{"title":"Health promoting behaviors in low-income overweight and obese women in Korea: an exploratory qualitative study.","authors":"Ju-Hee Nho, Eun Jin Kim","doi":"10.4069/kjwhn.2021.11.30","DOIUrl":"10.4069/kjwhn.2021.11.30","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to explore and understand the health promoting behaviors of low-income overweight and obese women in Korea.</p><p><strong>Methods: </strong>Data were collected from 10 low-income overweight and obese women working at a community self-sufficiency center through semi-structured in-depth interviews. Individual interviews were conducted and transcribed. Deductive content analysis was done, using the MAXQDA program.</p><p><strong>Results: </strong>The health promoting behaviors practiced by low-income overweight and obese women were affected by intrapersonal, interpersonal, and organizational/community factors. Six categories were identified and two category clusters were derived that could best describe their health promoting experiences. As main category clusters, despite \"feeling that the body and mind are not healthy\" participants noted \"difficulty maintaining a healthy lifestyle.\" Overall, the participants had poor nutritional status, lacked physical activity, experienced much stress in intrapersonal level, and faced intrapersonal-level barriers to health promoting behaviors. Moreover, participants had a lack of personal will, and lack of specific information to practice health promoting behaviors, a lack of time, and too many overall burdens to earn a living for their family while trying to maintain health promotion behaviors.</p><p><strong>Conclusion: </strong>Lifestyle interventions for nutrition management, encouragement of physical activity, and stress management are needed for overweight and obese low-income women. In addition, social support and policies are needed to improve their living environment.</p>","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"27 4","pages":"348-357"},"PeriodicalIF":1.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9328637/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40655838","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 a group cognitive behavioral therapy program using video communication for pregnant women with depressed mood in Korea: a pilot study.","authors":"Eunjoo Lee, Mijung Kim","doi":"10.4069/kjwhn.2021.11.15","DOIUrl":"https://doi.org/10.4069/kjwhn.2021.11.15","url":null,"abstract":"<p><strong>Purpose: </strong>This study presents the development of a group video communication-based cognitive behavioral therapy (CBT) program for depressed pregnant women. It also provides the results of a preliminary test of its effects on their depression, automatic thoughts, and dysfunctional attitudes.</p><p><strong>Methods: </strong>In this quasi-experimental single-group pre- and posttest design study, 13 pregnant women participated in a 4-week, eight-session group CBT program, based on Beck's cognitive theory and using video communications from November 2020 to January. Pregnant women between 14 and 32 weeks who were members of an online maternity and parenting community and residing in the cities of Changwon and Gimhae, Korea, were invited to voluntarily participate. Trained nurses led CBT sessions of 3-4 participants per group via video communication. Participants were assessed pre- and postintervention with self-report questionnaires for measurement of depression, automatic thought, and dysfunctional attitude after normality test according to the Shapiro-Wilk test of the variables. The data were analyzed using paired t-test and Pearson correlation coefficients.</p><p><strong>Results: </strong>Depression (t=7.90, <i>p</i><.001), automatic thoughts (t=4.89, <i>p</i><.001), and dysfunctional attitudes (t=2.42, <i>p</i>=.032) significantly decreased after the 4-week online program. There were statistically significant correlations among the three variables.</p><p><strong>Conclusion: </strong>This program was found to be effective in reducing depression, automatic thoughts, and dysfunctional attitudes. Above findings suggest that a group CBT program using video communication can be an effective therapeutic modality that helps pregnant women at risk for depression alleviate their negative emotions related to depression.</p>","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"27 4","pages":"337-347"},"PeriodicalIF":0.6,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9328645/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40656777","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}
Kyung Won Kim, Ju-Hee Nho, Sooyoung Kim, Byeongje Park, Sanghee Park, Bobae Kang, Sun-Hee Kim
{"title":"Comparison of infant mortality and associated factors between Korean and immigrant women in Korea: an 11-year longitudinal study.","authors":"Kyung Won Kim, Ju-Hee Nho, Sooyoung Kim, Byeongje Park, Sanghee Park, Bobae Kang, Sun-Hee Kim","doi":"10.4069/kjwhn.2021.12.12.2","DOIUrl":"10.4069/kjwhn.2021.12.12.2","url":null,"abstract":"<p><strong>Purpose: </strong>This study compared infant mortality and its associated factors between Korean and immigrant women using vital statistics gathered by Statistics Korea.</p><p><strong>Methods: </strong>Birth and death statistics from the period between 2009 and 2019 were extracted from the census of population dynamics data of the Microdata Integrated Service, Korea. Statistical data were derived from a complete survey and infant mortality was analyzed from mortality statistics data. Descriptive statistics were used for comparison.</p><p><strong>Results: </strong>The average infant mortality rate (IMR) of Korean women was 2.7 in Koreawhich, did not change significantly between 2009 and 2019; however, the IMR of immigrant women increased significantly in 2018 to 4.2 and subsequently decreased to 2.6 in 2019. Moreover, the age of Korean and immigrant women at the time of infant death gradually increased from 31.1 years and 25.9 years in 2009 to 32.8 years and 30.9 years in 2019, respectively. The gestational age was lower for deceased infants born to immigrant women (mean, 31.04 weeks; standard deviation [SD], 6.42; median, 30.00 ) compared to those born to Korean women (mean, 31.71 weeks; SD, 6.48; median, 32.00). Immigrant women (91.7%) received slightly fewer antenatal care visits compared to Korean women (93.1%).</p><p><strong>Conclusion: </strong>It is vital to devise a plan to lower the IMR of immigrant women in Korea. Moreover, it is necessary to explore the factors related to infant mortality among immigrant women within the context of Korean societal situation, culture, and home environment.</p>","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"27 4","pages":"286-296"},"PeriodicalIF":1.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9328638/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40655830","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":"[Psychometric property of an instrument 4: reliability and responsiveness].","authors":"Eun-Hyun Lee","doi":"10.4069/kjwhn.2021.11.01","DOIUrl":"https://doi.org/10.4069/kjwhn.2021.11.01","url":null,"abstract":"<p><p>For test-retest reliability, it is important to consider whether the attributes of the construct being measured is temporally stable or not. For responsiveness, it needs a longitudinal study design including a treatment/intervention known to induce a change on the construct to be measured.</p>","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"27 4","pages":"275-277"},"PeriodicalIF":0.6,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9328639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40655833","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":"Do depression, anxiety, emotional intelligence, and sleep quality affect diabetes management self-efficacy in Korean women with gestational diabetes in pregnancy?: a descriptive correlational study.","authors":"Hoon Ah Lee, Keum Seong Jang","doi":"10.4069/kjwhn.2021.11.27","DOIUrl":"10.4069/kjwhn.2021.11.27","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to identify factors associated with diabetes management self-efficacy in pregnant women with gestational diabetes mellitus (GDM) in Korea.</p><p><strong>Methods: </strong>A total of 173 pregnant women with GDM in Korea were recruited by posting announcements at two Korean online communities focusing on pregnancy and GDM. Participants completed a structured online survey from July to September 2018. Thirteen inappropriate responses were excluded and a total of 160 questionnaires were used in the final analysis. Descriptive statistics were calculated and multiple regression with the enter method was done to identify the associations of depressive mood, anxiety, emotional intelligence, and sleep quality with diabetes management self-efficacy.</p><p><strong>Results: </strong>Respondents reported a moderately depressive mood (mean, 10.36), low to moderate anxiety (mean, 41.65), above-average emotional intelligence (mean, 78.04), moderate sleep quality (mean, 42.01), and above-average diabetes management self-efficacy (mean, 52.29). The major factor associated with diabetes management self-efficacy of pregnant women with GDM was emotional intelligence (β=.51, <i>p</i><.001). Other factors, in descending order of influence, were sleep quality (β=.22, <i>p</i><.001) and exercise (β=.18, <i>p</i>=.004). Taken together, the aforementioned factors explained 34.6% (F=39.53, <i>p</i><.001) of the total variance.</p><p><strong>Conclusion: </strong>The results of this study suggest that to improve the diabetes management self-efficacy of pregnant women with GDM, it is necessary to develop an education program that can also enhance emotional intelligence, sleep quality, and exercise.</p>","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"27 4","pages":"358-367"},"PeriodicalIF":1.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9328634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40655834","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":"Year in review and appreciation for 2021 reviewers.","authors":"Sue Kim","doi":"10.4069/kjwhn.2021.12.13","DOIUrl":"10.4069/kjwhn.2021.12.13","url":null,"abstract":"","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"27 4","pages":"265-267"},"PeriodicalIF":1.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9328635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40655840","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":"Effects of a newborn care education program using ubiquitous learning on exclusive breastfeeding and maternal role confidence of first-time mothers in Vietnam: a quasi-experimental study.","authors":"Tran Thi Nguyet, Nguyen Vu Quoc Huy, Yunmi Kim","doi":"10.4069/kjwhn.2021.12.03","DOIUrl":"https://doi.org/10.4069/kjwhn.2021.12.03","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to examine the effect of a newborn care education program using ubiquitous learning (UL-NCEP) on exclusive breastfeeding and maternal role confidence of first-time mothers in Vietnam.</p><p><strong>Methods: </strong>This quasi-experimental study with a nonequivalent control group design was conducted at a university hospital in Hue city, Vietnam, between June and July 2018. Eligible first-time mothers were conveniently allocated to the experimental (n=27) and the control group (n=25). Mothers in the control group received only routine care, whereas mothers in the experimental group received UL-NCEP through tablet personal computers in addition to routine care in the hospital. Then, the educational content was provided to mothers by their smartphone for reviewing at home. UL-NCEP was developed based on the World Health Organization's \"Essential Newborn Care Course\" guidelines. The exclusive breastfeeding rate and maternal role confidence level after birth and at 4 weeks postpartum were assessed in both groups to assess the effect of UL-NCEP.</p><p><strong>Results: </strong>At 4 weeks postpartum, the experimental group showed a significantly higher level than the control, for exclusive breastfeeding rate (<i>p</i><.05) as well as mean maternal role confidence (<i>p</i><.05).</p><p><strong>Conclusion: </strong>UL-NCEP was a feasible and effective intervention in increasing first-time Vietnamese mothers' exclusive breastfeeding rate and maternal role confidence level. This program may be integrated into routine care for postpartum mothers to promote mother and infant health among first-time mothers in Vietnam.</p>","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"27 4","pages":"278-285"},"PeriodicalIF":0.6,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9328640/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40655839","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":"Expanding the role of midwives in Korea.","authors":"Kyung Won Kim","doi":"10.4069/kjwhn.2021.09.09.1","DOIUrl":"https://doi.org/10.4069/kjwhn.2021.09.09.1","url":null,"abstract":"167 http://kjwhn.org According to the State of the World’s Midwifery 2021 report, there are about 1.9 million midwives worldwide, but a shortage of 900,000 midwives remains. The workforce of midwives is insufficient in European countries, the United States, Australia, and Japan, where midwives help with childbirth, as well as in Africa, where the maternal mortality rate is high [1]. In Korea, where 99.5% of newborns are born in hospitals, midwives are also facing a crisis due to the deteriorating circumstances in the field of obstetrics and gynecology resulting from the ultra-low birth rate [2]. As apprenticeships for midwives have disappeared, it has become difficult to train midwives. Midwives are also losing their jobs and closing birth centers in response to the decreasing number of midwife-assisted births, after an earlier period of growth due to the popularity of natural childbirth. Accordingly, this article was written to shed light on the role of midwives during the transition process of the Korean midwifery system and to explore ways of broadening the role of Korean midwives in the future by analyzing examples of the expansion of midwives’ role in other countries.","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"27 3","pages":"167-170"},"PeriodicalIF":0.6,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9328587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40654895","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}
Mijong Kim, Geum Hee Jeong, Hae Sook Park, Sukhee Ahn
{"title":"Impact of the COVID-19 pandemic on women's health nursing clinical practicums in the spring 2020 semester in Korea: a nationwide survey study.","authors":"Mijong Kim, Geum Hee Jeong, Hae Sook Park, Sukhee Ahn","doi":"10.4069/kjwhn.2021.09.17.1","DOIUrl":"https://doi.org/10.4069/kjwhn.2021.09.17.1","url":null,"abstract":"<p><strong>Purpose: </strong>This study investigated the impact of coronavirus disease 2019 (COVID-19) on women's health nursing clinical practicums in undergraduate nursing schools in Korea during the spring 2020 semester.</p><p><strong>Methods: </strong>A cross-sectional online survey on clinical practicum teaching experiences in the spring 2020 semester was distributed to members of the <i>Korean Society of Women Health Nursing</i> (KSWHN) who taught undergraduate nursing. One faculty member from each of 203 institutions was requested to respond and there were no duplicate participants. Seventy-nine participants (38.9%) responded and 74 responses were analyzed. Descriptive statistics were presented for all survey items.</p><p><strong>Results: </strong>Fifty-two faculty members (70.3%) belonged to universities and 22 (29.7%) taught at colleges. Thirty-eight (51.4%) answered that their institutions had affiliated teaching hospitals. More than half (52.7%) conducted hospital-based clinical practicums either entirely (n=20) or partially (n=19), whereas the rest of them (47.3%) conducted clinical practicums at school or home via online teaching. The typical teaching methods for offline or online education were case conferences, tests or quizzes, scenario studies, nursing skill practicums, (virtual) nursing simulations, and simulated patient education. Most of faculties (93.2%) supported the development of an educational platform to share educational materials and resources, such as case scenarios.</p><p><strong>Conclusion: </strong>Nursing faculty members utilized various teaching methods to enhance clinical skills and mitigate limited clinical exposure during the early stage of the COVID-19 pandemic. The KSWHN should move forward to develop an education platform and modalities for members who face many challenges related to the accessibility and quality of nursing education contents.</p>","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"27 3","pages":"256-264"},"PeriodicalIF":0.6,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9328589/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40457612","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}
Hyeyeon Lee, Mihui Kim, Ocksim Kim, Sue Kim, Seongmi Choi
{"title":"Mothers' experience of caring for home-quarantined children after close contact with COVID-19 in Korea: an exploratory qualitative study.","authors":"Hyeyeon Lee, Mihui Kim, Ocksim Kim, Sue Kim, Seongmi Choi","doi":"10.4069/kjwhn.2021.09.11","DOIUrl":"https://doi.org/10.4069/kjwhn.2021.09.11","url":null,"abstract":"Purpose The world saw a shift into a new society consequent to the coronavirus disease 2019 (COVID-19), which made home quarantine mandatory for a person in close contact with those who tested positive. For children, however, home quarantine was not limited only to themselves but parents, especially mothers were involved and required to quarantine. This qualitative study aimed to explore and understand mothers’ experience and their related psychosocial issues while caring for their school-aged children in Korea, who had to home quarantine after coming in close contact with COVID-19 positive individuals. Methods Data were collected from October 2020 to January 2021 via in-depth, semi-structured interviews with nine mothers of children who had to home quarantine. Interviews were conducted face-to-face in an independent space near the participant’s home or workplace (n=5) or via online platforms or telephone (n=4). The data were analyzed using thematic analysis through several iterative team meetings. Results Thematic analysis revealed the following four themes: “Unable to be relieved due to uncertain situations surrounding me,” “Blame and hurt toward me, others, and one another,” “Pulling myself together for my children in my broken daily life,” and “Changes in the meaning of life amid COVID-19.” Conclusion The narratives show that mothers experienced psychosocial difficulties while caring for their children during home quarantine. It is necessary to reduce the social stigma toward individuals in home quarantine and establish policies to ensure work-family compatibility for such mothers.","PeriodicalId":30467,"journal":{"name":"Korean Journal of Women Health Nursing","volume":"27 3","pages":"220-229"},"PeriodicalIF":0.6,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9328592/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40654896","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}