DOI QR코드

DOI QR Code

Effects of a Mobile Web-based Pregnancy Health Care Educational Program for Mothers at an Advanced Maternal Age

고령임부 대상 모바일 웹 기반 임신 건강관리 교육프로그램 효과

  • Wang, Hee Jung (Department of Nursing, Suwon Women’s University) ;
  • Kim, Il Ok (Department of Nursing, Sahmyook University)
  • 왕희정 (수원여자대학교 간호학과) ;
  • 김일옥 (삼육대학교 간호학과)
  • Received : 2014.12.23
  • Accepted : 2015.03.05
  • Published : 2015.06.30

Abstract

Purpose: This study was conducted to develop a mobile web-based pregnancy health care educational program for mothers who were at an advanced maternal age (AMA) and to verify the effects of the program on pregnancy health care. Methods: This program was developed using a web-based teaching-learning system design model and composed of 10 subject areas. This research was a quasi-experimental study using a non-equivalent control group pretest-posttest time serial design and data were collected from April 2 to May 3, 2014. To verify the effects of the program, it was used for 2 weeks with 30 AMA mothers (experimental group). For the control group, a classroom education booklet for pregnant women used with 31 AMA mothers. Results: The experimental group having participated in program had statistically significantly higher scores for knowledge (t=3.76, p <.001), self-efficacy (t=8.54, p <.001), and practice behavior (t=4.88, p <.001) of pregnancy health care, compared to the control group. Conclusion: The results of the program indicate that a Mobile web-based pregnancy health care educational program is effective in meeting the needs of AMA mothers and can be used as the prenatal educational program for AMA mothers and is appropriate as an educational media for theses mothers.

Keywords

References

  1. Statistics Korea. Marriage and divorce statistics in 2011 [Internet]. Daejeon: Author; 2014 [cited 2014 April 22]. Available from: http://kostat.go.kr/portal/korea/kor_nw/3/index. board?bmode=read&aSeq=313212.
  2. Ataullah I, Freeman-Wang T. The older obstetric patient. Current Obstetrics & Gynaecology. 2005;15(1):46-53. http://dx.doi.org/10.1016/j.curobgyn.2004.09.006
  3. Mills TA, Lavender T. Advanced maternal age. Obstetrics, Gynaecology and Reproductive Medicine. 2011;21(4):107-111. http://dx.doi.org/10.1016/j.ogrm.2010.12.003
  4. Kim DS, Kim YT, Kim TH, Kim SM. Birth outcomes of late pregnant women and suggestions for policy support. Seoul: Korean Women's Development Institute; 2012.
  5. Bayrampour H, Heaman M, Duncan KA, Tough S. Advanced maternal age and risk perception: A qualitative study. BMC Pregnancy and Childbirth. 2012;12:100. http://dx.doi.org/10.1186/1471-2393-12-100
  6. Chung IS, Kim KS, Ryu SY, Na BJ. Anxiety of pregnant women and its related factors. Journal of the Korean Society of Maternal and Child Health. 2002;6(1):137-147. https://doi.org/10.1023/A:1015472409558
  7. Bayrampour H, Heaman M, Duncan KA, Tough S. Comparison of perception of pregnancy risk of nulliparous women of advanced maternal age and younger age. Journal of Midwifery & Women's Health. 2012;57(5):445-453. http://dx.doi.org/10.1111/j.1542-2011.2012.00188.x
  8. Wang HJ, Park HS, Kim IO. Comparison of prenatal health management state and educational needs for pregnant women with advanced maternal age and under the age of 35. Korean Journal of Women Health Nursing. 2013;19(4):230-241. http://dx.doi.org/10.4069/kjwhn.2013.19.4.230
  9. Park YJ, Viau PA, Jung CH, Yoon JW. Health promoting behaviors, family support, and quality of marital relationship of the mature gravida after 35. Journal of Korean Academic Society of Home Health Care Nursing. 2001;8(1):85-95.
  10. Sung MH, Ju MS, Ju KS. Effects of a prepared childbirth education on the knowledge and delivery participation levels of the spouses of primiparas. Korean Journal of Women Health Nursing. 2003;9(3):213-223.
  11. Shin HS, Kim SH, Kwon SH. Effects of education on primiparas' postpartial care. Journal of Korean Academy of Women's Health Nursing. 2000;6(1):34-45.
  12. Bandura A. Self-efficacy and quality of life: Education, health, sports and accomplishments of the organization. Park YS, Kim UC, translator. Paju: Kyoyookbook; 2001.
  13. Lagan BM, Sinclair M, Kernohan WG. Internet use in pregnancy informs women's decision making: A web-based survey. Birth. 2010;37(2):106-115. http://dx.doi.org/10.1111/j.1523-536X.2010.00390.x
  14. Tough S, Benzies K, Newburn-Cook C, Tofflemire K, Fraser- Lee N, Faber A, et al. What do women know about the risks of delayed childbearing? Canadian Journal of Public Health. 2006;97(4):330-334.
  15. Kim IS. A study on the continuity of user experience in the mobile web. Journal of Korean Society of Design Science. 2012;25(2):297-307.
  16. Lee IS, Song KS, Lee Y. Inquiry of mobile learning. Seoul: Moonumsa;2006.
  17. Jung IS. The web-based teaching-learning system design model. In: Rha I, editor. Web-based education. Paju: Kyoyookbook; 1999. p. 77-100.
  18. Keller JM. Motivational design for learning and performance: The ARCS model approach. New York, NY: Springer; 2010.
  19. Kang SW, Yoo JS, Ko IS. Development of a health information web site evaluation categories with items for diabetes mellitus. Healthcare Informatics Research. 2005;11(4):345-352.
  20. Ahn SK, Kim SS. A study on the user's satisfaction of agriculture information system. AgroInformatics Journal. 1999;1(1):1-11.
  21. Choi YS. The development of web-based ventilator management education program. Journal of the Korea Academia-Industrial Cooperation Society. 2012;13(11):5284-5291. https://doi.org/10.5762/KAIS.2012.13.11.5284
  22. Moon MY, Kim MA. Development and evaluation of a web-based educational program on prevention of foot lesion in adults with diabetes. Journal of Korean Gerontological Nursing. 2010;12(2):154-167.
  23. Kim JS. Development and evaluation of a web-based support program for the maternal role of primiparas. Journal of Korean Academy of Nursing. 2005;35(1):165-176. https://doi.org/10.4040/jkan.2005.35.1.165
  24. Doo HJ. A study on the effect of web based instruction on the knowledge and performance of postpartal self-care and new born care [master's thesis]. Seoul: Hanyang University; 2004.
  25. Chung AK. Development of a mobile platform to support selfregulated learning. The Journal of Korean Association of Computer Education. 2009;12(4):23-34.
  26. Park MJ. Development of a web-based, tailored postpartum information program [master's thesis]. Seoul: Yonsei University; 2007.
  27. Lim C. Interaction system of web-based education. In: Rha I, editor. Web-based education. Paju: Kyoyookbook; 1999. p. 127-142.
  28. Fox MP. A systematic review of the literature reporting on studies that examined the impact of interactive, computer-based patient education programs. Patient Education and Counseling. 2009;77(1):6-13. http://dx.doi.org/10.1016/j.pec.2009.02.011
  29. Eom SY, Kim ES, Kim HJ, Bang YO, Chun N. Effects of a one session spouse-support enhancement childbirth education on childbirth self-efficacy and perception of childbirth experience in women and their husbands. Journal of Korean Academy of Nursing. 2012;42(4):599-607. http://dx.doi.org/10.4040/jkan.2012.42.4.599
  30. Svensson J, Barclay L, Cooke M. Randomised-controlled trial of two antenatal education programmes. Midwifery. 2009;25(2):114-125. http://dx.doi.org/10.1016/j.midw.2006.12.012

Cited by

  1. 간호학 연구에서 효과크기의 사용에 대한 고찰 vol.45, pp.5, 2015, https://doi.org/10.4040/jkan.2015.45.5.641
  2. 고령임산부의 임신과 출산 건강관리 요구 vol.21, pp.4, 2015, https://doi.org/10.4069/kjwhn.2015.21.4.332
  3. 부인암 여성과 배우자를 위한 웹 기반 성 건강 프로그램 개발 vol.22, pp.2, 2015, https://doi.org/10.4069/kjwhn.2016.22.2.104
  4. 아동 부모의 스마트폰 기반 건강교육에 대한 요구도 조사 vol.22, pp.4, 2015, https://doi.org/10.4094/chnr.2016.22.4.346
  5. 아동 부모의 스마트폰 기반 건강교육에 대한 요구도 조사 vol.22, pp.4, 2015, https://doi.org/10.4094/chnr.2016.22.4.346
  6. 예비부부 대상 웹 기반 수태 전 건강증진 프로그램 개발 및 평가 vol.46, pp.5, 2015, https://doi.org/10.4040/jkan.2016.46.5.720
  7. 신장이식 환자의 수술 후 자가간호 어플리케이션 개발 vol.17, pp.12, 2015, https://doi.org/10.5762/kais.2016.17.12.316
  8. Development of Pre-discharge Group Education Program for Liver Transplant Patients vol.31, pp.1, 2015, https://doi.org/10.4285/jkstn.2017.31.1.34
  9. 초산모를 위한 산후관리 모바일 앱 개발 및 효과 검증 vol.23, pp.3, 2017, https://doi.org/10.4069/kjwhn.2017.23.3.210
  10. 보육교사 대상 방문 및 스마트폰 앱 기반 감염예방교육 프로그램 효과: 비무작위 대조군설계 vol.47, pp.6, 2015, https://doi.org/10.4040/jkan.2017.47.6.744
  11. 고령임부의 생활스트레스 vol.21, pp.2, 2015, https://doi.org/10.21289/ksic.2018.21.2.79
  12. 환자-가족중심 의료서비스의 융합적 성과: 체계적 문헌고찰 vol.10, pp.6, 2019, https://doi.org/10.15207/jkcs.2019.10.6.365
  13. A study on the experience of mHealth based on health belief model: Focus group interview vol.36, pp.3, 2015, https://doi.org/10.14367/kjhep.2019.36.3.97
  14. Prenatal nursing intervention studies published in Korean nursing journals: a scoping review vol.26, pp.2, 2020, https://doi.org/10.4069/kjwhn.2020.06.12
  15. 고위험 임부를 위한 지지적 프로그램이 불확실성, 불안, 태아 애착에 미치는 효과 vol.26, pp.2, 2015, https://doi.org/10.4069/kjwhn.2020.06.17
  16. Effect of Oral Health Education Using a Mobile App (OHEMA) on the Oral Health and Swallowing-Related Quality of Life in Community-Based Integrated Care of the Elderly: A Randomized Clinical Trial vol.18, pp.21, 2015, https://doi.org/10.3390/ijerph182111679