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Lived Experience of the Mother's Caring of Adult Children with Persistent Vegetative State.

Korean Journal of Women Health Nursing.2017;23(4):287-298. doi:10.4069/kjwhn.2017.23.4.287

PURPOSE: The purpose of this study was to deepen understanding the nature of the care experience by the mothers with adult children in persistent vegetative state. METHODS: Participants were 7 mothers caring for their adult children in persistent vegetative state. Data were collected individually through in-depth interviews on their lived experiences. Also texts were included as data from literary works, novels, movies, essays, and arts containing on patients with persistent vegetative state and their mothers. Data were analyzed by van Manen's phenomenological methodology. RESULTS: The essential themes of caring experiences of the mothers were as follows. The theme in relation to lived time has shown as back to the past and caring experience related lived body has emerged as locked the body in children. The theme related lived space was getting into the swamp and the theme in lived others was derived as lonely struggle into. CONCLUSION: The nature of mothers' caring experiences for adult children in persistent vegetative state is summarized as ‘Do not off hand of hope in a locked state’. This study suggests long-term supports are necessary for mothers to care persistent vegetative state children.
Adult Children* ; Adult* ; Child ; Hand ; Hope ; Humans ; Mothers ; Motion Pictures as Topic ; Persistent Vegetative State* ; Qualitative Research ; Wetlands

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Experience of Pregnant Women with Problem Drinking during First Trimester of Pregnancy.

Il Ok KIM ; Gye Jeong YEOM ; Jung Yeol HAN

Korean Journal of Women Health Nursing.2017;23(4):276-286. doi:10.4069/kjwhn.2017.23.4.276

PURPOSE: The purpose of this study was to explore the meaning of pregnant women's experiences with drinking alcohol during first trimester of pregnancy METHODS: The data were collected through in-depth interviews of 7 pregnant women who drank alcohol in the first trimester. Giorgi's phenomenological method was used for data analysis. RESULTS: Findings included 6 main themes and 14 themes. The main themes concerning pregnancy and drinking were: ‘Open attitude in drinking, History of drinking in family or spouse, Seeking information in how drinking affects pregnancy, Regret not doing planned pregnancy and not quitting drinking before pregnancy, Willing to stop drinking until the child birth, Awareness about importance of preconception care. CONCLUSION: The results of this study provide a deeper understanding of pregnant women's experiences of drinking alcohol during the first trimester of pregnancy. These results can be used in the development of strategies to prevent drinking alcohol during first trimester and to support preconception care and prenatal care.
Binge Drinking ; Child ; Drinking* ; Family Planning Services ; Female ; Humans ; Methods ; Parturition ; Preconception Care ; Pregnancy ; Pregnancy Trimester, First* ; Pregnancy* ; Pregnant Women* ; Prenatal Care ; Spouses ; Statistics as Topic

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Experience of taking Oral Contraceptives in Adult Women.

Soon Hee LEE ; In Young LEE ; Eun Ae KIM

Korean Journal of Women Health Nursing.2017;23(4):265-275. doi:10.4069/kjwhn.2017.23.4.265

PURPOSE: The purpose of this study was to explore essences and meanings of using oral contraceptives among adult women. METHODS: The interview was conducted with 20 adult women who lived in Seoul, Gyeongi Province, Jeolla Province, Chungcheong Province, and Gangwon Province. Participants with the experience of using oral contraceptives for contraception were selected by convenience sampling. Semi-structured interviews were conducted for data collection. The data were analyzed using Colaizzi's method. RESULTS: Five themes revealed: ‘Lack of information and knowledge regarding oral contraceptives’, ‘Inconvenient and difficult purchase process of oral contraceptives’, ‘Pressure and fear regarding other people's reaction’, ‘Self-centered thinking toward the use of oral contraceptives’, ‘A need for a change in public awareness and policy’. CONCLUSION: A change in society's perception about oral contraceptives is required for safe contraceptives use. Therefore, it is necessary to educate the correct usage of oral contraceptives, and to develop a program for changing the paradigm of sex education.
Adult* ; Contraception ; Contraceptive Agents ; Contraceptives, Oral* ; Data Collection ; Female ; Gangwon-do ; Humans ; Methods ; Qualitative Research ; Seoul ; Sex Education ; Thinking

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Su Kyung KIM ; SoMi PARK

Korean Journal of Women Health Nursing.2017;23(4):256-264. doi:10.4069/kjwhn.2017.23.4.256

PURPOSE: The purpose of this study was to examine factors associated with behaviors of mothers that expose their infants to endocrine disruptors. The PROCEED model was used as a theoretical basis for the study. METHODS: This correlational study included 120 mothers with infants between the ages of 1 month to 36 months. Participants were recruited through the maternal community web-site of mothers of infants in W city. RESULTS: There was a significant negative correlation among experience of mothers who had participated in environmentally friendly activities, the health status of the infants perceived by the mother, and behaviors of mothers that exposed infants to endocrine disruptors. The factors based on PROCEED model explained 15.3% of the behaviors by mothers that exposed infants to endocrine disruptors. CONCLUSION: It is necessary to develop and provide educational programs that include detailed information on relationship of endocrine disruptors to children's health.
Child Health ; Endocrine Disruptors* ; Humans ; Infant* ; Mothers* ; Risk Factors

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Concept Analysis of Female Sexual Subjectivity based on Walker and Avant's Method.

Yoona CHOI ; Il Sun KO

Korean Journal of Women Health Nursing.2017;23(4):243-255. doi:10.4069/kjwhn.2017.23.4.243

PURPOSE: The purpose of this study was to clarify attributes, antecedents, and consequences of female sexual subjectivity. METHODS: Walker and Avant's concept analysis process was used to analyze 27 studies from the current literature that relates to female sexual subjectivity. A systematic literature review of women's study in sociology, psychology, theology, law, health science, and nursing was reviewed. RESULTS: The defining attributes of female sexual subjectivity were sexual self-awareness, sexual decision making, sexual desire, and good sexual communication with partner. The antecedents of female sexual subjectivity were social environment, sexual education, sexual experience, and interpersonal relationship. The consequences of female sexual subjectivity were safe sex, prevention of sexual victimization, and sexual satisfaction. CONCLUSION: Female sexual subjectivity is defined as sexual self-awareness, sexual decision making, sexual desire to seek sexual pleasure and safety, and effective communication with partner in terms of sexual behavior, sexual experience and sexual health. Based on these results, a scale measuring female sexual subjectivity is needed.
Crime Victims ; Decision Making ; Education ; Female* ; Humans ; Jurisprudence ; Methods* ; Nursing ; Orgasm ; Pleasure ; Psychology ; Reproductive Health ; Safe Sex ; Sexual Behavior ; Social Environment ; Sociology ; Theology ; Walkers*

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Impact of Parenting Stress and Husband's Support on Breastfeeding Adaptation among Breastfeeding Mothers.

Seung Hui HEO ; Yoon Goo NOH

Korean Journal of Women Health Nursing.2017;23(4):233-242. doi:10.4069/kjwhn.2017.23.4.233

PURPOSE: This study investigated the relationships among parenting stress, husband's support, and breastfeeding adaptation in mothers. METHODS: A correlational survey design was utilized in this study. Data were collected from 181 breastfeeding mothers with infants under 12 months of age. Participants were recruited from the outpatient clinic, a child photo studio, or from the kid's cafe from July 22 to September 13, 2016. Instruments for collecting data included Childcare Stress Inventory (CSI), Husband's Support scale, and the Breastfeeding Adaptation scale. Data were analyzed using SPSS 21.0 by frequency, descriptive statistics, t-test, one-way ANOVA, Pearson's correlation coefficient and multiple regression. RESULTS: Of the 181 subjects, 54.7% responded they only breastfed with 75.7% who received breastfeeding education. Seventy-two percent of mothers made a decision to breastfeed by themselves. The mean score was 2.39±0.53 for parenting stress, 3.07±0.43 for husband's support, and 3.85±0.49 for breastfeeding adaptation. Factors influencing breastfeeding adaptation were identified as lower parenting stress (β=−.54), greater husband's support (β=.31), breastfeeding (β=.31), and older age of baby (β=.14), with 56.0% that explained variance. CONCLUSION: This study reports that parenting stress has negative effect on breastfeeding adaptation, while husband's support has positive effect. Results may be useful in developing new strategies for enhancing breastfeeding adaptation.
Adaptation, Psychological ; Ambulatory Care Facilities ; Breast Feeding* ; Child ; Education ; Humans ; Infant ; Mothers* ; Parenting* ; Parents*

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A Systematic Review of Birth Experience Assessment Instrument.

Hyun Kyoung KIM

Korean Journal of Women Health Nursing.2017;23(4):221-232. doi:10.4069/kjwhn.2017.23.4.221

PURPOSE: This study aimed to conduct a systematic review and to describe characteristics of the birth experience assessment instrument. METHODS: Literature related to the development of the birth experience assessment instrument was examined using a systematic review method. A literature search was conducted using the keywords as ‘[normal birth]; [satisfac* OR care quality]; [instrument OR scale] AND (development)’ through PubMed, CINAHL, SCOPUS, PsycINFO, and RISS. The search used quality appraisal through QUADAS (Quality Assessment of studies of Diagnostic Accuracy included Systemic reviews) yielding 17 records. RESULTS: The birth experience assessment instrument was categorized for instrumental characteristics: birth satisfaction (n=8), perception of labor experience (n=5), and birth care quality assessment in normal and operative birth experiences (n=4). Important key elements for content characteristics were as follows: nursing practice (n=10), pain control (n=5), environment (n=5), participation (n=4), and support (n=4). CONCLUSION: This study demonstrated that the birth experience instrument is appropriate for measuring quality of birth care in various clinical conditions. This review of the birth experience instrument reports that an appropriate psychometric tool for enhancing quality of birth care is important.
Methods ; Nursing ; Parturition* ; Psychometrics

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Health Care Communications with Diverse Ethnic Groups.

Singh Carlson SAVITRI

Korean Journal of Women Health Nursing.2010;16(4):419-423. doi:10.4069/kjwhn.2010.16.4.419

PURPOSE: The concept of respect is rooted in the core value of human relations, and interpersonal relationships with others. The notion of respect in these relationships is entrenched in the broader context of the processes of relationships between professionals and clients in general, along with the philosophical and ethical foundations of respect. Although nursing principles and values, such as autonomy and dignity have built their foundation of care on the concept of respect, these concepts (ie. autonomy and dignity) are still different from respect. Respect within health professional-client relationships, indicates that respect is a fundamental concept within nursing, permeating a number of other concepts that provide purposeful nursing care within the process of nurse-client relationships and respect has been discussed as an ethical and moral concept of care that addresses the values of human dignity in the nursing discipline, however research examining the client's perspectives of respect as an ethical principle of care, especially within Canada's diverse population is non-existent. There is limited research from the client's perspective addressing challenges communicating the concept of respect in relationships between health professionals and clients, specifically research directed at immigrant or the vulnerable population.
Delivery of Health Care ; Emigrants and Immigrants ; Ethnic Groups ; Foundations ; Health Occupations ; Humans ; Nursing Care ; Personhood ; Vulnerable Populations

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The Effects of the Video Education Program on the Residual urine, Gas Passing and State Anxiety of Hysterectomy Patients.

Gyeong Sook KANG ; Eunmi JUN

Korean Journal of Women Health Nursing.2010;16(4):409-418. doi:10.4069/kjwhn.2010.16.4.409

PURPOSE: The purpose of this study was to identify the effects of a pre-operation video assisted education program on residual urine, gas passing and state anxiety in women undergoing hysterectomy. METHODS: Nonequivalent control group non-synchronized design was used for the study. In the research, video assisted education program was applied to the experimental group while a similar conventional education was done to the control group. The pre-operation state anxiety and post-operation residual urine and gas discharge of both the groups were measured. The data were analyzed using SPSS. RESULTS: The experimental group was significantly higher than control group on gas passing (t=3.04, p=.00). However the residual urine (t=0.34, p=.73) and state anxiety (t=0.81, p=.82) did not make significant differences. CONCLUSION: This study is very meaningful in that it developed and provided a nursing intervention can positively affect hysterectomy patients. The pre-operation video assisted education program may be an effective nursing intervention that is clinically practical and useful to reduce time of the gas passing of hysterectomy patients after the operation.
Anxiety ; Female ; Humans ; Hysterectomy

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Knowledge and Educational Need about Contraceptives according to Sex in College Students.

Ju Eun SONG ; Hyun Ju CHAE

Korean Journal of Women Health Nursing.2010;16(4):399-408. doi:10.4069/kjwhn.2010.16.4.399

PURPOSE: The purpose of this study was to investigate differences of subjective, objective knowledge and educational need about contraceptives according to sex in college students. METHODS: Data were collected by a self-administered questionnaire from 84 male and 111 female college students on May, 2008. PASW 18.0 program was used for data analysis. RESULTS: There were significant differences in age, major, grade, place of residence, and experience of sexual intercourse between male and female college students. There was a significant difference in objective knowledge about contraceptives between the two groups, but no significant difference in subjective knowledge. The positive correlation was shown between subjective and objective knowledge about contraceptives. Even when demographic variables such as age, major, grade, place of residence, and experience of sexual intercourse were controlled, sex was a significant influencing factor on subjective and objective knowledge about contraceptives. Educational need about emergency contraceptive pills was significantly different and ranking of educational need about contraceptives was also different between the two groups. CONCLUSION: These results suggest that different education programs according to sex are needed to maximize the effect of contraceptive education and sexual characteristics are considered to give an education to college students.
Coitus ; Contraceptive Agents ; Emergencies ; Female ; Humans ; Hypogonadism ; Male ; Mitochondrial Diseases ; Ophthalmoplegia ; Surveys and Questionnaires

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