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Current Status of Women's Health Nursing Practicum and Direction.

Jeung Im KIM ; Heesun KANG ; Somi PARK ; Sukhee AHN

Korean Journal of Women Health Nursing.2014;20(2):173-183. doi:10.4069/kjwhn.2014.20.2.173

PURPOSE: This study was done to examine current status of women's health nursing practicum and identify necessary core nursing skills in this practicum area. Moreover, one syllabus and evaluation sheets for women's health nursing clinical practicum at one university were reviewed. METHODS: A survey design was used with 81 educators who were teaching maternity or women's health nursing and its practicum. RESULTS: Most clinical sites for practicum were university hospitals (43.0%), women's hospitals (32.7%), or general hospitals (17.3%); but the majority (77.8%) of educators expressed difficulty in finding appropriate practicum places. Common teaching and learning methods were clinical guides for practicum (44.6%), e-learning content (30.2%), and simulation (23.6%). Core nursing skills for this practicum included assessment of stages of labor, preparation of uterine-fetal monitoring devices and interpretation of results, monitoring uterus and fetal activity, and performing Leopold's maneuver. For postpartum care, the following were included; postpartum fundal massage, assessment of breast engorgement, fundus height, and episiotomy sites, inserting urinary catheter, and teaching the use of patient-controlled analgesia. CONCLUSION: To improve the quality of clinical practicum, development of a clear course syllabus, standardized clinical guidebook, and core nursing skills is required and should be shared with all relevant nurse educators.
Analgesia, Patient-Controlled ; Breast ; Clinical Competence ; Education ; Episiotomy ; Female ; Fetal Movement ; Hospitals, General ; Hospitals, University ; Infant, Newborn ; Learning ; Massage ; Maternal-Child Nursing ; Nursing* ; Postnatal Care ; Postpartum Period ; Pregnancy ; Urinary Catheters ; Uterus ; Women's Health*

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Stress, Depression, and Fetal Attachment in Pregnant Women having Infertility Treatments.

Miok KIM

Korean Journal of Women Health Nursing.2014;20(2):163-172. doi:10.4069/kjwhn.2014.20.2.163

PURPOSE: The purpose of this study was to determine the stress, depression, and fetal attachment of pregnant women who underwent infertility treatment, and to identify factors associated with fetal attachment. METHODS: As a correlation survey design, data were collected from 136 pregnant women who underwent infertility treatment. Data were analyzed using chi2-test, t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression. RESULTS: Stress, depression, and fetal attachment averaged 3.01+/-0.60 (range of scale 1~5), 10.02+/-6.51 (out of a possible 63), and 3.64+/-0.55 (range of scale 1~5), respectively. Level of fetal attachment was higher when mother's age was less than 35, having other children, and having prenatal education experience. Lower score of depression and client's age less than 35 were significant factors affecting fetal attachment. CONCLUSION: Infertility is a life-affecting trauma for the individual, and personal and social changes due to infertility cause physical and psychological difficulties even after a successful pregnancy with infertility treatment. Therefore, prenatal management programs need to be developed giving consideration to the emotional and physical changes in order to promote physical and psychological stability in the women pregnant following infertility treatment.
Child ; Depression* ; Female ; Humans ; Infertility* ; Pregnancy ; Pregnant Women* ; Prenatal Education ; Social Change

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Factors Influencing Desired Postnatal Weight Loss in Women after Birth.

Jung Hee YEO ; Nami CHUN

Korean Journal of Women Health Nursing.2014;20(2):155-162. doi:10.4069/kjwhn.2014.20.2.155

PURPOSE: The purpose of this study was to identify factors influencing desired postnatal weight loss in women after birth. METHODS: With correlational survey design, 191women of the study participants completed questionnaires on their desired postnatal weight loss and related factors, and body and health concerns during their hospitalization after birth. Data were collected from February to May, 2011. Data were analyzed using t-test, ANOVA, Pearson correlation coefficients, and multiple linear regression. RESULTS: The women's gestational weight gain, pre-pregnant BMI, body concerns, expected time to reach the desired weight after birth and health concerns were identified as factors influencing desired postnatal weight loss in women after birth. The model explained 68% of the variance. CONCLUSION: Results suggest that nurses in women's health care should consider women's gestational weight, pre-pregnant BMI and their body concerns, health concerns and expected time to reach the desired weight after birth when developing weight management program for women after birth.
Female ; Hospitalization ; Humans ; Linear Models ; Parturition* ; Questionnaires ; Weight Gain ; Weight Loss* ; Women's Health

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Patient Satisfaction, Vaginal Bleeding, Sexual Function following Laparoscopic Supracervical Hysterectomy.

Keon JIN

Korean Journal of Women Health Nursing.2014;20(2):148-154. doi:10.4069/kjwhn.2014.20.2.148

PURPOSE: This study was done to evaluate postoperative patient satisfaction, vaginal bleeding, and sexual function in women after laparoscopic supracervical hysterectomy (LSH). METHODS: A retrospective study was conducted using a questionnaire mailed to 131 women who underwent LSH between 2008 and 2011at the Department of Obstetrics &Gynecology, D University Hospital in Chungnam province. Indication for LSH was uterine myoma. The questionnaire contained questions on overall postoperative satisfaction, influence on quality of life of vaginal bleeding, and sexual satisfaction following surgery. Data were collected from March to July 2013 and 109 (83.2%) patients returned the questionnaire. RESULTS: Most women reported being very satisfied (90.8%) or satisfied (7.3%), but 2 women (1.8%) were not satisfied with LSH. Four patients (3.4%) reported experiencing vaginal bleeding but with no negative influence on quality of life. Of sexually active women, 82 patients (90.1%) reported improvements in sexual function, 8 patients (8.8%) reported "no change", and one patient (1.1%) reported a deterioration. CONCLUSION: Results of this study indicate that LSH is associated with a high degree of patient satisfaction, no negative influence on quality of life from vaginal bleeding, and improvement in sexual function to a minimum 2 years after the procedure.
Chungcheongnam-do ; Female ; Humans ; Hysterectomy* ; Leiomyoma ; Obstetrics ; Patient Satisfaction* ; Postal Service ; Quality of Life ; Questionnaires ; Retrospective Studies ; Uterine Hemorrhage*

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Sexual Behavior and Sexual Satisfaction according to Gender in Korean Patients with Cancer.

Jung Hee KIM ; Hyun Kyoung KIM

Korean Journal of Women Health Nursing.2014;20(2):137-147. doi:10.4069/kjwhn.2014.20.2.137

PURPOSE: This study was done to investigate sexual behavior and sexual satisfaction according to gender difference in Korean patients with cancer. METHODS: In this study, a convenience sample of Korean patients with cancer who visited hospitals in J City was used. Data were collected between September and December 2012using structured questionnaires: Sexual frequency scale and General sexual satisfaction index (GSSI). RESULTS: Over half of the patients reported loss of sexual desire and changes in sexual behaviors. There was a significant decrease in sexual satisfaction among the male patients, compared to the female patients (t=2.34, p=.020). There were significant correlations between sexual satisfaction and sexual behaviors (male patients r=.45, p<.001; female patients r=.59, p<.001). CONCLUSION: The results of this study demonstrate the need to take gender into account in developing interventions for patients with cancer. These results will also contribute to the development of improved interventions for sexual health care.
Female ; Humans ; Male ; Questionnaires ; Reproductive Health ; Sexual Behavior*

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Effect of Aroma Hand Massage on Anxiety and Immune Function in Patients with Gynecology Surgery under Local Anesthesia.

Yun Ah KIM ; Mi Hae SUNG

Korean Journal of Women Health Nursing.2014;20(2):126-136. doi:10.4069/kjwhn.2014.20.2.126

PURPOSE: The purpose of this study was to examine the effects of aroma hand massage on anxiety and immune function in patients who had gynecology surgery under local anesthesia. METHODS: The research design was a nonequivalent control group with pre- and posttest design. Data were collected from June 5 to October 6, 2010. Participants included 20 patients in the aroma hand massage group, 20 patients in a hand massage group, and 20 in a control group. As an experimental treatment, hand massage was carried out following the hand massage protocol. Measures consisted of the State Trait Anxiety, Numeric Rating Scale (NRS) for anxiety, vital signs (systolic and diastolic blood pressure, pulse rate), and salivary cortisol for anxiety, and immunoglobulin A for immune function. RESULTS: Aroma hand massage and hand massage group showed lower levels in NRS for anxiety, systolic and diastolic blood pressure, and pulse rate (p<.001) compared to controls. No group differences were found for state anxiety, salivary cortisol and immunoglobulin A. CONCLUSION: The results indicate that aroma hand massage and hand massage are effective in reducing anxiety and can be complementary alternative interventions for women having gynecology surgery under local anesthesia.
Anesthesia, Local* ; Anxiety* ; Aromatherapy ; Blood Pressure ; Female ; Gynecology* ; Hand* ; Heart Rate ; Humans ; Hydrocortisone ; Immunoglobulin A ; Massage* ; Research Design ; Vital Signs

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Relationships among Malnutrition, Depression and Quality of Life in Patients with Gynecologic Cancer receiving Chemotherapy.

Ju Hee NHO ; Sung Reul KIM ; Gyeong Seon KANG ; Yong Soon KWON

Korean Journal of Women Health Nursing.2014;20(2):117-125. doi:10.4069/kjwhn.2014.20.2.117

PURPOSE: The purpose of this study was to identify nutritional status, and relationships among malnutrition, depression and quality of life in patients with gynecologic cancer who were receiving chemotherapy. METHODS: For this study a descriptive cross-sectional design was used. Participants were 111 women who were enrolled and agreed to undergo a face-to-face interviews including administration of the structured questionnaires: Patient-Generated Subjective Global Assessment (PG-SGA), Beck Depression Inventory (BDI), Simplified Nutritional Appetite Questionnaire (SNAQ), and Functional Assessment of Cancer Therapy-General (FACT-G). RESULTS: Mean body mass index was 23.3 and mean body weight was 56.5 kg. Sixty-three (57%) of the 111 patients were malnourished according to the PG-SGA. The malnourished patients showed higher levels of depression and lower quality of life compared to the non-malnourished patients. In addition, malnutrition was associated with BMI level, depression, appetite and quality of life. CONCLUSION: The findings indicate that the prevalence of malnutrition is high and malnutrition in patients with gynecologic cancer influences depression and adversely affects the quality of life of these women. To improve the patient's quality of life, nutritional assessment and appropriate management is important to decrease malnutrition in patients with gynecologic cancer.
Appetite ; Body Mass Index ; Body Weight ; Depression* ; Drug Therapy* ; Female ; Genital Neoplasms, Female ; Humans ; Malnutrition* ; Nutrition Assessment ; Nutritional Status ; Prevalence ; Quality of Life* ; Questionnaires

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A Study on the Relationship between Social Support, Health Promoting Behaviors and Depression among Unmarried Pregnant Women.

Ai Hua JIN ; Hyun Ei OH ; Jin Sun KIM

Korean Journal of Women Health Nursing.2007;13(2):123-130.

PURPOSE: The purposes of this study were to examine the level of social support, health promoting behaviors and depression among unmarried pregnant women and to identify the relationship between social support, health promoting behaviors and depression. METHOD: A descriptive correlational study was conducted. The participants were 102 unmarried pregnant women receiving shelter services from four facilities in two metropolitan cities. Data was collected using a self-administered questionnaire. Descriptive statistics, ANOVA and Pearson correlation were used for data analysis. RESULTS: The level of social support and health promoting behaviors were relatively lower and the level of depression was relatively higher than those of married pregnant women. The participants received especially low social support from their unmarried partner. There was a positive relationship between social support and health promoting behaviors. Moreover, there were negative relationships between social support and depression and between health promoting behaviors and depression. CONCLUSIONS: To promote physical and emotional health of unmarried pregnant women, more attention is necessary to increase their social support. A nursing intervention program to increase social support among unmarried pregnant women in needed.
Depression* ; Female ; Humans ; Nursing ; Pregnant Women* ; Surveys and Questionnaires ; Single Person* ; Statistics as Topic

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A Study on the Health Behaviors, Physical Function, and Life Satisfaction for Elderly Women.

Hye Sook PARK ; Keum Jae LEE

Korean Journal of Women Health Nursing.2007;13(2):115-122.

PURPOSE: This study was done to identify health behaviors, physical function, and life satisfaction in elderly women. Also, the study was done to identify the relationship among the variables of health behaviors, physical function, and life satisfaction in elderly women. METHOD: The subjects of this study were 205 elderly women. Data were collected through personal interviews using questionnaires from March to October 2005. Data were analyzed with the SPSS program. Result: There was a significant difference in health behaviors related to spouse, life satisfaction and education, social security and monthly income. There were significant relationships among health behaviors, physical function, and life satisfaction for elderly women. CONCLUSION: The findings of this study give useful information for constructing a health-welfare program for elderly women.
Aged* ; Education ; Female ; Health Behavior* ; Humans ; Surveys and Questionnaires ; Social Security ; Spouses

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Effects of Foot-Reflexology Massage on Body Weight, Lower Extremity Edema and Serum Lipids in Postpartum Women.

Shim Hoon PARK

Korean Journal of Women Health Nursing.2007;13(2):105-114.

PURPOSE: This study examined the effects of foot- reflexology massage on body weight, lower extremity edema, and serum lipids in postpartum women. METHOD: This study was a nonequivalent control-group pretest-posttest design. Postpartum women were assigned to the experimental group (n=16) or a control group (n=15). Foot reflexology massage was applied 5 times a week, for a total of 2 weeks to the experimental group. The tool for measuring lower extremity edema was the girth of the thigh, and the calf. The measuring tool for serum lipids was total cholesterol and TG in blood serum by clinical process. Data was analyzed by chi-square-test, t-test, and paired t-test, ANOVA using SPSS/Win PC 14.0. RESULTS: There was a statistically significant decrease in levels of TG in blood serum in the experimental group compared to the control group. CONCLUSION: Foot reflexology massage is a useful nursing intervention that decreases serum lipids level in postpartum women. Therefore foot reflexology massage is recommended as a nursing intervention strategy for serum lipids reduction in postpartum women.
Body Weight* ; Cholesterol ; Edema* ; Foot ; Lower Extremity* ; Massage* ; Nursing ; Postpartum Period* ; Serum ; Thigh

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