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Comparison of self-care and self-efficacy before and after childbirth in Pregnant women with Gestational Diabetes Mellitus (당뇨병을 가진 임부의 자가 간호와 자기효능감에 대한 출산 전후 비교)

  • Hong, Ji-Yeon;Lee, Mi-Joon;Kim, Seong-Shin;Lee, Ja-Yeon
    • Journal of Convergence for Information Technology
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    • v.11 no.10
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    • pp.293-301
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    • 2021
  • The aim of this study was to evaluate the difference of self-care and self-efficacy before and after childbirth in pregnant women with diabetes mellitus. Data were collected from 24 May 2018 to 23 May 2020 for 40 pregnant women over the 24th week of pregnancy. The collected data were analyzed by matched paired t-test using the SPSS 27.0 software program. 27 subjects (67.5%) were under the age of 35, and 13 subjects (32.5%) were over the age of 35. Self-care and self-effectiveness scores were lower in postpartum than in prenatal, which was statistically significant (p< .000). Therefore, it is necessary to develop a nursing intervention program to enhance self-care and self-efficacy after childbirth.

Effects of Pregnant Women's Pregnancy Stress and Self-Esteem on Their Depression (임부의 우울에 임신 스트레스, 자아존중감이 미치는 영향)

  • Hwang, Ran Hee
    • Journal of Digital Convergence
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    • v.19 no.5
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    • pp.469-477
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    • 2021
  • This purpose of this study was to survey pregnancy stress, self-esteem and depression in pregnant women and to identify factors influencing depression. Data were collected 154 pregnant women. Data were analyzed using ANOVA, t-test, Scheffe's test, Stepwise Regression Analysis, Pearson's correlation coefficient. There was statistically significant difference in pregnancy stress on variable such as planned pregnancy. There were statistically significant difference in self-esteem on variables such as religion, occupation, gestational age. There was statistically significant difference in depression on variables such as planned pregnancy. Pregnancy stress was positively correlated with depression. depression was negatively correlated with self-esteem. Self-esteem was negatively correlated with pregnancy stress. Factor influencing depression were self-esteem, planned pregnancy, pregnancy stress, which explained 30.2%. Findings provide useful information for further studies in antenatal care of pregnant women. Therefore, to promote emotional support of pregnant women, it is necessary to standardized antenatal education program.

Pregnant Women's Antenatal Depression and Influencing Factors (임신여성의 산전 우울 및 영향요인)

  • Koh, Minseon;Ahn, Sukhee;Kim, Jisoon;Park, Seyeon;Oh, Jiwon
    • Women's Health Nursing
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    • v.25 no.1
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    • pp.112-123
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    • 2019
  • Purpose: The objective of this study was to investigate the prevalence of antenatal depression in pregnant women and its influencing factors. Methods: With a cross-sectional survey design, a total of 396 pregnant women were recruited from a local obstetrics and gynecology clinic. Measurements included antenatal depression, perceived stress, predictors of depression during pregnancy, and demographic and obstetric characteristics. Results: Mean antenatal depression score was 8.20 (standard deviation=4.95) out of 30, falling into its normal range. However, the prevalence of antenatal depression was 35.9% when cut-point of 9/10 was used. The prevalence of antenatal depression among women in the first trimester was 31.4%. It was slightly increased to 34.9% in the second trimester but significantly increased to 40.5% in the third trimester. In multiple logistic regression analysis, experiencing prenatal anxiety (odds ratio [OR], 4.16), having no job (OR, 2.90), lower self-esteem (OR, 1.62), and higher perceived stress (OR, 1.32) were significant factors influencing antenatal depression. Conclusion: Negative feeling such as feeling anxious, lower self-esteem, and higher perceived stress during pregnancy are key factors affecting antenatal depression. Thus, antenatal nursing intervention focusing on pregnant women's feeling upon their job status is necessary to improve their antenatal psychological well-being.

Sanhujori Subjectivity in Husbands of Pregnant Women (산후조리에 대한 임부 남편의 주관성 연구)

  • Park, So-Yeon;Wee, Hwee
    • Journal of the Korea Convergence Society
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    • v.10 no.9
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    • pp.141-151
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    • 2019
  • Purpose: This study aimed to identify the type of Sanhujori subjectivity experienced by husbands of pregnant women, and analyzed the characteristics of each type. Method: Q-methodology was used and 207 statements were extracted. Finally, 37 Q-samples were derived and 40 P-samples used the 9-point scale to distribute statements. Data were collected from March-May 2018 and analyzed using PC-QUANL program. Results: The analysis of factor weights and variables showed that 48.0% of the total variance was explained by three types of subjectivity, namely, 'couple-centered pursuit of women's health', 'expecting emotional recovery and requiring social support', and 'each family makes their own family system' for which the explanatory powers were 38.1%, 5.8%, and 4.1%, respectively. Conclusion: This study is meaningful as it explores Sanhujori from the viewpoint of husbands; its findings can be used to both evaluate Sanhujori service in Korea and provide basic data to develop convergent services for Sanhujori.

Do childbirth confidence, prenatal depression, childbirth knowledge, and spousal support influence childbirth fear in pregnant women? (임부의 분만 자신감, 산전 우울, 분만 지식과 배우자 지지는 분만 두려움에 영향을 미치는가?)

  • Cho, Hyunjin;Ahn, Sukhee
    • Women's Health Nursing
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    • v.26 no.4
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    • pp.358-366
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    • 2020
  • Purpose: This study investigated levels of childbirth fear and related prenatal factors (self-confidence for childbirth, prenatal depression, knowledge about childbirth, and spousal support) among pregnant women in South Korea. Methods: A correlational study design was used to explore levels of childbirth fear and related prenatal factors in 200 pregnant women over 28 weeks of gestation. A self-administered questionnaire was used to measure fear of childbirth and related factors, such as self-confidence for childbirth, prenatal depression, knowledge about childbirth, and spousal support. Results: One-third of the pregnant women were aged 35 years and older. Sixty-one percent of women were nulliparae, but only 26.0% had experienced prenatal education. The mean score for fear of childbirth was 66.99 out of 165. The prevalence of fear of childbirth was 72.0%, and childbirth fear was severe in 26.5% of the participants and moderate in 45.5%. Fear of childbirth was negatively related to self-confidence (r=-.45, p<.001), but positively related to prenatal depression (r=.21, p=.002). Two significant predictors were found to explain the fear of childbirth. Higher self-confidence for childbirth was associated with less severe fear of childbirth (β=-.44, p<.001), while higher prenatal depression was associated with more severe fear of childbirth (β=.13, p=.038). Conclusion: The level of fear of childbirth was higher among pregnant women with lower self-confidence and higher prenatal depression. Reasonable evidence should be provided for implementing prenatal and childbirth classes to reduce pregnant women's depression and to increase their confidence.

Nursing Practices to Address Domestic Violence in a Prenatal and Early Childhood Home Visitation Program in Korea (산전·조기 아동기 가정방문 프로그램 참여 여성이 경험하는 가정폭력에 대한 간호실무 분석)

  • June, Kyung Ja;Khang, Young-Ho;Cho, Hong-Jun;Cho, Sung-Hyun;Kim, Yu-Mi;Lee, Ji Yun
    • Journal of Korean Public Health Nursing
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    • v.36 no.1
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    • pp.75-89
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    • 2022
  • Purpose: Domestic violence is an important issue encountered in nurses' home visitation programs. This study analyzed the types of domestic violence and associated interventions provided by nurses in a prenatal and early childhood home visitation program in Korea. Methods: For 24 families who experienced domestic violence in the Seoul Healthy First Step Project, registration information and home visit nursing records were analyzed through directed qualitative content analysis. Results: Physical violence was found in all 24 cases, followed by emotional violence, coercive control, financial abuse, and sexual violence. Twenty-two interventions derived from existing nurse-family partnership (NFP) program strategies were identified in the nursing practices of the Seoul Healthy First Step Project. Conclusion: In a prenatal and early childhood nurses' home visitation program in Korea, various approaches and interventions were provided to nurses to address domestic violence. However, differences in the level of interventions provided by nurses were found, implying a need to educate and support nurses to address domestic violence in-home visitation programs.

A Phenomenological Study on the Stress experiences of Pregnant Women During the Coronavirus Disease (COVID-19) Pandemic (코로나바이러스 감염증(COVID-19) 범유행시 임산부의 스트레스 경험에 관한 현상학적 연구)

  • Young-Mi Yang;Mi-Ock Cho
    • Journal of Industrial Convergence
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    • v.21 no.3
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    • pp.117-127
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    • 2023
  • The study is a qualitative study to understand the stress experience of pregnant women by exploring the vivid experiences of pregnant women during the COVID-19 pandemic through a phenomenological approach. As for the study subjects, 12 pregnant women who were pregnant during the COVID-19 pandemic were selected as subjects and in-depth interviews were conducted. Interviews with participants were conducted from June to October 2022, and data were analyzed through the Taguette program using the Colaizzi (1978) analysis method. As a result of the analysis, the category of experience was derived as 4 themes and 12 sub-topics. The main themes appeared as confusion due to inaccurate information, collapsed prenatal care, stress due to a controlled life, and body and mind adapting. It was confirmed that social support for the health of pregnant women and the establishment of a stable medical system need to be done overall. Further studies are needed to support this.

Psychosocial Impacts of Newborn Bloodspot Screening on Parents: A Scoping Review (신생아 스크리닝이 부모에게 미치는 사회심리적 영향: 주제범위 문헌고찰)

  • Kyoung Eun Yu;Jin Sun Kim
    • Journal of Industrial Convergence
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    • v.22 no.5
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    • pp.137-153
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    • 2024
  • This study synthesized the literature to identify parental psychosocial impact and related factors on newborn bloodspot screening (NBS) process. A scoping review, using the framework proposed by Arksey and O'Malley (2005), was conducted. A literature search was performed of electronic databases (PubMed, CINAHL, RISS, KISS, DBpia) from 2000 to 2023. In total 749 published articles were identified, and 32 articles were included for the final analysis. Almost studies were descriptive studies using survey or interviews and only one intervention study to reduce negative psychosocial impacts was identified. Parents were experiencing negative psychosocial impacts, particularly related to how positive results were initially communicated and had difficulties accessing timely and reliable information. Findings identified that knowledge, quality and satisfaction of education and communication, information sources and providers as related factors of parental psychosocial impacts. Prenatal and postpartum repeated education, providing timely and reliable information, effective communication between health care providers and parents were key to mitigate negative psychosocial impacts. Nurses can play important roles to improve quality on NBS.

Botryoid Wilms Tumor in a Neonate Presenting with Fetal Hydronephrosis: A Case Report (수신증으로 발견된 신생아의 포도상의 윌름스 종양: 증례 보고)

  • Chu Hyun Kim;So-Young Yoo;Tae Yeon Jeon;Ji Hye Kim;Jung-Sun Kim;Minki Baek
    • Journal of the Korean Society of Radiology
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    • v.81 no.3
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    • pp.701-706
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    • 2020
  • Botryoid Wilms tumor, a very rare variant of Wilms tumor, arises from the pelvocalyceal system, and its occurrence in the fetal or neonatal period has never been reported in the literature. Herein, we report an exceedingly rare and challenging case of botryoid Wilms tumor in a neonate who initially presented with fetal hydronephrosis. Postnatal ultrasonography revealed multiple lobulating hypoechoic masses with varying degrees of intralesional vascularity within the dilated pelvocalyceal system. To our knowedge, this is a case report of botryoid Wilms tumor of the youngest child in English literature.

Gastrointestinal Emergencies in Neonates: What We Should Know (신생아 위장관 응급 질환: 알아야 할 영상의학적 소견)

  • Hyun-Hae Cho;So Mi Lee;Sun Kyoung You
    • Journal of the Korean Society of Radiology
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    • v.81 no.4
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    • pp.770-793
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    • 2020
  • Newborn gastrointestinal tract emergency diseases include various disorders that occur anywhere along the digestive tract. Most of them are congenital malformations, not acquired diseases. Many of them cannot be confirmed on prenatal examination, and consequently, postnatal evaluation is required. Unlike adults, in newborn babies, detailed evaluations with computed tomography (CT) and magnetic resonance imaging (MRI) are often limited, so making the diagnosis based on early abdominal radiography is most important. Therefore, it is necessary to be familiar with the radiologic findings that may be seen on imaging studies. In addition, it is important to understand abdominal ultrasound and fluoroscopy findings, which can be used in addition to simple radiography and indications that can be used for further diagnosis and appropriate treatment. Therefore, this study describes and organizes the various imaging findings that may occur in neonatal gastrointestinal emergencies.