Women's health nursing (Seoul, Korea)最新文献

{"title":"The collapse of the maternity workforce in a low-birthrate, aging society: suggestions for training midwives and improving systems.","authors":"Yunmi Kim, Sohee Che","doi":"10.4069/whn.2025.03.14","DOIUrl":"https://doi.org/10.4069/whn.2025.03.14","url":null,"abstract":"","PeriodicalId":519895,"journal":{"name":"Women's health nursing (Seoul, Korea)","volume":"31 1","pages":"5-8"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12010809/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047451","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 mediating effect of health-promoting behaviors on the relationship between infertility stress and fertility-related quality of life of infertile women: a cross-sectional study.","authors":"Eun Jin Kim, Ju-Hee Nho, Hye Young Kim","doi":"10.4069/whn.2025.03.24","DOIUrl":"https://doi.org/10.4069/whn.2025.03.24","url":null,"abstract":"<p><strong>Purpose: </strong>Infertility is a global health problem that affects many people of reproductive age. This study aimed to examine the mediating effects of health-promoting behaviors (HPBs) on the relationship between infertility stress and fertility-related quality of life (QoL) in infertile women.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted with 138 infertile women in Korea, who were recruited from August to October 2022, from two public health centers and two infertility clinics at obstetrics and gynecology hospitals in Jeonju, Korea. The participants completed a self-reported questionnaire via an online survey. The data were analyzed using an independent t-test, one-way analysis of variance, Scheffé test, Pearson correlation coefficients, and multiple regression analysis using PROCESS macro with 95% bias-corrected bootstrap confidence interval (CI) (5,000 bootstrap resampling).</p><p><strong>Results: </strong>The mean scores for fertility-related QoL, infertility stress, and HPB were all greater than the midpoint. Fertility-related QoL was positively correlated with HPBs (r=.20, p=.022) and negatively correlated with infertility stress (r=-.41, p<.001). The total effect of infertility stress on fertility-related QoL (B=-0.34, p<.001) and infertility stress on HPBs were significant (B=-0.01, p=.024). The effects of HPBs on fertility-related QoL (B=6.54, p<.001) and infertility stress on fertility-related QoL (direct effect; B=-0.30, p<.001) were significant. After controlling for demographic covariates, HPBs partially mediated the relationship between infertility stress and fertility-related QoL in infertile women (B=-0.03; 95% CI, -0.08 to -0.00).</p><p><strong>Conclusion: </strong>To improve fertility-related QoL for infertile women, interventions to reduce infertility stress and improve HPBs should be developed and implemented.</p>","PeriodicalId":519895,"journal":{"name":"Women's health nursing (Seoul, Korea)","volume":"31 1","pages":"66-75"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12010800/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016648","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 integrative health status of women with uterine fibroids wishing to maintain fertility: a cross-sectional study based on Levine's conservation model.","authors":"Hye Moon Kim, ChaeWeon Chung","doi":"10.4069/whn.2025.03.02","DOIUrl":"https://doi.org/10.4069/whn.2025.03.02","url":null,"abstract":"<p><strong>Purpose: </strong>The increasing incidence of uterine fibroids (UFs) among women who could consider conception presents challenges. This study examined the relationships among fatigue, UF symptom severity, sexual function, anxiety, and loneliness across diverse life conditions and treatment stages in women with UFs wishing to maintain fertility.</p><p><strong>Methods: </strong>This descriptive correlational study, guided by Levine's conservation model, included 221 women with UFs hoping to maintain their reproductive potential. Participants were recruited from gynecology-focused online communities, and data were collected through an online survey. The questionnaire gathered information on general and treatment-related characteristics, as well as measures of fatigue, UF symptom severity, sexual function, anxiety, and loneliness. The data were analyzed using descriptive statistics, independent t-test, one-way analysis of variance, the Welch test, and Pearson correlation analysis.</p><p><strong>Results: </strong>Most participants (91.9%) experienced fatigue, and sexual dysfunction was prevalent (85.5%). Fatigue, sexual function, anxiety, and loneliness levels were significantly intercorrelated (p≤.001), whereas UF symptom severity was only associated with fatigue (r=.51, p<.001) and sexual function (r=-.41, p<.001). Women without specific pregnancy plans exhibited greater anxiety and poorer sexual function than those with plans, and women with low economic status showed poorer outcomes for most variables. Women currently undergoing medical treatment reported the highest UF symptom severity, while those with a longer diagnosis history or not currently receiving treatment exhibited greater anxiety and loneliness.</p><p><strong>Conclusion: </strong>Women with UFs intending to maintain fertility face multidimensional and interrelated health challenges. Beyond fibroid-focused treatments, clinical nursing and education should integrate physical and psychosocial health indicators while supporting reproductive health.</p>","PeriodicalId":519895,"journal":{"name":"Women's health nursing (Seoul, Korea)","volume":"31 1","pages":"9-21"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12010801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045929","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 physical activity, psychological health, and food group intake change in early pregnancy before and during COVID-19? A secondary analysis of cohort data from the Korea Nurses' Health Study.","authors":"Chiyoung Cha, Jung Eun Lee, Jin-Hui Han","doi":"10.4069/whn.2025.03.05","DOIUrl":"https://doi.org/10.4069/whn.2025.03.05","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to compare the physical activity, psychological health, and food group intake of women in their first trimester of pregnancy before and during the coronavirus disease 2019 (COVID-19) pandemic, and to assess these differences according to annual income levels.</p><p><strong>Methods: </strong>Using pregnancy survey data from the Korea Nurses' Health Study, we analyzed 800 cases (381 pre-COVID-19, 419 COVID-19) for physical activity and psychological health, and 592 cases (296 pre-COVID-19, 296 COVID-19) for food group intake. Data were matched using 1:1 propensity score matching. Physical activity, psychological health, and food group intake were compared between periods and income groups.</p><p><strong>Results: </strong>During the pandemic, cycling (t=1.48, p=.003), aerobic exercise (t=0.98, p=.046), and light exercise (t=3.91, p<.001) increased while swimming decreased (t=-1.81, p<.001). Lower-income groups showed decreased running (t=-1.50, p=.004), swimming (t=-1.76, p<.001), and aerobic exercise (t=-1.10, p=.042), while higher-income groups showed increased participation in various physical activities. Depression scores decreased significantly in the lower-income group (t=-1.22, p=.022). Regarding food group intake, consumption of soups, stews (t=-1.63, p=.018), vegetables, kimchi, seaweed, and root (t=-1.60, p=.044) decreased during the pandemic. Lower-income groups showed decreased vegetable consumption (t=-1.43, p=.026) and alcohol intake (t=-1.34, p=.039), while higher-income groups showed increased alcohol consumption (t=1.29, p=.010).</p><p><strong>Conclusion: </strong>The COVID-19 pandemic differently affected health behaviors in early pregnancy based on income levels, highlighting socioeconomic disparities in maintaining healthy behaviors during public health crises. These findings suggest the need for tailored interventions considering income levels when promoting health behaviors among pregnant women during future public health crises.</p>","PeriodicalId":519895,"journal":{"name":"Women's health nursing (Seoul, Korea)","volume":"31 1","pages":"22-33"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12010810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004625","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 COVID-19 vaccination intentions and the moderating effect of perceived behavioral control among pregnant women: a cross-sectional study applying the revised Theory of Planned Behavior.","authors":"So Youn Kim, Hee Sun Kang, Mijong Kim","doi":"10.4069/whn.2025.02.06","DOIUrl":"https://doi.org/10.4069/whn.2025.02.06","url":null,"abstract":"<p><strong>Purpose: </strong>This study explored factors that influence coronavirus disease 2019 (COVID-19) vaccination intentions during pregnancy and examined the moderating effect of perceived behavioral control based on the revised Theory of Planned Behavior.</p><p><strong>Methods: </strong>This cross-sectional online survey recruited 227 Korean pregnant women from an online community. Data were collected from December 2021 to January 2022 and analyzed using independent t-test, analysis of variance, Pearson correlation coefficients, and multiple regression analysis. The PROCESS macro (model 1) and simple slope analysis were used to investigate the moderating effect of perceived behavior control.</p><p><strong>Results: </strong>Attitudes (β=.44, p<.001) and subjective norms (β=.36, p<.001) were identified as factors influencing COVID-19 vaccination intentions during pregnancy. In the final regression model, the total explanatory power of the variables was 44% (F=90.47, p<.001). The moderating effect of perceived behavioral control in the relationship between attitudes and vaccination intention was not statistically significant (B=0.07, p=.382). However, it showed a significant moderating effect in the relationship between subjective norms and vaccination intentions (B=0.06, p=.046). For simple slope analysis, perceived behavioral control was classified into three levels (low, moderate, and high), and the effect of subjective norms on vaccination intention was analyzed. Pregnant women with a high level of perceived behavioral control showed the strongest relationship (b=0.45, p<.001), indicating a moderating effect of perceived behavioral control.</p><p><strong>Conclusion: </strong>To increase vaccination intention among pregnant women, it is imperative to implement programs that focus on improving pregnant women's attitudes, subjective norms, and perceived behavioral control toward vaccination, with particular attention to those with low perceived behavioral control.</p>","PeriodicalId":519895,"journal":{"name":"Women's health nursing (Seoul, Korea)","volume":"31 1","pages":"34-45"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12010802/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060117","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 mediating effects of convergence of femininity-maternity and marital intimacy in the relationship between postpartum depression and quality of life in postpartum mothers: a cross-sectional study.","authors":"Ye Jin Hong, Hae Ok Kim","doi":"10.4069/whn.2024.12.17","DOIUrl":"https://doi.org/10.4069/whn.2024.12.17","url":null,"abstract":"<p><strong>Purpose: </strong>This study explored the mediating effect of convergence of maternity-femininity and marital intimacy in the relationship between postpartum depression (PPD) and quality of life (QoL) in postpartum mothers.</p><p><strong>Methods: </strong>Women between 2-6 weeks after childbirth were recruited from three general hospitals in Changwon, Korea, and an online community in March 2023. Descriptive statistics, the t-test, one-way analysis of variance, and Pearson correlation coefficients were computed. The mediating effects of convergence of maternity-femininity and marital intimacy in the relationship between PPD and QoL were assessed using Hayes' PROCESS Macro Model 4.</p><p><strong>Results: </strong>The mean QoL score was relatively low (17.77±3.83), while the mean PPD score was 12.06±6.79; 64.5% of participants scored ≥10, indicating PPD. The mean score for convergence of maternity-femininity was 118.84±19.85. Marital intimacy was mid-point (55.95±10.40). Convergence of maternity-femininity exhibited a partial mediating effect on the relationship between PPD and QoL, with 56.0% of the overall effect of PPD on QoL being indirect via this mediator.</p><p><strong>Conclusion: </strong>PPD may affect QoL both directly and indirectly through its impact on convergence of maternity-femininity. Therefore, interventions should not only address PPD but also promote convergence of maternity-femininity to enhance the QoL of postpartum mothers. For example, psychological counseling to support emotional stability, educational programs to integrate femininity and maternity, partner involvement workshops to encourage spousal support, linkage to community resources, and exercise and wellness programs to foster a positive body image may all be beneficial.</p>","PeriodicalId":519895,"journal":{"name":"Women's health nursing (Seoul, Korea)","volume":"31 1","pages":"56-65"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12010811/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065430","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":"Maternal identity measurement based on the experiences of mothers with infants: a methodological study.","authors":"Sun Jung Park, Eun Young Choi","doi":"10.4069/whn.2025.03.08","DOIUrl":"https://doi.org/10.4069/whn.2025.03.08","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to develop and validate a tool to measure maternal identity in mothers caring for infants.</p><p><strong>Methods: </strong>This methodological study involved two stages: tool development and evaluation. A preliminary 35-item tool was created and refined to 22 items and administered to 300 mothers with infants. Data were collected between May and June 2024. Descriptive statistics, Pearson correlation, exploratory factor analysis (using Varimax rotation), and confirmatory factor analysis (via AMOS 21.0) were performed. Convergent validity was evaluated using an adapted version of the Maternal Confidence Questionnaire. Internal consistency (Cronbach's α) and split-half reliability (Guttman split) were also assessed.</p><p><strong>Results: </strong>Exploratory factor analysis identified four sub-factors consisting of 17 items: \"warmth type\" (seven items), \"best effort type\" (five items), \"indifference type\" (three items), and \"preparation type\" (two items). The content validity index was .86, and construct validity accounted for 59.5% of the variance. Factor loadings ranged from 0.57 to 0.80. Convergent validity was confirmed (r=.70, p<.001). Internal consistency was high, with Cronbach's α values between .85 and .90 and split-half reliability coefficients between .82 and .91. The final tool, named the Maternal Identity Measurement for Mothers with Infants, comprises 17 items rated on a 5-point scale (1-5), with higher scores (possible range, 17-85) indicating a stronger maternal identity.</p><p><strong>Conclusion: </strong>The developed tool demonstrated strong reliability and validity for assessing maternal identity in mothers of infants. It offers a structured approach for evaluating maternal identity in the context of infant care and has practical implications for maternal health research and interventions.</p>","PeriodicalId":519895,"journal":{"name":"Women's health nursing (Seoul, Korea)","volume":"31 1","pages":"46-55"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12010798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045919","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":"Utilizing ecological momentary assessment in nursing research.","authors":"Mona Choi","doi":"10.4069/whn.2024.12.14.1","DOIUrl":"https://doi.org/10.4069/whn.2024.12.14.1","url":null,"abstract":"","PeriodicalId":519895,"journal":{"name":"Women's health nursing (Seoul, Korea)","volume":"30 4","pages":"259-264"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142934324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contributing to women's health nursing by disseminating research.","authors":"Sue Kim","doi":"10.4069/whn.2024.12.16.1","DOIUrl":"https://doi.org/10.4069/whn.2024.12.16.1","url":null,"abstract":"","PeriodicalId":519895,"journal":{"name":"Women's health nursing (Seoul, Korea)","volume":"30 4","pages":"251-253"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142934169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors affecting return to work in breast cancer survivors in Korea: a cross-sectional study.","authors":"Kate J Sohn, Sung Hae Kim, Hyojin Lee, Sue Kim","doi":"10.4069/whn.2024.12.10","DOIUrl":"https://doi.org/10.4069/whn.2024.12.10","url":null,"abstract":"<p><strong>Purpose: </strong>Return to work (RTW) has been understudied in Asian women with cancer, despite the increasing number of breast cancer survivors (BCS). This study examined RTW among Korean BCS, exploring its associations with cancer-related fatigue, quality of sleep, mental adjustment, and psychosocial factors.</p><p><strong>Methods: </strong>This cross-sectional study recruited BCS from a hospital, a breast cancer support group, and an online community in Korea between July and August 2019. We collected data on levels of fatigue, fatigability, quality of sleep, mental adjustment, and quality of working life. The analysis included data from 135 respondents who were employed prior to their cancer diagnosis. Descriptive statistics and multiple logistic regression analyses were conducted.</p><p><strong>Results: </strong>Although all participants were employed prior to diagnosis, only 57% remained employed afterward. Participants who returned to work reported significant levels of subjective fatigue (102.48±39.84), physical fatigability (28.14±11.34), borderline poor sleep quality (8.57±4.11), anxious preoccupation (23.33±4.54), and low satisfaction with quality of working life (39.68±21.51). Marital status (odds ratio [OR], 3.34; p=.027), time since breast cancer diagnosis (OR, 2.85; p=.028), anxious preoccupation (OR, 0.89; p=.021), and quality of working life (OR, 1.04; p=.010) were found to be predictors of RTW, explaining 34% of the variance.</p><p><strong>Conclusion: </strong>It is critical to address RTW-related difficulties in Korean BCS, and future RTW interventions should target cancer-related fatigue, anxious preoccupation, and quality of working life. Physical and psychosocial support is essential for BCS and their successful RTW.</p>","PeriodicalId":519895,"journal":{"name":"Women's health nursing (Seoul, Korea)","volume":"30 4","pages":"277-287"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142934180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}