• Title/Summary/Keyword: Woman's health

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Women's Level of Fatigue after Delivery (산부의 피로정도에 관한 연구)

  • Kim, Sun-Hee
    • Korean Parent-Child Health Journal
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    • v.4 no.1
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    • pp.1-18
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    • 2001
  • Fatigue after delivery affect women's birth experience and interrupt the process of labor. Finally woman cannot have a positive birth result and will experience a postpartum fatigue. But researches about fatigue during the labor are lacked. Nurse help adapting a mother's role, bonding with new baby, recovering after birth, and improving woman's quality of life through decreasing fatigue during the labor and intercepting a continued postpartum fatigue. So it is very important that measuring a fatigue and confirming relationships between fatigue and factors affecting fatigue. The purpose of this study was measuring the level of fatigue within 4hours after delivery and identifing factors affecting fatigue. The ultimate goal was to contribute to improving a birth experience and adapting after birth through decreasing the level of fatigue and interventions. The data was collected for this study at the hospital of two universities and the third hospital in Seoul from Aug. 15. to Nov. 10. 2000. The subjects were 106 of mothers who deliveried a normal newborn and were tested within four hours after birth. The instruments were The Visual Analogue Scale for fatigue, The State Anxiety Inventory, and The Labor Support Inventory. The data were analyzed by using percentage, mean, SD, t-test, ANOVA, Pearson correlation. The results of this study were as follows; (1) The level of fatigue during the labor was 61.48point. (2) The deferences according to general and obstetric character affecting fatigue founded that there were Significant differences according to job(t=2.659, p=0.009), and the type of delivery(t=-2.035, p=0.044). (3) The deferences according to factors affecting fatigue revealed that there was significant difference according to quality of sleep(F=2.935, p=0.037). The significant fatigue and the fatigue after delivery was anxiety(r=0.343, p=0.000). The above findings indicate that the level of fatigue during the labor is higher than during pregnancy and postpartum. Woman having a job, delivering by vacuum was more fatigued. The level of fatigue according to a quality of sleep was significant difference. The poor quality of sleep, higher level of fatigue. And the more anxiety after delivery, the more fatigue. So, the variable nursing interventions for lessening the level of fatigue through appling the situation for rest, relaxation during the labor to reserve energy, and decreasing anxiety should be provided for mothers.

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Sociopsychological factors associated with depressive symptoms among some urban middle-aged men and women: focused on social support and stress coping strategy (대도시 일부 중년 남녀의 우울증상과 관련된 사회심리적 요인: 사회적 지지와 스트레스 대처방식을 중심으로)

  • Jeon, Seo-Heui;Park, Kyoung Ok
    • Korean Journal of Health Education and Promotion
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    • v.32 no.3
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    • pp.43-55
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    • 2015
  • Objectives: The aim of this study was to identify the associations with social support, stress coping strategy and depression among some urban middle-aged men and women. Methods: Considering the regional distribution 4 districts of Seoul were conveniently selected for this study and a total of 329 middle-aged men and women participated in the self-administered survey. The survey questionaries included social support, stress coping strategy, depression and general characteristics. Results: Avoidance and problem solving strategies were significant independent variables to the men's depression scores, but social support was not significant. However middle aged female's social support more explained the variance of the depression scores than the problem solving strategy. Conclusions: Significant sociopsychological factors that affected middle-aged depression were different by sex and according to the results, stress coping strategy for men and social support for woman were significant factors on depression control in urban middle-aged population.

An Ethnographic Study about Taegyo Practice in Korea (태교 실천에 대한 일상생활 기술적 연구)

  • 김현옥
    • Journal of Korean Academy of Nursing
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    • v.27 no.2
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    • pp.411-422
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    • 1997
  • The purpose of this study is twofold : (i) to investigate how much effort the married couples are making for the good health of both the pregnant woman and her unborn child from the time of their marriage to and during the period of conception : and (ii) to comprehensive investigate socio-cultural back-grounds which affect prenatal effort. Result of this study provide a basis for the prenatal care program which will be appropriate to our culture. This study has been done by the ethnographic research method. The subjects of this study are 53 people in all consisting of 33 pregnant women and 20 husbands. In order to investigate socio-cultural factors which influence Taegyo, producers of Taegyo music were interviewed. In addition the researcher surveyed the markets of Taegyo music, participated in special courses of prenatal education, analyzed the content of the books and periodicals dealing with Taegyo, and collected the concept of Taegyo distributed by the mass media. The full-fledged study continued for eight months from February to August.1996. The data were analyzed as soon as they were collected. Spradly's(1979, 1980) developmental, sequential method of domain analysis. taxonomic analysis, componential analysis, and theme analysis in this order was adopted as the procedure of analyzing the data. To obtain the exactness of study, Sandelowski's (1986) four criteria, that is, Credibility, Fittingness, Auditability, and Confirmability were applied to all stages of data collection, data analysis, the interpretation of the result, and the description of the result. The following are the result : 1. The couples' Taegyo at the stage of preconception was related to their physical, psychological, spiritual conditions under which a healthy baby will be born. Specific methods they prefer are : "the choice of one's spouse." "physical check-up," "physical good health, " "praying, " and so on. 2. When the marriod couple have sex in order to conceive, their Taegyo was related to the imposition of their physical, psychological, and environmental conditions. Specific methods they prefer are : "having sex at specific time, " "having sex in nice place." "to purify their minds while having sex," and so on. 3. The married couples' Taegyo while they are in pregnancy was related to the imposition of their physical. psychological, emotionmental. environmental, social and spiritual conditions. Specific methods they prefer are : "listening to music. " "reading," "looking at beautiful things only," "to avoid looking at or listening to bad things." "to eat food in good shape, " "to avoid drugs," "eating Korean herbal medicine." "sexual abstinence," "to avoid dangerous places," "to keep emotional tranquility," "moderate exercises and rest." "leading a pure life." "praying." "being aware of their words and behavior." "for the couple to keep a good relationship." "interaction with their unborn child," "to support Taegyo for pregnant women," and so on. 4. The married couple put Taegyo into practice on the basis of the following principles : the principle of respecting an unborn child, the principle of forming a good disposition. the principle of top-down parental love, the principle of synergy between a pregnant woman and her unborn child, the principle of expecting a good child, the principle of forming a good habit, and the principle of acquiring a parental role. 5. The practice of Taegyo is influenced by such factors as the married couple, the supporting system, and the mass media. As the husband -and-wife factor, their information of Taegyo, the degree of importance is assigned to their characters, their time to spare, their healthiness, the age of pregnant woman, their conception plan, their religion, their belief of the Taegyo effects, and the birth of a baby in this order. The factor of the supporting system consists of her husband's support, her family support, and her neighbor's support. The mass media factors include the broadcasting media, books specialized in Taegyo, periodicals for pregnant women, booklets for advertizing powdered milk, Taegyo music of record manufacturing companies, and the teaching materials for gifted children. Among these the mass media is especially taking advantage of Taegyo as its main source of economic profits are leading the public behavior pattern to a prodigal one. Taegyo is a self-control behavior which requires practice for the following : the physical and psychological good health of the pregnant woman and her unborn child, the development of the unborn child's good character, the development of the unborn child's intelligence and talents, the expectation of the unborn child's good features. shape a good habit, the expectation of the unborn child's bright future, and the learning of a parental role, the expectation of male birth. Above all it is a type of our good cultural tradition which pursues a value higher than the one that the prenatal care does. The principles of pregnancy care inherent in the habit of Taegyo will provide us a guideline for the development of the prenatal care.

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Experience of Violence and Health Status of Battered Women in Shelters (쉼터 입소여성의 배우자에 의한 폭력 피해 실태와 건강 상태)

  • Kim, Yeon-Hee;Kim, So-Ya-Ja;Yoo, Il-Yong;Ahn, Yang-Heui
    • Journal of Korean Public Health Nursing
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    • v.22 no.1
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    • pp.39-48
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    • 2008
  • Purpose: To identify the experience of violence and physical and psychiatric health in women residing in shelters. Method: A descriptive correlation research design was employed. The participants were 116 women living in shelters who consented to participate in this study. The women lived in one of 23 of the 48 shelters registered with the Ministry of Gender and Equality(2004). Their experience of violence was measured using the Conflict Tactics Scale II revised by the Ministry of Gender and Equality and their health status using the Cornell Medical Index revised by Nam(1965). Analysis included descriptive statistics, and Pearson's correlation coefficients. Results: The results confirmed the women in shelters to have been exposed to severe physical, psychological and sexual violence from their spouses, which had led to serious problems in their musculoskeletal system and also depression. There was a significant relationship between the experience of violence and health status. Conclusion: Future research is needed to develop programs to improve the situations of these women.

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A Correlational Study on Health Promoting Lifestyle, Self-efficacy, Family Function and Menopausal Symptoms of Climacteric Women (갱년기 여성의 건강증진 생활양식, 자기효능, 가족기능, 폐경증상의 관계연구)

  • Jang, Hye-Sook;Kim, Young-Hee;Suh, Young-Sook;Kim, Hyo-Soon;Moon, Myung-Hee;Ok, Ru-Th
    • Women's Health Nursing
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    • v.6 no.4
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    • pp.606-618
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    • 2000
  • The purpose of this study was to provide basic data for developing a nursing intervention for climacteric women by describing a health promoting lifestyle. Also this study identified the relationship between self-efficacy and family function which are factors affecting the health promoting behaviors. The subjects of this study were 143 women from 40 to 59 years of age. The data was analyzed using SPSS program for t-test, ANOVA, and Pearson's correlation coefficients. The results of the study are as follows; 1. The average score of performance in the health promoting lifestyle was 2.82. The variable with the highest degree of performance was the sanitary environment and reconciliatory relationship(3.31), whereas the one with the lowest degree was the professional health maintenance(2.27). The average score of self-efficacy was 71.44, family function was 68.50, and menopausal symptoms was 60.30. 2. There was a statistically significant difference in performance in health promoting lifestyle according to satisfaction of marital life. Also there was a significant difference between self-efficacy, religion, and family function. 3. Performance in the health promoting lifestyle was positively related to self-efficacy, and family function and negatively related to menopausal symptoms. Self-efficacy was positively related to family function. In conclusion, performance in health promoting lifestyle was related to self-efficacy, family function and menopausal symptoms. These factors were affected by religion, family type, and satisfaction of marital life. Therefore, health promoting programs to increase climacteric women's health should be a planed program based on results of this study.

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Hebei Spirit Oil Spill Exposure and Subjective Symptoms in Residents Participating in Clean-Up Activities

  • Cheong, Hae-Kwan;Ha, Mi-Na;Lee, Jong-Seong;Kwon, Ho-Jang;Ha, Eun-Hee;Hong, Yun-Chul;Choi, Ye-Yong;Jeong, Woo-Chul;Hur, Jong-Il;Lee, Seung-Min;Kim, Eun-Jung;Im, Ho-Sub
    • Environmental Analysis Health and Toxicology
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    • v.26
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    • pp.7.1-7.9
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    • 2011
  • Objectives: This study was conducted to examine the relationship between crude oil exposure and physical symptoms among residents participating in clean-up work associated with the Hebei Spirit oil spill, 2007 in Korea. Methods: A total of 288 residents responded to a questionnaire regarding subjective physical symptoms, sociodemographic characteristics and clean-up activities that occurred between two and eight weeks after the accident. Additionally, the urine of 154 of the respondents was analyzed for metabolites of volatile organic compounds (VOCs) and polycyclic aromatic hydrocarbons (PAHs) and heavy metals. To compare the urinary levels of exposure biomarkers, the urine of 39 inland residents who were not directly exposed to the oil spill were analyzed. Results: Residents exposed to oil remnants through clean-up work showed associations between physical symptoms and the exposure levels defined in various ways, including days of work, degree of skin contamination, and levels of some urinary exposure biomarkers of VOCs, metabolites and metals, although no major abnormalities in urinary exposure biomarkers were observed. Conclusions: This study provides evidence of a relationship between crude oil exposure and acute human health effects and suggests the need for follow-up to evaluate the exposure status and long-term health effects of clean-up participants.

A Study of Job Stress and Job Satisfaction of Medical Aid Client Managers (의료급여관리사의 직무스트레스와 직무만족도)

  • Choi, Jeong Myung;Oh, Jin Joo;Lee, Hyun Joo
    • Korean Journal of Occupational Health Nursing
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    • v.17 no.2
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    • pp.146-154
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    • 2008
  • Purpose: The purpose of this study is to investigate the degree of job stress and job satisfaction and the relationship between job stress and job satisfaction of Medical Aid Client Managers. Method: Data were collected from 185 Medical Aid Client Managers in 234 areas between April 2-15, 2007. Collected data was analyzed for the frequency, t-test, ANOVA, Pearson's Correlation Coefficient etc. Results: The average score of job stress was 2.6. Job instability was highest as 2.9 and job autonomy was lowest as 2.2. in eight items. When the job stress of Medical Aid Client Managers was converted to 100 point, the average was 51.7 and ranked in upper 50% of Korean woman workers' job stress. Among the eight items, because the relationship satisfaction and the instability of duty regime ranked in upper 25% of Korean woman workers' job stress, those items were identified to have high stress. The average score of job satisfaction was 2.3 out 4.0 which could be interpreted as unsatisfactory. The correlation between the job stress and the job satisfaction demonstrated significant difference. Decrease of the job satisfaction was associated with increase of the job stress. In regard to the eight items, the inverse correlation was demonstrated to be significant in organization, inappropriate compensation, and workplace culture. Conclusion: Medical Aid Client Managers have high stress in carrying out their duties. They have experienced very severe instability in their duty regime. Also, they have felt alienated from their organization and experienced unfair rewards. They had low duty satisfaction but got a heavy workload and experienced overtime work. To relieve job overburden of Medical Aid Client Managers. it was necessary to improve business system and also was necessary to relieve a regional disparity of business charge.

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Women's Employment in Industries and Risk of Preeclampsia and Gestational Diabetes: A National Population Study of Republic of Korea

  • Jeong-Won Oh;Seyoung Kim;Jung-won Yoon;Taemi Kim;Myoung-Hee Kim;Jia Ryu;Seung-Ah Choe
    • Safety and Health at Work
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    • v.14 no.3
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    • pp.272-278
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    • 2023
  • Background: Some working conditions may pose a higher physical or psychological demand to pregnant women leading to increased risks of pregnancy complications. Objectives: We assessed the association of woman's employment status and the industrial classification with obstetric complications. Methods: We conducted a national population study using the National Health Information Service database of Republic of Korea. Our analysis encompassed 1,316,310 women who experienced first-order live births in 2010-2019. We collected data on the employment status and the industrial classification of women, as well as their diagnoses of preeclampsia (PE) and gestational diabetes mellitus (GDM) classified as A1 (well controlled by diet) or A2 (requiring medication). We calculated odds ratios (aORs) of complications per employment, and each industrial classification was adjusted for individual risk factors. Results: Most (64.7%) were in employment during pregnancy. Manufacturing (16.4%) and the health and social (16.2%) work represented the most prevalent industries. The health and social work exhibited a higher risk of PE (aOR = 1.11, 95% confidence interval [CI]: 1.03-1.21), while the manufacturing industry demonstrated a higher risk of class A2 GDM (1.20, 95% CI: 1.03-1.41) than financial intermediation. When analyzing both classes of GDM, women who worked in public administration and defense/social security showed higher risk of class A1 GDM (1.04, 95% CI: 1.01, 1.07). When comparing high-risk industries with nonemployment, the health and social work showed a comparable risk of PE (1.02, 95% CI: 0.97, 1.07). Conclusion: Employment was associated with overall lower risks of obstetric complications. Health and social service work can counteract the healthy worker effect in relation to PE. This highlights the importance of further elucidating specific occupational risk factors within the high-risk industries.

Taekyo as Mind and Body Science (심신과학으로서의 태교)

  • Lee, Kyung-Hye;Bae, Kyung-Eui
    • Korean Parent-Child Health Journal
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    • v.7 no.1
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    • pp.61-72
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    • 2004
  • This study investigates the history and principles of Korean traditional Taekyo by literary research. Taekyo is compared with prenatal care of modern western medicine, and its principles turn out to be just as scientific. Suggestions are made for a nurse to apply Taekyo principles to nursing care. Traditional Taekyo is an antenatal training which emphasizes how an expectant mother should carry herself (behavior) and a frame of mind she should have (her attitude) in order to produce a child with sound mind and body, as well as good personality. Though Taekyo has been originated in China 2,800 years ago, it has been recorded comprehensively in Korea in a series of publications such as Taekyoshingi, and Kyuhapchongseo, and passed on in a various verbal transitions like Samtaedo, Oliltaedo, etc. Taekyo principles can be explained by yin and yang theory, quantum theory, chaos theory, fetal programming, and social support theory. Some part of Taekyo shares the same scientific ground with prenatal care advocated by modern nursing care for women, where it emphasizes the role of a father, and participation of the whole family in helping an expectant mother. Applying Taekyo principles to nursing care is being done through Taekyo programs, which combine traditional Taekyo with modern prenatal care, in classes for child birth and many pregnant women participate. On the other hand, some internet Taekyo programs appear to be rather distorted and overzealous. A nurse has a responsibility to present a guideline and to monitor internet sites, so that pregnant women can understand the correct concept of traditional Taekyo before they practice it.

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A MODEL FOR PROTECTIVE BEHAVIOR AGAINST THE HARMFUL EFFECTS OF RADIATION FOR RADIOLOGICAL TECHNOLOGISTS IN MEDICAL CENTERS

  • Han, Eun-Ok;Moon, In-Ok
    • Journal of Radiation Protection and Research
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    • v.34 no.3
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    • pp.95-101
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    • 2009
  • Protective behavior of radiological technologists against radiation exposure is important to achieve reduction of the patient doses without compromising medical achievements. This study attempts to provide a basic model for the sophisticated intervention strategy that increases the level of the protective behavior of the technologists. The model was applied to real situations in Korea to demonstrate its utility. The results of this study are summarized as follows: First, the protective environment showed the highest relationship in the factors considered, r=0.637 (p<0.01). Secondly, the important factors were protective environment in environment characteristics, expectation for the protective behavior 0.228 (p<0.001), self-efficacy 0.142 (p<0.001), and attitude for the protective behavior 0.178 (p<0.001) in personal characteristics, and daily patient -0.112 (p<0.001) and number of the participation in the education session for the protective behavior 0.074 (p<0.05). Thirdly, the final protective behavior model by a path analysis method had direct influence on the attitude 0.171 (p<0.01) and environment 0.405 (p<0.01) for the protective behavior, self efficacy 0.122 (p<0.01), expectation for the protective behavior 0.16 (p<0.01), and self-efficacy in the specialty of projects 0.154 (p<0.01). The acceptance of the model determined by the absolute fit index (GFI), 0.969, and by the incremental fit index (CFI), 0.943, showed very significant levels. Value of $x^2$/df that is a factor applied to verify the acceptance of the model was 37, which implies that the result can be accepted in the desirable range. In addition, the parsimonious fit index configured by AGFI (0.890) and TLI (0.852) was also considered as a scale that accepts the model in practical applications. In case of the establishment of some specific intervention strategies based on the protective behavior model against harmful radiation effects proposed in this study, the strategy will provide an effective way to prevent medical harmful radiation effects that could cause severe injuries to people.