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Patterns of Perimenstrual Symptoms and Related Dietary Factors to Premenstrual Syndromes.

Korean Journal of Women Health Nursing.2004;10(2):162-170.

PURPOSE: The purpose of this study was to differentiate between women with three perimenstrual symptom severity patterns : premenstrual syndrome (PMS), premenstrual magnification (PMM), and low symptom (LS), and to explore the related dietary factors to premenstrual symptoms. METHOD: Women were asked to keep a diary record of perimenstrual symptoms and food intake for 50 days. RESULT: Symptom patterns were defined for 26 among 38 women ; Eight (21.1%) demonstrated a PMS pattern, three (7.9%) demonstrated a PMM pattern, and fifteen (39.5%) exhibited a LS pattern. There were significant differences in symptom scores during the premenstrual phase (x2=19.30, p=.000), menstrual phase (x2=13.32, p=.001), and post menstrual phase (x2=9.93, p=.007) for three groups. Protein, vit E, vit C, niacin, folic acid, and phosphorus in the premenstrual phase, and energy, and vit B6 in the menstrual period were significantly different between the three groups. Among dietary compositions, amino acids, lipids, fatty acids, saturated fatty acids, natrium, vit B6, niacin, and vit E were negatively related to PMS symptoms. CONCLUSION: Pattern of perimenstrual symptoms should be differentiated for individualized PMS management. As a more efficient diet assessment for PMS women, randomized nutritional analysis during the 3 phases of the menstrual cycle should be done and a replication study is necessary with a larger sample.
Amino Acids ; Diet ; Eating ; Fatty Acids ; Female ; Folic Acid ; Humans ; Menstrual Cycle ; Niacin ; Phosphorus ; Premenstrual Syndrome*

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Ihn Sook JEONG ; Hyeon Ok JU ; Eun Sook BAE

Korean Journal of Women Health Nursing.2004;10(2):150-161.

The importance of screening or repeat screening for cervical and breast cancer is well known to decrease the chance of death from cancer. Few data is avaliable regarding factors associated with participation in cervical and breast cancer screening and repeat screening examinations. This study was to investigate the associations of demographic factors, health status and cancer risk recognition, attitude to cancer screening, health behaviors, and inhibiting or facilitating factors to cervical and breast cancer screening with participation in the screening tests. Data was collected with self-administrated questionnaires from 342 women, aged 40 to 69 years. The cancer screenings were classified into have had or never groups and repeat or not repeated groups. In the case of cervical and breast cancer screening, the have had group was 90 (26.3%), and 82 (24.0%) and the repeat group was 17 (5.0%), and 13 (3.8%) respectively. According to logistic regression analysis, age (< 60 vs > or =60 : OR=3.25, 95% CI=1.27-8.26), breast cancer screening (Do vs Don't : OR=14.49, 95% CI=7.46-27.78) and other person's cancer (Yes vs No : OR=4.27, 95% CI=1.01-18.05) were statistically significantly associated with participation in screening for cervical cancer. Regular exercise (Do vs Don't : OR=2.76, 95% CI=1.30-5.88) and cervical cancer screening (Do vs Don't : OR=13.70, 95% CI=7.09-26.32) were statistically significantly related to participation in screening for breast cancer.
Breast Neoplasms* ; Breast* ; Demography ; Early Detection of Cancer ; Female ; Health Behavior ; Humans ; Logistic Models ; Mass Screening* ; Surveys and Questionnaires ; Uterine Cervical Neoplasms

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Comparison of the Effects of Internet Diabetes Education by Gender in Type 2 Diabetic Patients.

Hee Seung KIM ; Chai Soon PARK

Korean Journal of Women Health Nursing.2004;10(2):144-149.

PURPOSE: The purpose of this study was to evaluate whether the effect of Intenet diabetes education varied by gender. METHOD: An experimental group assessed pre- and post intervention was used to assess the effectiveness of diabetes education by nurses. Forty patients separated into two groups by gender partook in the study. The goal of the intervention was to keep blood glucose concentrations close to normal range. The intervention was applied weekly for 3 months. Participants were requested to input their blood glucose level, diet, and exercise diary everyday at http: //www.biodang.com by cellular phone or wire Internet. The researcher sent optimal recommendations to each patient using the short message service of cellular phones and wire Internet. All medication adjustments were communicated to the subjects' doctors. The plasma glucose levels, serum lipids, and care satisfaction were measured before and after the intervention. RESULT: Glycosylated hemoglobin (HbA1c) decreased 1.6% and 0.8% in male and female patients respectively after 3 months of education. Total cholesterol decreased 37.2mg/dl in male patients but increased 80.5mg/dl in female patients. CONCLUSION: These findings indicated that Internet diabetes education could improve HbA1c and total cholesterol in male patients.
Blood Glucose ; Cellular Phone ; Cholesterol ; Diet ; Education* ; Female ; Hemoglobin A, Glycosylated ; Humans ; Internet* ; Male ; Reference Values ; Text Messaging

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The Effect of an Integrated Health-Promotion Program in Middle-Aged Women.

Hyoung Sook PARK ; Gyoo Yeong CHO ; Kyung Yeon PARK

Korean Journal of Women Health Nursing.2004;10(2):136-143.

PURPOSE: The purpose of this study was to test the effect of an integrated health promotion program in middle-aged women. METHOD: The research design was a quasi experimental, one-group pretest-posttest design. Data was collected from July 1st to August 31st, 2003. One group consisted of 30 subjects. The instruments used for the study were the Self Efficacy Scale and the Health Promotion Behavior Scale developed by Park (1995), Subjective health status developed Speake (1989) and menopause-related symptoms developed by Park (1995). The data was analyzed using the SPSS WIN 10.0 program. In order to compare the effects of the pre-post synthesized health promotion program, the ed t-test was employed. RESULT: There was not a significant increase in subjective health status after the integrated health promotion program, nor was there a significant decrease in menopause-related symptoms after the synthesized health promotion program. There was a significant increase in self efficacy after the integrated health promotion program (p=.029), and there was also a significant increase in health promotion behavior after the integrated health promotion program (p=.006). CONCLUSIONS: Through an 8 week education program for health promotion, self efficacy and health promotion behavior were effectively changed in middle-aged women.
Education ; Female ; Health Promotion ; Humans ; Research Design ; Self Efficacy

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Perception of Non-pharmacological Therapy for Pain Control and Pattern of Postoperative Pain in Gynecological Surgery Patients.

Suk Hee AHN ; Mi Ok KIM

Korean Journal of Women Health Nursing.2004;10(2):128-135.

PURPOSE: Women who undergo gynecological surgery have moderate and severe sensation and distress of pain despite the advent of patient controlled analgesia (PCA). The purposes of this study were to describe perception of non-pharmacological therapy for postoperative pain control and examine changes of pain sensation and distress in women who had gynecological surgery. METHOD: The sample consisted of 52 women who were having gynecological surgery. Subjects who agreed to participate in the study were asked for their opinion about non-pharmacological approaches for postoperative pain control using a structured study questionnaire. Pain sensation and distress were assessed by VAS in the morning and afternoon for 2 days following the surgery. RESULT: About 50% of the subjects thought that non-pharmacological methods such as relaxation, music, massage, or meditation would be helpful for their postoperative pain control. If both pharmacological and non-pharmacological therapy were given for pain control, 96% of subjects reported it would be effective. Nurses can apply techniques of relaxation, deep breathing, meditation, and music therapy to surgical patients along with PCA. Expected sensation and distress of pain was high, but pain levels gradually decreased over time. However, subjects experienced moderate levels of pain postoperatively although they used PCA. CONCLUSION: The effect of a combined method of pharmacological and non-pharmacological approach needs to be tested if postoperative pain is to be decreased more.
Analgesia, Patient-Controlled ; Female ; Gynecologic Surgical Procedures* ; Humans ; Massage ; Meditation ; Music ; Music Therapy ; Pain, Postoperative* ; Passive Cutaneous Anaphylaxis ; Surveys and Questionnaires ; Relaxation ; Respiration ; Sensation

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Experiences of Infertile Women in Unsuccessful In Vitro Fertilization (IVF).

Hee Sun KANG ; Mi Jong KIM

Korean Journal of Women Health Nursing.2004;10(2):119-127.

PURPOSE: A Phenomenological study was conducted to investigate the experiences of infertile women who had an unsuccessful in vitro fertilization (IVF) attempt and the structure of these experiences was identified in a socio-cultural context. METHOD: In-depth interviews were done with five participants from Nov. 1997 to Feb. 1998. Data was recorded and analyzed by Colazzi's method. RESULT: Significant statements were extracted from the data resulting in 4 themes and 11 concepts. The concepts were: 'lack of information', 'unable to anticipate the outcome', 'reaffirmation of need', 'financial strain', 'emotional suppression', 'change of social relationships', 'physical fatigue', 'blaming oneself or God', 'trying different ways', 'famous place shopping', and 'praying to God'. The significant themes of the participants' experiences with IVF emerged as: "uncertainty", "burden", "blaming" and "vigorous desire". CONCLUSION: The results indicate that the care of infertile women with an unsuccessful IVF attempt should be based on a deep understanding of their personal experiences. Also, information on alternative choices should be offered and supported.
Female ; Fertilization in Vitro* ; Humans ; Infertility ; Life Change Events

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A Study on the Development of an Education Curriculum for Maternal-Child Health Center Managers.

Yang Ja CHOI ; Kab Chul CHO ; Eun Sook AN

Korean Journal of Women Health Nursing.2004;10(2):109-118.

PURPOSE: The purpose of this study was to develop a specialized education curriculum aimed at helping nurses prepare for running and managing a Maternal-Child Health Center (Postpartum Care Center). METHOD: This study was conducted by an academy and industry joint research group consisting of professors of Nursing, and nurses actually running a Postpartum Care Center. The group compiled job descriptions of nursing through document research, interviews and observation during site visits, surveys, and seminars. They then performed a feasibility study and developed the final curriculum. RESULT: The education curriculum is a 32-week (2semester) program compromised of a theory part (12 credits, 180 hours) covering maternal and infant care and business start-up and field practice (3 credits, 45 hours). Courses in the theory part include an antenatal care, overview and details of maternal care, starting a business and its management. Of these courses, the overview of a maternal care course was developed with web-based contents. Field practice is designed to give students opportunities to visit Postpartum Care Centers, observe the care provided, and get hands-on experience. CONCLUSION: The specialized education curriculum is a 32-week course comprised of 12 credits on theory of antenatal care, overview and details of maternal care, infant care, starting and operating a business and 3 credits of field practice.
Child ; Commerce ; Curriculum* ; Education* ; Feasibility Studies ; Humans ; Infant ; Infant Care ; Job Description ; Joints ; Maternal-Child Health Centers* ; Nursing ; Postnatal Care ; Running

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Degree of Hysterectomy Patients' Educational Needs and Nurses' Educational Performance on Sexual Health Education.

Young A SONG ; Hye Sook SHIN

Korean Journal of Women Health Nursing.2004;10(2):99-108.

PURPOSE: This study was to serve the sexual health education of the hysterectomy patients and to get the basic data of the nursing intervention on sexual health education. Sexual health education for the patients is an independent function as well as a professional responsibility of nurses. METHOD: The subjects were composed of 108 post-op patients who had undergone doing a hysterectomy 5 to 10 days previously and 101 nurses at OBGY hospitals. For data analysis, the study executed a frequency, mean, standard deviation, t-test, ANOVA, Duncan Multiple Range test and Spearman's rho correlation coefficient, in accordance with the purpose of the study using SPSS Win 10.0. RESULT: Mean score of the needs degree of sexual health education was 3.30 point. The need for education was highest in the sexual health promotion with education related to sexual interaction the lowest. Mean score of the nurses' teaching performance degree of sexual health education was 1.80 point. The nurses' teaching performance was highest in the sexual health promotion. There exist significant correlations between the degree of patients' educational needs and the degree of nurses' teaching performance on physiosexual (rho=-.667, p< .05), psychosexual (rho=.762, p< .05), sexual interaction (rho=.667, p< .05) respectively. There was no significant difference on sexual health promotion (rho=.359, p> .05). CONCLUSION: The degree of sexual health education needs of hysterectomy patients was very high. Therefore, continuous nursing education program should be developed and provided for the promotion of the performance of sexual health education as the nursing professional role.
Education* ; Education, Nursing ; Humans ; Hysterectomy* ; Nursing ; Professional Role ; Reproductive Health* ; Statistics as Topic

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A Study on Spiritual Well-Being, Depression, and Health Status of Elderly Women in a Community.

In Sun JANG

Korean Journal of Women Health Nursing.2004;10(2):91-98.

PURPOSE: The purpose of this study was to examine the relationship between spiritual well-being, depression, and health status of elderly women in a community for providing the basic data necessary to improve the practice of nursing. METHOD: The participants were 295 elderly women, over 65 years old in Gwangju and Kyongbuk province, Korea. The data were collected between April 15th and June 15, 2003 using a structured questionnaire and were analyzed using SPSS Win 8.0. RESULT: Factors such as religious belief (p< .001), type of religion (p< .001), participation of worship (p< .001), significance of religion (p< .001), education (p=.001), spouse (p=.015), financial supporter (p=.001), and living satisfaction (p< .001) showed a statistically significant relation with spiritual well-being. There was a negative correlation between spiritual well-being and depression (r=-0.32, p< .001), and between health status and depression (r=-0.50, p< .001). However, there was a positive correlation between spiritual well-being and health status (r=0.32, p< .001). CONCLUSION: In order to promote spiritual well-being in elderly women, it is necessary to develop a nursing intervention program classified by the type of religions, followed by studies on the results of proven intervention programs.
Aged* ; Depression* ; Education ; Female ; Financial Support ; Gwangju ; Gyeongsangbuk-do ; Humans ; Korea ; Nursing ; Surveys and Questionnaires ; Religion ; Spouses

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Maternal and Infant Care.

Connie W LEE

Korean Journal of Women Health Nursing.2004;10(2):89-90.

No abstract available.
Humans ; Infant ; Infant Care* ; Infant*

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