결론

서 간호교육 프로그램의 개발과 적응을 위한 근거자료를 구축할 필요가 있다고 본다.

이상의 연구결과를 바탕으로 구체적으로 다음과 같이 제언하고자 한다.

첫째, 애니메이션을 이용한 이른둥이 전문가 지지중재 프로그램의 적용 효과와 지속성을 객관화하기 위한 반복연구를 할 것을 제언한다.

둘째, 본 연구는 일개 대학병원에서 미숙아의 어머니를 대상으로 하여 결과를 일반화시키는 데 제한점이 있으므로 연구결과의 일반화를 위해 다양한 지역에서 보다 많은 대상자를 상대로 연구를 진행할 것을 제언한다.

셋째, 미숙아 어머니를 위하여 애니메이션을 이용한 이른둥이 전문가 지지중재 프로그램을 실무에 활용하고, 더 나아가 미숙아의 어머니뿐만 아니라 신생아중환자실에 입원한 만삭아 어머니를 대상으로 애니메이션을 이용 한 전문가 지지중재 프로그램을 적용할 것을 제언한다.

참고문헌

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부록

A. 연구대상자 설명문 및 동의서

B. 설문지

C. 이른둥이 입원교육 안내문

ABSTRACT

-The Effects of a Animation-Based Support Program by Nurses on the State Anxiety, Stress, and Maternal

Identity among Mothers of Preterm Infants

Jung Im Kim

Department of Nursing Science The Graduate School, Ajou University

(Supervised by Professor Ju Eun Song, RN., Ph.D.)

This research is a quasi-experimental study with a non-equivalent control-group non-synchronized pretest–posttest design aimed at investigating the effects of a support program by nurse professionals using animation on state anxiety, stress, and maternal identity in the mothers of premature infants admitted to the neonatal intensive care units. The subjects of this study involved 30 mothers of premature infants who were born at less than 32 weeks of gestation and were admitted to the Neonatal Intensive Care Unit of S University Hospital located in S City, Gyeonggi-do, South Korea. The study period was from June 19, 2017, to April 6, 2018.

State anxiety was measured using a tool based on the Spielberger State-Trait Anxiety Inventory (1972) and was translated into Korean by Kim and Shin (1978). Stress was measured using a Korean version of the

Parental Stressor Scale for Neonatal Intensive Care Unit (NICU), which was originally developed by Miles, Funk, and Carlson (1993) and was translated into Korean by Han (2012). Maternal identity was measured using a Korean version of the Semantic Differential Scale developed by Osgood et al. (1957), further developed into the SD Self: Myself as Mother for maternal identity by Walker (1977), and translated into Korean by Ko (1996).

Using SPSS WIN statistics software, data were analyzed by the following: descriptive statistics, χ²-test, independent sample t-test and Repeated Measure ANOVA. As post-hoc analysis, paired t-test with the Bonferroni correction was performed to identify the differences among three measurement points.

The results of this study are as follows:

1. A statistically significant difference in state anxiety was found between the experimental and control groups (F=3.988, p=.032), thus supporting hypothesis 1 that “there will be a difference in state anxiety between the experimental group receiving the support program by nurse professionals using animation and the control group not receiving the intervention program.”

2. No statistically significant difference in stress change pattern was found between the experimental and control groups (F=0.485, p=.577), thus rejecting hypothesis 2 that “there will be a difference in stress change pattern between the experimental group and the control group.”

3. No statistically significant difference in maternal identity change pattern was found between the experimental and control groups (F=0.712, p=.477), thus rejecting hypothesis 3 that “there will be a difference in maternal identity change pattern between the experimental group and the control group.” However, there was a significant difference in maternal

identity score over time (F=4.804, p=.019). When difference in maternal identify according to measurement time was further analyzed, the results showed that maternal identity increased at the follow-up point (2 weeks after childbirth) compared to the post-experiment measurement (3 days after childbirth), and the maternal identity score at that follow-up point was significantly higher than at other times.

The results of this study showed that the support program by nurse professionals using animation effectively reduced anxiety in the mothers of premature infants. Therefore, it is thought to be important to provide education and counselling for mothers of premature infants admitted to neonatal intensive care units that help them to recognize the neonatal intensive care unit environment and the conditions of their premature infant effectively. It is strongly suggested to apply and utilize the support program by nurse professionals in the clinical setting to reduce anxiety of mothers having premature infants, and further studies are also needed to investigate the effects of the intervention program on stress and maternal identity in the future.

Key words: Maternal Identity, Mothers of Preterm Infants, State Anxiety, Stress, Expert Support Intervention