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Effect of the Fever Education Program on Pediatric Nurses' Expert Knowledge, Attitudes and Nursing Practice.

Journal of the Korean Society of Maternal and Child Health.2017;21(2):149-158. doi:10.21896/jksmch.2017.21.2.149

PURPOSE: This study was performed to develop the Fever Education Program (FEP) and evaluate its effects on the knowledge, attitudes, and nursing practice of pediatric nurses. METHODS: The quasi-experimental research strategy used a pretest-posttest nonequivalent control group design. Recruited participants were forty-seven nurses at two pediatric hospitals in G city. The research was conducted from September 1 to October 10, 2015. To test the effects of the FEP, the participants were divided into two groups, an experimental group (n=27) and a control group (n=20). Data were collected prior to and six weeks after the intervention using self-reported questionnaires. Data were analyzed using Fisher's exact test, the χ²-test, t–test, Mann-Whitney U test, and analysis of covariance (ANCOVA) with the SPSS/WIN 19.0 program. RESULTS: Following the FEP intervention, no significant differences were found in nursing practice, but significant differences were found in knowledge (t=3.62, p=0.001) and attitudes (t=4.26, p=0.000) between the experimental group and the control group. CONCLUSION: The results of this study indicate that the FEP could provide an effective nursing intervention to improve knowledge and attitudes toward fever care in pediatric nurses.
Education* ; Fever* ; Hospitals, Pediatric ; Nursing* ; Polytetrafluoroethylene

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The Effects of Puerperium Maternal Anxiety, Marital Relationships, and Depression on Late Postpartum Depression.

Soo Yeon KIM ; Hyang Sook SO

Journal of the Korean Society of Maternal and Child Health.2017;21(2):139-148. doi:10.21896/jksmch.2017.21.2.139

PURPOSE: This study aimed to determine the effects of puerperium maternal anxiety, quality of marital relationship, and postpartum blues on late postpartum depression. METHODS: Participants were 130 postpartum women who delivered healthy babies, and answered self-administered questionnaires, such as Edinburgh Postpartum Depression Scale (EPDS-K), Spielberger's State Anxiety Inventory, and Quality of Marital Relationships during the 1st week of delivery and 4–6 weeks postpartum. Data were analyzed using t–test, ANOVA, Spearman's rho correlation coefficient, and hierarchical stepwise multiple regression analysis. RESULTS: The point prevalence of postpartum depression (EPDS-K ≥10, cut-off score) was 23.1% at early postpartum and 16.9% at late postpartum. Predictors of late postpartum depression were early postpartum depression (β=0.86), the difference between early and late postpartum anxiety (β=0.19), and the difference between early and late Quality of Marital Relationships (β=−0.13) (F=70.52, p<0.001). The total vatiance explained was 76.5%. CONCLUSION: It is recommended that a maternal management system should be established at maternity hospitals to screen new mothers' depression and anxiety risks during the early postpartum stage.
Anxiety* ; Depression* ; Depression, Postpartum* ; Female ; Hospitals, Maternity ; Marriage* ; Postpartum Period* ; Prevalence

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The Effects of Flash Animation Facilitated Oral Self Care Education on the Incidence of Oral Mucositis and Performance of Self-Care in Pediatric Cancer Patients Undergoing Chemotherapy.

Young Hee KIM ; Haejung LEE ; Moon Ju JUNG ; Heeyoung JUNG

Journal of the Korean Society of Maternal and Child Health.2017;21(2):130-138. doi:10.21896/jksmch.2017.21.2.130

PURPOSE: In this study, we aimed to investigate the effects of oral self-care education on the oral mucositis and oral self-care performance in pediatric cancer patients undergoing chemotherapy. METHODS: We conducted the study using the nonequivalent control group and non-synchronized design, and invited pediatric cancer patients, admitted to a university hospital for chemotherapy, to participate in the study. Data collection was completed for the control group first and proceeded to the experimental group. The data were collected from September 24 to November 5, 2015. Twenty children were enrolled in the study and divided into two groups: experimental (n=10) and control (n=10) groups. The children in the experimental group, along with their parents, were provided with a 10-minute flash animation and a brochure, both explaining oral self-care practices. Children in the groups were evaluated for the status of oral mucositis and their ability to perform oral self-care before chemotherapy, as well as at 3, 7, 14, and 21 days after the administration of chemotherapy. Descriptive statistics, t-test, chi-square, Fisher's exact test, and repeated measures ANOVA were utilized to test the homogeneity of variance between the two groups and examine the effectiveness of the oral self-care education. RESULTS: Children in the experimental group showed significant improvement in oral self-care performance compared to the control group post oral self-care education. CONCLUSION: Promoting oral self-care practices is an important nursing intervention in the prevention of oral mucositis in pediatric cancer patients. Inclusion of advanced smart technology, such as the use of flash animation, to facilitate nursing intervention could enhance the effectiveness of the intervention in young cancer patients. Broader application of smart technology in patient education is warranted.
Child ; Data Collection ; Drug Therapy* ; Education* ; Humans ; Incidence* ; Mucositis ; Nursing ; Oral Hygiene ; Pamphlets ; Parents ; Patient Education as Topic ; Pediatric Nursing ; Self Care* ; Stomatitis*

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Predictors of Suicidal Ideation in Adolescents Living in a Multi-cultural Family in South Korea: Gender Difference.

Jae Young LEE ; Kyoung mi KIM

Journal of the Korean Society of Maternal and Child Health.2017;21(2):119-129. doi:10.21896/jksmch.2017.21.2.119

PURPOSE: The objective of this study was to investigate the prevalence of suicidal ideation and its predictors in adolescents living in a multi-cultural family, with a focus on gender differences. METHODS: A total of 795 students attending junior high school or high school who lived in a multi-cultural family were enrolled in this study. The 11th Korea Youth Risk Behavior Web-based Survey was conducted in 2015. Data from this survey were collected and analyzed using SPSS program, with Rao-Scott chi-square test and complex samples multiple logistic regression. RESULTS: The overall prevalence of suicidal ideation in adolescents living in a multi-cultural family was 17.2% (14.1% in boys and 20.9% in girls). Happiness and depression were significant predictors of suicidal ideation in both boys and girls. However, the experience of violence was an additional significant predictor in boys, whereas economic status and sleep satisfaction were significant predictors affecting the prevalence of suicidal ideation in girls. CONCLUSION: This study found gender differences in the predictors of suicidal ideation in adolescents living in a multi-cultural family. The findings suggest that the development of suicide prevention programs for this population may require different approaches for girls and for boys. It is also suggested that educational programs are developed that address the variables identified.
Adolescent* ; Cultural Diversity ; Depression ; Female ; Happiness ; Humans ; Korea* ; Logistic Models ; Prevalence ; Risk-Taking ; Suicidal Ideation* ; Suicide ; Violence

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Length of First Birth Interval and Incidence of Twin Birth in Korea; 2010~2015.

Sang Hwa PARK ; Dar Oh LIM

Journal of the Korean Society of Maternal and Child Health.2017;21(2):112-118. doi:10.21896/jksmch.2017.21.2.112

PURPOSE: To compare the incidence of twin births with the length of first birth interval (LFBI: from marriage to first birth) among primiparous women. METHODS: The birth certificated data of Korea Statistics from 2010 to 2015 were used for this analysis. There were 1,356,204 births of primiparous women from total birth cases (2,736,296 births). The data involving multiparous women, teenage birth, extra-marital birth, and triplet birth cases were excluded from all analyses. Odds ratio and 95 percent confidence intervals were calculated from logistic regression to examine the risk of twin birth by LFBI adjusted for year of birth, maternal age, paternal age, age difference between couples, and maternal education and occupation. RESULTS: The frequency of LFBI was 41.5 percent in ≤12 months, 30.7 percent in 13~24 months, 13.1 percent in 25~36 months, and 2.1 percent in LFBI of ≥85 months. The mean LFBI was 21.5 months. The incidence of twin birth increased with prolonged LFBI. The twin birth rates per LFBI were 0.8 percent, 3.1 percent, 7.9 percent, and 11.0 percent in LFBI of ≤12 months, 25~36 months, 49~60 months, and 73~84 months, respectively. Odds ratio of twin births rate by LFBI were 1.510 (95% confidence interval: 1.449~1.574) for the LFBI of 13~24 months, 9.839 (9.390~10.309) for 49~60 months, and 13.244 (12.458~14.080) for ≥73~84 months, each compared with LFBI of ≤12 months. Odds ratio of twin birth rate in LFBI of ≤72 months was higher in women aged 35 and older, as compared to women aged ≤34 years. Odds ratio of twin birth rate by maternal age (≤34 years versus ≥35 years) reversed in LFBI of ≥73 months. CONCLUSION: The risk of twin birth increased significantly with prolonged LFBI. There is a need to understand the factors (fertility therapy and etc.) to increased risk of twin birth in prolonged LFBI.
Birth Intervals* ; Birth Order* ; Birth Rate ; Education ; Family Characteristics ; Female ; Humans ; Incidence* ; Korea* ; Logistic Models ; Marriage ; Maternal Age ; Occupations ; Odds Ratio ; Parturition* ; Paternal Age ; Triplets ; Twins*

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Comparing Oral Health Care Awareness and Practice in Pregnant Women with and without Oral Health Education Experience.

Kyeung Ae JANG ; Kwang Ok KIM ; Sun Ok LEE

Journal of the Korean Society of Maternal and Child Health.2016;20(2):169-177.

PURPOSE: The purpose of this study was to examine differences in awareness and practice of oral health care in pregnant women with and without oral health care education experience. METHODS: Participants in the survey for this study were 221 pregnant women in female exclusive hospitals located in B city and G city. Data were collected from October to December, 2014 using self-report structured questionnaires and analyzed using SPSS/Win 21.0 program. RESULTS: The number of pregnant women experienced in oral health education was 36.2%. The oral health care awareness of pregnant women experienced in oral health education total score was 15.14±1.96, and inexperienced pregnant women total score was 14.14±2.63 (t=3.26, p=.001). The oral health care practice of pregnant women experienced in oral health education total score was 12.90±2.48, and inexperienced pregnant women total score was 10.95±4.06 (t=3.89, p<.001). The relationship between the awareness and practice of oral health care was positively correlated. CONCLUSION: Based on this study outcomes, considering the importance for oral health education in the antenatal care program when the pregnant women visiting the hospital for medical check-up.
Education* ; Female ; Humans ; Oral Health* ; Pregnant Women*

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Evaluation of the Success Rate Following Amnioinfusion in Pregnant Women Undergoing External Cephalic Version after Initial Failure.

You Jung SHIN ; Hyun Kyong AHN ; Jung Yeol HAN

Journal of the Korean Society of Maternal and Child Health.2016;20(2):163-168.

PURPOSE: To evaluate the success rate following amnioinfusion in pregnant women undergoing external cephalic version (ECV) after initial failure. METHODS: This prospective study enrolled 17 consecutive pregnant women from October 2013 to May 2015. ECV was performed with amnioinfusion after initial failure. The success rates of ECV and vaginal delivery, including pregnancy outcomes, were analyzed. RESULTS: ECV was performed at an average of 37.3±0.6 weeks of gestational age. Eight of seventeen patients were nulliparous. The estimated fetal weight was 2,688±279 g, and the amniotic fluid index was 6.4±2.6 cm. The overall success rate of ECV was 70.6% (12/17), and the success rates in nulliparous and multiparous women were 75.0% (6/8) and 66.7% (6/9), respectively. The rate of emergent cesarean section within 24 hours was 11.8% (2/17). Excluding one women who were lost to follow-up, the rate of normal vaginal delivery was 81.8% (9/11) among the women who had successful ECV. We did not observe any complications such as uterine rupture, placental abruption, or intrauterine fetal death. CONCLUSION: Although ECV with amnioinfusion after initial failure might help increase the success rate of ECV, it needs to be further evaluated in larger studies.
Abruptio Placentae ; Amniotic Fluid ; Breech Presentation ; Cesarean Section ; Female ; Fetal Death ; Fetal Weight ; Gestational Age ; Humans ; Lost to Follow-Up ; Pregnancy ; Pregnancy Outcome ; Pregnant Women* ; Prospective Studies ; Uterine Rupture ; Version, Fetal*

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Structural Relationships between Infancy Mothers' Relational Variables and Parenting Stress.

Young Mee YOON ; Jung Hee YEO

Journal of the Korean Society of Maternal and Child Health.2016;20(2):152-162.

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

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Relationship between Infertility Stress and Quality of Life of Infertile Women: Based on the Moderating and Mediating Effects of Sexual Satisfaction.

Miok KIM

Journal of the Korean Society of Maternal and Child Health.2016;20(2):140-151.

PURPOSE: We aim to assess the moderating and mediating effects of sexual satisfaction in the relationship between infertility stress and quality of life of infertile women, and contribute to alleviate the infertility stress and promote the quality of life of infertile women. METHODS: As a descriptive study, we surveyed 151 infertile women in G. and B in Korea. cities from November 2014 to January 2015. The data was analyzed in SPSS WIN 18.0 program. RESULTS: Infertility stress, sexual satisfaction, and quality of life averaged 3.82±.56 (range of scale 1~6), 3.42±.44 (range of scale 1~5), and 3.52±.50 (range of scale 1~5), respectively. Infertility stress had a negative correlation with quality of life (r=-.709, p<.001). Sexual satisfaction had a negative correlation with infertility stress (r=-.332, p<.001), and positive correlation with quality of life (r=.543, p<.001). Sexual satisfaction did not have moderating effects on the relationship between infertility stress and quality of life. However, sexual satisfaction showed mediating effects between infertility stress and quality of life. CONCLUSION: Therefore, it is necessary to provide infertile women with the counseling on their sexual problems, and the intervention programs for infertile women is expected to help them cope and adapt with their personal and marital problems, reduce their stress, and thus promote their quality of life.
Counseling ; Female ; Humans ; Infertility* ; Korea ; Negotiating* ; Orgasm* ; Quality of Life*

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Factors Affecting to Mother's Prenatal Care Utilization in Democratic Republic of Congo: Focused on Kenge, Boko Health Zone.

Hyeli LEE ; Eun Woo NAM ; Ae Young SO

Journal of the Korean Society of Maternal and Child Health.2016;20(2):132-139.

PURPOSE: This study aims to identify factors affecting more than four times prenatal care utilization among reproductive aged women in Democratic Republic of Congo. METHODS: This was a cross sectional study conducted in Democratic Republic of Congo in July, 2014. Survey was done among 494 respondents, data were analyzed using SPSS 21.0. RESULTS: Multiple logistic regression showed an association between age (OR:1.037) in predisposing factor, women who have health insurance in their household (OR:2.876) and timing of first prenatal visit (OR:7.148) in enabling factors and number of delivery 3~5 times (OR:0.587) more than 6 times (OR:0.357) in need factor with more than four times prenatal visits. CONCLUSION: Maternal health improvement interventions should focus on education for women who are younger and multiparous. Early detection of pregnancy and encourage to visit in first trimester are needed. Finally, introduction of the health insurance system is important to minimize cost of out of pocket.
Causality ; Congo* ; Education ; Family Characteristics ; Female ; Humans ; Insurance, Health ; Logistic Models ; Maternal Health ; Pregnancy ; Pregnancy Trimester, First ; Prenatal Care* ; Surveys and Questionnaires

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