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우리나라 一部.都市?農村?鑛村의 姙娠婦 營養에 관한 實態調査

우리나라 一部.都市?農村?鑛村의 姙娠婦 營養에 관한 實態調査
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A study on the nutritional status of pregnant women in Korean urban, rural and mine areas
Issue Date
대학원 건강교육과
梨花女子大學敎 大學院
Even though the nutrition during pregnancy has important relations with the health of the mother and the embryo, the sufficient nutrition has not been supplied because of lack of understanding. These malnutrition and unbalance are likely to cause anemia and pregnancy-toxication. Therefore in this study, the eating habits, state of nutrition, mental and physical condition, amounts of hemoglobin of the pregnant women of this country were examined by regional parts to make useful materials to recognize the real situations between regions, to suggest better way of eating habits and to introduce instructive nutrition. This study used enquete system and inquiry regions are two obstetrician and gynecologist hospitals arbitrarily extracted in Seoul, 2 rural communities and 1 mine area. The results of the study are as follows: 1) Of all regions, the age group of 25-29 ages has the most pregnant women. Primary-school graduates and below, are 25.0% and 28.0% in rural community and mine area respectively and college graduates and above are 45.0% in urban area. 2) The 44.8% of the pregnant women in urban area have occupations and 96.9% and 92.0% of the pregnant women in rural and mine area keep house. The amount of income, 92.0% of the urban pregnant women earn more than 300,000won per month and 80.0% of the mine area and 9.4% of the rural area pregnant women make more than 300,000 won per month. 3) Of all regions, 60.0%-68.7% of the pregnant women have their meals regulary but 46.9% of the rural pregnant women have unbalanced diets. 34.4% of the rural pregnant women consider certain foods as taboo foods and 32.0%.of the mine area pregnant women eat saltiest. 4) 20.3% of the urban pregnant women consider the dog meat as taboo and 31.9% and 24.2% of the rural and mine community pregnant women respectively consider duck meat as taboo.5) 29.8% of the urban pregnant women drink milk with attention and 32.6% and 38.1% of the rural and mine community pregnant women eat fruits with attention. 6) 54.4% of the urban pregnant women take nutritive medicine and anemia-cure medicine. 7) Most pregnant women suffer dizziness after getting pregnant as physical syndrome. The biggest things most pregnant women worry are the health of the embryo to the rural area pregnant women and the delivery to the mine area pregnant women. 8) The calorie and amounts of main necessary nutritive constituents which the pregnant women eat are getting more and more as the pregnant months increase. But the actual amounts they eat do not reach the recommendatory amounts in all regions by 72.6%-85.4% in energy, 72.6%-98.9% in protein and 36.5%-85.9% in calcium. 9) The average amounts of hemoglobin of the pregnant women are 11.3gm/d1 in rural and 10.4gm/d1 in mine area. In the suggested standard of anemia by the pregnant months the deficient group and the low group, in all regions, are belonged to the bound of 22.2%-44.4% in first trimester, 33.3%-45.5% in second and 20.3%-37.8% in third.;임신시의 영양은 모체 및 태아의 건강에 중요한 관계가 있음에도 인식, 식품부족,면곤 등으로 충분한 영양을 공급시켜 주지 못하고 있바. 이러한 영양의 불량 및 불균형은 임신시의 貧血이나 狂振中毒症을유발시킨다고 볼 수 있다. 따라서 본 연구는 우리나라 지역에 따른 임신부들의 식생활 태도, 영양섭취 상태, 정신 신체적상태, 혈색소치등을 조사하여 지역간에 실태를 파악하고 아울러 식생활 게선 방향을 摸索하여 영양지도를 개선하는데 조금이나마 유익한 자료가 되도록 시도하였다. 본 연구의 조사방범은 설문지 방법을 사용하였고 조사지역은 임의로 추출된 서울 시내의 2개 산부인과와 농촌 2지역, 광촌 1지역을 설정하여 조사·실시하였다. 그의 조사결과는 다음과 같다. 1) 규칙적인 식사는 세지역에서 60.0% ~68.7%의 범위에서 규칙적인 식사를 하였고, 편식을 하는 경우에는 농촌에서 46.9%로 가장 높았다. 금기식품을 가지는 경우는 농촌에서 34.4%로 높았고, 특별음식을 유의해서 섭취하는 경우는 광촌에서 32%로 가장 높았으며, 식염섭취는 더 짜게 먹는 경우가 광촌이 32.0 %로 가장 높았다. 2) 임신후에 나타난 신체증상의 종류를 보면 세 지역간에 어지럼증이 가장 높았다. 임신후 정신적 불안의 원인은 도시, 농촌 임신부에서는 胎兒의 健康에서 가장 높았고, 광촌 임신부에게는 분만에서 가장 높았다. 3) 임신부 영양섭취량과 권장량을 비교해보면 세지역 모두 에너지가 72.6%~85.4% 범위로 미달되고 단백질은 72.6%~98.9%로 미달되고 있으며 Ca은 36.5%~85.9%로 미달된 상태이다. 4) 임신부의 혈색소치를 보면 평균은 도시 11.3gm/dl, 농촌 11.1gm/dl 광촌 10.4gm/dl 이었고, 임신개월수에 따른 빈혈판정 기준치에 의한Deficient군과 Low군에 든 임신부는 세 지역이 1~3개월에서는 22.2~ 40.0%의 범위에 4~6개월에서는 33.3% ~ 45.5%의 범위에 7~10개월에서는 20.3% ~ 37.8%의 범위에 속하였다.
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