Korean Journal of Women Health Nursing最新文献

{"title":"Concept analysis of transition to motherhood: a methodological study.","authors":"Woon Young Hwang, Sun Yeob Choi, Hae Jeong An","doi":"10.4069/kjwhn.2022.01.04","DOIUrl":"10.4069/kjwhn.2022.01.04","url":null,"abstract":"<p><strong>Purpose: </strong>Although the term \"transition to motherhood\" is commonly used in research, the concept is not clear. This study, hence, was conducted to clarify the concept of \"transition to motherhood.\"</p><p><strong>Methods: </strong>The concept analysis framework developed by Walker and Avant is used to analyze the concept of transition to motherhood.</p><p><strong>Results: </strong>Transition to motherhood is defined as the physical, psychological, social, and relational (mother-baby relationship/interpersonal relationship) changes that happen to a woman after pregnancy and delivery of a baby. The attributes of the transition to motherhood include: 1) adapting to physical changes after pregnancy and childbirth; 2) experiencing various psychological changes; 3) changing of her social perception from being a woman to someone's mother; and 4) forming and developing a relationship with the newborn, adjusting priorities, and redefining the relationship between family and others. Meeting the newborn is regarded as an antecedent of the transition to motherhood. Redefining identity and physical image, ensuring mother's well-being, maternal attachment, and confidence in the maternal role are regarded as consequences of the transition to motherhood. The concept was clarified by the presentation of model, borderline, and contrary cases.</p><p><strong>Conclusion: </strong>The significance of this study lies in the clarification of the concept of transition to motherhood and defining its attributes. It is recommended that tools be developed to measure transition to motherhood based on the results of this study. Furthermore, nurses and midwives can use study findings to better understand the concept of transition to motherhood in providing care and support to mothers who experience it.</p>","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9334210/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40457619","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 quality of life in low-income women with young children in Korea: a cross-sectional study.","authors":"Yun Mi Kim, Ju-Hee Nho","doi":"10.4069/kjwhn.2022.03.03","DOIUrl":"10.4069/kjwhn.2022.03.03","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to investigate the effects of health-promoting behaviors (HPB), marital intimacy, and parenting stress on the quality of life (QoL) of low-income women with young children in Korea, an underserved group.</p><p><strong>Methods: </strong>This cross-sectional survey employed a descriptive correlational design. Using convenience sampling, 123 low-income women with children younger than 6 years were recruited from 14 health and community centers in Jeonju, Korea, from June 2020 to May 2021. Participants completed a questionnaire on QoL, HPB, marital intimacy, and parenting stress. Data were analyzed using descriptive statistics, independent t-test, analysis of variance, Pearson correlation, and hierarchical regression analysis.</p><p><strong>Results: </strong>Participants, who were on average 37.41±3.65 years old and had 1 to 2 children (n=98, 79.7%), reported a mid-level (3.14 out of 1-5) of QoL. Marital intimacy (β=.38, <i>p</i><.001) was the most influential factor on the QoL of low-income women with young children. In descending order, HPB (β=.35, <i>p</i><.001) and non-employment status (β=-.21, <i>p</i>=.003) had a significant influence on QoL (F=15.64, <i>p</i><.001), and the overall explanatory power was 49.0%.</p><p><strong>Conclusion: </strong>Considering the mid-level QoL of low-income women with young children, programs aimed at improving the QoL of low-income women need to promote marital intimacy and maintain HPB, while considering their employment status. Strategies that include couple counseling, health care to encourage healthy lifestyles, and reemployment education are needed.</p>","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9334206/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40457620","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":"Toward new health and welfare policies to overcome low birth in Korea.","authors":"Sukhee Ahn","doi":"10.4069/kjwhn.2022.03.16","DOIUrl":"10.4069/kjwhn.2022.03.16","url":null,"abstract":"","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9334211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40457617","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 of postpartum depression with postpartum posttraumatic stress disorder in Korean mothers: a longitudinal survey].","authors":"Hyunjin Cho, Minseon Koh, Hyeji Yoo, Sukhee Ahn","doi":"10.4069/kjwhn.2022.02.18","DOIUrl":"10.4069/kjwhn.2022.02.18","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to determine the level of postpartum posttraumatic stress disorder (PTSD) and postpartum depression (PPD) in Korean mothers with healthy babies and to explore the factors related to postpartum PTSD.</p><p><strong>Methods: </strong>This study used a longitudinal survey design to explore the levels and association of PPD and PTSD. Two hundred women were recruited during pregnancy and the data were collected via online survey from 166 mothers (84% retained) who gave birth to healthy babies, at two postpartum periods: Fear of childbirth was assessed at the 1st week; and spousal support, PPD, and postpartum PTSD were surveyed at the 4th week postpartum. Descriptive statistics, t-test, one-way analysis of variance, Chi square test, and multiple regression were done.</p><p><strong>Results: </strong>The mean age of mothers was 33.12 (±3.97) years old. Postpartum PTSD was low (8.95±6.49) with 1.8% (n=3) at risk (≥19). PPD was also low (6.68±5.28) and 30.1% (n=50) were identified at risk (≥10). The comorbid rate of PPD with PTSD was 6%. Mothers who did not have a planned pregnancy had higher scores of PPD (t=-2.78, <i>p</i>=.008), whereas spousal support and PPD had negative relationship (r=-.21, <i>p</i>=.006). The overall explanatory power for postpartum PTSD was 55.2%, of which PPD was the only significant variable (β=.76, t=13.76, <i>p</i><.001).</p><p><strong>Conclusion: </strong>While only 1.8% was at risk of postpartum PTSD at 4 weeks postpartum, PPD prevalence was 30.1% and PPD was the only influential factor of postpartum PTSD. Assessment and counseling of PPD are required as well as screening for postpartum PTSD. More research is also needed on postpartum PTSD in Korean women.</p>","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9334208/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40457618","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 pregnancy stress in pregnant women in Korea: a cross-sectional study].","authors":"Sook Jung Kang, Min Ji Yang","doi":"10.4069/kjwhn.2022.02.03","DOIUrl":"10.4069/kjwhn.2022.02.03","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to investigate the association between maternal knowledge and social support on pregnancy stress among pregnant women in Korea.</p><p><strong>Methods: </strong>The participants in this study were 148 pregnant women in Korea, recruited from online communities on pregnancy and/or childbirth, from June 2019 to April 2020. The collected data were analyzed using the independent t-test, one-way analysis of variance, Pearson correlation coefficient, and multiple regression.</p><p><strong>Results: </strong>Participants were at average 18.25±8.28 weeks gestation, 56% were in the second trimester, 31% had one or more health issues in the current pregnancy (e.g., hyperemesis gravidarum), and 76% were first-time mothers. Participants had moderate levels of pregnancy stress (mean, 23.09±7.11 points out of 48) and maternal knowledge (mean, 14.42±4.67 points out of 21), whereas social support was somewhat high (mean 45.88±7.81 points out of 60). Pregnancy stress was weakly negatively correlated with social support (r=-.37, <i>p</i><.001). Main source of pregnancy information (β=-.21, <i>p</i>=.011), marital satisfaction (β=-.18, <i>p</i>=.036), and social support (β=-.19, <i>p</i>=.038) were identified as significant factors affecting pregnancy stress, and these variables had an explanatory power of 22.7% for pregnancy stress.</p><p><strong>Conclusion: </strong>Based on these findings, nurses should assess pregnancy-related stress during pregnancy and consider main source of pregnancy information and marital satisfaction when providing education or counseling. Moreover, strategies to reduce pregnancy stress through social support are needed to improve the quality of life for pregnant women.</p>","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2022-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9334213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40458042","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":null,"pages":null},"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,&nbsp;Sukhee Ahn,&nbsp;Seyeon Park,&nbsp;Jisoon Kim,&nbsp;Jiwon Oh,&nbsp;Minseon Koh","doi":"10.4069/kjwhn.2021.11.17.e1","DOIUrl":"https://doi.org/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":null,"pages":null},"PeriodicalIF":0.6,"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":"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":null,"pages":null},"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":"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":null,"pages":null},"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":null,"pages":null},"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}