PURPOSE: This study was conducted to evaluate the effect of a one-session spouse-support enhancement childbirth education on childbirth self-efficacy and perception of childbirth experience. METHODS: The design of this study was a nonequivalent control group pretest-posttest experiment. The participants in the study were 31 couples in the experimental group and 30 in the control group. The experimental couples were provided with one session on spouse-support enhancement childbirth education the night before delivery. Data were collected at two hours after delivery using the Childbirth Self-Efficacy Inventory (CBSEI) and perception of childbirth experience scale. Data were analyzed using PASW statistics 18 program. Frequencies, percentage, mean, chi2 test, t-test were used for data analysis. RESULTS: Childbirth self-efficacy significantly increased in the experimental group as compared to the control group, but there was no significant difference in perception of childbirth experience in the experimental group compared to the control group. CONCLUSION: The results suggest that a one-session childbirth education has beneficial effects on enhancing childbirth self-efficacy in pregnant couples. A one-session spouse-support enhancement childbirth education is recommended as an effective nursing intervention to promote couple's childbirth self-efficacy and it is also recommended that modifications of program to promote women's childbirth experience should be considered.
Adaptation, Psychological ; Adult ; Female ; Humans ; Male ; Parturition/psychology ; Patient Education as Topic ; Pregnant Women/*psychology ; *Self Efficacy ; Spouses/*psychology

The purpose of this study was to identify the relationship between self-empowerment and a existential spiritual well-being in pregnant women, and to provide the basic data for nursing intervention.The subjects were 182 women who visited 2 OBGY hospitals in Taegu, Korea and ranged in age from 21 to 40.The data was collected during the period from May 6th toMay 24th, 2002.The instruments were the revised existential spiritual well-being scale developed by Paloutzian and Ellison(1982). Originally the instruments were developed by Spreitzer(1995) and Jung Hea Joo(1998), who translated it into Korean.The data was analyzed using t-test, ANOVA, Pearson correlation coefficients and stepwise multiple regression.The results of this study were as follows :1. Mean score of total empowerment was 3.72 and the subcategory 'meaning', had the highest score at 4.15.2. Mean score of existential spiritual well- being was 4.16.3. Existential spiritual well-being was positively related to self-empowerment (r=.400, P=000).4. A significant statistical difference between education, religion and self-empowerment was found.5. A significant statistical difference between hope of pregnancy and a existential spiritual well-being was found.6. The most important variable affecting the existential spiritual well-being was meaning which accounted for 15% of the total variance in stepwise multiple regression analysed. Three variables, competence and hope of pregnancy accounted for 22% in existential spiritual well-being. From the results of the study, the following ecommendations are presented :1) Indeed, we should identify existential spiritual well-being for real meaning of spiritual well-being in future.2) It is required to check the effect of existential spiritual well-being and self-empowerment through the repeated studies.3) We need to take a serious view of the meaning affecting existential spiritual well-being in pregnant women.
Daegu ; Education ; Female ; Hope ; Humans ; Korea ; Mental Competency ; Nursing ; Power (Psychology) ; Pregnancy ; Pregnant Women*

PURPOSE: The purpose of this study was to evaluate the effectiveness of the Permission, Limited Information, Specific Suggestions, Intensive Therapy (PLISSIT) model sexual program on female sexual function for women with gynecologic cancer. METHODS: The integrative 6-hr (two hours per session) program reflecting physical and psychosocial aspects of women's sexuality was developed based on Annon's PLISSIT model. Participants were 61 women with cervical, ovarian, or endometrial cancer. Of them, 29 were assigned to the experimental group and 32 to the control group. The women completed the Female Sexual Function Index (FSFI) including sexual desire, arousal, lubrication, orgasm, satisfaction, and pain. Independent t-test and repeated measured ANOVA were used to test the effectiveness of the program. RESULTS: Significant group differences were found on FSFI sub-domain scores including sexual desire, arousal, lubrication, orgasm, and satisfaction but not pain. Significant time differences were found on all domains except for pain in the experimental group repeated measured ANOVA. CONCLUSION: The results indicate that the three-week PLISSIT model sexual program is effective in increasing sexual function for women with gynecologic cancer. Nurses may contribute to improving women's sexual function by utilizing the program. Strategies to relieve sexual pain need to be considered for greater effectiveness of the program.
Adult ; Analysis of Variance ; Arousal ; Female ; Genital Neoplasms, Female/*psychology ; Humans ; Libido ; Middle Aged ; Orgasm ; Patient Education as Topic ; Personal Satisfaction ; *Program Evaluation ; Questionnaires ; *Sexuality ; Women/psychology

PURPOSE: The purpose of this study was to measure the effects of a breast feeding promotion program for working women on breast feeding continuation, mother-infant attachment, and maternal sensitivity. METHODS: The design of this study is nonequivalent control group design with repeated measures. RESULTS: There were significant differences in breast feeding continuation between two groups at each time point except 2 days and 1 week after delivery. The scores of mother-infant attachment and maternal sensitivity of experimental group were higher than those of the control group, but there were no significant differences between two groups. CONCLUSION: Although some modifications in contents and administration will be required to increase the effectiveness of the program, breast feeding promotion program for working women can be an effective nursing intervention which can facilitate breast feeding continuation and mother-infant relationships.
Adult ; Breast Feeding/*psychology ; Demography ; Female ; Health Education ; Health Promotion ; Humans ; Infant ; Infant Food ; Infant, Newborn ; Mother-Child Relations ; Postnatal Care ; Program Development ; Questionnaires ; *Women, Working/psychology

PURPOSE: This study was done to develop a reproductive health program to improve reproductive health of women immigrants. METHODS: The participants in the study were 58 immigrant women who lived in Vietnam, China, Philippines, or Cambodia before marriage. They were assigned to the experiment group (n=29) or the control group (n=29). The reproductive health program for this study consisted of reproductive health education, health counseling, phone monitoring, and emotional support based on Cox (1982)'s Interaction Model of Client Health Behavior and was implemented for four weeks. RESULTS: There were significant differences in reproductive health knowledge (t=9.78, p<.001), reproductive health attitude (t=6.59, p<.001), and reproductive health behavior (t=5.11, p<.001) within and between groups after the reproductive health program. But there were no significant differences in clinical indicators between the two groups. CONCLUSION: The results of this study indicate the that reproductive health program for the women immigrants is effective in terms of reproductive health knowledge, reproductive health attitude and reproductive health behaviors. Therefore, nurses in public and private facilities, such as multicultural centers and public health centers in each community, should develop strategies to expand and provide reproductive health programs for women immigrants.
Adult ; Counseling ; Emigrants and Immigrants/*psychology ; Female ; Health Behavior ; Health Education ; Health Promotion ; Health Status ; Humans ; Interviews as Topic ; Marriage ; *Program Development ; Program Evaluation ; Questionnaires ; *Reproductive Health ; Telephone ; Women/*psychology

PURPOSE: This study was to evaluate a virtual class, 'lifelong health care for women', for female university students. METHOD: The research design was one group pre-post design. A pretest and posttest were conducted to measure CMI, perceived health status, health promoting lifestyle, and knowledge related to women's health. The subjects of this study were 74 female students in 3 universities, and they were provided with the virtual class by K university consortium for 16 weeks. Data was analyzed by descriptive and paired t-test. RESULTS: There were statistically significant differences in CMI (t=3.367, p=.001), perceived health status (t=-2.788, p=.007), and knowledge related to women's health (t=-10,432, p=.000) between the pretest and posttest. However, there was not a statistically significant difference in a health promoting lifestyle (t=-1.431, p=.157) between the pretest and posttest. CONCLUSION: These results suggest that a virtual class on lifelong health care for women is aneffective method in decreasing health problems, and improving perceived health status and knowledge related to women's health by female university students.
Adult ; Computer-Assisted Instruction ; Education, Nursing ; Educational Measurement ; Female ; *Health Education ; Health Promotion ; Health Status ; Humans ; Program Evaluation ; Students, Nursing/psychology ; Teaching ; *Women's Health

OBJECTIVES: This study aimed to investigate the effect of counseling on quality of life (QOL) in postmenopausal women conducted in Hamadan, Iran in 2015. METHODS: In this quasi-experimental study, 80 postmenopausal women were randomly selected and allocated to case and control groups (40 per group). Data collection tool included questionnaires of demographic information and QOL during menopause, which were completed by the samples before the intervention. In the case group, training program was run during four sessions in the form of weekly consulting sessions for 45 to 60 minutes. Training program included familiarity with menopause symptoms, confrontation and self-care during this period. The control group, only received routine cares. Three months after intervention, information were collected in both groups. Data were analyzed using SPSS for Windows. RESULTS: Before the intervention, mean ± standard deviation for QOL in case group was 101.2 ± 31.4 and it was significantly decreased to 96.9 ± 27.0 after intervention (P < 0.05). While no significant change was observed in the control group (from 98.9 ± 35.5 to 102.3 ± 35.0, P = 0.443). Symptoms of physical (P = 0.033) and sexual (P < 0.001) dimensions significantly decreased in the case group. While significant increase was observed in terms of psychosocial (P = 0.049) and sexual symptoms in control group. CONCLUSIONS: Findings suggested impact of consulting on improvement of QOL during menopause. Supportive consulting can be a suitable approach for improving women's health, reducing problems and enhancing QOL in menopause period.
Counseling* ; Data Collection ; Education ; Female ; Humans ; Iran* ; Menopause ; Non-Randomized Controlled Trials as Topic ; Quality of Life* ; Recognition (Psychology) ; Referral and Consultation ; Self Care ; Women's Health

The purpose of this study was to find out women's need and level of knowledge about episiotomy, pain and discomfort related to episiotomy on a cross-sectional survey design. The subjects were 102 postpartal women agreed on oral consent. 34 postpartal women admitted at obstetric ward of H university hospital, 34 postpartal women admitted at 2 Sanhujoriwons, and 34 women within one year afterbirth. They were selected in Seoul, Korea. Data were collected from July, 1 to September 30, 2000, by a structured questionnaire. The instrument used for this study was a questionaire consisted of 5 items of general characteristics, 12 items of obstetric characteristics, 10 items of level of knowledge (Chronbach alpha .8176), 8 items of need of education(Chronbach alpha.8836), 3 items of pain (Chronbach alpha.9252), and 3 items of discomfort (Chronbach alpha.8092). The data were analyzed by the SPSS/PC+ program using t-test, ANOVA and Scheffe test as a post hoc and Pearson Correlation Coefficient. The results of the study were as follows; 1. 63.2% of respondents had right answer on 6-8 items among 10 items. Only 4.4% of women got right answer on 10 items all. 2. The need of education was high(4.45%) on all items and the range of score was 4.25~4.64. 3. The strength of pain was the highest within one week afterbirth(5.93/10) and became lower in 8-14 days afterbirth(2.55). And after 15days of postpartum, the pain level became to the lowest level(1.08). However, pain was delayed until more than one month afterbirth. 4. The level of discomfort was the highest one week afterbirth(6.88/10) and became lower in 8-14 days afterbirth(4.20). And after 15days of postpartum, the discomfort level became to the lowest level(2.47). Universally, the degree of discomfort was higher than pain. 5. There was a strong positive correlation between discomforts and pain (r=.752**) and weak positive correlation between discomforts and the level of educational need(r=.308*). In conclusion, women have a right to choose whether she will have episiotomy or not according to her decision making based on the comprehensive knowledge of episiotomy before they get episiotomy with consent process and explanation in detail. Women health care providers like nurses have a responsibility to do conscious raising and empowerment for women so that they could lead themselves to choose given medical treatments for women's health and wellbeing and the quality of life in her life cycle.
Cross-Sectional Studies ; Decision Making ; Education ; Episiotomy* ; Female ; Humans ; Korea ; Life Cycle Stages ; Postpartum Period ; Power (Psychology) ; Quality of Life ; Surveys and Questionnaires ; Seoul ; Women's Health

PURPOSE: The prevalence of urinary incontinence (UI) among community-dwelling older women in Korea is not well known. This study examined the prevalence of UI and UI-related knowledge among community-dwelling Korean women aged 55 and over. METHOD: A cross-sectional descriptive-correlational study was conducted. Data were collected from 276 women aged 55 and over in a metropolitan city using a structured questionnaire. RESULT: Of 276 respondents, 28.3% (n = 78) reported experiencing UI. More than 50% of respondents incorrectly agreed with the statement that UI is the result of normal aging, with only 20.9% realizing that there is an exercise that can control urine leaks when one coughs, sneezes, or laughs. Older women who had sought treatment had higher mean score for UI-related knowledge. CONCLUSION: This study revealed substantial misconception about UI among community dwelling older women, demonstrating that comprehensive educational programs need to be developed to increase knowledge of UI.
Age Distribution ; *Aged/psychology/statistics & numerical data ; Aged, 80 and over ; Aging ; Attitude to Health ; Cross-Sectional Studies ; Educational Status ; Exercise Therapy ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Korea/epidemiology ; Middle Aged ; Needs Assessment ; Patient Education as Topic/*standards ; Prevalence ; Questionnaires ; Residence Characteristics ; Risk Factors ; Self Care ; Socioeconomic Factors ; Urban Population/statistics & numerical data ; *Urinary Incontinence/epidemiology/etiology/prevention & control ; Women/*education/psychology

PURPOSE: Korean women are likely to experience symptoms of depression, possibly due to socially fixed limitations on the roles that Korean women are expected to perform. Also if a Korean woman experinces negative relationship problem or stress in her family, she would feel responsible, which will worsen her depression. Nonetheless, much of the research on depression among Korean women has focused on menopausal women. This study aims to understand the depression of Korean women to provide fundamental data to develop nursing intervention method for promoting women's health. METHODS: The present investigation assessed the prevalence and correlates of depression in a large sample of Korean women, aged 18 or older, from the general population. With a probability sample of 3312 women drawn from two areas in Korea, a survey, which contains the Center for Epidemiological Studies Depression Scale (CES-D) and background, was completed. RESULTS: According to CES-D classification criteria, 36.5% of the women in the sample displayed either no depression or mild depression, 55.6% exhibited moderate depression, and 7.8% manifested severe depression. Significant bivariate relationships were observed between depression and each measured background variable except alcohol use. Logistic regression analysis indicated that the strongest combination of predictors of depression included income, menopausal, and marital status. CONCLUSION: The data support the premise that Korean women disproportionately experience elevated levels of depression. Consistent with the theory, depression may be related to social pressures to conform to the traditional roles. The study suggests the need for further research, primary prevention activities, and increased access to treatment.
Adult ; Age Distribution ; Depressive Disorder/diagnosis/*ethnology/etiology/nursing ; Female ; Gender Identity ; Guilt ; Health Promotion ; Health Surveys ; Humans ; Logistic Models ; Male ; Marital Status ; Models, Psychological ; Multivariate Analysis ; Nurse's Role ; Prevalence ; Psychiatric Status Rating Scales ; Questionnaires ; Risk Factors ; Severity of Illness Index ; Sex Distribution ; Social Support ; Social Values ; Socioeconomic Factors ; *Women/education/psychology