% of the mothers with preterm infants were at high risk for postpartum depression, they require attention. When providing interventions, socioeconomic status as well as the physiological state of premature infants should be considered.

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  • Algılanan Anne Ebeveynlik Öz Yeterlik Ölçeğinin Türk Toplumuna Uyarlanması
    Çağla Verici Kılıç, Oya Kavlak
    Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüs.2024; 11(1): 57.     CrossRef
  • The Effectiveness of Kangaroo Mother Care (KMC) on attachment of mothers with premature infants
    Shahrokh Mehrpisheh, Zahra Doorandish, Roya Farhadi, Mozhgan Ahmadi, Mannaneh Moafi, Forouzan Elyasi
    European Journal of Obstetrics & Gynecology and Re.2022; 15: 100149.     CrossRef
  • The physical and emotional health of South Korean mothers of preterm infants in the early postpartum period: a descriptive correlational study
    Jiyun Park, Kyung-Sook Bang
    Child Health Nursing Research.2022; 28(2): 103.     CrossRef
  • Experiences of Mothers of Premature Infants Receiving Rehabilitation Therapy
    Hyun-Ju Kang
    Child Health Nursing Research.2018; 24(3): 298.     CrossRef
  • Predictors of Quality of Life in Mothers of Premature Infant
    Hyosin Choi, Yeonghee Shin
    Korean Journal of Women Health Nursing.2017; 23(3): 191.     CrossRef
  • The Effects of Kangaroo Care in the Neonatal Intensive Care Unit on the Physiological Functions of Preterm Infants, Maternal–Infant Attachment, and Maternal Stress
    Eun-Sook Cho, Shin-Jeong Kim, Myung Soon Kwon, Haeryun Cho, Eun Hye Kim, Eun Mi Jun, Sunhee Lee
    Journal of Pediatric Nursing.2016; 31(4): 430.     CrossRef
  • Prospective Study on Factors Related to Development in Premature Infants at Six-Months
    Kyung-Sook Bang, Hyun-Ju Kang, Buhyun Lee, Mi-Kyung Kwon
    Child Health Nursing Research.2016; 22(3): 199.     CrossRef
  • Effects of Self Efficacy, Body Image and Family Support on Postpartum Depression in Early Postpartum Mothers
    Ji-Won Lee, Yong-Sook Eo, Eun-Hye Moon
    Journal of the Korea Academia-Industrial cooperati.2015; 16(6): 4011.     CrossRef
  • 8,823 View
  • 231 Download
  • 8 Crossref
PURPOSE
This study was done to investigate the point prevalence of postpartum depression and its predictors during early postpartum in mother of preterm infants.
METHODS
Participants were 101 women, 2-3 weeks after delivery whose preterm babies were hospitalized in a neonatal intensive care unit. Data were collected from June 2010 to January 2011. The instruments included 'Edinburgh Postnatal Depression Scale', 'Prenatal depression', 'Subjective health status of infant', 'Medical staff support', and 'Husband support'. Collected data were analyzed using t-test, chi2-test, and multiple logistic regression with SPSS/WIN version 18.0.
RESULTS
The point prevalence was 86.1% that postpartum depression occurred during the early postpartum period in mothers of preterm infants. Three significant predictors of postpartum depression in mothers of preterm infants were identified; 'Type of delivery (OR, 5.57; 95% CI, 1.25-24.77)', 'Subjective health status of infant (OR, 0.34; 95% CI, 0.16-0.70)', and 'Medical staff support (OR, 0.52; 95% CI, 0.28-0.97)'.
CONCLUSION
The results indicate that postpartum mothers should be screened for postpartum depression early in the postpartum period and that, medical personnel should pay particular attention to mothers with a caesarean section and should help mothers of preterm babies to develop positive perceptions of their babies.

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  • Effects of a Noncontact Visit Program in the NICU for the Prevention of COVID-19
    Hye Young Ahn, Hee Jee Jo, Hyun Jeong Ko
    Healthcare.2023; 11(15): 2152.     CrossRef
  • The physical and emotional health of South Korean mothers of preterm infants in the early postpartum period: a descriptive correlational study
    Jiyun Park, Kyung-Sook Bang
    Child Health Nursing Research.2022; 28(2): 103.     CrossRef
  • Correlations between a Flexible Parental Visiting Environment and Parental Stress in Neonatal Intensive Care Units
    Su Jin Lee, Eun Kyoung Choi, Jeongok Park, Hee Soon Kim
    Child Health Nursing Research.2019; 25(4): 377.     CrossRef
  • A Mother’s Experience of Hospitalization of Her Newborn in the Neonatal Intensive Care Unit
    Euna Choi, Youngeun Lee
    Child Health Nursing Research.2018; 24(4): 407.     CrossRef
  • Predictors of Quality of Life in Mothers of Premature Infant
    Hyosin Choi, Yeonghee Shin
    Korean Journal of Women Health Nursing.2017; 23(3): 191.     CrossRef
  • Relations of Postpartum Depression with Socio-Demographic and Clinical Characteristics of Preterm Infants and Mothers.
    Kyung Sook Bang, Hyun Ju Kang, Mi Kyung Kwon
    Child Health Nursing Research.2015; 21(1): 1.     CrossRef
  • 7,715 View
  • 111 Download
  • 6 Crossref
PURPOSE
The aim of this study was to examine the effects of systematic information on maternal attachment, parenting stress and maternal confidence of mothers of premature infants.
METHODS
Using a non-equivalent control group pre-post quasi-experimental design, 42 participants were assigned to one of two groups, an experimental group (n=20), which received systematic information; and a control (n=22), which received the usual discharge education. Prior to the intervention, baseline data were collected (pretest) and then the systematic information was provided four times for the experimental group. Maternal attachment, parenting stress and maternal confidence were measured. Data were collected three times: Seven to 10 days prior to discharge, day of discharge, and two weeks after discharge.
RESULTS
Mothers in the experimental group had significantly higher scores in maternal attachment (F=6.16, p=.005), lower parenting stress scores (F=5.56, p=.004), and higher scores for maternal confidence (F=16.50, p<.001) than mothers in the control group. These tendencies were progressively enhanced even two weeks after discharge from the hospital.
CONCLUSION
The results indicate that provision of systematic information to mothers with premature infants is an effective intervention to enhance mothers' maternal attachment, decrease parenting stress, and enhance maternal confidence.

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    Nameun Yu, Mi Yu
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    Heemoon Lim, Hyejung Lee
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  • Effects of an Infant Care Education Program for Mothers of Late-preterm Infants on Parenting Confidence, Breastfeeding Rates, and Infants' Growth and Readmission Rates
    Eun Hye Jang, Hyeon Ok Ju
    Child Health Nursing Research.2020; 26(1): 11.     CrossRef
  • Parenting Stress in Preterm and Full-term Infant Mothers by Their Children’s Developmental Stages
    Kieun Kim, Hyejung Lee
    Journal of The Korean Society of Maternal and Chil.2020; 24(3): 162.     CrossRef
  • Effects of a Community-based Follow-up Program for Parents with Premature Infants on Parenting Stress, Parenting Efficacy, and Coping
    Eun Sun Ji, Ka Ka Shim
    Child Health Nursing Research.2020; 26(3): 366.     CrossRef
  • Validation of the Korean Version of the Maternal Postpartum Attachment Development Scale for Mothers of Children who were in a Neonatal Intensive Care Unit
    Ah Rim Kim, Young Ran Tak
    Korean Journal of Child Studies.2018; 39(1): 129.     CrossRef
  • A Mother’s Experience of Hospitalization of Her Newborn in the Neonatal Intensive Care Unit
    Euna Choi, Youngeun Lee
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  • Effect of Child Development Knowledge, Rearing Knowledge and Use of Health Care Service on Maternal Confidence among Mothers with Premature Infants
    So Yeon Kim, Sook Jung Kang
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  • Effects of a Hospital Based Follow-Up Program for Mothers with Very Low Birth Weight Infants
    Min Hee Kim, Eun Sun Ji
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  • Participation in Prenatal Education, Knowledge and Attitude related to Delivery, Postpartum Care, Newborn Care in Nulliparous Women
    Mi-Young Kim, Gwang-Suk Kim, Sue Kim, Hye-Jung Lee
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  • Maternal Role Development in Neonatal Intensive Care Unit Graduate Mothers of Premature Infant
    Ah Rim Kim, Young Ran Tak
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    Sunmi Kim, Seohee Park, Sunjoung An
    Journal of The Korean Society of Integrative Medic.2014; 2(4): 19.     CrossRef
  • 9,681 View
  • 206 Download
  • 18 Crossref
PURPOSE
Parents with a premature infant are usually confronted with difficulties in caring for their babies and need education on appropriate care. The purpose of this paper was to describe the components of caring education for parents with a premature infant based on an integrative literature review and to present strategies for future education.
METHODS
Four electronic databases were searched to identify studies. Sixteen articles were selected through full text screening of related research published in domestic journals from January 1990 to October 2012.
RESULTS
Through in-depth discussion and investigation of the relevant literature, three components emerged; (a) nurses as educators and parents as learners, (b) education content including caring on admission or discharge, and effects of education, and (c) education environment including timing, place and materials.
CONCLUSION
Future education on caring for premature infant should include the nurse as educator and have diverse content including parent's role, interaction with healthcare providers, and special care for premature infants with special problems. Moreover, highly technical teaching materials should be provided, along with continuous support of institution and government to individual caregivers.
Results
of this study provide comprehensive prospective and basic standards for education on premature infant care.

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    Hee-moon Lim, hyejung Lee
    SSRN Electronic Journal .2022;[Epub]     CrossRef
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    Mihae Im, Jina Oh
    Child Health Nursing Research.2021; 27(2): 146.     CrossRef
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    Eun Sun Ji, Ka Ka Shim
    Child Health Nursing Research.2020; 26(3): 366.     CrossRef
  • Effects of a Hospital Based Follow-Up Program for Mothers with Very Low Birth Weight Infants
    Min Hee Kim, Eun Sun Ji
    Journal of Korean Academy of Nursing.2016; 46(1): 79.     CrossRef
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    Ah Rim Kim, Young Ran Tak
    Korean Journal of Women Health Nursing.2015; 21(4): 308.     CrossRef
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  • 78 Download
  • 10 Crossref
Parenting Stress in Mothers of Premature Infants.
Hyun Sook Hwang, Hee Soon Kim, Il Young Yoo, Hyun Sook Shin
Child Health Nurs Res 2013;19(1):39-48.
DOI: https://doi.org/10.4094/chnr.2013.19.1.39
PURPOSE
The purposes of this study were to assess the parenting stress in mothers of premature infants and stress related characteristics of mothers and infants.
METHODS
The methodology was a cross sectional survey study using self-report questionnaires. Participants in this study were 36 mothers of infants with corrected ages of 4 months to 12 months who were born prematurely. Data were analyzed using t-test, ANOVA, and Pearson correlation with the SPSS WIN 19.0 program.
RESULTS
The mean score for parenting stress in mothers of premature infants was 74.639+/-17.570, indicating that the mothers actually experienced stress. When mothers were able to have some private time, parenting stress was statistically significantly lower. When the residential status was having one's own house and the local community provided informational support regarding child nurturing, there was a statistically significant decrease in the sub-category of particular infant temperament. There was a statistically significant positive correlation between mothers' depression and parenting stress.
CONCLUSION
These results indicate that there is a need for nursing interventions to increase mothers' private time and to include informational support regarding health management of children including developmental status assessment from local communities.

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    European Journal of Obstetrics & Gynecology and Re.2022; 15: 100149.     CrossRef
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    Kieun Kim, Hyejung Lee
    Journal of The Korean Society of Maternal and Chil.2020; 24(3): 162.     CrossRef
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    Eun Sun Ji, Ka Ka Shim
    Child Health Nursing Research.2020; 26(3): 366.     CrossRef
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    Chang Hee Lee, Mi Heui Jang, Yong Sung Choi, Hyunsook Shin
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    Jeong Hee Eom, YeoJin Im
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    Hyun-Ju Kang
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  • Predictors of Quality of Life in Mothers of Premature Infant
    Hyosin Choi, Yeonghee Shin
    Korean Journal of Women Health Nursing.2017; 23(3): 191.     CrossRef
  • Factors Influencing Parenting Stress in Mothers of Preschoolers Born Prematurely
    Sangmi Lee
    Child Health Nursing Research.2017; 23(4): 470.     CrossRef
  • The Effects of Kangaroo Care in the Neonatal Intensive Care Unit on the Physiological Functions of Preterm Infants, Maternal–Infant Attachment, and Maternal Stress
    Eun-Sook Cho, Shin-Jeong Kim, Myung Soon Kwon, Haeryun Cho, Eun Hye Kim, Eun Mi Jun, Sunhee Lee
    Journal of Pediatric Nursing.2016; 31(4): 430.     CrossRef
  • Effects of a Hospital Based Follow-Up Program for Mothers with Very Low Birth Weight Infants
    Min Hee Kim, Eun Sun Ji
    Journal of Korean Academy of Nursing.2016; 46(1): 79.     CrossRef
  • Relationship among Parenting Stress, Self-Esteem and Social Support on Mental Retardation Child Mother's
    Chu-young Jeong, Young-sook Seo
    Journal of Korean Clinical Health Science.2016; 4(4): 709.     CrossRef
  • Relations of Postpartum Depression with Socio-Demographic and Clinical Characteristics of Preterm Infants and Mothers.
    Kyung Sook Bang, Hyun Ju Kang, Mi Kyung Kwon
    Child Health Nursing Research.2015; 21(1): 1.     CrossRef
  • Relationship between State-Trait Anxiety, Parenting Efficacy, Parenting Stress in Mothers of Children with Amblyopia
    Inhyae Park, Seonghee Han
    Journal of agricultural medicine and community hea.2015; 40(3): 137.     CrossRef
  • Mothers' Parenting Experience of Premature Infants: Q Methodological Approach
    Mi-Young Chon, Eun Sun Ji, Shin-Hwa Lee
    Journal of Korean Academy of Nursing.2013; 43(6): 704.     CrossRef
  • Effects on Maternal Attachment, Parenting Stress, and Maternal Confidence of Systematic Information for Mothers of Premature Infants.
    Hyo Sin Choi, Yeong Hee Shin
    Child Health Nursing Research.2013; 19(3): 207.     CrossRef
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The Effect of Music Therapy on the Heart Rate and Behavioral State of Premature Infants.
Seon Ja Chou, Soon Hee Choi
Korean J Child Health Nurs 2006;12(1):84-88.
PURPOSE
This study was conducted to investigate the effect of music therapy as auditory stimulus on the heart rate and behavioral state of premature infants.
METHOD
The study design was a non-equivalent control group pretest-posttest design. Forty premature infants who were admitted at NICU were selected and assigned to two groups, experimental and control. Data were collected from April 20 to July 31, 2003 and analysed using Wilcoxon rank sum test and ANCOVA. Infants in experimental group were given music therapy for 20 minutes daily in 7 days at the average level of 56dB.
RESULTS
The first hypothesis that 'Infants in the experimental group will be lower in heart rate than those in the control group' was rejected(F= .05, p= .816). The 2nd hypothesis that 'Infants in the experimental group will be lower in behavioral state score than those in the control group, was supported(F=7.40, p= .010).
CONCLUSION
The music therapy in this study was an effective nursing intervention in decreasing the heart rate and behavioral state score of premature infants.
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Effect of Yakson Therapy on Weight Gain in Premature Infants and Role Confidence and Satisfaction for Mothers.
Hye Sang Im, Eun Sook Park, Myung Hwa Kim, Eun Sook Kim, Young Ok Choi
Korean J Child Health Nurs 2005;11(4):481-489.
PURPOSE
The purpose of this study was to investigate the effects on weight of premature infants when Yakson therapy was conducted by mothers and also to measure role confidence and role satisfaction of the mothers.
METHOD
A non-equivalent control group non-synchronized design was used. The data were collected from January to July, 2005. Thirty preterm infants and mothers were assigned to either an experimental (15) or a control group (15). Yakson therapy consists of three phases: laying on of hands, caressing by hands, and laying on of hands again, each phase taking 5 minutes. Yakson therapy was provided to infants in the experimental group for 15-minutes 5 times a day for 15 days. Infant weight, mothers' role confidence and satisfaction with role were measured for both groups.
RESULTS
Compared to the control group, weight gain of infants in the experimental group (t=2.05, p=.049) was significantly increased after 15 days. The experimental group also had significantly higher scores in mothers' role confidence (t=1.98, p=.038).
CONCLUSION
The results suggest that Yakson therapy can be used to increase weight gain in preterm infants and improve the role confidence of mothers.
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PURPOSE
This study was done to investigate the effects of a massage program on the growth of premature infants and on the mothers' confidence and satisfaction in the mothering role.
METHODS
The participants were 29 mothers of premature infants hospitalized in a neonatal intensive care unit at CNU Hospital (14 in the massage program group and 15 in control group). Massage was done for 10-15 minutes, 2-3 times a day for 4 weeks. The data were using the SAS PC+ program.
RESULT
Significant differences were found in the ratios of weight gain (Z=2.24, p=.013), grow in length (Z=2.50, p=.006) and increase in head circumference (Z=1.91, p=.028) between the massage program group and the control group. Confidence in the mothering role was significantly higher for mothers in the massage program group compared to those in the control group (Z=2.69, p=.004), but there was no significant difference in satisfaction with the mothering role between the two groups (Z=.88, p=.191).
CONCLUSION
These results suggest that the massage program enhances growth of premature infants as well as enhancing the mother's confidence in her role as mother. Therefore, the massage program for premature infants can be use as an effective nursing intervention.
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The Effect of Regular Stimulation on the Reduction of Premature Infant's Apnea.
Hye Sang Im, Eun Sook Park
Korean J Child Health Nurs 2004;10(4):451-459.
PURPOSE
The purpose of this study is to identify how regular stimulation affects apnea of a premature infant.
METHOD
This study was used a within-subjects design with repeated measure using GEE (General Estimating Equation) and had been conducted from July 1, 2003 to March 12, 2004. The subjects consisted of 11 apneic premature infants who had showed apnea more than twice for 12 hours. A regularly vibrating test lung was provided to the subjects to find how regular stimulation affects apnea.
RESULT
From the result of regular stimulation for apneic premature infants, both the lowest SaO2 and the lowest heart rate at experimental period were found to be increased significantly. However, the decreased frequency of the apnea cases was not statistically effective.
CONCLUSION
These findings indicate that regular stimulation for apneic premature infants could be effective on increasing both SaO2 and heart rate. Therefore, we suggest regular stimulation to be used clinically to heal apnea of premature infants.
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The Effect of Sensory Stimulation on Mother-Infant Interaction in Premature Infants.
Mi Ye Kim, Sun Hee Kim, Gun Ja Jang
Korean J Child Health Nurs 2004;10(2):180-187.
PURPOSE
This study was designed to investigate effect of sensory stimulation on the mother-infant interaction in premature infants.
METHOD
The subjects of this study consisted of 36 pairs of premature infants and their mothers from NICU of one university hospital located in Taegu, 18 pairs for intervention group and 18 pairs for control group. The data were collected from May, 1999 to October, 2000. For the intervention group Field's sensory stimulation(tactile and kinesthetic stimulation) was applied 2 times a day for 10 days(10:00-11:00 in the morning and 7:00-8:00 in the afternoon by researcher and mother). To determine mother and infant interaction during feeding, tool developed by Kim Mi-Ye(1999) was used. Collected data were analyzed with SAS program using chi-square test and t-test.
RESULT
Significant differences were found in mother-infant interaction between two groups(t=-5.38, p=.00). It indicates that sensory stimulation was effective in improving mother-infant interaction. In the aspects of the quality of mother-infant interaction, sensory stimulation was most effective in improving sensitivity to mother and infant's synchronic behaviors(t=-5.43. p=.00) and followed by growth fostering(t=-5.07, p=.00), sensitivity to infant's cues(t=-4.53, p=.00), clarity of infant's cues(t=-3.03, p=.00) and responsiveness to the mother's behaviors(t=-2.14, p= 0.04).
CONCLUSION
Based on the result of this study, it is suggested that maternally administered sensory stimulation should be applied clinical practice to improve interaction of premature infants and their mothers.
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The Research on the Breast Feeding and its Related Factors of Premature Infant.
Mi Soon Kim, Jeong Un Kim, Young Mi An, Sang Mi Bae, Mi Jin Kim
Korean J Child Health Nurs 2003;9(3):272-284.
PURPOSE
The purpose of this research is to provide basic informations for the encouragements of premature infants' breast feeding.
METHOD
From August 10 to October 9, 2002, we have carried out a statical research which surveyed 148 mothers of premature infants registered in NICU. The sample had generated cluster-randomly from 25 General Hospitals, all over the Korea peninsula and being surveyed with 74 questionnaires.
RESULT
Mean hospitalized day of premature infants was 27.9 days. The mean total feeding period was 19.1 days and continuous breast feeding period 12.4days. They were interested in breast feeding education-they answered that they would join the breast feeding education if they were given the chance 87.8%. There was significant relation between babies fed only breast milk and the body weight of birth(p < .05). The reasons why mother gave the baby her breast milk include 'for her baby's health' and 'people said breast milk is good for babies' with a portion of 99%. The main reason why mothers could not execute breast feeding was 'the deficit of breast milk volume' 50.0% and other reason were 'because of start to support more nutritions '18.2%, 'difficulty to carry out the breast milk to hospital'13.6%. The reasen why mothers could not try breast feeding at first were 'deficit of breast milk volume'37.0%, 'not to be prepared for breast feeding because of unexpected delivery'32.6%.
CONCLUSION
We need a program to inform importance and excellent of the breast feeding and a plan to increase the premature infants' breast feeding through the importation of fortifier.
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Current Status of Korean Premature Infant Care and its Prospective.
Yeong Hee Shin
Korean J Child Health Nurs 2003;9(1):96-106.
Advances in neonatal care system and research have resulted in an increased survival rate among low birth weight infants in the industrialized countries. Recent Korean neonatal mortality and morbidity statistics, and current status of Korean neonatal intensive care facilities were reviewed here for the sake of future improvement and research.Morbidity statistics revealed that perinatal diseases accounted for 80% of the death of premature infants implying the possibility of its reduction by the vigorous prenatal care service in future. On the basis of extensive studies of nutritional support and growth rate of premature infants, commercial formulas for premature infants have been developed and various aspects of feeding techniques are standardized. However, problem of growth deficit of premature infants remains unsolved as medical problem. NICU specialists are challenged with the tasks of prenatal education or provision of care that minimizes the neurodevelopmental problems seen in preterm infants, various short-term outcome researches have been reported and those are reviewed here to promote research interest in the field of neonatal nursing. Systemic long-term outcome studies are also awaited in Korea for the formulation of welfare policy in future. Nursing science has to embrace all these interdisciplinary studies as their own research field in collaboration with neonatologist, nutritionist, rehabilitation therapist, social workers and teachers.
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Assessment of Gestational Age using New Ballard Examination in Premature Infants.
Kun Ja Lee, Myung Hee Lee
Korean J Child Health Nurs 2002;8(4):391-399.
PURPOSE
Knowing the accurate gestational age(GA) is critical in nursing care of premature infants. A descriptive study was performed to examine the reliability and clinical applicability of the New Ballard examination(NBE) in premature infants.
METHOD
A NBE was performed to measure GA by assessing the neuromuscular and physical maturity in the course of physical examination of a convenient sample of 74 premature infants.
RESULT
1. The highest item of NBE score was posture (mean=2.82) and the lowest item was breast (mean=1.84). 2. There was a highly correlation between both the GA by LMP(GA-LMP) and GA by NBE (GA-NBE)(r=.844, p=.000). 3. There was a greater positive relationship in neuromuscular maturity than physical maturity in the GA-NBE of the premature infants(r=.786 vs r=.933). 4.There was a positive correlation between neuromuscular, physical, total maturity, GA-LMP and GA-NBE in the birth weight, length, 1 , 5 minute apgar score. 5.There was no significant difference neuromuscular, physical, total maturity in NBE by delivery history.
CONCLUSION
The study supports the reliability a clinical relevance of NBE in assessment of the accurate GA in premature infants.
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The article reports the process, contents and strategies in the development of community based-heath care management program for high-risk infants and family, which was based on literature review, empirical needs assessment from pilot study. The program was divided into two emphasis areas: (1) identification and home visiting nursing care program, and (2) the construction of self-supporting group. The contents of home visiting nursing care were developed from the pilot study of the direct home visiting to premature infants after discharge. The documentation form for home care was standardized, including the demographic data, birth history, home care services, education and counsels, and visiting schedules. The integrated education protocol was elaborated to enhance the body of knowledge as well as clinical competency in caring high-risk infants and family by the supports of neonatologists, nursing scholar, and clinical specialists. In addition, the process and strategies in developing self-supporting group, consisting the high-risk infants and family, and any significant others were addressed. Emphases were given to the role of public health center and the recycling health care referral system to maximize the growth and development of high-risk infants on the community-base, which in turn, contributing to decrease the postneonatal mortality rate.
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Health Problems and Health Services Utilization of Infants Born Prematurely in the U.S..
Hyejung Lee, White-Traut Rosemary, Chang Gi Park
J Korean Acad Child Health Nurs 2008;14(2):146-154.
PURPOSE
S: The purposes of this study are to describe the health problems experienced by VLBW premature infants and their health care services utilization during the first year of life METHOD: Eighteen mothers of VLBW premature infants completed a survey questionnaire, asking socioeconomic/demographic information, health/ developmental problems experienced by their infants, and their use of health care services.
RESULTS
Of the 18 infants, 78% experienced respiratory problems such as cold/running nose and wheezing during the first year and 33% experienced gastrointestinal problems such as vomiting, diarrhea and constipation. Twelve (67%) infants visited the emergency department at least one time and 10 infants (56%) were hospitalized at least once during their first year of age. Interestingly, infants without chronic lung disease visited the emergency department more than infants without chronic lung disease (p=.213). Infants living in non-disadvantaged neighborhoods were hospitalized more than infants living in disadvantaged neighborhoods (p=.000).
CONCLUSIONS
Health care providers should initiate educating mothers, particularly those living in disadvantaged neighborhoods, about post-NICU discharge health care needs of their VLBW premature infants while their infants were still in the NICU so that unnecessary visits to the emergency department and rehospitalizations can be possibly prevented.
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The Effect of Kangaroo Care on Weight and Stress Hormone(Cortisol) in Premature Infants.
Meyoung Jang
J Korean Acad Child Health Nurs 2008;14(2):138-145.
PURPOSE
This study, using a pre-posttest design of non-equivalence comparative groups, was done to determine effects of KC (kangaroo care) on weight and SH (stress hormone) of premature infants.
METHOD
Participants were 31 premature infants assigned to KC(14) or CG(control group)(17). Data were collected from June 2006 to February 2007. KC was given for 60 minutes at a time, Mon, Wed, and Fri for a 10 times. Body weight was measured at a fixed time daily and serum cortisol was examined as part of routine blood testing, frequent for premature infants.
RESULTS
The weight for infants in the KC group was higher than the control. The difference was significant between both the two groups, and the 2 measurement times(F=12.7, p=.001). SH(cortisol) in infantsof KC group decreased than CG, but there was no valid difference from the statistical viewpoint.
CONCLUSION
The result of the study suggest that KC contributes to weight increase in premature infants and also that KC is effective for SH reduction in spite of the lack of statistical validity. Therefore, our conclusion is that KC can be used as an independent nursing intervention for development and advance of premature infants.
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PURPOSE
The purpose of this study was to evaluate and compared the growth and development of premature and full-term infants during the 2 years after birth.
METHOD
The participants were 102 infants, 51 each for premature infants, and for healthy full-term infants. Participants in the premature group accounted for 17.5% of all premature infants who were registered at the public health center in G city. Developmental status was evaluated using the Korean Denver II.
RESULTS
The catch-up growth of the premature was 100% in weight and in height. Suspicious developmental delay according to the Korean Denver II was 3.9% in normal infants and 31.2% in premature infants. Factors related to the suspicious developmental delay in premature infants were their age and health state at birth. The rate of suspicious developmental delay was higher in infants over 6 months and infants unhealthy at birth.
CONCLUSION
A premature follow-up program, which includes nutrition education to achieve catch-up growth and to prevention obesity, along with continuous developmental screening test for infants and children born prematurely is recommended. Provision for home visits and telephone counseling for premature infants and their families who do not to use the public health center should also be included.
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PURPOSE
The purpose of this study was to examine the effect of a discharge education program on maternal role confidence and parenting stress of mothers who delivered premature infants. The program provided them with information on childrearing and supportive educational nursing care.
METHOD
This study was based on pretest- posttest nonequivalent nonsynchronized quasi-experimental design. The participants in this study were 30 mothers who delivered premature infants at a general hospital in G city. The instruments used in this study were Maternity Confidence Inventory, Parenting Stress Index(PSI).
RESULTS
The first hypothesis that the mothers in the experimental group would undergo changes in maternal role confidence after the intervention was accepted, as there was a statistically significant gap between the two groups(F=9.386, P=.000). The second hypothesis that mothers in the experimental group would undergo change in parenting stress after the intervention was accepted, as there was a statistically significant gap between the two groups(F=4.425, P=.380). CONCLUSION: The findings suggest that the Discharge Education Program was an efficient intervention method to boost the maternal confidence of mothers with premature infants and to decrease their parenting stress.
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Effects of Yakson Therapy on Maternal Attachment and Attachment Behavior in Mother of Preterm Infants.
Hye Sang Im, Eun Sook Park
J Korean Acad Child Health Nurs 2006;12(2):204-214.
PURPOSE
The purpose of this study was to identify the effects of Yakson therapy conducted by the mother of preterm infants on maternal attachment and attachment behavior.
METHOD
A quasi experimental pre-post test design was used. The data were collected from January, to October, 2005. The participants were 30 mothers of preterm infants hospitalized in a neonatal intensive care unit (15 in the Yakson therapy group and 15 in control group). Yakson therapy consisted of three phases: laying on hands, caressing by a hand, and laying on hands again. Each phase took 5 minutes. Yakson therapy was provided to infants in the experimental group for 15-minutes 5 times a day for 15 days. Data were analyzed using the SAS program with Chi square-test, repeated measures ANOVA, and Fisher's exact test.
RESULTS
Compared to the control group, the experimental group had significantly higher scores in maternal attachment (F=5.54, p=.0258). The attachment behavior of the experimental group was also higher than that of the control group.
CONCLUSION
The results suggest that Yakson therapy can be used to improve maternal attachment and attachment behavior.
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