PURPOSE: This study was intended to explore the essential structure and the meanings of childbirth experiences among Korean women participated in Lamaze childbirth education. METHODS: Giorgi's phenomenological method was used to analyze data collected by in-depth interviews with six primiparous women from March to July 2009. RESULTS: Five components identified in the meanings of experience: 'Simplicity', 'Self-control', 'Uncontrollable pain', 'Spiritual maturity', 'Physiologic event'. CONCLUSION: The study results revealed that the childbirth experience was positive generally, partially influenced by Lamaze childbirth education. But, meanings of childbirth experience with Lamaze childbirth education were mostly physiological respect related to labor pain or one's own efforts to endure labor pain. Therefore, nursing strategies for drawing emotional and socio-environmental experiences from childbirth experience with Lamaze childbirth education is needed.
Female ; Humans ; Labor Pain ; Natural Childbirth ; Parturition ; Pregnancy ; Qualitative Research

PURPOSE: This study was intended to explore the essential structure and the meanings of childbirth experiences among Korean women participated in Lamaze childbirth education. METHODS: Giorgi's phenomenological method was used to analyze data collected by in-depth interviews with six primiparous women from March to July 2009. RESULTS: Five components identified in the meanings of experience: 'Simplicity', 'Self-control', 'Uncontrollable pain', 'Spiritual maturity', 'Physiologic event'. CONCLUSION: The study results revealed that the childbirth experience was positive generally, partially influenced by Lamaze childbirth education. But, meanings of childbirth experience with Lamaze childbirth education were mostly physiological respect related to labor pain or one's own efforts to endure labor pain. Therefore, nursing strategies for drawing emotional and socio-environmental experiences from childbirth experience with Lamaze childbirth education is needed.
Female ; Humans ; Labor Pain ; Natural Childbirth ; Parturition ; Pregnancy ; Qualitative Research

PURPOSE: The purpose of this study was to investigate actor and partner effects of sexual attitude and marital intimacy on sexual satisfaction in pregnant couples. METHODS: Data were collected from 176 pairs of the pregnant couples visiting for prenatal care at hospitals from June 18 to September 24, 2016. The collected data were analyzed by paired t-test and Pearson's correlation coefficients using SPSS 18.0 and interdependent effect (Actor-Partner Interdependence Model analysis) through AMOS 18.0. RESULTS: The sexual attitude and marital intimacy of the pregnant woman did not have a partner effect on the sexual satisfaction of her husband, respectively (β=.12, p=.141), (β=.01, p=.938). The sexual attitude of the husband had a partner effect on the sexual satisfaction of the pregnant woman (β=.13, p=.021), but the marital intimacy of the husband did not show a partner effect (β=.07, p=.202). CONCLUSION: Study suggests that the sexual attitude and marital intimacy of pregnant couples should be considered as factors when developing an intervention to improve sexual satisfaction in couples. Moreover, pregnant couples should participate in intervention together because the sexual satisfaction has conceptual view of interdependence in two-person relationships.
Family Characteristics* ; Female ; Humans ; Marriage ; Orgasm* ; Pregnancy ; Pregnant Women ; Prenatal Care ; Spouses

Treatment of oral cancers with chemotherapeutic agents are evaluated as an effective method for remission to reduce cancer proliferation nowadays. But, minimization of side-effects such as bone marrow suppression, gastrointestinal toxicity and renal damage is another problem to be solved. Thus, a possible approach to develop a clinically applicable chemotherapeutic agents is to screen anticancer activity among traditional medicinal plants which have been used for thousands of years with very low side-effects in orient. In this study we focused on screening anti-oral cancer activities among 14 traditional medicinal plant extracts that revealed anticancer activities on other solid tumors. The results were as follow: 1. Methanol extract of Lepidium apetalum showed the highest anti-oral cancer activity against A253 cells. At concentration of 4 microgram/ml, the cell viability was 48% under our experimental condition. IC50 value obtained was 4 microgram/ml. 2. Methanol extract of Coptis japonica and Solanum nigrum were effective on KB cells. Cell viability observed were 62% and 67% at concentration of 4 microgram/ml, and IC50 values were 12 microgram/ml and 10 microgram/ml respectively. 3. When the methanol extract of Lonicera caerule was combined with 2 microgram/ml of cisplatin, the anticancer activity was synergistically increased. One hundred microgram/ml of Lonicera caerule showed 92% (alone) or 59% (combined with cisplatin) cell viabilities. IC50 value of Lonicera caerule extract against KB cells was reduced from 301 microgram/ml to 126 microgram/ml when combined with 2 microgram/ml of cisplatin. 4. Medicinal plant extracts effective on both A253 and KB cells were Coptis japonica, Lepidium apetalum, Solanum nigrum, Caesalpiniae Lignum, Curcuma aromatica.
Bone Marrow ; Caesalpinia ; Cell Survival ; Cisplatin ; Coptis ; Curcuma ; Humans ; Inhibitory Concentration 50 ; KB Cells ; Lepidium ; Lonicera ; Mass Screening ; Methanol ; Mouth Neoplasms ; Plants, Medicinal* ; Solanum nigrum

BACKGROUND: Many women have experienced artificial abortion, but artificial abortion itself may take a life away from a fetus and also influence serious effect on operated womens health condition. So this study was attempted to offer basic information for improving maternity health condition by knowing womens artificial abortion performance status and recognition about its complication. METHODS: The 215 married women who visited in OPD of certain hospital in Pusan from november 1994 to January 1995, answered the question about experience of artifial abortion the recognition about its complication, and artificial abortioned group answered the reason of artificial abortion and the experience of complication. RESULTS: The number of women who experienced artificial abortion was 107 persons(49.8%). More educated women have experienced less artificial abortion. The causes of artificial abortion were birth control as of 40.6%, continuation of occupation or study as of 20.6%, for preserving health condition as of 14.2%, impossible marriage as of 14.2%. 115 persons out of 215 persons (53.4% ) answered they heard about, its complicatons. In relation to health, 66 persons(30.7% ) answered that the abortion had no relation with health condition or they answered they have no idea about the issue, 68 persons(31.6%) answered that the abortion had relation with but its complication would be soon recovered. Higher understanding was obtained in higher educated group(P<0.05). If unwanted pregnancy occur to them in the future, 32 persons(27.8%) in recognized group and 38 persons(38%) in unrecognized group answered they would perform artificial abortion. So understanding about complicaton of artificial abortion has little effect on their artificial abortion rate. CONCLUSIONS: Recognition of complications of married women is low, and recognition degree doesnt affect artificial abortion. So, not only education about complications of artificial abortion and contraception but also social performance of sharing womens responsibility for birth control or bringing up infants is necessary.
Abortion, Induced ; Busan ; Contraception ; Education ; Female ; Fetus ; Humans ; Infant ; Marriage ; Occupations ; Pregnancy ; Pregnancy, Unwanted ; Women's Health

PURPOSE: This study was to identify the incidence of sleep disturbance and factors influencing their sleep disturbance in pregnant women. METHODS: Data were collected from 131 pregnant women among outpatients who visited two obstetric clinics, one public health center, and P national university hospital to receive prenatal care from July until to September, 2015. Data were analyzed using descriptive statistics, t-test, ANOVA, χ²-test, and logistic multiple regression with PASW/WIN 22.0. RESULTS: The mean score was 7.97 out of 21 points for sleep disturbance, 42.89 out of 96 points for pregnancy related discomforts, 7.02 out of 30 points for prenatal depression, and 68.65 out of 165 points for childbirth fear. Prevalence of poor sleeper group with more higher 5 out of 21 sleep disturbance points was 72.5%. Factors influencing sleep disturbance were pregnancy related discomforts (OR=1.11; 95% CI: 1.04~1.19), and prenatal depression (OR=1.17; 95% CI: 1.02~1.35). CONCLUSION: This study shows that pregnancy related discomforts and prenatal depression affect sleep disturbance in pregnant women. Therefore, to improve sleep disturbance during pregnancy, we need to pay attention to relieving discomforts as well as prenatal depression.
Depression ; Female ; Humans ; Incidence ; Outpatients ; Parturition ; Pregnancy ; Pregnant Women* ; Prenatal Care ; Prevalence ; Public Health

PURPOSE: This study aimed to elucidate the prevalence of breast feeding and maternal psychosocial predictors affecting the breast feeding practice at six months postpartum. METHOD: One hundred and sixty one mothers at six months postpartum were conveniently recruited in two public health center in Jeju-city. Subjects completed a well-structured questionnaire regarding the feeding types of the child, maternal self-esteem, the Edinburgh Postnatal Depression Scale (EPDS), husband support, and marital adjustment scale. The data was analyzed using the chi-square-test, t-test, Pearson correlation coefficients, and logistic regression. RESULT: The prevalence of breast feeding at six months postpartum was 29.9%. Predictors of breast feeding practice identified by the logistic regression analysis include first feeding type after delivery, marital adjustment, readiness for maternal role and work state. CONCLUSION: The prevalence of breast feeding practice was lower than WHO desired at six months postpartum. Therefore, the findings support the need for breast feeding education including interventions focused on improving readiness for maternal role and marital adjustment.
Breast Feeding* ; Breast* ; Child ; Depression, Postpartum ; Education ; Female ; Humans ; Logistic Models ; Marriage ; Mothers ; Postpartum Period ; Prevalence ; Psychology* ; Public Health ; Surveys and Questionnaires ; Spouses

PURPOSE: The objectives of this study were to investigate the current breast feeding rates in Jeju Province and to identify factors which influence breast feeding duration after birth. METHOD: The subjects were 189 women with a child between 12 months and 24 months old. Data was collected using a structured questionnaire from October 2003 to January 2004. Measures used in this study included general characteristics, delivery related characteristics, breast feeding related characteristics and the feeding type over a 12-month period after birth. RESULT: The study showed that the breast feeding rate in the first month was 63.1%, later dropping to 30.9% in the sixth month. In addition, only 14.2% of subjects were still breast feeding the baby at twelve months of age. The mean of breast feeding duration was 4.77 months. The factors which influenced breast feeding duration were wanted pregnancy, breast feeding education, planning of breast feeding and breast feeding experience. CONCLUSION: Considering the low rate of long-term breast feeding, the importance of breast feeding should be emphasized to promote and support the continuation of breast feeding in addition to at its initial stage. Based on the results, programs on breast feeding promotion and continuation need to be developed.
Breast Feeding* ; Breast* ; Child ; Child, Preschool ; Education ; Female ; Humans ; Parturition ; Pregnancy ; Surveys and Questionnaires

PURPOSE: This study was conducted to analyze intubation survival rates according to characteristics and to identify the risk factors affecting deliberate self-extubation. METHODS: Data were collected from patients' electronic medical reports from one hospital in B city. Participants were 450 patients with endotracheal intubation being treated in intensive care units. The collected data were analyzed using Kaplan-Meier estimation, Log rank test, and Cox's proportional hazards model. RESULTS: Over 15 months thirty-two (7.1%) of the 450 intubation patients intentionally extubated themselves. The patients who had experienced high level of consciousness, agitation. use of sedative, application of restraints, and day and night shift had significantly lower intubation survival rates. Risk factors for deliberate self-extubation were age (60 years and over), unit (neurological intensive care), level of consciousness (higher), agitation, application of restraints, shift (night), and nurse-to-patient ratio (one nurse caring for two or more patients). CONCLUSION: Appropriate use of sedative drugs, effective treatment to reduce agitation, sufficient nurse-to-patient ratio, and no restraints for patients should be the focus to diminish the number of deliberate self-extubations.
Age Factors ; Aged ; Consciousness ; Device Removal ; Female ; Humans ; Hypnotics and Sedatives/therapeutic use ; Intensive Care Units ; Intubation, Intratracheal/mortality/*nursing/psychology ; Kaplan-Meier Estimate ; Male ; Middle Aged ; Nurses/statistics & numerical data/supply & distribution ; Proportional Hazards Models ; Psychomotor Agitation ; Retrospective Studies ; Risk Factors ; Workload

PURPOSE: This study examined structural relationships between parenting stress and mothers' relational variables such as marital satisfaction, marital conflict, husbands' parental involvement, and maternal identity. METHODS: A nine-pathway hypothetical model was developed based on literature reviews. Two exogenous variables (marital satisfaction and marital conflict) and three endogenous variables (husbands' parental involvement, maternal identity, and mothers' parenting stress) were included in this model. Participants were 170 mothers of 5~7 month old children who visited the Public Health Center to be vaccinated between January 19 and March 27, 2015. Data were analyzed using descriptive statistics, correlations, and structural equation modeling with PASW/WIN 22.0 and AMOS 22.0. RESULTS: The model fit indices for the modified model were suitable for the recommended level. Among mothers' relational variables, maternal identity, marital conflict, and husbands' parental involvement directly influenced mothers' parenting stress. Marital satisfaction did not have a direct and indirect influence on mothers' parenting stress, however, it directly affected maternal identity and husbands' parental involvement. These predictive variables of mothers' parenting stress explained 56.0% of the model. CONCLUSION: This study expanded the understanding of mothers' parenting stress and can be used to develop effective interventions to decrease stress.
Child ; Family Conflict ; Humans ; Mothers ; Parenting* ; Parents* ; Public Health