DOI QR코드

DOI QR Code

Factors associated with clinical nurses' preconception health behavior in Korea: a cross-sectional survey

  • Yoon-Jung Park (Nursing Division, Daegu Catholic University Medical Center) ;
  • Sun-Hee Kim (Research Institute of Nursing Science, Daegu Catholic University, College of Nursing)
  • Received : 2023.10.30
  • Accepted : 2024.03.08
  • Published : 2024.03.31

Abstract

Purpose: Nurses have been reported to be at an increased risk for miscarriage and preterm labor. However, there is limited knowledge regarding nurses' preconception health behaviors. Therefore, this study aimed to identify factors influencing these behaviors. Methods: One hundred sixty nurses, who were planning their first pregnancy within the upcoming year, participated in an online survey from August 11 to October 31, 2021. Data on preconception health behavior, perceived health status, pregnancy anxiety, nursing practice environment, and social support were analyzed using the t-test, Pearson correlation coefficients, and multiple regression analysis. Results: Age (p=.024), educational level (p=.010), marital status (p=.003), work experience (p=.003), satisfaction with the work department (p<.001), smoking status (p=. 039), and previous health problems related to pregnancy outcomes (p=.004) were significantly associated with nurses' preconception health behaviors. Furthermore, perceived health status (p<.001), pregnancy anxiety (p=.011), nursing practice environment (p=.003), and social support (p<.001) showed significant correlations with preconception health behaviors. Social support (β=. 28, p=.001), satisfaction with the work department (β=.23, p=.032), marital status (β=.22, p=.002), and perceived health status (β=.23, p=.002) were confirmed as factors associated with preconception health behaviors. These factors explained 40.9% of the variance in preconception health behaviors (F=6.64, p<.001). Conclusion: Clinical nurses' preconception health behaviors were influenced by social support, perceived health status, satisfaction with the work department, and marital status. Interventions to improve clinical nurses' preconception health behaviors should target social support and perceived health status. A preconception health behavior education program considering clinical nurses' marital status and satisfaction with the workplace can also be implemented.

Keywords

References

  1. Korea Institute for Health and Social Affairs. Management and support strategies for Preconception care for women of childbearing age (comprehensive report) [Internet]. Sejong: Author; 2014 [cited 2021 Nov 10]. Available from: https://www.kihasa.re.kr/publish/report/research/view?searchText= %EC%9E%84%EC%8B%A0%20%EC%A0%84&page= 1&seq= 27662
  2. Woo YJ, Kim DS. A qualitative study on a successful pregnancy and life-course health management in married women: a grounded theory approach. Women Stud. 2017;93(2):109-137. https://doi.org/10.33949/tws.2017.93.2.004
  3. Zace D, Orfino A, Mariaviteritti A, Versace V, Ricciardi W, DI Pietro ML. A comprehensive assessment of preconception health needs and interventions regarding women of childbearing age: a systematic review. J Prev Med Hyg. 2022; 63(1):E174-E199. https://doi.org/10.15167/2421-4248/jpmh2022.63.1.2391
  4. Lee J, Han YJ, Ryu HM, Kwak DW, Kim MY, Cha DH, et al. A study on the relationship between the health behavior and health-related quality of life during pregnancy and postpartum. Korean J Health Technol Assess. 2019;7(1):75-81. https://doi.org/10.34161/johta.2019.7.1.008
  5. Khan NN, Boyle JA, Lang AY, Harrison CL. Preconception health attitudes and behaviours of women: a qualitative investigation. Nutrients. 2019;11(7):1490. https://doi.org/10.3390/nu11071490
  6. Kandel P, Lim S, Pirotta S, Skouteris H, Moran LJ, Hill B. Enablers and barriers to women's lifestyle behavior change during the preconception period: a systematic review. Obes Rev. 2021;22(7):e13235. https://doi.org/10.1111/obr.13235
  7. Welshman H, Dombrowski S, Grant A, Swanson V, Goudreau A, Currie S. Preconception knowledge, beliefs and behaviours among people of reproductive age: a systematic review of qualitative studies. Prev Med. 2023;175:107707. https://doi.org/10.1016/j.ypmed.2023.107707
  8. Ministry of Health and Welfare. Number of nurses by location and type of health care facility, gender, and age in 2015 [Internet]. Daejeon: Statistics Korea; 2021 [cited 2021 Nov 20]. Available from: https://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=DT_117049_A020&conn_path= I2
  9. Statistics Korea. Birth statistics 2020 [Internet]. Daejeon: Author; 2021 [cited 2021 Aug 30]. Available from: https://kostat.go.kr/board.es?mid=a10301020300&bid=204&act=view&list_no=391575
  10. Koo JS, Kim S. The effects of emotional labor and health promotion behavior on premenstrual syndrome in clinical nurses. J Korea Acad-Ind Coop Soc. 2018;19(5):225-235. https://doi.org/10.5762/KAIS.2018.19.5.225
  11. Ooshige N, Matsunaka E, Ueki S, Takuma S. Pregnant nurses' experiences of working shifts: a qualitative systematic review. JBI Evid Synth. 2023 Sep 25 [Epub]. https://doi.org/10.11124/JBIES-23-00184
  12. Jo Y, Hyun MS, Park JH. Effects of self-efficacy and social support on health promotion behaviors of patients with stroke. J Muscle Joint Health. 2019;26(3):167-174. https://doi.org/10.5953/JMJH.2019.26.3.167
  13. Kim SS, Kim HS. Factors affecting the health behavior compliance of middle-aged women. J Korean Appl Sci Technol. 2023;40(2):277-289. https://doi.org/10.12925/jkocs.2023.40.2.277
  14. Han SU. Knowledge of women of childbearing ages about risk of pregnancy at advanced maternal age and their pregnancy anxiety [master's thesis]. Daejeon: Eulji University; 2018. 72 p.
  15. Jang YM, Park JY. The effect of job stress on health promotion behaviors of nurses in a regional general hospital: the mediating effects of positive psychological capital and nursing work environment. Korean J Occup Health Nurs. 2018;27(3):160-170. https://doi.org/10.5807/kjohn.2018.27.3.160
  16. Kim MA, Seo NS. Influence of job stress and perceived health on health promotion behaviors of geriatric hospital nurses. J Korean Soc Wellness. 2020;15(4):729-740. https://doi.org/10.21097/ksw.2020.11.15.4.729
  17. Huizink AC, Mulder EJ, Robles de Medina PG, Visser GH, Buitelaar JK. Is pregnancy anxiety a distinctive syndrome? Early Hum Dev. 2004;79(2):81-91. https://doi.org/10.1016/j.earlhumdev.2004.04.014
  18. Luong TC, Pham TT, Nguyen MH, Do AQ, Pham LV, Nguyen HC, et al. Fear, anxiety and depression among pregnant women during COVID-19 pandemic: impacts of healthy eating behaviour and health literacy. Ann Med. 2021;53(1): 2120-2131. https://doi.org/ 10.1080/07853890.2021.2001044
  19. Reed JL, Prince SA. Women's heart health: a focus on nurses' physical activity and sedentary behaviour. Curr Opin Cardiol. 2018;33(5):514-520. https://doi.org/10.1097/HCO.0000000000000545
  20. Ross A, Touchton-Leonard K, Perez A, Wehrlen L, Kazmi N, Gibbons S. Factors that influence health-promoting self-care in registered nurses: barriers and facilitators. ANS Adv Nurs Sci. 2019;42(4):358-373. https://doi.org/10.1097/ANS.0000000000000274
  21. Park C, Kang MY, Kim D, Park J, Eom H, Kim EA. Prevalence of abortion and adverse pregnancy outcomes among working women in Korea: a cross-sectional study. PLoS One. 2017;12(8):e0182341. https://doi.org/10.1371/journal.pone.0182341
  22. Kim D, Cha C. Work experience of pregnant shift nurses: a qualitative study. Health Nurs. 2021;33(1):57-65. https://doi.org/10.29402/hn33.1.6
  23. Lee JS, Lee SY. Factors influencing health promoting behaviors for long-term care hospital nurses. J Ind Converg. 2021;19(6):93-99. https://doi.org/10.22678/JIC.2021.19.6.093
  24. Sim ES, Choi SY. The status of nutritional supplements and factors affecting health promotion behaviors in pregnant women. J Korean Soc Matern Child Health. 2019;23(1):35-44. https://doi.org/10.21896/jksmch.2019.23.1.35
  25. Kim JH, Song YA. Health promoting behavior in pregnant couples: actor-partner interdependence model analysis. J Korean Acad Nurs. 2017;47(4):467-475. https://doi.org/10.4040/jkan.2017.47.4.467
  26. Kim J, Cho E. The effect of health promotion behavior of female college students on marriage and pregnancy recognition. J Convergence Cult Technol. 2018;4(1):85-93. https://doi.org/10.17703/JCCT.2018.4.1.85
  27. Kim M, Hong JE, Lee EY. The relationship between fatigue, health-promoting behavior, and depression among infertile women. Korean J Women Health Nurs. 2019;25(3):273-284. https://doi.org/10.4069/kjwhn.2019.25.3.273
  28. Yeom GJ, Kim IO. Development of preconception health behavior scale. Korean J Women Health Nurs. 2019;25(1):31-45. https://doi.org/10.4069/kjwhn.2019.25.1.31
  29. Ware JE Jr. Scales for measuring general health perceptions. Health Serv Res. 1976;11(4):396-415.
  30. Lee TW. Determinants of health promotion behavior: centered on well adults living in Seoul [master's thesis]. Seoul: Yonsei University; 1989. 61 p.
  31. Kim P. Impacts of prenatal psychological status on birth outcomes among nulliparous women [master's thesis]. Seoul: Korea University; 2016. 71 p.
  32. Lake ET. Development of the practice environment scale of the Nursing Work Index. Res Nurs Health. 2002;25(3):176-188. https://doi.org/10.1002/nur.10032
  33. Cho E, Choi M, Kim EY, Yoo IY, Lee NJ. Construct validity and reliability of the Korean version of the practice environment scale of nursing work index for Korean nurses. J Korean Acad Nurs. 2011;41(3):325-332. https://doi.org/10.4040/jkan.2011.41.3.325
  34. Park JW. A study to development a scale of social support [doctoral dissertation]. Seoul: Yonsei University; 1985. 127 p.
  35. Choi MJ, Yoo IY. The effect of social support and ego-resilience on health promotion behavior in nurses. J Korean Soc Living Environ Syst. 2021;28(1):86-94. https://doi.org/10.21086/ksles.2021.2.28.1.86
  36. Chun Y. Health problems in clinical nurses as identified by auricular acupuncture points. Korean J Occup Health Nurs. 2019;28(3):148-155. https://doi.org/10.5807/kjohn.2019.28.3.148
  37. Choi JY, Choi-Kwon S. Health promoting behavior and factors in operating room nurses. J Korean Biol Nurs Sci. 2019; 21(4):308-317. https://doi.org/10.7586/jkbns.2019.21.4.308
  38. Son SJ. A phenomenological study of lived experiences in infertile women over 35 years of age. Journal of Learner-centered Curriculum and Instruction. 2020;20(19):435-450. https://doi.org/10.22251/jlcci.2020.20.19.435
  39. Min HY, Jeong GH. Advanced aged women's needs for pregnancy and childbirth care. Korean J Women Health Nurs. 2015;21(4):332-341. https://doi.org/10.4069/kjwhn.2015.21.4.332
  40. Kim S, Park EY. Influence of knowledge and attitude of cancer on cancer prevention health promoting behavior in general hospital nurses. Asian Oncol Nurs. 2018;18(3):163-172. https://doi.org/10.5388/aon.2018.18.3.163
  41. Hruby A, Lieberman HR, Smith TJ. Symptoms of depression, anxiety, and post-traumatic stress disorder and their relationship to health-related behaviors in over 12,000 US military personnel: bi-directional associations. J Affect Disord. 2021;283:84-93. https://doi.org/10.1016/j.jad.2021.01.029
  42. Kim SH, Hong JY, Park MK. Educational status and needs of premature birth prevention and its association with preconception health behavior among women of childbearing age in Korea. J Korean Acad Community Health Nurs. 2022; 33(4):372-384. https://doi.org/10.12799/jkachn.2022.33.4.372
  43. Shin NM, Kim YH. Health promotion behaviors, subjective health status, and job satisfaction in shift work nurses based on type D personality pattern. J Korean Acad Nurs Adm. 2021;27(1):12-20. https://doi.org/10.11111/jkana.2021.27.1.12
  44. Hemio K, Puttonen S, Viitasalo K, Harma M, Peltonen M, Lindstrom J. Food and nutrient intake among workers with different shift systems. Occup Environ Med. 2015;72(7):513-520. https://doi.org/10.1136/oemed-2014-102624
  45. de Wolff MG, Backhausen MG, Iversen ML, Bendix JM, Rom AL, Hegaard HK. Prevalence and predictors of maternal smoking prior to and during pregnancy in a regional Danish population: a cross-sectional study. Reprod Health. 2019;16(1):82. https://doi.org/10.1186/s12978-019-0740-7