Development and Evaluation of Multilingual Education Materials to Promote Immigrant Women's Adaptation to Pregnancy

PURPOSE: This study was done to develop and evaluate multilingual education materials to promote health and adaptation to pregnancy for immigrant women in Korea. METHODS: This study had three procedures: First, contents of the education materials were developed according to pregnant women's needs, literature reviews, and group discussion. Details in contents were constructed based on Roy's adaptation model; Second, validity verification and translation of education materials were accomplished; Third, evaluation of the education materials was done through a survey of immigrant women. RESULTS: The education materials were developed in six languages (Korean, English, Chinese, Vietnamese, Filipino, and Cambodian). The title is "Healthy mother, happy family: eight-step guide to a healthy pregnancy". It was composed of an eight-step guide to healthy pregnancy, self-examination check list, websites for childbirth education and information, and guidelines on education materials in a brochure. In the evaluation, the average response score for the questionnaire items was high (3.23 on a four-point Likert scale). The average score for Cambodian immigrants was the highest of all immigrant women. CONCLUSION: Multilingual education materials developed in this research will help community health nurses to manage pregnancies for immigrant women and will be useful for health education for these women.

Bone Mineral Density, Health-promoting Behaviors, and Self-efficacy in Middle-aged Women / 여성건강간호학회지

To identify osteoporosis and examine the relationship between health behavior and the self-efficacy of middle-aged women, a descriptive survey was conducted. The subjects were 465 healthy female residents of Kyunggido, Korea, who underwent ultrasound measurement and a health examination at the Kangmeung-Ci Health Center between July and August 2000. They were 40 to 60 years old, with a mean age of 46.7 years. The subjects completed a self- reported questionnaire that consisted of seven items concerning health behavior and twelve items concerning self-efficacy related to osteoporosis. Bone density was evaluated from ultrasound measurements of the right heel. All the data were analyzed using the program SAS-PC. The study found that the mean T score related to bone density was -1.30, and ranged from -3.52 to 3.06. Based on the T score, 74.8% of the subjects were normal, 12.9% had osteopenia, and 12.3% had osteoporosis. The mean osteoporosis self-efficacy score was 41.17 and ranged from 12 to 60. Osteoporosis self-efficacy differed significantly with health behavior related to health supplementary food (t=5.63, p=.018), exercise (t=6.65, p=.010), alcohol drinking(t=10.80, p=.001), and smoking (t=10.23, p=.001). A community-based health promotion program should be developed to prevent osteoporosis in middle-aged women.

The Relationships among Social Support, Stress, and Loneliness in Migrant Yanbian Korean Workers / 성인간호학회지

PURPOSE: The purpose of the study was to examine the relationships among social support (network, composition, and satisfaction), stress, and loneliness in migrant Yanbian Korean workers. METHOD: Data were collected by using Social Support Questionnaire 6, Visual Analogue Scale, and the Revised UCLA Loneliness Scale. RESULT: Results indicate that means for social support were 1.52 for network size and 4.83 for satisfaction. The proportion percentage of network for kin members was 67.37. Subjects felt the moderate level of stress and loneliness. The level of loneliness was negatively related to the level of social support. CONCLUSION: This study showed that there is necessity to reduce stress and loneliness among migrant Yanbian Korean workers. Adequate social support satisfaction is crucial to reduce the level of loneliness in migrant Yanbian Korean workers.

The Relationships among Loneliness, Social Support,and Family Function in Elderly Korean / 간호학회지

PURPOSE: To examine the relationships among loneliness, social support, and family function in elderly Korean. METHOD: The sample for this study were 290 elderly Korean who were at least 60 years of age. Data were collected by interview using the translated Korean versions of the Revised University of California Los Angels Loneliness Scale(RULS), Family APGAR, and Social Support Questionnaire 6. RESULT: Subjects were moderately lonely and had moderately functional families. Means for social support were 1.42 for network size and 4.09 for satisfaction. Subjects who lived with their spouses had a larger number of network members than who did not live with spouses. However, living with spouses was not associated with social support satisfaction. The level of loneliness was related negatively to the level of social support network, social support satisfaction and family function in this study. Social support satisfaction and Family function were the significant predictor of loneliness. CONCLUSION: The number of social supporter and satisfaction and family function should be considered in nursing intervention to decrease the level of loneliness in older adults. Further studies and efforts will be needed to reduce the level of loneliness in older adults.

Fatigue, Depression and Sleep in Young adult and Middle-Aged / 간호학회지

PURPOSE: The purpose of the study was to investigate fatigue, depression and sleep in young adult and middle-aged. METHOD: The convenient sample consisted of 415 subjects from 20 to 59 years old. Data were collected using a self-report questionnaire from July to October, 2001. The VAS-F and CES-D were utilized to measure the level of fatigue and depression. Sleep duration and sleep satisfaction were measured based on the subject's self-report. RESULT: The result of the study revealed that the level of fatigue and depression was higher among young adult than middle-aged. Considering age and gender, the level of fatigue and depression was higher among young adult women and middle-aged men. Depression and sleep satisfaction influenced on the fatigue. CONCLUSION: Health care providers need to concern about fatigue and depression in young adult women and middle-aged men. Especially, more concern and intervention programs are needed for young adult women and middle-aged men.

Status of Use and Evaluation of Materials of Sexual Education for Child and Adolescent in Schools, Korea / 아동간호학회지

We would like to suggest the guideline of use of materials of sexual education for adolescent in school by examining the status of use of materials and by evaluating the video materials frequently used. Survey was done by enquetes on status of use of materials of sexual education from school nurses in 190 primary, 44 middle and 50 high schools in Seoul, Kyonggi-do and Kangwon-do from August 1999 to February 2000. The frequently used 84 videotapes were evaluated on their contents. As for the status of use, 99.3% of subjected schools possessed the materials for sexual education. Decision of purchase was determined according to the review of contents (92.6%). Information about materials was received by the advertisement in newspapers or broadcasting (46.1%) or recommendation of peer teacher (32.4%). Videotape was most frequently used (64.1%) rather than books or CD. Teachers concerns on the materials were the educational content according to developmental stage of students (41.9%), content provoking interest (33.5%) and concrete guide for teacher (10.6%). As for the evaluation of the contents of videotapes, a subject of education was not described out of 46.6%. Videotape producer were mostly the Government-affiliated institutes or non-profit organizations (86.8%). The year of production was indicated from 41.7%. Running time range of 21-30 minutes was highest (55.9%). The price was marked in only one videotape. Subjects of contents were general sexual education (34.5%), sexual violence or sexual harassment (21.4%), pregnancy and contraception (14.2%) and AIDS and sexually transmitted diseases (8.3%) and dating and adolescent change (4. 8%), and etc (11.9 %). According to above results, we suggested that materials for sexual education should be completed with a description on the subjected group, summary of content, information on the tape producer, year of production, running time and sale price.

The Effects of Anxiety, Depression and Self-Esteem on Smoking and Nicotine Dependency Among Unmarried Woman Smokers / 성인간호학회지

PURPOSE: The purpose of the study was to investigate the effects of anxiety, depression and self-esteem on the amount of smoking and nicotine dependency among woman smokers. METHOD: The convenience sample consisted of 121 unmarried woman smokers. The STAI, the CES-D Scale, the Self-Esteem scale and the FTQ were utilized to measure the level of anxiety, depression, self-esteem, and nicotine dependency. The amount of smoking was calculated based on the number of cigarette used. RESULTS: Results indicated that woman smokers were depressed. Nicotine dependency was relatively low. Subjects had smoked a mean of 9.58 cigarettes per day. The level of depression influenced on smoking and nicotine dependency. Self-esteem influenced on the amount of smoking and anxiety influenced on nicotine dependency. CONCLUSION: The results of this study revealed that the amount of smoking of unmarried woman smokers was very high. Both the amount of smoking and nicotine dependency were affected by levels of depression. Education programs and campaigns are needed to prevent smoking of young adult women.

FES-biofeedback versus intensive pelvic floor muscle exercise for the prevention and treatment of genuine stress incontinence

We undertook this work to compare the treatment efficacies and the changes of quality of life after pelvic floor muscle (PFM) exercise and the functional electrical stimulation (FES)-biofeedback treatment, both of which are being widely used as conservative treatment methods for female urinary incontinence. We randomly selected 60 female incontinence patients who visited our department and divided them evenly into two groups. They were treated for a period of 6 weeks. The subjective changes in the severity of incontinence and discomfort in daily and social life were measured using a translated version of the questionnaire by Jackson. Objective changes of pelvic muscle contraction force were measured using a perineometer. Pre- and post-treatment maximal pelvic floor muscle contractile (PMC) pressure and changes in the severity of urinary incontinence and discomfort of the two groups showed statistically significant differences (p>0.001). In particular the FES-biofeedback group showed significantly increased maximal PMC pressure and a decreased severity of urinary incontinence and discomfort compared to the intensive PFM exercise group (p>0.001). In conclusion, FES-biofeedback proved more effective than simple PFM exercise.

FES-biofeedback versus intensive pelvic floor muscle exercise for the prevention and treatment of genuine stress incontinence

We undertook this work to compare the treatment efficacies and the changes of quality of life after pelvic floor muscle (PFM) exercise and the functional electrical stimulation (FES)-biofeedback treatment, both of which are being widely used as conservative treatment methods for female urinary incontinence. We randomly selected 60 female incontinence patients who visited our department and divided them evenly into two groups. They were treated for a period of 6 weeks. The subjective changes in the severity of incontinence and discomfort in daily and social life were measured using a translated version of the questionnaire by Jackson. Objective changes of pelvic muscle contraction force were measured using a perineometer. Pre- and post-treatment maximal pelvic floor muscle contractile (PMC) pressure and changes in the severity of urinary incontinence and discomfort of the two groups showed statistically significant differences (p>0.001). In particular the FES-biofeedback group showed significantly increased maximal PMC pressure and a decreased severity of urinary incontinence and discomfort compared to the intensive PFM exercise group (p>0.001). In conclusion, FES-biofeedback proved more effective than simple PFM exercise.

The Incidence of Urinary Incontinence and influences on quality of life among elderly Women / 성인간호학회지

The purpose of this study was to identify the incidence of urinary incontinence of elderly women in Korea, to identify the life style for urinary incontinence. The sample consisted of 237 women of Seoul and 5 Provinces. Data for this study was collected from January 16 to June 23 by structured questionnaire. Urinary Symptom Questionnaire developed by Jackson and demographic questionnaire were used to collect the data. The data was analyzed by frequency, percentage, Chi-Square test, Chronbach alpha coefficient with SPSS/PC+ program. 1. It was reported that 64.5% of the subjects have experienced urinary incontinence. And stress, urge, and mixed type incontinence was 34.0%, 8.5%, 57.5% respectively. 2. Characteristics related to urinary incontinence are : Daily frequency 28.7%, nocturia 71.5%, urgency 74.0%, bladder pain 36.7%, unexplained incontinence 35.1%, noctural incontinence 23.5%, frequency of incontinence 23.3%. Wearing protection 42.3%, changing outer clothing 31.0%, hesitancy 17.1%, straining 24.7%, intermittent stream 27.2%, abnormal strength of stream 28.4%, retention 13.6%, burning 5.0%, incomplete emptying 13.6%, Inability to stop mid stream 32.5%. 3. The life style and incidence with urinary incontinence were as following. Fluid intake restriction 18.6%, interference in daily task 30.3%, avoidance of places and situation 28.0%, interference in physical activity 22.3%, interference in relationship with other people 16.6%, interference in relationship with husband/companion 4.5%, time after attack of urinary symptoms 81.5%. In terms of the feeling about the rest of life with urinary symptom, perfectly happy 5.0%, pleased 10.6%, mostly satisfied 18.7%, mixed feelings 28.6%, mostly dissatisfied 20.1%, very unhappy 16.8%, desperate 0.3%. 4. Significant relation between incidence of urinary incontinence and life style. Significant differences between Fluid intake restriction(X2=8.876, P=0.002), affected daily task(X2=32.113, P0.000), avoidance of places and situation(X2=30.155, P=0.000), interference in physical activity(X2=30.209, P=0.000), interference in relationship with other people(X2=26.091, P=0.000). In terms of the feeling about the rest of life with urinary symptom(X2=43.425, P=0.000) of life style and incidence of urinary incontinence. In conclusion, this study were preliminary study to provide nursing practices guidelines for elderly urinary incontinence. Nurses working with elderly should develop and provide adequate care for the incontinent elderly subjects.