Eun K Y
Dept. of Nursing, College of Medicine, Hanyang University.
Taehan Kanho. 1997 Nov-Dec;36(5):74-90.
This descriptive study sought to define the relationship between women's health status and the experience of Sanhujori. Korean traditional non-professional postpartal care after delivery and abortion. A convenience sample of 308 women in 7 provinces in Korea including Seoul were studied from December, 1994 to December, 1996 for two years. Mean age of respondents was 50.5 years and mean number of children was 3. The rate of abortion was 91.5% and mean frequency was 2.2 times per woman. 82% of respondents did not have Sanhujori after abortion. The period and subjective evaluation of experience of Sanhujori after delivery were decreased according to the increment of the number of childbirth. The health status implies both subjective health status women perceived and physical symptom distress women are experiencing presently. The respondents expressed the physical symptom distress as painful one. 56.7% of respondents perceived unhealthy, such as sick and 99.6% complained more than one symptom. The factors related to health status were the first and third experience of Sanhujori after delivery, such as the period and subjective evaluation whether she did Sanhujori well or not; whether or not of Sanhujori after abortion and menopause; the number of child; and age, at the level of 1% or 5% of significance statistically. The factors related to the rate of physical symptom distress were only two: the first experience of Sanhujori after delivery, especially the subjective evaluation and whether women did Sanhujori after abortion or not, at the level of 1% or 5% of significance statistically. In conclusion, this finding reconfirmed the possible relationship between women's health status and the experience of Sanhujori after delivery & abortion. It provides a challenge to the professional care givers to research further on the effects of Sanhujori on the health status, health recovery after abortion or delivery from the various aspects through the cross-sectional and longitudinal research for the refinement of the reality of Sanhujori not only as cultural phenomenon but as conceptual model for the appropriateness of intervention and qualty of care for desirable health outcomes. Besides, it is indispensable to refine and reestablish postpartal caring system by finding universal law through international & cross-cultural research on postpartal traditional care for women's life long health toward the 21C.
这项描述性研究旨在界定韩国传统非专业产后及流产后护理“三胡卓里”与女性健康状况之间的关系。1994年12月至1996年12月,对包括首尔在内的韩国7个省份的308名女性进行了为期两年的便利抽样研究。受访者的平均年龄为50.5岁,平均子女数为3个。流产率为91.5%,平均每位女性流产2.2次。82%的受访者流产后没有接受“三胡卓里”护理。产后接受“三胡卓里”护理的时长和主观评价会随着分娩次数的增加而减少。健康状况既包括女性感知到的主观健康状况,也包括她们目前正在经历的身体症状困扰。受访者表示身体症状困扰很痛苦。56.7%的受访者认为自己不健康,比如生病,99.6%的人抱怨有不止一种症状。与健康状况相关的因素包括产后首次和第三次接受“三胡卓里”护理的情况,比如护理时长以及她是否认为护理得好的主观评价;流产和绝经后是否接受“三胡卓里”护理;子女数量;以及年龄,在统计学上具有1%或5%的显著性水平。与身体症状困扰发生率相关的因素只有两个:产后首次接受“三胡卓里”护理的情况,尤其是主观评价,以及女性流产后是否接受“三胡卓里”护理,在统计学上具有1%或5%的显著性水平。总之,这一发现再次证实了女性健康状况与产后及流产后“三胡卓里”护理经历之间可能存在的关系。这对专业护理人员提出了挑战,要求他们通过横断面研究和纵向研究,从各个方面进一步探究“三胡卓里”护理对健康状况、流产或分娩后健康恢复的影响,以便不仅将“三胡卓里”作为一种文化现象,而且作为一种概念模型来完善其实际情况,以实现理想的健康结果,提高干预的适宜性和护理质量。此外,通过对产后传统女性护理进行国际和跨文化研究,找到普遍规律,完善和重建产后护理体系,对21世纪女性的终身健康至关重要。