Effect of Sex Knowledge, Intention to Visit Obstetrics-Gynecology, Awareness of Visit of Female College Students on Reproductive Health Promoting Behavior

PURPOSE: This study sought to investigate influence factors affecting reproductive health promoting behavior of female college students. METHODS: The study collected data using self-administered questionnaires among 166 female students at four universities located at a metropolitan city. And using SPSS 21.0 program, the study conducted analysis by means of technical statistics, t-test, ANOVA, Pearson correlation coefficient, multiple regression analysis. RESULTS: The level of reproductive health promoting behavior of female college students was 3.3±0.3 points on average. Reproductive health promoting behavior had a significant variance depending on age (F=4.70, p=0.045). Reproductive health promoting behavior had positive correlations with sex knowledge (r=0.24, p=0.040), intention to visit an obstetrics-gynecology (r=0.18, p=0.020), awareness of visit thereto (r=0.32, p<.001). Influence factors emerged in the order of awareness of visit to an obstetrics-gynecology (β=0.30, p<.001), intention to visit (β=0.16, p=0.036) with explanatory power of 12.2% (F=6.73, p<0.001). CONCLUSION: To improve reproductive health promoting behavior of female college students needs to develop and apply sex education programs.

The Effects of Labor pain and Labour agentry on Perception of Delivery Experience in Puerperas Giving Birth in Midwifery Clinic

PURPOSE: This study intends to identify the relations among labor pain and labor agentry of puerperas giving birth in midwifery clinic and perception of delivery experience, and to establish factors influencing on their perception of delivery experience. METHODS: Descriptive survey research. Data were collected from puerperas giving birth through vaginal delivery in six midwifery clinics, and they were analyzed through t-test, ANOVA, pearson's correlation coefficients, and stepwise multiple regression. RESULTS: Figures of labor pain of puerperas giving birth in midwifery clinic by stage were 4.12, 6.80 and 8.11 in average in latent, active and transitional stage, respectively, while labor agentry and perception of delivery experience showed upper-middling figures, namely 3.70 and 3.94. It was revealed that labor agentry of puerperas giving birth in midwifery clinic had negative correlation with labor pain in latent stage (r=−0.176, p=0.021). Perception of delivery experience had the same with labor pain in latent stage (r=−0.177, p=0.020) and labor pain in active stage (r=−0.159, p=0.037), whereas perception of delivery experience had positive correlation with labor agentry (r=0.750, p < 0.001). In addition, factors influencing on perception of delivery experience of puerperas giving birth in midwifery clinic were labor agentry, educational background and marital satisfaction, accounting for 58.8%. CONCLUSION: The results suggest that developing and applying nursing intervention program that increases labor agentry so that puerperas giving birth in midwifery clinic may perceive childbirth experience positively.

Impact of Maternal Uncertainty on Coping: Experiences from a General Hospital Pediatric Ward

PURPOSE: The aim of this study was to test whether maternal uncertainty and the general characteristics of mothers and children influenced maternal coping. METHODS: In this cross-sectional study, 190 mothers whose children had been admitted to the pediatric ward of a general hospital completed self-report questionnaires during their children's hospitalization. The questionnaires assessed the general characteristics of the mothers and children, maternal uncertainty, and maternal coping. Multiple regression analysis was used to test the research model. RESULTS: In the multivariable model, help from one's spouse (t=3.10, p=.002), religion (t=2.68, p=.008), overall ambiguity (t=2.64, p=.009), and family income (t=2.33, p=.021) were associated with higher coping scores. CONCLUSION: This research model presents possible guidelines for pediatric nurses to provide comprehensive and accurate information on children's illnesses and treatments for mothers of children hospitalized in general hospitals. In particular, nurses should pay more attention to mothers who are not receiving help from their spouses, are not religious, and have a low family income.

A Study of Oral Health Knowledge for Pregnant Women

PURPOSE: This paper examined the relationship between knowledge differences of maternal oral health and of relevant demographic variables. METHODS: Participants included 239 pregnant women who were recruited from Women's Hospital located in B city who agreed to participate in this study. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation analysis using the SPSS 21.0 program. RESULTS: Maternal knowledge of oral health was moderate level (10.22±2.36). Scores of maternal knowledge of oral health were different according to age, education, occupation, parity, and dental care experience in pregnancy. Level of oral healthcare knowledge was weakly related to age and education. CONCLUSION: Consequently, it is necessary to encourage pregnant women to take part in oral health education program during antenatal care.

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

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.

Comparing Nutrition Knowledge, Eating Habits, and Neonatal Health Status of Primipara for Pregnant Women of Advanced Maternal Age Compared to Those of Younger Ages

PURPOSE: The aim of this study was to examine differences in nutrition knowledge, eating habits during pregnancy, and neonatal health status between primipara for pregnant women of advanced maternal age in comparison to those under the age of 35. METHODS: This study used a comparative survey design. Data were collected through self-report questionnaires and patients medical records. A total of 127 participants, mothers after delivery were recruited from metropolitan city B. RESULTS: Primipara in advanced maternal age (n=32) reported significantly higher scores of eating habits (Z=-2.96, p=.003) than younger ages (n=95). There were no significant differences in scores of pregnancy nutrition knowledge (Z=-0.44, p=.660), duration of gestation (Z=-0.28, p=.778), neonatal birth height (Z=-0.10, p=.924), neonatal birth weight (Z=-0.28, p=.777), Apgar score 1 minute (Z=-0.53, p=.599) and 5 minutes (Z=-0.23, p=.816) between two groups. CONCLUSION: It concludes that age is not the obstacle to the best nutritional status of women and their newborns.

Depression of Married and Employed Women Based on Social-Role Theory

PURPOSE: This study was based on social-role theory, and purposes were to investigate (1) how depression and health determinants vary with married and employed women, and (2) what factors contribute to depression according to family cycle. METHODS: A stratified convenience sample of 765 married and employed women was recruited during May to August 2010. Study variables of depression, socio-demographic threatening factors, psycho-stimulating factors, and social-role related factors were measured via a structured questionnaire. RESULTS: Prevalence rate for depression was 18.6%, with highest rate (25.4%) from elementary laborers. Greater levels of depression were related to women's occupation, higher life stress, and poorer health; lower social support and vulnerable personality; higher levels of social-role related stress. From multivariate analysis, women with preadolescents were the most vulnerable to depression affected by occupation, life stress, personality, and parenting stress. These factors (except for occupational class) combined with economic status, social support, and housework unfairness were significant for depression in women with adolescents. CONCLUSION: Depression among married and employed women differs by psycho-stimulating and social role relevant factors in addition to occupational class and family life cycle. Female elementary laborers and women with children need to have the highest prioritization for community mental health programs.

Effects of Self-breast Pumping in Primiparous Women after Cesarean Delivery

PURPOSE: This study was done to identify the effects of self-breast pumping on breastfeeding rates and, the degree of breast milk fullness among primiparous women giving birth by cesarean section. METHODS: The study design was a non-synchronized posttest control group experiment with repeated measures. The participants were 60 women, 31 in the experimental group who used a manual pump 5 times a day after exclusive breastfeeding and 29 in the control group who breastfed exclusively with no other interventions. RESULTS: While self-breast pumping did not improve breastfeeding rates or the degree of breast milk fullness at any of the time points studied, breastfeeding rates continued to remain high till 12 weeks postpartum in both groups. Conclusion: Although some modifications in research methods will be required to identify the effects of breast pumping and exclusive breastfeeding, both these approaches can be used as interventions to improve breastfeeding rates and breast milk quantity.

Effects of Aroma Inhalation Method on Subjective Quality of Sleep, State Anxiety, and Depression in Mothers Following Cesarean Section Delivery / 기본간호학회지

PURPOSE: The purpose of this study was to test the effects of aroma inhalation on subjective quality of sleep, state anxiety, and depression of mothers who underwent a Cesarean section delivery. METHODS: This study was designed as a nonequivalent control group quasi-experimental study based upon data acquired through a pre-post test. The experimental group (n=33) was given general obstetric nursing care plus dry inhalation method using lavender essential oil, in which each mother put one drop on a tissue and breathe near it for 5 minutes before going to bed. Then they put 1~2 drops on their pillow for 6 nights. The control group (n=34) was only given general obstetric nursing care. Data were collected using a questionnaire for measures of subjective quality of sleep, state anxiety, and depression by self-report. chi2-test, Fisher's exact test, t-test, and ANCOVA with SPSS/Win12.0 were used to analyze the data. RESULTS: There were significant differences in subjective quality of sleep (p<.001), state anxiety (p=.049) and depression (p=.029). CONCLUSION: The results suggest that aroma inhalation method can be an effective nursing intervention to improve quality of sleep and decrease anxiety and depression in postpartum mothers suffering from stress related to a Cesarean section delivery.

Clinical impact of symptom-to-door time on 1-year mortality in patients with non-ST segment elevation acute myocardial infarction / 대한내과학회지

BACKGROUND/AIMS: Symptom-to-door time is associated with the prognosis for ST-segment elevation myocardial infarction. However, this value has not been a concern in patients with non-ST segment elevation myocardial infarction (NSTEMI). The aim of this study was to assess the relationship between symptom-to-door time and clinical outcomes in patients with NSTEMI. METHODS: In total, 1,971 patients with NSTEMI (64.8+/-12.1 years, 23.6% women) were enrolled between Nov. 2005 and Jan. 2008. The patients were divided into two groups according to the time difference between the presentation of symptoms and first medical contact: group I (12 hours, n=538). One-year mortality rates were compared between the groups. Thrombolysis In Myocardial Infarction (TIMI) and Global Registry of Acute Coronary Events (GRACE) risk scores were calculated in all study patients. RESULTS: The mean age was 64.4+/-12.2 years in group I and 65.6+/-12.0 years in group II (p=0.046). No significant differences existed between the two groups, except for the prevalence of hypertension, diabetes mellitus, initial systolic blood pressure, and initial serum creatinine levels. One-year mortality rates decreased significantly in group I patients [hazard ratio (HR)=1.35, 95% CI (confidential interval): 1.03~1.75, p=0.028] based on a multivariate Cox proportional analysis, which was adjusted by GRACE score, baseline characteristic variables, and predictors of a 1-year mortality in a univariate analysis. In intermediate-to high-risk patients (n=1,184, defined as having a TIMI risk score above 3 points), significant differences were observed in mortality rates between the two groups (HR=1.35, 95% CI: 1.02~1.80, p=0.037); the low-risk patients (n=787, HR=1.57, 95% CI: 0.80~3.05, p=0.188), however, showed no such differences. CONCLUSIONS: Symptom-to-door time was an independent long-term clinical predictor in patients with NSTEMI, especially in intermediate-to high-risk groups.

Postpartum Depressive Score and Related Factors Pre- and Post-delivery / 여성건강간호학회지

PURPOSE: This study aimed to identify the scores of postpartum depression(PPD) on the first day, 1st week, and 6th week after the delivery and to explore their related factors before and after delivery in postpartum women. METHODS: With a survey design, 293 postpartum women were recruited from a postpartum unit, Ilsin Christian hospital in Pusan via convenience sampling and were followed at 1st week and 6th week in the outpatient clinic. RESULTS: Results showed that the scores of PPD(EPDS score) were low at postpartum 1st day, 1st week and 6th week but prevalence of PPD(EPDS > or =13) was 3.1% at 1st day, 8.2% at 1st week and 7.5% at 6th week, respectively. The pre-delivery factors were experience of depression, and the post-delivery factors were baby's sex(1st day), no caregiver for baby(1st week), and no help and concern for taking care of baby from husband and family(1st day and 6th week). The greater satisfaction with becoming a mother and her life, and greater maternal attachment were related to lower level of PPD at the three time points. CONCLUSION: Regular screening for postpartum depression and supportive and informative education is needed for postpartum women visiting the outpatient clinic for follow-up.

The Relations between Smoking and Exposure to Anti-Smoking Promotion Media in Middle School Students / 農村醫學 地域保健

OBJECTIVES: This study aimed to examine the relations between exposure to anti-smoking promotion media and smoking, targeting middle school students who were exposed to various media of promotion. METHODS: The subjects of the study were 38,820 middle school students who answered to the 2007 Korea Youth Risk Behavior Web-based Survey. Answers of 37,714 subjects were used for the final analysis except those of 1,106 that could not be used to judge anti-smoking promotion media and prevalence of smoking as they were considered insincere to the questions. We used SPSS of version 17.0. This study conducted a chi-square test to identify smoking rate according to characteristics of subjects and a multivariate logistic regression analysis to identify whether they are independently significant. RESULTS: Smoking rate increased as the subjects were in higher grades. From the results of multivariate logistic regression, odds ratio(OR) at points 5~6 of the first graders that had never been exposed to anti-smoking promotion media was 0.49(95% CI=0.33-0.74), which was significantly low. And OR at points 5~6 of the third graders was 0.57(95% CI=0.43-0.76), significantly low. CONCLUSIONS: This study identified the relations between exposure to anti-smoking promotion media and smoking of middle school students in Korea.

Tenascin-X and leukemia inhibitory factor receptor are down-regulated in leiomyoma compared with normal myometrium / 부인종양

OBJECTIVE: Uterine leiomyomas are the most common tumor of the uterus. But the molecular causes of uterine leiomyoma remain unclear. We conducted the current investigation in order to elucidate the molecular mechanisms in the development of uterine leiomyoma. METHODS: We employed a new and accurate reverse transcription-polymerase chain reaction (RT-PCR) method that involved annealing control primers (ACPs) to identify the genes that are differently expressed in uterine leiomyoma. RESULTS: Using 120 ACPs, we identified and sequenced 14 differently expressed genes (DEGs) in uterine leiomyoma compared with normal myometrium. Basic Local Alignment Search Tool (BLAST) searches were performed to examine the known functions of these genes associated with uterine leiomyoma. We confirmed differently expressed patterns in more cases using the RT-PCR method. We also detected two novel genes, Tenascin-X and Leukemia Inhibitory Factor Receptor (LIFR), which had not yet been reported to have any functions associated with uterine leiomyoma. RT-PCR confirmation shows that both of these two genes are down-regulated in uterine leiomyoma. CONCLUSION: Our results suggest that Tenascin-X and LIFR may play a role in the development of uterine leiomyoma. Although further studies are required to establish the precise mechanisms with which these genes are involved in the genesis of uterine leiomyoma, the present research is significant in that it is the first study which detects down-regulated novel genes in uterine leiomyoma using the ACP system.

An Epidemiological Investigation on an Outbreak of Bacillus Cereus Food Poisoning in a Girls' High School in Sangju-si, Korea, 2008 / 한국역학회지

PURPOSE: In May 2008, a diarrhea outbreak occurred among students of in a girls' high school (S school) in Sangju-si, Korea. An epidemiological investigation was carried out to clarify the cause and transmission route of the outbreak. METHODS: S school has been providing meals directly since July 2007. We conducted a questionnaire survey among 591 persons, and examined 283 rectal swabs and 98 environmental specimens. The patient case was defined as a member of S school who had diarrhea more than one time in a day, accompanied with one or more symptoms among abdominal pain or tenesmus from May 19th to May 26th 2008. RESULTS: The attack rate was 24.0%. Bacillus cereus were cultured from three of the rectal swabs and five of the preserved foods. It was suspicious that contamination was possible in seasoning vegetables, and we found some foods were seasoned with spices after being cooled by moving cooler for about 20 minutes. Enterotoxin positive B. cereus were cultured from two foods cooled by moving cooler. Enterotoxin negative B. cereus were cultured from two environmental specimens of the moving cooler. CONCLUSIONS: We presumed the cause of the diarrhea outbreak in S school was food poisoning by B. cereus. Because enterotoxin positive B. cereus were cultured from rectal swabs and foods, and the symptoms were corresponded. We estimated the outbreak was occurred by this process that B. cereus in the moving cooler contaminated foods during cooling and then rapidly proliferated.

Effect of Aquatic Exercise Program on Pain, Fatigue, Body Composition, Physical Fitness and Psychological Variables in Women with Arthritis / 여성건강간호학회지

PURPOSE: The purpose of this study was to examine the effects of aquatic exercise on pain, fatigue, body composition, physical fitness and psychological variables in women with arthritis. METHOD: With a quasi-experimental design, 37 women who had arthritis were assigned into an experimental group (n=19) or a control group (n=18). Aquatic exercise consisted of one hour of exercise in water, two days per week, for six weeks and a self-help process. Measures included physiologic and psychological variables before and after the exercise. Data was analyzed with the SPSS WIN using descriptive statistics, t-test, and ANCOVA. RESULT: The mean age of the subjects was 59 years in the experimental group and 52 years in the control group. Pretest scores in outcome variables were similar in both groups except BMI and body fat(%). After controlling for age, shoulder flexibility scores in the experimental group improved more than the control group (Rt: F=10.58, p=.003; Lt: F=5.91, p= .02; Waist: F=4.95, p= .03). Depression scores in the experimental group decreased (F=12.96, p= .001), and self efficacy and quality of life improved more than the others (F=5.07, p= .03; F=6.91, p= .01). CONCLUSION: Aquatic exercise can improve waist flexibility and shows consistent findings of improved shoulder flexibility and psychological function in women with arthritis.

Sudden rapid growth of an aggressive angiomyxoma after taking pomegranate seeds oil / 부인종양

Aggressive angiomyxoma (AA) is a rare soft tissue tumor of undetermined etiology that occurs mainly in the female vulva and perineum. It has been demonstrated to increase in size under the estrogenic stimulation and shown to respond to treatment with a GnRH agonist. A 47-year-old woman was presented with a large vulvar mass. The mass had grown slowly before she took pomegranate seeds oil on a regular basis for a year, which is known to contain natural estrogen for a year. The almond-sized mass enlarged into a fetal head-sized one in a year. Our case is implying that external administration of estrogenic substance may be a contributory factor to the sudden accelerated growth of AA. Although the past medical history in this case relies on an unverified observation by the patient alone, the unique clinical course and impressive gross appearance of AA may help clinicians with diagnosis in practice.

Factors Predicting Maternal Conflict in Mothers of Toddlers / 아동간호학회지

PURPOSE: This study was done to identify degrees of maternal conflict, differences, and factors predicting conflict in mothers of toddlers. METHOD: A convenience sample of 300 mothers living in G city, Kyounggi-do whose child was between 12 to 36 months old was used. Data were collected through a questionnaire survey and analyzed using SPSS WIN 10.0. RESULTS: The average score for maternal conflict was 67.35 (SD=10.18), somewhat lower than moderate in level. 'I as a human being' was the area of the 6-sub areas with the most conflict. Mothers experiencing higher maternal conflict were those who were less satisfied with marriage, quality of life, and maternal role, and whose child was stubborn and hard to please, who were unsatisfied with baby sitters or who had to rush their sick child to hospital. Factors that were significant in predicting maternal conflict were low satisfaction with maternal role and marriage, and a child who was difficult to care for. These factors accounted for 22% of explained variance. CONCLUSION: Nurses should help mothers resolve maternal conflict through education and counseling on the maternal role, but at the same time nurses should consider relationship of the mother with her husband and also special characteristics of her child.

A Study on Women's Fatigue and Sleeping Disturbance / 여성건강간호학회지

PURPOSE: This study was to identify the relationship between fatigue and sleep disturbance in adult women so as to provide basic data for developing a women's health promotion program and nursing intervention. METHOD: A convenience sample of 184 women who visited a Well-baby clinic at P city Maternal child center during October in 2004 was obtained. Data was collected by self-administered questionnaires. RESULTS: The Subjects' mean age was 36.87 years and 70% were employed and had more education than high school. The mean level of fatigue was 56.65, mean sleeping hours were 6.54, and time until falling asleep was 17.58 minutes. Scores of fatigue differed by subject's age, level of education, and menstruation status. In addition, sleeping hours differed by age, occupation status, and income level. There were significant low levels of correlation between fatigue and sleeping hours (r=-.16) and getting up too early (r=-.15). CONCLUSION: This study concludes that fatigue and sleeping patterns have a significant relationship.

Factors Related to Neonatal Suckling in the Initiation of Breastfeeding in Primiparous Mothers / 여성건강간호학회지

PURPOSE: This study was conducted to discover the related factors of neonatal suckling in the initiation of breastfeeding in primiparous mothers and to provide basic data for promoting nursing intervention strategies to improve the practice of breastfeeding. METHOD: The subjects of this study were 71 primiparous mothers who had normal vaginal deliveries at one obstetric hospital in P metropolitan city and one delivery center in J city. The collected data was analyzed using the SPSS program. RESULT: The average IBFAT (Infant Breastfeeding Assessment Tool) score was 9.6+/-2.3. The general characteristics studied that had a significant influence on neonatal suckling in the initiation of breastfeeding were the place of delivery (ex: Hospital, Postnatal Unit), whether oxytocin was used, no usage of analgesic medication, amount of satisfaction after the first breastfeeding weight of the newborns and the Apgar score at one minute. CONCLUSIONS: A higher IBFAT score was related to primiparous mothers who had a hospital delivery, received oxytocin, received maternal labour analgesics, neonatal weight, Apgar score at one minute, and satisfaction after the first breastfeeding.

Effects of Postpartum Exercise on Pelvic Muscle Contraction, Body Composition, and Physical Fitness of the Postpartum Mother / 여성건강간호학회지

PURPOSES: This study was to examine the effects of postpartum exercise on pressure of the pelvic muscle contraction, body composition and physical fitness of postpartum mothers. METHOD: A nonequivalent pre-test, post-test control group study was conducted. Fifty-two postpartum mothers (experimental group, 26; control group, 26) admitted to a postpartum ward in a Busan mother-baby clinic were recruited. Data was analyzed using mean, chi2-test, and t-test by SPSS 10.0. RESULT: Body fat mass (t=-3.196. p= .002), body fat rate (t=-3.831, p= .000), and fat distribution (t=-3.026, p= .004) of body composition increased significantly in the experimental group after the postpartum exercise as compared with the control group. After an 8 week exercise program, the pressure of the pelvic muscle contraction in the experimental group was significantly higher than in the control group (t=3.329, p=.002). In the change of physical fitness, grip strength of the hand, back muscle strength, and trunk flexion forward were not significantly changed, but trunk backward extension in the experimental group significantly increased (t=1.950, p=.050). CONCLUSION: Postpartum exercise affects pelvic muscle contraction, body composition, and physical fitness of the postpartum mother.