Asian Nursing Research最新文献

{"title":"School Nurse–Parent Partnership in School Health Care for Children with Type 1 Diabetes: A Hybrid Method Concept Analysis","authors":"Ju-Yeon Uhm ,&nbsp;Mi-Young Choi","doi":"10.1016/j.anr.2022.11.001","DOIUrl":"10.1016/j.anr.2022.11.001","url":null,"abstract":"<div><h3>Purpose</h3><p>To define school nurse<strong>–</strong>parent partnerships in school health care for children with type 1 diabetes (T1D) and determine its attributes using a hybrid model.</p></div><div><h3>Methods</h3><p>This method involves a three-phase process: theoretical, fieldwork, and analytical. A literature review was conducted during the theoretical phase. A literature search of articles from January 1991 to February 2020 was conducted using relevant electronic databases. Eighty-three articles that met the inclusion criteria were completely read. Fieldwork data were collected through individual interviews from February to July 2019 in South Korea. In the fieldwork phase, interviews were conducted individually with 22 mothers of students with T1D and 20 school nurses recruited by purposeful sampling. Inductive content analysis was conducted. The findings from the theoretical phase were integrated with those from the fieldwork phase, and the final concept was derived.</p></div><div><h3>Results</h3><p>School nurse<strong>–</strong>parent partnership in school health care for children with T1D has been defined as an interactive process of maintaining a balanced responsibility and providing tailored care to meet needs by establishing trusting relationships and communicating transparently and openly. This analysis yielded four attributes: trusting relationships, transparent and open communication, balanced responsibility, and providing tailored care to meet needs—this entails providing nursing actions by advocating for students and performing a negotiated role together or individually for student and family.</p></div><div><h3>Conclusion</h3><p>The findings of this study add to the importance of an attribute of balancing responsibility for partnership in school health care. The results show that this partnership could contribute to the development of a scale, theory, and nursing intervention in school health care for children with T1D.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1976131722000597/pdfft?md5=adeff3046c94393364beb6a7f30da110&pid=1-s2.0-S1976131722000597-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10469627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sex-Based Differences in Outcomes of Coronavirus Disease 2019 (COVID-19) in Korea","authors":"Jiyoung Kim ,&nbsp;Narae Heo ,&nbsp;Hyuncheol Kang","doi":"10.1016/j.anr.2022.07.003","DOIUrl":"10.1016/j.anr.2022.07.003","url":null,"abstract":"<div><h3>Purpose</h3><p>This study examined the factors affecting mortality and clinical severity score (CSS) of male and female patients with Coronavirus Disease 2019 (COVID-19) using clinical epidemiological information provided by the Korea Disease Control and Prevention Agency.</p></div><div><h3>Methods</h3><p>This is a retrospective, observational cohort study. From January 21 to April 30, 2020, a total of 5624 patients who were released from quarantine or died were analyzed.</p></div><div><h3>Results</h3><p>The factors influencing release or death that differed by sex were high heart rate and malignancy in males and chronic kidney disease in females. In addition, the factors influencing progression to severe CSS were high BMI (severe obesity) and rheumatic disease in males and high temperature, sputum production, absence of sore throat and headache, chronic kidney disease, malignancy, and chronic liver disease in females. Older age, low lymphocyte count and platelets, dyspnea, diabetes mellitus, dementia, and intensive care unit (ICU) admission affected mortality in all the patients, and older age, low lymphocyte count and platelets, fever, dyspnea, diabetes mellitus, dementia, and ICU admission affected progression to severe stage of CSS.</p></div><div><h3>Conclusions</h3><p>This study is expected to contribute to the general results by analyzing nationally representative data. The results of this study present an important basis for development of differentiated nursing and medical management strategies in consideration of factors that influence treatment effects and outcomes according to sex of patients with COVID-19.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9345791/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40673779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationships among Type-D Personality, Fatigue, and Quality of Life in Infertile Women","authors":"Ju-Hee Nho ,&nbsp;Eun Jin Kim","doi":"10.1016/j.anr.2022.08.001","DOIUrl":"10.1016/j.anr.2022.08.001","url":null,"abstract":"<div><h3>Purpose</h3><p>The objective of the present study was to investigate the prevalence of the type-D personality and identify the relationship between type-D personality, fatigue, and quality of life (QoL) in infertile women.</p></div><div><h3>Methods</h3><p>A total of 149 infertile women were recruited between October 2020 and January 2021. The participants were assessed through self-administered questionnaires using the type- D personality scale-14, fatigue severity scale, and fertility QoL instrumental questionnaire. Data were analyzed using the independent t-test, chi-square test, Pearson's correlation coefficients, and multiple regression analysis using the SPSS/WIN 25.0 program for Windows.</p></div><div><h3>Results</h3><p>Approximately 40.9% of infertile women were classified into the type-D personality group, which showed significantly higher fatigue and lower QoL than the non-type-D personality group. Fatigue was the most influential factor on the QoL of infertile women (β = −.23, <em>p</em> = .003), followed by the duration of infertility treatment (β = −.22, <em>p</em> = .003), type-D personality (β = −.18, <em>p</em> = .025), and relationship with spouse (β = −.17, <em>p</em> = .024). These variables account for approximately 22% of the variance.</p></div><div><h3>Conclusions</h3><p>Intervention programs that consider fatigue, type-D personality, relationship with spouses, and treatment duration may be useful for improving QoL in infertile women.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S197613172200038X/pdfft?md5=adb2a0083693d7bd5602fde409c762c9&pid=1-s2.0-S197613172200038X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40616589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric Evaluation of the Korean Version of PROMIS Self-Efficacy for Managing Symptoms Item Bank: Item Response Theory","authors":"Mona Choi ,&nbsp;Chang Gi Park ,&nbsp;Soomin Hong","doi":"10.1016/j.anr.2022.08.003","DOIUrl":"10.1016/j.anr.2022.08.003","url":null,"abstract":"<div><h3>Purpose</h3><p>To evaluate the psychometric properties of the Patient-Reported Outcomes Measurement Information System (PROMIS) self-efficacy for managing symptoms of the version 1.0 item bank in Korea.</p></div><div><h3>Methods</h3><p>This study consisted of two phases: first, developing the Korean version of the item bank following the translation guidelines; and second, performing a cross-sectional study to evaluate its psychometric properties using the item response theory. This study enrolled 323 patients with type 2 diabetes mellitus between July and August 2020. Cronbach's α was used to assess the reliability of this item bank. Confirmatory factor analysis, using diagonally weighted least squares, was used to identify the assumptions of item response theory. Item parameter estimates including discrimination and thresholds were derived using the graded response model of the item response theory to reflect patient-reported outcomes as individualized responses.</p></div><div><h3>Results</h3><p>The Korean version of the item bank demonstrated good reliability (Cronbach's α = .98) and its discrimination ranged from 1.82 to 4.93. The thresholds resulted in the establishment of a category response curve for each item. However, no overlap was observed among the category curves. Moreover, the differential item functioning was not significant for age, gender, and income variables.</p></div><div><h3>Conclusion</h3><p>The graded response model and differential item functioning provided qualitative evidence that demonstrated acceptable psychometric properties of symptom management self-efficacy among patients. This item bank is expected to provide adequate assessments of self-efficacy of symptom management for patients with a chronic disease, which can contribute to nursing research and intervention.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1976131722000470/pdfft?md5=6b255c1d41749930b14368d5b28c5709&pid=1-s2.0-S1976131722000470-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40345593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Profile of non-communicable Disease Risk Factors Among Nurses in a Tertiary Care Hospital in South India","authors":"Rajarajan Kayaroganam ,&nbsp;Sonali Sarkar ,&nbsp;Santhosh Satheesh ,&nbsp;Santhi Tamilmani ,&nbsp;Parthibane Sivanantham ,&nbsp;Sitanshu Sekhar Kar","doi":"10.1016/j.anr.2022.07.001","DOIUrl":"10.1016/j.anr.2022.07.001","url":null,"abstract":"<div><h3>Purpose</h3><p>The work nature of nurses and the associated lifestyle changes put them at high risk of developing noncommunicable diseases (NCDs). This study was conducted to estimate the prevalence of NCD risk factors among nurses working in a tertiary care hospital in Puducherry and to determine the associated factors among nurses.</p></div><div><h3>Methods</h3><p>We conducted a cross-sectional study among all nurses (N = 1217) in the tertiary care hospital aged between 21 and 60 from May 2019 to April 2020. We assessed NCDs behavioral, physical, and biochemical risk factors using a self-administered questionnaire. The adjusted prevalence ratio was calculated using a generalized linear regression model to determine factors associated with NCD risk factors.</p></div><div><h3>Results</h3><p>The response rate was 99.0% (1217/1229), and 77.5% of the participants were women. Current tobacco use and alcohol consumption were 1.5% (95% CI: 0.8–2.2) and 2.9% (95% CI: 2–3.9), respectively, with significantly higher prevalence among men. Overweight or obesity (body mass index ≥ 23 kg/m²) was 77.7%, with a significantly higher prevalence among those aged ≥30 and married. Prevalence of hypertension was 14.4% (95% CI: 12.5–16.4), and diabetes mellitus was 11.5% (95% CI: 9.7–13.6). Both were significantly higher among those aged ≥50 years. One-third of nurses, 34.3% (95% CI: 31.6–37.1), had hypercholesterolemia, significantly higher among men.</p></div><div><h3>Conclusion</h3><p>We found a high prevalence of various NCD risk factors among the nurses. We highlight the urgent need for initiating health promotion interventions, especially to improve intake of healthy diet and physical activity among nurses aged ≥30 years.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1976131722000354/pdfft?md5=cde6427c441998560aaf1724e5e437b0&pid=1-s2.0-S1976131722000354-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40618556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adaptive Behavior in Stroke Survivors: A Concept Analysis","authors":"Hyunsuk Choi,&nbsp;Ancho Lim,&nbsp;Youngshin Song","doi":"10.1016/j.anr.2022.07.002","DOIUrl":"10.1016/j.anr.2022.07.002","url":null,"abstract":"<div><h3>Purpose</h3><p>This study aims to explore a clear and evidence-based definition of adaptive behavior in stroke survivors and establish the antecedents, attributes, consequences, and empirical referents of the concept.</p></div><div><h3>Methods</h3><p>The concept analysis was performed using the Walker and Avant method as a framework. Data from 90 publications were collected using various databases (PubMed, EMBASE, CINAHL, RISS, and KISS) and applied in the analysis.</p></div><div><h3>Results</h3><p>Adaptive behavior in stroke survivors was defined according to four attributes: realizing change, taking an optimistic view, restructuring daily activities to suit oneself, and carrying out one's own daily life. The conceptual structure of their adaptive behavior comprised stroke onset, functional changes, and emotional liability as antecedents and autonomy, family equilibrium, and quality of life as consequences.</p></div><div><h3>Conclusions</h3><p>Clarifying the concept of adaptive behavior in stroke survivors provides an understanding of the underlying attributes of this concept. Furthermore, it will facilitate the development of scales to measure the concept and the application of a theory-based intervention program that can improve adaptive behavior.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1976131722000342/pdfft?md5=a2898d813027f31d65a4f6530e84f52b&pid=1-s2.0-S1976131722000342-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40608837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the Dimensionality and Reliability of the Thai Self-Care of Hypertension Inventory Version 2.0","authors":"Jom Suwanno ,&nbsp;Chennet Phonphet ,&nbsp;Ladda Thiamwong ,&nbsp;Chidchanog Mayurapak ,&nbsp;Putrada Ninla-aesong","doi":"10.1016/j.anr.2022.08.002","DOIUrl":"10.1016/j.anr.2022.08.002","url":null,"abstract":"<div><h3>Purpose</h3><p>Self-care is essential for hypertensive individuals to promote optimal health and illness treatment. We developed the Thai Self-Care of Hypertension Inventory (SC-HI) version 2.0 from the original US version using a multi-stage approach for cross-cultural adaptation. Scales previously studied outside a US context had different dimensions and factor solutions. Therefore, we examined the Thai SC-HI's factorial validity, construct validity, and internal reliability within a Thai context.</p></div><div><h3>Methods</h3><p>We administered a cross-sectional survey with hypertensive patients in 10 primary care settings, and conducted exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) on two sets of separate samples from each of five sites to examine the model's factorial validity and construct validity. We estimated scale reliability with Cronbach's alpha and McDonald's omega coefficients.</p></div><div><h3>Results</h3><p>Participants were predominantly female, older adults, with mean age 66 years (SD = 11.94; range 36–97 years). The self-care maintenance scale had three factors and demonstrated good fit when the error covariances were respecified. The two-factor self-care management scale had different factorial solutions compared to previous models. The CFA result showed good fit indices for the Thai, original US, and Brazilian models. The self-care confidence scale was unidimensional, with partially supported fit indices that improved after we respecified the error covariances. Reliability coefficients estimated by difference methods were nearly equal: slightly lower than desired for self-care maintenance (.68–.70) and inadequate for self-care management (.62–.65); self-care confidence reliability was adequate (.89–.90).</p></div><div><h3>Conclusion</h3><p>The Thai SC-HI has good psychometric characteristics and reflects the original instrument's theoretical basis.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1976131722000391/pdfft?md5=25611b9bd604a25fd21737320ca3663e&pid=1-s2.0-S1976131722000391-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40616588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of On-Campus and Off-Campus Smartphone Overdependence Prevention Programs Among University Students","authors":"Jeong Soon Yu ,&nbsp;Ok Kyung Ham ,&nbsp;Myung Soon Kwon","doi":"10.1016/j.anr.2022.07.004","DOIUrl":"10.1016/j.anr.2022.07.004","url":null,"abstract":"<div><h3>Purpose</h3><p>The purpose of this article is to evaluate effects of self-determination theory-based on-campus and off-campus prevention programs on smartphone overdependence among university students.</p></div><div><h3>Methods</h3><p>This was a pre-posttest quasi-experimental study with a nonequivalent control group (CG). Seventy-eight students were recruited as participants. They were allowed to choose either an experiment group (EG) or a CG. On-campus smartphone overdependence prevention program was provided to participants in experimental group 1 (EG1), while on-campus program combined with off-campus prevention camp was provided to those in experimental group 2 (EG2). Instruments used in this study included a smartphone overdependence self-diagnosis scale, a basic psychological needs scale, and a self-regulation ability scale. Data collection was performed at baseline, immediately after intervention, at 1 month and 3 months after intervention. Data were analyzed using mixed analysis of covariance. Focus group interview was performed for qualitative evaluation.</p></div><div><h3>Results</h3><p>After the intervention, smartphone overdependence and basic psychological needs exhibited significant interactions between group and time. Smartphone overdependence scores decreased in EG1 and EG2 but increased in CG (F = 4.56, <em>p</em> = .001). Basic psychological needs improved in EG1 and EG2 but deteriorated in CG (F = 5.04, <em>p</em> = .009). Focus group interviews revealed that participants strived to control their smartphone usage through individual efforts and by interacting with new friends in college even after completing the program.</p></div><div><h3>Conclusion</h3><p>In this study, on-campus only program and combined intervention of on- and off-campus programs were both effective in maintaining and managing smartphone use. However, participants perceived that the off-campus program provided an opportunity to apply the theory learned in on-campus to the real world.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1976131722000378/pdfft?md5=72c29e4b13f8fc7586df10a216c358f4&pid=1-s2.0-S1976131722000378-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40625142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Validation of Clinical Nursing Teacher Self-Efficacy Scale and Investigation of Self-Efficacy among Clinical Nursing Teachers","authors":"Pei-Ling Wu ,&nbsp;Ying-Chen Tseng ,&nbsp;Li-Chiu Chen ,&nbsp;Shao-Mei Tseng ,&nbsp;Hsiang-Chu Pai","doi":"10.1016/j.anr.2022.05.001","DOIUrl":"10.1016/j.anr.2022.05.001","url":null,"abstract":"<div><h3>Purpose</h3><p>The purpose of this study was to (1) add relevant contemporary items to develop an assessment instrument for the self-efficacy of clinical nursing teachers, to verify and evaluate the validity and reliability of the instrument, and (2) investigate the self-efficacy of clinical nursing teachers.</p></div><div><h3>Method</h3><p>A cross-sectional study was designed. A total of 205 clinical nursing teachers were recruited in Taiwan. Data were collected using the Clinical Nursing Teacher Self-efficacy Scale. An exploratory factor analysis was performed to examine the scale.</p></div><div><h3>Results</h3><p>The degree of self-efficacy of clinical nursing teachers was moderate to high. The 35-item scale showed great psychometric qualities. The Cronbach coefficient of the overall scale was 0.92; and 0.83, 0.91, 0.93, and 0.87 on the four subscales were acceptable. Four factors were extracted by exploratory factor analysis and explained 68.53% of the total variance. Four factors were (i) teachers' professional growth ability, (ii) teaching ability, (iii) clinical nursing competencies, and (iv) personality traits. The highest self-efficacy category evaluated by teachers was personality traits; the second was clinical nursing competencies; after that, teaching ability and teachers’ professional growth ability. The item with the lowest self-efficacy was foreign language ability (English).</p></div><div><h3>Conclusion</h3><p>Clinical nursing teachers have a moderate to high degree of self-efficacy. This scale with good reliability and validity can be used for the training and evaluation of the self-efficacy of clinical nursing teachers.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1976131722000263/pdfft?md5=74d8704bcf24510a0218a6e77ff7737f&pid=1-s2.0-S1976131722000263-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41429598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Lived Experience of First-time Mothers with Congenital Heart Disease","authors":"Yu-Ting Liu ,&nbsp;Chun-Wei Lu ,&nbsp;Pei-Fan Mu ,&nbsp;Ying-Mei Shu ,&nbsp;Chi-Wen Chen","doi":"10.1016/j.anr.2022.05.003","DOIUrl":"10.1016/j.anr.2022.05.003","url":null,"abstract":"<div><h3>Purpose</h3><p>Nowadays most children with congenital heart disease (CHD) are expected to survive to adulthood. The healthcare focus needs to pay close attention to the important developmental tasks during their growth process. The women with CHD face some challenges in their critically developmental stages during pregnancy, delivery, and even motherhood. The lived experience of being a mother needs to be further concerned. This study aimed to explore the lived experience of first-time mothers with CHD.</p></div><div><h3>Methods</h3><p>Descriptive phenomenological design was adopted. Semi-structured interviews were conducted from April to August 2018 with 11 primiparous women with CHD, who were recruited from the pediatric and adult cardiology outpatient departments at a medical center and who had a child aged between 6 months and 3 years. Giorgi's phenomenological analysis method was employed.</p></div><div><h3>Results</h3><p>Six main themes arose from the analysis: (1) recognizing pregnancy risks, (2) performing self-care for health, (3) building self-worth from my baby, (4) adapting to postpartum life and adjusting priorities, (5) enjoying being a first-time mother, and (6) the factors contributing to success in high-risk childbirth.</p></div><div><h3>Conclusions</h3><p>The experiences that occurred prior to and after labor that were identified in this study can assist women with CHD to more capably prepare for and understand the process of becoming a mother, including recognition of the importance of a prepregnancy evaluation. The findings of this study can help women with CHD to better understand the path to becoming a mother and prepare themselves for the challenges that lie ahead.</p></div>","PeriodicalId":55450,"journal":{"name":"Asian Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1976131722000287/pdfft?md5=ca5b3d5ab800d53f3269d4f2c9c0297e&pid=1-s2.0-S1976131722000287-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54259884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}