Korean Journal of Women Health Nursing最新文献

{"title":"Associated factors of depression in pregnant women in Korea based on the 2019 Korean Community Health Survey: a cross-sectional study.","authors":"Eun Gyeong Kim, Sook Kyoung Park, Ju-Hee Nho","doi":"10.4069/kjwhn.2022.02.03.1","DOIUrl":"10.4069/kjwhn.2022.02.03.1","url":null,"abstract":"<p><strong>Purpose: </strong>Various individual and social factors influence depression in pregnant women. The purpose of this study was to identify the influence of socioeconomic status, health behaviors, and health status on depression of pregnant women in Korea.</p><p><strong>Methods: </strong>This study analyzed data from the 2019 Korean Community Health Survey conducted from August to October 2019. A structural questionnaire with Patient Health Quetsionnaire-9 (PHQ-9), health behavior, health status, and psychological characteristics was used. The data of 1,096 pregnant women between the ages of 19 and 55 years were analyzed using descriptive statistics, independent-test and chi-square tests, and multiple regression.</p><p><strong>Results: </strong>The mean score of prenatal depression as measured by the PHQ-9 during pregnancy was 2.35 points out of 0 to 27 points. Low income (B=0.69, <i>p</i><.001), low-education level (B=0.70, <i>p</i><.001), skipping breakfast (B=0.34, <i>p</i>=.001), less than 8 hours of sleeping (B=0.26, <i>p</i>=.009), binge drinking during pregnancy (B=0.46, <i>p</i>=.001), and stress (B=1.89, <i>p</i><.001) were significantly associated with increased depression scores. In contrast, depression scores significantly decreased as subjective health status (B=-0.59, <i>p</i><.001) and subjective oral health status (B=-.17, <i>p</i>=.003) increased.</p><p><strong>Conclusion: </strong>Findings support the need for healthcare policies and clinical screening to alleviate prenatal depression, especially for pregnant women with low socioeconomic status, poor health behavior, poor health status, and high stress.</p>","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"28 1","pages":"38-45"},"PeriodicalIF":1.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9334204/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40457615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of childbirth educators in the context of the COVID-19 pandemic.","authors":"Hyun Kyoung Kim","doi":"10.4069/kjwhn.2022.02.25","DOIUrl":"https://doi.org/10.4069/kjwhn.2022.02.25","url":null,"abstract":"1 http://kjwhn.org Childbirth education helps to deliver information regarding health care to pregnant women and their families during the antenatal and postnatal periods. Culturally, Korea has a unique type of childbirth education, termed taegyo, which helps in maternal health care and stimulates the cognitive development of the fetus in the womb [1]. In modern society, this tradition continues to be taught in prenatal classes for pregnant women and their families, mainly at hospitals and public health care centers. Prenatal classes play a role in encouraging maternal physical, psychological, and social health through self-care during pregnancy. These classes deliver information on a wide-ranging and deep understanding of the birth process and readiness for the maternal role, and they play a valuable role as a mode for evidence-based nursing care to be shared with pregnant women. In addition to learning about diet, nutrition, vaccination, exercise, rest, activity, the birth process, pain control during labor, breastfeeding, and practical approaches to daily activities, pregnant women gain emotional benefits through communication between educators and pregnant women. Childbirth education enhances parental attachment, motherhood, confidence, and childbearing efficacy, and it relieves psychological distress and the postpartum blues [2]. Although birth education is important for pregnant women, the coronavirus disease 2019 (COVID-19) pandemic changed the social atmosphere and culture, especially in the field of health-related education [3]. Face-to-face education was curtailed in Korea because of social distancing and quarantine. Birth education has also been limited in order to avoid personal contact in the past 2 years since COVID-19. Pregnant women have lost educational opportunities to obtain knowledge, have appropriate attitudes reinforced, and develop the necessary skills for healthy pregnancy and birth because many birth classes have been shut down. Even when a birth class is open, only a limited number of pregnant women can participate in on-site education because of governmental quarantine rules. The strengthened social distancing regulations to prevent the spread of COVID-19 permit private gatherings of only up to four people nationwide in Korea [4]. Gradually, midwives, nursing educators, and medical staff have tried to provide remote birth education. However, this leads to an important question: can remote birth education be an acceptable substitute for face-to-face birth classes? Some insights into this question are offered by recent studies, such as a systematic review and meta-analysis of nine randomized controlled articles on internet-based prenatal education interventions, which found interventions delivered via online reduced maternal depression [5]. Internet-based education is defined as the delivery of organized educational content between educators and learners using computer networks, and it is characterized by interactive Edit","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"28 1","pages":"1-3"},"PeriodicalIF":0.6,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9334212/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40457616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum: Factors influencing prenatal and postpartum depression in Korea: a prospective cohort study.","authors":"Hyeji Yoo, Sukhee Ahn, Seyeon Park, Jisoon Kim, Jiwon Oh, Minseon Koh","doi":"10.4069/kjwhn.2021.11.17.e1","DOIUrl":"10.4069/kjwhn.2021.11.17.e1","url":null,"abstract":"<p><p>[This corrects the article on p. 326 in vol. 27.].</p>","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"28 1","pages":"74-75"},"PeriodicalIF":1.2,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9334209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40458043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Korean healthcare providers' attitude, knowledge, and behaviors regarding sexual orientation and gender identity: a cross-sectional survey.","authors":"YunHui An, ChaeWeon Chung","doi":"10.4069/kjwhn.2022.03.11","DOIUrl":"10.4069/kjwhn.2022.03.11","url":null,"abstract":"<p><strong>Purpose: </strong>This study investigated Korean healthcare providers' attitudes toward sexual and gender minority (SGM) persons and their knowledge and behavior concerning the collection of data on sexual orientation and gender identity (SO/GI).</p><p><strong>Methods: </strong>In this cross-sectional, descriptive study, 137 Korean healthcare providers were recruited through convenience sampling from internet communities for medical professionals. A structured questionnaire was created using Google Surveys. The Mann-Whitney U-test, Kruskal-Wallis test, and Spearman correlation analysis were performed.</p><p><strong>Results: </strong>The sample was mostly women (80.3%) and nurses (83.9%), who overall negative attitudes toward SGM persons and low levels of knowledge and behavior with regard to the collection of patients' SO/GI data. Participants in their 20s, who were religious, and had clinical experiences in treating or providing nursing care for SGM persons had higher levels of knowledge about the collection of SO/GI data. The level of engagement in collecting SO/GI data was higher among women and in their 20s and 30s, unreligious participants, nurses, and those with less than 10 years of clinical experience. Positive attitudes toward SGM persons were associated with higher levels of knowledge, but lower levels of behavior, regarding the collection of SO/GI data.</p><p><strong>Conclusion: </strong>It is important to recognize the diversity of patients' SO/GI and to collect the corresponding information. To this end, it is necessary to develop and use a standardized SO/GI form. Healthcare providers should also receive education and training related to the health of SGM persons to resolve health problems that disproportionately affect SGM persons and related health disparities.</p>","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"28 1","pages":"65-73"},"PeriodicalIF":1.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9334205/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40457622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dis-eases of Korean nurses: a women's health perspective.","authors":"Moon Jeong Kim","doi":"10.4069/kjwhn.2021.12.07","DOIUrl":"https://doi.org/10.4069/kjwhn.2021.12.07","url":null,"abstract":"http://kjwhn.org 268 As families with happy mothers are happy, patients cared for by happy nurses will have higher hospitalization satisfaction. However, just as we neglect the health of mothers who are primary caregivers at home, we tend to neglect nurses’ wellbeing in hospitals. Women’s health refers to the overall experience of women and their ‘dis-ease’, a term that was proposed with a feminist lens as a direct contrast to ‘disease’ [1]. As most nurses are women, women’s health nurses need to pay particular attention to the dis-ease experienced by nurses. This editorial aims to illustrate the dis-ease, i.e., various sources of uncomfortableness experienced by nurses nurses in South Korea (hereafter Korea), its related factors, and suggest directions for improvement. Understanding nurses’ dis-ease will be the first step to improve the quality of life of nurses and may also help to encourage nurse retention and a stable supply of nursing personnel.","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"27 4","pages":"268-271"},"PeriodicalIF":0.6,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9328630/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40655831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effects of team-based learning on nursing students' learning performance with a focus on high-risk pregnancy in Korea: a quasi-experimental study.","authors":"Sunhee Lee, Hyun Jung Park","doi":"10.4069/kjwhn.2021.11.16","DOIUrl":"10.4069/kjwhn.2021.11.16","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to examine the effects of team-based learning (TBL) on nursing students' communication ability, problem-solving ability, self-directed learning, and nursing knowledge related to high-risk pregnancy nursing.</p><p><strong>Methods: </strong>This quasi-experimental study used a nonequivalent control group pretest-posttest design. The participants were 91 nursing students allocated to an experimental group (n=45) and a control group (n=46). The experimental group received TBL lectures three times over the course of 3 weeks (100 minutes weekly) and the control group received instructor-centered lectures three times over the course of 3 weeks (100 minutes weekly). Data were collected by questionnaires from September 10 to November 8, 2019. Data were analyzed using the chi-square test, paired t-test, and independent t-test.</p><p><strong>Results: </strong>After the intervention, the mean scores of problem-solving ability (t=-2.59, <i>p</i>=.011), self-directed learning (t=4.30, <i>p</i><.001), and nursing knowledge (t=3.18, <i>p</i>=.002) were significantly higher in the experimental group than in the control group. No significant difference in communication ability was found between the experimental and control group (t=1.38, <i>p</i>=.171).</p><p><strong>Conclusion: </strong>The TBL program was effective for improving nursing students' problem-solving ability, self-directed learning, and nursing knowledge. Thus, TBL can be considered an effective teaching and learning method that can improve the learning outcomes of high-risk pregnancy nursing in women's health nursing classes. The findings suggest that TBL will be helpful for future nursing students to develop the nursing expertise necessary for providing nursing care to high-risk pregnant women.</p>","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"27 4","pages":"388-397"},"PeriodicalIF":1.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9328643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40656775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors influencing prenatal and postpartum depression in Korea: a prospective cohort study.","authors":"Hyeji Yoo, Sukhee Ahn, Seyeon Park, Jisoon Kim, Jiwon Oh, Minseon Koh","doi":"10.4069/kjwhn.2021.11.17","DOIUrl":"10.4069/kjwhn.2021.11.17","url":null,"abstract":"<p><strong>Purpose: </strong>This study explored the prevalence of prenatal and postpartum depression in Korea and its influencing factors from 20 weeks of pregnancy to 12 weeks postpartum.</p><p><strong>Methods: </strong>Using a prospective cohort study design, data on women's depression and its influencing factors were collected at 20, 28, and 36 weeks of pregnancy and at 2, 6, and 12 weeks postpartum. The participants were 219 women and 181 spouses during pregnancy; and 183 mothers and 130 spouses after childbirth. Depressive symptoms were assessed by the Edinburgh Postnatal Depression Scale and influencing factors were measured by the Postpartum Depression Predictors Inventory-Revised, parity, and spousal depression.</p><p><strong>Results: </strong>The prevalence of maternal depression was 10.5% to 21.5% before birth, and it was 22.4% to 32.8% postpartum. The prevalence slightly decreased during the prenatal period but peaked at 2 weeks postpartum. Antenatal depression was influenced by low socioeconomic status, lower self-esteem, having experienced prenatal depression, having experienced prenatal anxiety, a previous history of depression, lower social support, lower marital satisfaction, and higher life stress. The factors influencing postpartum depression were lower self-esteem, having experienced prenatal depression, having experienced prenatal anxiety, lower social support, lower marital satisfaction, and higher life stress, as well as infant temperament and maternal blues. Parity and spousal depression had no impacts.</p><p><strong>Conclusion: </strong>The prevalence and influencing factors of maternal depression changed over time. Nurses need to screen women accordingly during the perinatal period and should provide education or counseling to prevent depression and promote adjustment to parenthood.</p>","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"27 4","pages":"326-336"},"PeriodicalIF":1.2,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9328632/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40655835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between breastfeeding and breast, thyroid, and cervical cancer among Korean adult women based on the Korean Genome and Epidemiology Study: a cohort study.","authors":"Eunju Jin,&nbsp;Hyunju Kang,&nbsp;Mia Son","doi":"10.4069/kjwhn.2021.11.29","DOIUrl":"https://doi.org/10.4069/kjwhn.2021.11.29","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to explore the association between breastfeeding and the prevalence of breast, thyroid, and cervical cancer among Korean adult women.</p><p><strong>Methods: </strong>The study was a secondary analysis of data from the Korea Genome and Epidemiology Study. The final samples were 113,944 Korean women among 173,205 urban-based cohort participants collected between 2004 and 2013 for adults aged forty and over. To determine the association between female cancers and breastfeeding experience, the number of childbirth, and total breastfeeding duration, logistic regression analysis was done. The demographic characteristics, health behavior, and female history were adjusted.</p><p><strong>Results: </strong>The prevalence of breast cancer was 1.37 times higher in the non-breastfeeding group than in the breastfeeding group. Compared to having breastfed for more than 36 months, the prevalence of thyroid cancer was 1.68 times higher at breastfeeding for 13 to 36 months, 1.67 times higher at breastfeeding for 6 to 12 months, and 2.06 times higher at breastfeeding less than 6 months. Also, the prevalence of cervical cancer was 1.54 times higher at breastfeeding for 13 to 36 months, compared to breastfeeding for more than 36 months.</p><p><strong>Conclusion: </strong>This study found that breastfeeding experience and a longer breastfeeding duration are associated with reduced risk of breast, thyroid, and cervical cancer in Korean women. It can be used as a basis for encouraging breastfeeding, and suggests further research on modifiable factors that reduce cancer risks.</p>","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"27 4","pages":"368-378"},"PeriodicalIF":0.6,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9328631/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40655837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The evolvement of sexual and reproductive health policies in Korea.","authors":"Ju-Hee Nho","doi":"10.4069/kjwhn.2021.11.30.1","DOIUrl":"10.4069/kjwhn.2021.11.30.1","url":null,"abstract":"","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"27 4","pages":"272-274"},"PeriodicalIF":1.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9328641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40656776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Abdominal skin subcutaneous fat thickness over the gestational period in Korean pregnant women: a descriptive observational study.","authors":"Moon Sook Hwang","doi":"10.4069/kjwhn.2021.12.12","DOIUrl":"https://doi.org/10.4069/kjwhn.2021.12.12","url":null,"abstract":"<p><strong>Purpose: </strong>Although insulin is usually injected into the abdominal subcutaneous fat, in pregnancy women tend to avoid abdominal injections due to concern about fetal damage. Prior studies have been limited to only measuring skin-subcutaneous fat thickness (S-ScFT) at one site at specific pregnancy points. This study aimed to measure S-ScFT across several abdominal sites and over the gestational period in Korean pregnant women. This can identify which site would be relatively safe for subcutaneous injection during pregnancy.</p><p><strong>Methods: </strong>Healthy women over 24 weeks of pregnancy in Korea were invited to voluntarily participate in this descriptive study. For the 142 women, S-ScFT of 12 sites in the abdomen were measured by ultrasound, several times over the pregnancy. Each incidence was treated as a case and a total of 262 cases were analyzed.</p><p><strong>Results: </strong>The mean S-ScFT during pregnancy was 1.14±0.47 cm (1.25±0.54 cm at 24⁺⁰-27⁺⁶ weeks; 1.17±0.48 cm at 28⁺⁰-31⁺⁶ weeks; 1.09⁺⁰.40 cm at 32⁺⁰-35⁺⁶ weeks; and 1.06±0.47 cm at 36⁺⁰-40 weeks of pregnancy). Most S-ScFT were thicker than 10 mm. But S-ScFTs in the lateral abdomen and some sites were suboptimal (<6 mm), especially in the pre-pregnancy underweight body mass index group, who had a high rate of suboptimal thickness (27.1% overall and 33.9% in the lateral side).</p><p><strong>Conclusion: </strong>The whole abdomen seems to be appropriate for subcutaneous injection in most Korean women during pregnancy, with a 4 to 5-mm short needle. However, for the lateral abdomen, making the skin fold might be needed for fetal safety.</p>","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"27 4","pages":"318-325"},"PeriodicalIF":0.6,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9328633/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40654423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}