Experiences of Sanhujori Facility Use among the First Time Mothers by the Focus Group Interview

PURPOSE: The purpose of this study was to examine the experiences of Sanhujori facility use among the first time mothers in Korea. METHODS: A qualitative study was conducted, using focus group interview. Data were collected from the 24 first time mothers of 4 focus groups, who had given birth within 6 month and had used one of the Sanhujori facilities located in C province, Korea. After obtaining written informed consent from all participants, each session of the focus group was audio-taped and transcribed into verbatim. Data were analyzed using content analysis in order to identify significant themes. RESULTS: Four major themes that emerged from the data were as follows. 1) Promoting postpartum physical recovery through a enough time with only focusing on herself, 2) Promoting postpartum psychological recovery through emotional and informational support with peer mothers, 3) Experiencing breast feeding difficulties and disappointing with unsatisfied help from health professionals, and 4) Lack of the professional education programs regarding parenting. CONCLUSION: Based on these results, it will be suggested that the various support programs by not only the peer mothers co-resided in Sanhujori facilities but also the health care professionals in the Sanhujori facilities should be developed for helping a "becoming a mother" of the first time mother in the Sanhujori facilities. In addition, qualified education and counseling program, especially for the successful breast feeding, should be provided by the health care professionals for improving mothering ability of the first time mother in the Sanhujori facilities.

The Changing Pattern of Physical and Psychological Health, and Maternal Adjustment Between Primiparas Who Used and Those Who did Not Use Sanhujori Facilities

PURPOSE: The purpose of this study was to compare levels of postpartum fatigue, depression, childcare stress, and maternal identity according to postpartum period between primiparas who used Sanhujori facilities and those who did not. METHODS: The research design was a longitudinal descriptive study using self-report questionnaires. Participants were 55 healthy primiparas who delivered at one of 3 hospitals in Chungnam, 21 using Sanhujori facilities and 34 not using these facilities during the first three weeks after childbirth. Data were collected from October 2008 to April 2009 at three measurement points, 2-4 days after childbirth (T1), 4-6 weeks (T2), and 12-14 weeks (T3). Data were analyzed using the SPSS 17.0 WIN program. RESULTS: There was a significant difference in childcare stress between the two groups at 4-6 weeks after childbirth. Postpartum depression and childcare stress at 4-6 weeks were significantly higher than those of the other postpartum periods, while maternal identity was significantly lower. CONCLUSION: Child care stress is the most important issue among women who use Sanhujori facilities and the 4-6 week period after childbirth is very difficult to primiparas. These results indicate that nursing interventions for primiparas in Sanhujori facilities should focus on reducing childcare stress. Furthermore proper follow-up programs at 4-6 weeks are needed to decrease the difficulties in adjustment by new mothers.

Clincal Trial of Percutaneous Central Vein Catherization Via Great Saphenous Vein

PURPOSE: We performed a comparative study on clinical impacts in the neonatas in the neonatal intensive care unit (NICU), who received vascular access through percutaneous central venous catheterization (PCVC), between one group via vessels of upper extremity, and the other group via the great saphenous vein. METHODS: We evaluated a total of 158 PCVC cases performed in the NICU of Soonchunhyang Chunan Hospital over 1 year 8 months from January, 1997 to September, 1998. The 134 cases of PCVC were performed via veins located on upper extremity and 34 cases of this procedures were performed via veins located on the great saphenous vein. We have compared success rates, clinical characteristics, indwelling time, causes of removal of the catheters, and associated complication between both upper extremity group and the great saphenous vein group retrospectively. RESULTS: There were no significant differences in the mean gestational age, birth weight, weight at the time of insertion between two groups. There were no significant differences in indwelling time between two groups, 20.0+/-12.8 days in upper extremity group, and 13.1+/-4.4 days in great saphenous vein group respectively (P<0.1). The overall success rate of insertions was 94.9% (150/158), the success rate of upper extremity group was 96.3% (129/134) and great saphenous vein group was 87.5% (21/24) and there were no significant differences. The most common site of tip of catheter was right atrium in both groups, that was confirmed by radiologic evaluation after venous access. The common cause of removal of the catheter was elective in both groups. Another secondary common cause of removal was mechanical complication, the rate of which was 17.1% in upper extremity group, 33.3% in great saphenous vein group. CONCLUSION: We found that there were no significant differences on success rate of insertion of central venous catheter between two groups and the rate of removal of catheter from mechanical complication caused by obstruction of it were higher in great saphenous vein group, than upper extremity group in comparison. Accordingly, further study should be performed about handling and management of central venous catheter after catherization via great saphenous vein.

The Success Rate and Complication Rate of Percutaneous Central VenousCatheterization Performed by well Trained Nurses

PURPOSE: We report clinical charateristics of percutaneous central venous catheteriza- tion(PCVC) that is performed commonly as a vascular access procedure in the neonatal intensive care unit(NICU) including comparision between the success rate and com- plication rate of groups performed by a doctor and by nurses who were accustomed to the IV procedure. METHODS: We evaluated a total of 158 PCVC cases performed in the NICU of Soonchunhyang Chunan hospital over 2 years 5 rnonths from May, 1995 to September, 1997. The 24 cases of PCVC were performed by doctors and 134 cases of this proce- dures were performed by well trained nurses. We have compared success rates, clinical characteristics, insertion sites, indwelling time, causes of removal of the catheters, and associated complication of both doctor performed group (D) and nurse performed group (N) retrospectively. RESULTS: The mean gestational age, birth weight, weight at the time of insertion were significantly lower in the doctor performed group than in the nurse group(P<0.001). There were significant differences in postnatal age and mean duration per catheter in both groups. The overall success rate of insertions was 89.9%(142/158), the success rate of doctor performed group was 54.2%(13/24) and nurse group was 96.3%(129/134) and there was significant difference(P<0.001). In the doctor performed group, 100% were axillary however in the nurse group 43.4% were axillary, 38.8% were antecubital, 9.4% were temporal, and 5.4% were hand. The most common cause of the removal of the catheter was elective in both groups but there was also substantial spontaneous removal by the patients and mechanical complication. Cultures of catheter tips were done after removal in 110 cases, among then were positive in 36 cases(33.6%), the most common causes were Staphylococcus aureus and Candida albicans. CONCLUSION: In this report, the authors emphasize that percutanous central venous catheterization performed by well trained nurses has a higher success rates than the doctor performed group and can be considered safe. We would also like to emphasize that more attention should be paid to the maintanace of PCVC.