• Women's Health Nursing
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• v.24 no.2
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• pp.196-208
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• 2018

Purpose: To identify the characteristics and health-care needs of high-risk pregnant women in maternal-fetal intensive care units (MFICU). Methods: A mixed-methods design was adopted. Data were collected from 78 high-risk pregnant women admitted to the MFICU. Qualitative data included ten participants' experiences with hospitalization and childbirth, which were analyzed using mixed content analysis. Quantitative data were analyzed using at-test and one-way ANOVA testing. Results: The average score for pregnancy and childbirth health-care needs was 3.54 points. Average score by area was before-admission health care (3.70), health care of baby (3.67), health of childbirth (3.61), postpartum health (3.51), and pregnancy health care during hospitalization (3.48). Qualitative results showed diverse feelings and experiences of high-risk pregnant women and their need for health care, which was expressed in three themes and 11 sub-themes. Conclusion: Nurses should recognize high-risk mothers' feelings and needs for pregnancy and childbirth-focused health care to help patients accept their vulnerability and cope positively.

• Women's Health Nursing
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• v.16 no.3
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• pp.234-244
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• 2010

Purpose: This study determined the level of stress and type of coping style of spouses with high-risk pregnant women. Methods: Subjects were 102 spouses with high-risk pregnant women at 6 hospitals in Seoul and Gyeonggi province from January to August, 2009. The tools for this study were stress scale and coping scale. The data were analyzed by t-test, ANOVA, Scheffe's test and Pearson's correlation coefficient. Results: The average score of subjects stress was 2.18 and coping score was 2.46 point out of 4.00. The highest score of stress categories was 2.44 point in emotional problems and the lowest score was 1.72 in communication and support resources. The stress level was significant differences according to length of marriage, number of hospital visits, satisfaction with marriage relationship, hospitalization days and gestational age respectively. Spouses tended to use an active coping style (2.60) rather than a passive coping style (2.31). There were significant differences according to mother's age and gestational age in active coping and educational level in passive coping. Conclusion: Considering the level of stress coping style and characteristics of high-risk pregnant women's spouses, a nursing intervention should be provided to help them alleviate stress and to encourage active coping.

• Korean Journal of Health Education and Promotion
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• v.33 no.3
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• pp.25-35
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• 2016

Objectives: The purpose of this study is to determine the fatigue, self-esteem, and depression of pregnant women with gestational diabetes mellitus (G-DM), and to reveal associated factors of depression. Methods: As a descriptive correlation study, data was collected from 119 pregnant women with G-DM. Data was analysed using t-test, ANOVA, and stepwise multiple regression. Results: Fatigue, self-esteem, and depression averaged $2.09{\pm}.62$ (range of scale 1~4), $2.63{\pm}.32$ (range of scale 1~6), and $0.45{\pm}.25$ (range of scale 0~3), respectively. The depression varied with a statistical significance according to the age (p=.008), employment (p=.014), child (p=.034), and physical and psychological adjustment of pregnancy (p<.001). We also identified fatigue as the most influencing factor and the physical and psychological adjustment of pregnancy as the second most influencing factor, self-esteem as the third, age as the fourth, and child as the influencing factor on the G-DM women's depression. Conclusions: This research provided a valuable opportunity to recognize G-DM as a personal, and societal problem, which calls for relational support as well as personal support. The healthcare providers need to recognize the emotional aspects of the women with G-DM, and make various efforts to promote the physical and psychological health of the G-DM patients.

• Women's Health Nursing
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• v.17 no.1
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• pp.31-38
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• 2011

Purpose: The purpose of this study was to investigate the relationships among marital satisfaction, spousal support and practice of Taekyo among pregnant women. Methods: This study was conducted by the use of questionnaire surveys with two hundred and eighty-three pregnant women at several hospitals located in Gyeonggi province and Daejeon city from October 2008 to April 2009. Contents of questionnaire included marital satisfaction, spousal support and practice of Taekyo. Descriptive statistics, t-test, ANOVA, Pearson correlation, and stepwise multiple regression were conducted for data analysis using SPSS/WIN 17.0 program. Results: Degree of marital satisfaction, spousal support, and practice of Taekyo showed the high ranking among pregnant women. There was a significant difference in order of fetus, need for Taekyo, and time in Taekyo. There was a positive relationship between marital satisfaction, spousal support, and practice of Taekyo. The significant factors influencing the practice of Taekyo was connected with marital satisfaction, order of fetus and time in Taekyo. The total explanatory range was 29.3%. Conclusion: There is a need for multidimensional strategy in improving marital satisfaction. This study can be used as a foundation for maternal nursing education program and can be developed for practice of Taekyo.

• Women's Health Nursing
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• v.24 no.1
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• pp.1-13
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• 2018

Purpose: To develop educational material about nutrition during antepartum period for women pregnant with twins by using smartphone applications. Methods: A series of steps according to ADDIE model, including Analysis, Design, Development, Implementation, and Evaluation were used to develop smartphone application of antepartum nutrition care for women pregnant with twins. Results: Based on experts' evaluation, the average score was $4.6{\pm}0.39$ in total. Content score was $4.7{\pm}0.40$. Interface design score was $4.5{\pm}0.55$. Content score was higher than interface design score. User evaluation was conducted in the form of interview. Results of interviews revealed that users generally responded positively to the accuracy, understanding, and objectivity for content items of the smartphone app. As for the evaluation of consistency for the evaluation item of interface design, users answered "ordinary" or "generally yes". For design suitability and accuracy of vocabulary, they answered 'generally suitable'. Conclusion: The smartphone app developed through this study is expected to aid antepartum care for women pregnant with twins. It will also contribute to health promotion of both pregnant women and twin fetus.

• Women's Health Nursing
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• v.26 no.2
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• pp.191-199
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• 2020

Purpose: The purpose of this study was to investigate the effects of anxiety and smartphone dependency on sleep quality in pregnant women with preterm labor. Methods: The participants of this study were 111 pregnant women who were between 20 and 37 weeks of gestation and experienced preterm labor. The data were collected from October 1, 2018 to October 25, 2019. The collected data were analyzed using descriptive statistics (frequency, percentage, and standard deviation), as well as the t-test, Pearson correlation coefficients, and hierarchical multiple regression. Results: Significant negative correlations were found between anxiety and sleep quality and between smartphone dependency and sleep quality. Participants' history of preterm birth, pregnancy method, bowel movements, anxiety, and smartphone dependency significantly affected sleep quality, with an explanatory power of 18%. Conclusion: In order to improve the quality of sleep, which is an important health-related factor for pregnant women experiencing preterm labor, it will be necessary to identify a history of premature birth, pregnancies achieved using artificial reproductive technology, bowel problems, and smartphone dependency in advance and to provide nursing interventions accordingly.

• Journal of Families and Better Life
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• v.33 no.2
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• pp.89-101
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• 2015

This study examined the effects of self-differentiation and psychological discomfort on antenatal attachment of pregnant couples in their third trimester of pregnancy. The subjects were 182 couples in J province who had participated in the first wave of the Korea Attachment Longitudinal Study (KALS). Data were analyzed by means of frequency, percentages, Pearson's correlations, and stepwise multiple regression models using SPSS 20.0. The findings were as follows. First, the independent t-test showed that the mean scores of pregnant women's self-differentiation were lower than their spouses in all subscales except emotional cutoff, and higher than in all psychological discomfort subscales. There was no significant difference in antenatal attachment quality between women and men, but the pregnant women significantly spent more time thinking about the fetus than their spouses. Second, the stepwise multiple regression models revealed that pregnant women's emotional cutoff in self-differentiation influenced the most on both quality and quantity of antenatal attachment. Among subscales of their spouses' self-differentiation, only emotional reactivity had an impact on quality of antenatal attachment, and fusion with others had the most impact on quantity of antenatal attachment. Among the pregnant women's and their spouses' psychological discomfort subscales, only depression influenced each quality and quantity of antenatal attachment. This is the very first and only study in which the impact of the pregnant couples' self-differentiation on antenatal attachment has been examined.

• 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.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2016.05a
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• pp.496-498
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• 2016

The current domestic subway has been conducting specialized transportation seats, aimed at whomever wish to use metro not only for vulnerable and disabled people but also for 'pregnant women', which mostly concerns for women during their pregnancy. However so far, such measures have not shown to be effective enough for the community to consider pregnant women as 'weaker transportation users'. Therefore, this paper announces a new seat arrangement system proposal for these specialized seats to be exerting advantageous influences for pregnant women. The grounds for this proposal are using "Hybrid Beacon", which is a short-range communication technology, and combining this to the Mobile Application. The proposal starts with observing the current problem related to the specialized seats for pregnancy, and follows by the concept of the system and the scenario.

• Journal of the Korea Society of Computer and Information
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• v.24 no.12
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• pp.101-108
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• 2019

The purpose of this study was to investigate the subjective evaluation and the characteristics of each type of maternal self-awareness. It was to provide the basic data necessary for the development of clothing that can improve the satisfaction of the body shape of pregnant women. This study was conducted with Q methodology, and was performed for pregnant women over 6 months. Analysis was done with QUANL program. The recognition types of body shape of pregnant women was analyzed as three types: thin limbs and central hemispherical abdominal body shape, under abdomen protruding body shape, and thick upper arm and central abdomen protruding body shape. The thin limbs and central hemispherical abdominal body shape were considered to be normal, with the lowest BMI index before pregnancy. And the limbs were thin and the other parts were not overweight, but recognized that only the belly came out. The under abdomen protruding body shape was overweight with the highest BMI index before pregnancy. In addition to the circumference of the chest and hips, the body was gaining weight and was perceived to have a belly drooping down. The thick upper arm and central abdomen protruding body shape recognized that the middle part of the abdomen protruded like the first type, but it was different from the first type because the upper arm was thickened. In the future study, it would be a meaningful study to compare and analyze the difference with the recognition body of this study through analyzing the actual body shape of pregnant women.