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Research Papers
Development of a predictive model for exclusive breastfeeding at 3 months using machine learning : a secondary analysis of a cross-sectional survey
Hyun Kyoung Kim
J Korean Acad Nurs 2025;55(4):519-527.   Published online October 28, 2025
DOI: https://doi.org/10.4040/jkan.25086
AbstractAbstract PDFePub
Purpose
This study aimed to develop a machine learning model to predict exclusive breastfeeding during the first 3 months after birth and to explore factors affecting breastfeeding outcomes.
Methods
Data from 2,579 participants in the Korean Early Childhood Education & Care Panel between March 1 and June 3, 2025 were analyzed using Python version 3.12.8 and Colab. The dataset was split into training and testing sets at an 80:20 ratio, and five classifiers (random forest, logistic regression, decision tree, AdaBoost, and XGBoost) were trained and evaluated using multiple performance metrics and feature importance analysis.
Results
The confusion matrix of the random forest classifier model demonstrated strong performance, with a precision of 86.6%, accuracy of 84.8%, recall of 96.8%, F1-score of 91.9%, and an area under the curve of 86.0%. Twenty-one features were analyzed, from which feeding plan, breastfeeding at 1 month, marriage period, maternal prenatal weight, self-respect, alcohol consumption, grit, value placed on children, maternal age, and depression emerged as important predictors of exclusive breastfeeding in the first 3 months.
Discussion
A robust model was developed to predict exclusive breastfeeding that identified feeding planning and breastfeeding at 1 month as the most influential predictors. The model could be implemented in clinical and community settings to guide tailored breastfeeding support strategies, coupled with the integration of maternal self-respect, grit, and the value placed on children in counseling programs to promote exclusive breastfeeding.
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Development and Effectiveness Evaluation of Comprehensive Mobile-Based, Breastfeeding Promotion Program for Mothers with Gestational Diabetes
Eunju Kwak, Seungmi Park
J Korean Acad Nurs 2024;54(2):224-236.   Published online May 31, 2024
DOI: https://doi.org/10.4040/jkan.23098
AbstractAbstract PDF
Purpose
This study aimed to evaluate the effects of a mobile-based breastfeeding promotion program (M-BFGDM) that helps mothers with gestational diabetes.
Methods
Forty-seven mothers participated in the study, of whom 22 were in the experimental group and 25 in the control group. To verify the effects, a lag design before and after the non-equivalence control group was used. The data collection for the experimental group was done before and after the intervention.
Results
In the results, breastfeeding knowledge showed a significant difference in the interaction between measurement period and group (χ2 = 8.14, p = .017), whereas breastfeeding intention did not show a significant difference in the interaction (χ2 = 4.73, p = .094). There was no difference in self-efficacy interaction (F = 0.13, p = .856). The breastfeeding method showed no difference in interaction (F = 0.04, p = .952), whereas cross-analysis showed a significant difference in breastfeeding practice rate between the experimental group and the control group at 1 month postpartum (χ2 = 7.59, p = .006).
Conclusion
A mobile-based breastfeeding promotion program was developed and applied for gestational diabetic mothers, resulting in an increase in breastfeeding knowledge and an improvement in breastfeeding practice rate one month after childbirth. In addition, M-BFGDM managed to create a breastfeeding practice environment with fewer time and place restrictions. A program study that complements motivation is needed to improve breastfeeding in pregnant diabetic mothers in the future.

Citations

Citations to this article as recorded by  
  • Breastfeeding and education in the puerperium
    Elena Alfonso
    Community and Interculturality in Dialogue.2025; 5: 129.     CrossRef
  • The Effect of Immediate Skin‐to‐Skin Contact on Exclusive Breastfeeding: An Instrumental Variable Approach
    Sangyun Lee, Yongnam Kim
    Acta Paediatrica.2025; 114(9): 2367.     CrossRef
  • 2,865 View
  • 182 Download
  • 1 Web of Science
  • 2 Crossref
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The Effects of the Combined Biofeedback and Brief Emotion Regulation Nursing Intervention Based on the Gross Model for Sexually Abused Adolescents
Jieun Kim, Wanju Park
J Korean Acad Nurs 2022;52(6):608-623.   Published online December 31, 2022
DOI: https://doi.org/10.4040/jkan.22088
AbstractAbstract PDF
Purpose
This study aimed to evaluate the effects of a combined biofeedback and brief emotion regulation (C-BABER) program for sexually abused adolescents.
Methods
This study employed a non-equivalent control group pretest-posttest design. The participants included 26 sexually abused adolescents from eight Sunflower Centers of South Korea–with 13 in the experimental group and 13 in the control group. The experimental group received four sessions of the individual C-BABER program, each lasting 60 minutes.
Results
Compared with the control group, sexually abused adolescents in the experimental group exhibited significant score differences in traumatic symptoms, including depression (Z = - 2.24, p = .025), dissociation (Z = - 2.21, p = .027), anxiety (Z = - 2.02, p = .044), and posttraumatic stress (Z = - 2.01 p = .045); and impulsivity, including positive urgency (Z = - 3.35, p = .001) and negative urgency (Z = - 2.28, v = .023). Additionally, the experimental group exhibited significant score differences in meta-mood, including emotional attention (Z = - 2.45, p = .014), emotional clarity (Z = - 2.30, p = .021), and emotional repair (Z = - 2.28, p = .022); and emotional regulation modes, including emotional suppression (Z = - 2.65,p = .008) and cognitive reappraisal (Z = - 1.98, p = .047). Regarding bio-attention, significant changes were identified in the experimental group for the bio-attention rate and attention maintenance time in the posttest compared to the pretest (p = .001).
Conclusion
The C-BABER program for sexually abused adolescents is effective in decreasing traumatic symptoms and impulsivity, and in improving meta-mood, emotional regulation mode, and bio-attention. Therefore, we recommend providing sexually abused adolescents the C-BABER program to help them regulate their emotions and effectively adapt to their lives.

Citations

Citations to this article as recorded by  
  • The Effect of Biofeedback Training on Attention, Affect Balance, Academic Delay Behavior, and Problem-Solving Ability of Korean College Students
    Jungmin Lee, Youngkyoung Kim, Wanju Park
    Journal of Korean Public Health Nursing.2024; 38(2): 150.     CrossRef
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  • 66 Download
  • 1 Crossref
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Effects of Electroencephalogram Biofeedback on Emotion Regulation and Brain Homeostasis of Late Adolescents in the COVID-19 Pandemic
Wanju Park, Mina Cho, Shinjeong Park
J Korean Acad Nurs 2022;52(1):36-51.   Published online February 28, 2022
DOI: https://doi.org/10.4040/jkan.21155
AbstractAbstract PDF
Purpose
The purpose of this study was to examine the effects of electroencephalogram (EEG) biofeedback training for emotion regulation and brain homeostasis on anxiety about COVID-19 infection, impulsivity, anger rumination, meta-mood, and self-regulation ability of late adolescents in the prolonged COVID-19 pandemic situation.
Methods
A non-equivalent control group pretest-posttest design was used. The participants included 55 late adolescents in the experimental and control groups. The variables were evaluated using quantitative EEG at pre-post time points in the experimental group. The experimental groups received 10 sessions using the three-band protocol for five weeks. The collected data were analyzed using the Shapiro-Wilk test, Wilcoxon rank sum test, Wilcoxon signed-rank test, t-test and paired t-test using the SAS 9.3 program. The collected EEG data used a frequency series power spectrum analysis method through fast Fourier transform.
Results
Significant differences in emotion regulation between the two groups were observed in the anxiety about COVID-19 infection (W = 585.50, p = .002), mood repair of meta-mood (W = 889.50, p = .024), self-regulation ability (t = - 5.02, p < .001), self-regulation mode (t = - 4.74, p < .001), and volitional inhibition mode (t = - 2.61, p = .012). Neurofeedback training for brain homeostasis was effected on enhanced sensory-motor rhythm (S = 177.00, p < .001) and inhibited theta (S = - 166.00, p < .001).
Conclusion
The results demonstrate the potential of EEG biofeedback training as an independent nursing intervention that can markedly improve anxiety, mood-repair, and self-regulation ability for emotional distress during the COVID-19 pandemic.

Citations

Citations to this article as recorded by  
  • From Neural Networks to Emotional Networks: A Systematic Review of EEG-Based Emotion Recognition in Cognitive Neuroscience and Real-World Applications
    Evgenia Gkintoni, Anthimos Aroutzidis, Hera Antonopoulou, Constantinos Halkiopoulos
    Brain Sciences.2025; 15(3): 220.     CrossRef
  • Neuroimaging Insights into the Public Health Burden of Neuropsychiatric Disorders: A Systematic Review of Electroencephalography-Based Cognitive Biomarkers
    Evgenia Gkintoni, Apostolos Vantarakis, Philippos Gourzis
    Medicina.2025; 61(6): 1003.     CrossRef
  • The interaction between emotion dynamics and opinion changes in the era of generative AI
    Shangqian Li, Shaoyang Fan, Gianluca Demartini
    Computers in Human Behavior Reports.2025; 19: 100722.     CrossRef
  • Augmenting self-guided virtual-reality exposure therapy for social anxiety with biofeedback: a randomised controlled trial
    Preethi Premkumar, Nadja Heym, James A. C. Myers, Phoebe Formby, Steven Battersby, Alexander Luke Sumich, David Joseph Brown
    Frontiers in Psychiatry.2024;[Epub]     CrossRef
  • Infection Anxiety and Coping Strategies Among Individuals With Schizophrenia During the COVID-19 Pandemic: Mediating Effects of Protection Motivation
    Jeawon Joung, Dug Ja Choi
    Journal of Psychosocial Nursing and Mental Health Services.2023; 61(11): 43.     CrossRef
  • The Effects of Integrated Neurofeedback and Salutogenesis Nursing Intervention to Relieve Post-COVID-19 Symptoms in Late Adolescents
    Youngkyung Cho, Wanju Park
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2023; 32(4): 402.     CrossRef
  • Effects of Brain Attention Biofeedback Self-regulation Training Nursing Intervention on Attention, Multidimensional Impulsivity, Emotional Response Intensity, and Self-regulated Learning Ability of School-aged Children in the COVID-19 Pandemic Situation
    Youngkyung Cho, Wanju Park
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2022; 31(2): 111.     CrossRef
  • Comparison of QEEG Findings before and after Onset of Post-COVID-19 Brain Fog Symptoms
    Marta Kopańska, Danuta Ochojska, Renata Muchacka, Agnieszka Dejnowicz-Velitchkov, Agnieszka Banaś-Ząbczyk, Jacek Szczygielski
    Sensors.2022; 22(17): 6606.     CrossRef
  • 2,042 View
  • 31 Download
  • 6 Web of Science
  • 8 Crossref
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Information Resource Network Analysis of Factors Influencing Breastfeeding Planning and Duration
Eunyoung Lee, Insook Cho, Seong Jin Cho, Eunju Lee
J Korean Acad Nurs 2021;51(2):232-244.   Published online April 30, 2021
DOI: https://doi.org/10.4040/jkan.20280
AbstractAbstract PDF
Purpose
This study aimed to identify the modifiable factors affecting breastfeeding planning and duration among healthy mothers and their use of breastfeeding information resources.
Methods
A cross-sectional survey was conducted in a community setting. Four hundreds participants were recruited at five pediatric clinics and three community health centers located in Paju-si and Goyang-si, Gyeonggi-do, between January and May 2019. Based on the breastfeeding decision-making model, driven by Martens and Young’s work, the survey items consisted of demographics, childbirth and breastfeeding characteristics, and breastfeeding information resources. In the analysis, 389 responses were used in the t-test, ANOVA, and logistic regression. Information resource networks were compared before and after childbirth including a subgroup analysis depending on the breastfeeding duration.
Results
The modifiable factors affecting breastfeeding planning and duration were antenatal and postpartum breastfeeding education and the provision of information in the hospital. The frequency of Internet use and websites visited were notable and potentially modifiable factors, which were also observed in the networks showing different relationship patterns according to participant subgroups and times. The childbirth event increased the centralization of the network in the planned group, while the network of the non-planned group was more diffused after childbirth. The network of the short-term breastfeeding group was characterized by a more centralized pattern and the resources of high betweenness centrality than the long-term group.
Conclusion
Breastfeeding education is a consistent factor that affects breastfeeding behavior. A well-designed internet-based approach would be an effective nursing intervention to meet the needs of women seeking breastfeeding information and changing their behaviors.

Citations

Citations to this article as recorded by  
  • Survey on the Status of Breastfeeding in Korean Medical Institution Workers
    Tae Hyeong Kim, Sung-Hoon Chung, Jun Hwan Kim, Youngmin Ahn, Son Moon Shin, Woo Ryoung Lee, Eui Kyung Choi, Juyoung Lee, Hye-Jung Shin, Euiseok Jung, Ju Sun Heo, Jin A Lee, Soon Min Lee, Seong Phil Bae, Jeonglyn Song, Chae-Young Kim, Dae Yong Yi
    Journal of Korean Medical Science.2022;[Epub]     CrossRef
  • A Multi-Center Educational Research Regarding Breastfeeding for Pediatrics Residents in Korea
    Yong-Sung Choi, Sung-Hoon Chung, Eun Sun Kim, Eun Hee Lee, Euiseok Jung, So Yeon Lee, Wooryoung Lee, Hye Sun Yoon, Yong Joo Kim, Ji Kyoung Park, Son Moon Shin, Ellen Ai-Rhan Kim
    Neonatal Medicine.2022; 29(1): 28.     CrossRef
  • Breastfeeding Success Experience of Primiparas
    Sun Ok Lee, Sung Soon Na, Hee Sook Kim, Kyung Eui Bae, Mi Sun Youn, Eun Ju Oh
    Journal of The Korean Society of Maternal and Child Health.2022; 26(4): 254.     CrossRef
  • Breastfeeding experiences of women with gestational diabetes
    Seungmi Park, Soo-Young Yu
    The Journal of Korean Academic Society of Nursing Education.2021; 27(3): 274.     CrossRef
  • 1,463 View
  • 22 Download
  • 1 Web of Science
  • 4 Crossref
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Effects of Program to Promote Obesity Prevention Behaviors on Pre-Schoolers: Focused on Kindergartener in Korea
Inju Hwang, Kyung-Sook Bang
J Korean Acad Nurs 2021;51(2):188-202.   Published online April 30, 2021
DOI: https://doi.org/10.4040/jkan.20217
AbstractAbstract PDF
Purpose
This study aimed to develop a program to promote obesity prevention behaviors for pre-schoolers and to confirm the effectiveness of the program in Korea.
Methods
The program comprised 8 sessions for 4 weeks including combined classroom lectures and physical activities. A non-equivalent control group pre-post test study design was used, and seventy two children, aged 5 to 6 years (experimental group: 33, control group: 39) and their parents participated in the study. To examine the effectiveness of the program, children’s knowledge, intake of sugar-added beverages and fruits & vegetables, time of outdoor play and screen time, and parental self-efficacy were measured. Data were analyzed with SPSS/WIN ver. 22.0 and R 4.0.2, using descriptive analysis, chi-square test, Fisher’s exact test, the independent t-test, and Analysis of covariance (ANCOVA).
Results
The results showed that the experimental group reported significantly increased knowledge (p < .001) and longer time of outdoor play on weekends (p = .033). However, there were no significant differences in the intake of sugar-added beverages and fruits & vegetables, screen time, and parental self-efficacy in the two groups.
Conclusion
This study confirms the applicability of an obesity prevention intervention at kindergartens in Korea. The results can be used as basic data for the study of childhood obesity prevention in Korea.

Citations

Citations to this article as recorded by  
  • Development of health literacy education program for early childhood to prevent smoking hazards
    Sangah Lee, Jiye Kim, Jiyoung Lee, Hyekyeong Kim
    Korean Journal of Health Education and Promotion.2022; 39(4): 55.     CrossRef
  • The Let’s Eat Healthy and Move at School program for adolescents in South Korea: Program design, implementation, and evaluation plan using intervention mapping
    Jiyoung Park, Gill A. Ten Hoor, Seolhyang Baek, Sochung Chung, Yang-Hyun Kim, Gahui Hwang
    Child Health Nursing Research.2021; 27(3): 225.     CrossRef
  • 2,467 View
  • 105 Download
  • 2 Crossref
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Effect of Direct Breastfeeding Program for Premature Infants in Neonatal Intensive Care Unit
Ji Hyun Kang, Hyunmi Son, Shin Yun Byun, Gyumin Han
J Korean Acad Nurs 2021;51(1):119-132.   Published online February 28, 2021
DOI: https://doi.org/10.4040/jkan.20240
AbstractAbstract PDF
Purpose
This study aimed to identify the effects of a direct breastfeeding program for premature infants in neonatal intensive care units (NICUs).
Methods
This quasi-experimental study was conducted during August 2016 to April 2017. Sixty mothers of premature infants were assigned to the experimental (n = 31) or control groups (n = 29). The program was comprised of breastfeeding education and direct breastfeeding support. The experimental and control groups were provided with education and counseling on breastfeeding at the time of admission and discharge. In the experimental group, the mothers initiated oral feeding with direct breastfeeding and engaged in breastfeeding at least seven times during the NICU stay. The collected data were analyzed by the χ2 -test and repeated measures ANOVA using an SPSS program.
Results
The experimental group showed a higher direct breastfeeding practice rate (χ2 = 19.29, p < .001), breastfeeding continuation rate (χ2 = 3.76, p < .001), and self-efficacy (F = 25.37, p < .001) than the control group except for maternal attachment.
Conclusion
The direct breastfeeding program in the NICU has significant effects on the practice and continuation rate of breastfeeding and breastfeeding self-efficacy. Therefore, this program can be applied in the NICU settings where direct breastfeeding is limited.

Citations

Citations to this article as recorded by  
  • Exploration of Family-Centered Care in NICUs: A Grounded Theory Methodology
    Young Ah Park, YeoJin Im
    Qualitative Health Research.2025; 35(10-11): 1231.     CrossRef
  • Fresh Parent’s Own Milk for Preterm Infants: Barriers and Future Opportunities
    Carrie-Ellen Briere, Jessica Gomez
    Nutrients.2024; 16(3): 362.     CrossRef
  • Development and Effectiveness Evaluation of Comprehensive Mobile-Based, Breastfeeding Promotion Program for Mothers with Gestational Diabetes
    Eunju Kwak, Seungmi Park
    Journal of Korean Academy of Nursing.2024; 54(2): 224.     CrossRef
  • 3,110 View
  • 162 Download
  • 3 Web of Science
  • 3 Crossref
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Original Articles
Nutritional Status of Liver Transplantation Recipients and Factors Influencing Nutritional Status
SinYoung Hwang, Smi Choi-Kwon
J Korean Acad Nurs 2019;49(3):340-348.   Published online January 15, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.3.340
AbstractAbstract PDF
Abstract Purpose

This study aimed to investigate the nutritional status of liver transplantation (LT) recipients and explore certain factors that influence nutritional status, including dietary patterns and physical activities.

 Methods

This was a cross-sectional, descriptive study. The subjects included 211 LT recipients at a medical center outpatient clinic located in Seoul, Korea. The nutritional status, dietary patterns, and physical activities of each subject were measured using the body mass index (BMI), Mini Dietary Assessment (MDA), and Global Physical Activity Questionnaire. Independent t-test, one-way analysis of variance, and multiple linear regression analysis were used to analyze the data.

 Results

The percentages of living and deceased donor LTs were 81.0% and 19.0%, respectively. The mean BMIs pre- and post-LT were 23.88 and 23.16 kg/m2, respectively, and the average MDA score was 36.55. More than 60.0% of the subjects had a moderate or high level of physical activity. In multivariate analysis, a higher BMI before LT (β=.72, p<.001), a lower Model for End-stage Liver Disease (MELD) score (β=-.18, p<.001), and being male (β=-.10, p=.024) contributed to better nutritional status post-LT. Patients within six months of LT were less engaged in muscle exercises than those post six months of LT (p=.020).

 Conclusion

LT recipients in Korea have good nutritional status and a good level of physical activity. To improve recipients’ post-LT nutritional status, the pre-LT nutritional status should be considered, particularly in those with a higher MELD score. In addition, physical activity including muscle-strengthening exercises should be encouraged from an earlier stage.

Citations

Citations to this article as recorded by  
  • Nutritional Intake after Liver Transplant: Systematic Review and Meta-Analysis
    Lynsey N. Spillman, Angela M. Madden, Holly Richardson, Fumiaki Imamura, Danielle Jones, Marilyn Nash, Hong Kai Lim, Holly N. Hellawell, Kirsten L. Rennie, Linda M. Oude Griep, Michael Allison, Simon J. Griffin
    Nutrients.2023; 15(11): 2487.     CrossRef
  • Impact of Self-esteem and Social support on Self-care Performance in Liver Transplantation Recipients
    Hyun Jung Jung, Young-Ju Kim
    The Korean Journal of Rehabilitation Nursing.2020; 23(2): 132.     CrossRef
  • 1,057 View
  • 14 Download
  • 1 Web of Science
  • 2 Crossref
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The Effects of Neurofeedback Training on Physical, Psychoemotional Stress Response and Self-Regulation for Late Adolescence: A Non-Randomized Trial
Moon-Ji Choi, Wan-Ju Park
J Korean Acad Nurs 2018;48(2):208-220.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.2.208
AbstractAbstract PDF
Abstract Purpose

The aim of this study was to analyze the effects of neurofeedback training for reducing stress and enhancing self-regulation in late adolescence to identify the possibility of use for nursing intervention.

 Methods

A nonequivalent control group pre-post quasi-experimental design was used. Participants were 78 late adolescents assigned to the experimental group (n=39) that received the neurofeedback training and the control group (n=39). Data were collected on heart rate variability (HRV) and skin conductance level (SCL) to assess stress-biomarker response. The questionnaire contained 164 items from: Positive and Negative Affect Schedule (PANAS), Symptom Checklist-90-Revised (SCL-90-R) and Self-regulatory Ability scale. The neurofeedback training was based on the general adaptation syndrome and body-mind medicine. The intervention was conducted in a total of 10 sessions for 30 minutes per session with high-beta, theta and sensory motor rhythm training on scalp at central zero.

 Results

There were significant difference in standard deviation of normal to normal interval (p=.036) in HRV and SCL (p=.029) of stress-biomarker response between the two groups. Negative affect (p=.036) in PANAS and obsessive compulsive (p=.023) and depression (p<.001) in SCL-90-R were statistically significant. Self-regulation mode (p=.004) in self-regulation ability scale showed a significant difference between the two groups.

 Conclusion

The results indicated that the neurofeedback training is effective in stress-biomarkers, psy-choemotional stress response and self-regulation. Therefore, neurofeedback training using neuroscientific approach based on brain-mind-body model can be used as an effective nursing intervention for late adolescents in clinics and communities for effective stress responses.

Citations

Citations to this article as recorded by  
  • Effects of Stepwise Combined Biofeedback Training on Attention and Self-control of High School Students Based on the Reflection and Reflexion Model
    Shin-Jeong Park, Wanju Park
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2024; 33(4): 442.     CrossRef
  • The Effect of Biofeedback Training on Attention, Affect Balance, Academic Delay Behavior, and Problem-Solving Ability of Korean College Students
    Jungmin Lee, Youngkyoung Kim, Wanju Park
    Journal of Korean Public Health Nursing.2024; 38(2): 150.     CrossRef
  • Vagally-mediated heart rate variability and depression in children and adolescents - A meta-analytic update
    Luise Baumeister-Lingens, Roxana Rothe, Lena Wolff, Alexander L. Gerlach, Julian Koenig, Christine Sigrist
    Journal of Affective Disorders.2023; 339: 237.     CrossRef
  • Comparison of QEEG Findings before and after Onset of Post-COVID-19 Brain Fog Symptoms
    Marta Kopańska, Danuta Ochojska, Renata Muchacka, Agnieszka Dejnowicz-Velitchkov, Agnieszka Banaś-Ząbczyk, Jacek Szczygielski
    Sensors.2022; 22(17): 6606.     CrossRef
  • Effects of Electroencephalogram Biofeedback on Emotion Regulation and Brain Homeostasis of Late Adolescents in the COVID-19 Pandemic
    Wanju Park, Mina Cho, Shinjeong Park
    Journal of Korean Academy of Nursing.2022; 52(1): 36.     CrossRef
  • The Effects of the Combined Biofeedback and Brief Emotion Regulation Nursing Intervention Based on the Gross Model for Sexually Abused Adolescents
    Jieun Kim, Wanju Park
    Journal of Korean Academy of Nursing.2022; 52(6): 608.     CrossRef
  • 1,675 View
  • 29 Download
  • 6 Crossref
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Development and Effects of a Coping Skill Training Program for Caregivers in Feeding Difficulty of Older Adults with Dementia in Long-Term Care Facilities
Hyun Hwa Hong, Mee Ock Gu
J Korean Acad Nurs 2018;48(2):167-181.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.2.167
AbstractAbstract PDF
Abstract Purpose

We developed and tested the effects of a coping skill training program for caregivers in feeding difficulty among older adults with dementia in long-term care facilities.

 Methods

A non-equivalent control group pretest-posttest design was used. The subjects comprised 34 caregivers (experimental group: 17, control group: 17) and 40 older adults with dementia (experimental group: 20, control group: 20). The developed program was delivered in 4-hour sessions over 6 weeks (including 2 weeks of lectures and lab practice on feeding difficulty coping skills, and 4 weeks of field practice). Data were collected before, immediately after, and 4 weeks after the program (January 3 to April 6, 2016). The data were analyzed using t-test and repeated measures ANOVA using SPSS/WIN 20.0.

 Results

Compared to their counterparts in the control group, caregivers in the experimental group showed a significantly greater improvement in feeding knowledge and feeding behavior, while older adults with dementia showed greater improvements in feeding difficulty and Body Mass Index.

 Conclusion

The study findings indicate that this coping skill training program for caregivers in feeding difficulty is an effective intervention for older adults with dementia in long-term care facilities.

Citations

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  • Mealtime Support by Direct Care Workers in Long‐Term Care Facilities: Secondary Behavioural Analysis of Videos
    Eunju Choi, Leeho Yoo, Soogyung Shin, Dukyoo Jung
    Journal of Advanced Nursing.2025;[Epub]     CrossRef
  • Feasibility of a nurse-led online video intervention for mealtime assistance in dementia care: a quasi-experimental mixed-methods study
    Dukyoo Jung, Leeho Yoo, Soogyung Shin, Sukyung Byeon, Hyein Seo, Eunju Choi
    BMC Geriatrics.2025;[Epub]     CrossRef
  • Influencing factors of depressive and anxiety symptoms among caregivers of Alzheimer's disease patients: A cross-sectional study
    Chengfei Duan, Mo Zhu, Xia Li, Ling Yue
    Journal of Alzheimer’s Disease.2025;[Epub]     CrossRef
  • Factors Affecting Mealtime Difficulties in Older Adults with Dementia Living in Long-Term Care Facilities: A Multilevel Model Analysis
    Dukyoo Jung, Jennie C. De Gagne, Hyesoon Lee, Leeho Yoo, Jisung Park, Eunju Choi, Yonggang Zhang
    Journal of Nursing Management.2023; 2023: 1.     CrossRef
  • Effect of Case-Based Small-Group Learning on Care Workers’ Emergency Coping Abilities
    Soon-Ok Kim
    International Journal of Environmental Research and Public Health.2021; 18(21): 11458.     CrossRef
  • Eating Difficulties among Older Adults with Dementia in South Korean Long-Term Care Facilities: A Scoping Review
    Dukyoo Jung, Kyuri Lee, Eunju Choi
    Journal of Korean Academy of Fundamentals of Nursing.2021; 28(4): 470.     CrossRef

  • Feasibility of a Mobile Meal Assistance Program for Direct Care Workers in Long-Term Care Facilities in South Korea


    Dukyoo Jung, Jennie C De Gagne, Minkyung Lee, Hyesoon Lee, Kyuri Lee, Eunju Choi, Juyoun Chung
    Clinical Interventions in Aging.2020; Volume 15: 2019.     CrossRef
  • Informal dementia caregivers’ experiences and perceptions about mealtime care: A qualitative evidence synthesis
    Yijing Li, Dan Sun, Xu Zhang, Huanhuan Li, Yingnan Zhao, Dongfei Ma, Zehui Li, Jiao Sun
    Journal of Advanced Nursing.2020; 76(12): 3317.     CrossRef
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  • 8 Crossref
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Prediction of Breastfeeding Intentions and Behavior: An Application of the Theory of Planned Behavior
Hea Sook Kim, Eun Sook Nam
Journal of Nurses Academic Society 1997;27(4):796-806.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1997.27.4.796
AbstractAbstract PDF

The majority of studies on breastfeeding consists of descriptive correlational studies identifying the incidence and correlates of breastfeeding. The theory of planned behavior has been shown to yield great predictive power for behavioral goals over which individuals have only limited control such as improving school grades and weight loss. The purpose of this study was to test the "theory of planned behavior" in the prediction of breastfeeding of mothers who delivered vaginally. One hundred mothers who delivered vaginally in one general hospital in Seoul and one general hospital and three private hospitals in Taejeon participated in this study. The instruments used for data collection in this study were developed by the researchers following the guidelines suggested by Ajzen and Fishbein(1980) and Ajzen and Madden(1986). The instruments included measurement of attitude, subjective norm, perceived behavioral control and intention. The collected data were analyzed using descriptive statistics, Pearson product moment correlation, hierachical multiple regression and logistic regression. The results are as follows : 1. Intention to breastfeed correlated significantly with attitude, subjective norm and perceived behavioral control. Both attitude and subjective norm did not make a significant contribution to the prediction of intention, but the addition of perceived behavioral control to the regression equation greatly improved the model's predictive power, increasing the R(2) from .05 to .52. 2. Intention to breastfeed alone had a significant predictive effect on actual breastfeeding, resulting in a regression coefficient of .16(x2=8.60, p<.01), but when perceived behavioral control was added to the equation, intention was not a significant predictive variable and only perceived behavioral control showed significant predictive power on actual breastfeeding, resulting in a regression coefficient of .12(x2=4.68, p<.05). In sum, breastfeeding behavior lent only partial support to the second version of the theory of planned to the second version of the theory of planned behavior, and because perceived behavioral control had a strong effect on intention to breastfeed and actual breastfeeding, it would be desirable to develop nursing intervention programs which focus on strengthening the perceived behavioral control for the promotion of breastfeeding.

Citations

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  • Examination of Predicting Factors for COVID-19 Vaccination Behaviors of University Students Utilizing the Theory of Planned Behavior
    Yeon Jeong Heo, Hye-Jin Hyun
    Journal of Korean Academy of Nursing.2024; 54(2): 178.     CrossRef
  • The Factors related to Mothers' Intention to Vaccinate against Hepatitis A: Applying the Theory of Planned Behavior
    Kyeong-Sook Cha, Kyung Mi Kim
    Child Health Nursing Research.2019; 25(1): 1.     CrossRef
  • Factors associated with Maternal Attachment of Breastfeeding Mothers
    Sun-Hee Kim
    Child Health Nursing Research.2019; 25(1): 65.     CrossRef
  • A Structural Model for Primiparas' Breastfeeding Behavior
    Hyun-Joo Yang, Ji-Min Seo
    Journal of Korean Academy of Nursing.2013; 43(3): 399.     CrossRef
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A Study of Primiparous Womens' Breastfeeding Experience
Shin Jeong Kim, Sook Ja Yang
Journal of Nurses Academic Society 1997;27(3):477-488.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1997.27.3.477
AbstractAbstract PDF

The purpose of this study was to understand the subjective breastfeeding experience of primiparous women to identify how breastfeeding was started and to explore the process of breastfeeding. The Grounded theory methodology was used. Data was collected from 6 primiparous women who had breastfeed their infants for at least over 8 weeks, recently breastfeeding or having breatfeed their infants within the last 6 months. With the permission of the subjects, the interviews were recorded and transcribed. The data were analysed in the framework of grounded theory method as mapped out by Strauss and Corbin(1990). 105 concepts and 21 subcategories were of data analysis. In the process of data analysis, "Identity as a mother" was found to be the core phenomenon. The 21 sub-categories were as follows : natural food, neighbour inducement, self purpose, good feeling, tenderness, breast pain, change of breast shape, physical discomfort, loss of physical energy, confirmation of adhesion, one body through coupling, tie, capacity, role performance, mental comfort, healthy mother, healthy infant, confidence of breast milk, feeling of satisfaction. The sub-categories were again grouped into 14 categories including infant nutritious food, formation of breastfeeding opportunity, feeling of satisfaction, injury of the breast, physical suffering, awareness of mothering, formation of maternal affection, connecting, coupling, acceptance, effort, emotional stability, mother and child health and feeling of achievement.

Citations

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  • Breastfeeding Success Experience of Primiparas
    Sun Ok Lee, Sung Soon Na, Hee Sook Kim, Kyung Eui Bae, Mi Sun Youn, Eun Ju Oh
    Journal of The Korean Society of Maternal and Child Health.2022; 26(4): 254.     CrossRef
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Information and Social Support Regarding Breastfeeding: A Survey of Mothers in Seoul, South Korea
Heasook Kim, Andrea Crivelli Kovach
Journal of Korean Academy of Nursing 2001;31(7):1151-1159.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2001.31.7.1151
AbstractAbstract PDF

BACKGROUND: Pediatric societies throughout the world recommend breastfeeding as the optimal form of infant nutrition. This recommendation is based on extensive epidemiologic research that documents the health, developmental, psychological, social, economic, and environmental benefits to infants, mothers, families, and society. The purpose of this study was to examine breastfeeding information and emotional support received by mothers prenatally, hospital breastfeeding practices, and the relationship between information and support received and breastfeeding initiation and planned feeding method post discharge from the hospital.
METHODS
A 36-item questionnaire was distributed during the Spring 2000 to mothers who delivered babies at maternity centers in Seoul, South Korea. A sample of 52 mothers was surveyed at the time of hospital discharge. The questionnaire was developed based on the literature and reviewed by experts including internationally board certified lactation consultants, a nutritionist, and perinatal nurses. The survey instrument consists of five components: sociodemographic information, breastfeeding information received by mothers prenatally, emotional support regarding the mothers' infant feeding choice, breastfeeding initiation and supplementation, and hospital breastfeeding practices.
RESULTS
Fifty-two breastfeeding mothers at three hospitals completed the survey. The majority of the mothers were 26 to 35 years of age, college graduates, married, had uncomplicated vaginal or planned cesarean deliveries, and primiparas. Forty-nine mothers responded that they decided to breastfeed during their pregnancy. Mothers reported that the information they received during pregnancy was provided primarily by their mothers, or friends and other relatives. The majority of mothers reported that others influenced their infant-feeding decision. Forty mothers reported receiving emotional support for their infant feeding choice during their pregnancy with mothers or mothers-in-law and friends providing the greatest support.
DISCUSSION
Women obtain information prenatally about breastfeeding from many sources-family, friends, written materials, prenatal classes, and health care professionals. There are benefits and drawbacks to information received from multiple sources. Additionally, research has shown that a woman's infant-feeding decision is affected by the type of professional and social support the mother receives. Postpartum professional support for new breastfeeding mothers encompasses multiple dimensions ranging from a follow-up telephone call from the hospital nursing staff to referral to a community resource. Prenatal breastfeeding education on a community-wide basis can provide essential information for future mothers, families, and community support networks. Additional research needs to be done exploring the impact of prenatal, postpartum, and post-discharge support for women on breastfeeding initiation and duration rates.

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  • The Effect of Immediate Skin‐to‐Skin Contact on Exclusive Breastfeeding: An Instrumental Variable Approach
    Sangyun Lee, Yongnam Kim
    Acta Paediatrica.2025; 114(9): 2367.     CrossRef
  • Postnatal women’s breastfeeding beliefs, practices, and support during the COVID-19 pandemic: a cross-sectional comparative study across five countries
    K. P. Coca, E. Y. Lee, L. Y. Chien, A. C. P. Souza, P. Kittikul, S. A. Hong, Y. S. Chang
    International Breastfeeding Journal.2022;[Epub]     CrossRef
  • Effect of Postpartum Breast-feeding Support by Nurse on the Breast-feeding Prevalence
    Gun Ja Jang, Sun Hee Kim, Kyung Soon Jeong
    Journal of Korean Academy of Nursing.2008; 38(1): 172.     CrossRef
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Effects of Biofeedback Exercise Training in Hemiplegic Patients after Stroke
Keum Soon Kim, So Woo Lee, Myung Ae Choe, Myung Sun Yi, Eun Jung Kim
Journal of Korean Academy of Nursing 2001;31(3):432-442.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2001.31.3.432
AbstractAbstract PDF

PURPOSE: The purpose of this study was to investigate the effects of biofeedback exercise training on muscle activity and activities of daily livings (ADL) in hemiplegic patients. An experimental group consisting of 17 people, was given biofeedback exercise training for 30- 60 minutes per week for 5 weeks, while a control group consisting of 18 people, was given normal exercise with quasi-experimental design. RESULT: The results of the study show that biofeedback exercise is effective for improving muscle activity in hemiplegic patients, especially in the hemiplegic limbs. However, this study found no significant differences in ADL and IADL between the experimental and the control groups. It implies that ADL and IADL may not be improved for a short period of time, such as 5 weeks, for people with more than five years of hemiplegia. The study suggests that the effect of biofeedback exercise on ADL and IADL should be determined in hemiplegic patients in acute stage.

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  • The effects of training using EMG biofeedback on stroke patients upper extremity functions
    Ju-Hong Kim
    Journal of Physical Therapy Science.2017; 29(6): 1085.     CrossRef
  • IT based EMG biofeedback training on the effects of upper extremity function in chronic stroke patients
    Ju-Hong Kim, Myung-Hwa Oh
    The Journal of the Korea institute of electronic communication sciences.2014; 9(1): 41.     CrossRef
  • Effects of family caregivers on the use of formal long‐term care in South Korea
    E.‐Y. Kim, E. Cho, N.‐J. Lee
    International Nursing Review.2013; 60(4): 520.     CrossRef
  • Effects of wheelchair-based rehabilitation on the physical functions and health perception of stroke patients
    Hye Jung Choi, Yeon Soo Kim, Doo Soon Park, Hyun Joo Kang
    Personal and Ubiquitous Computing.2013; 17(7): 1365.     CrossRef
  • Factors associated with Health-related Quality of Life among Family Caregivers of Elders Receiving Home Care Services
    Eun-Young Kim, Jung Hee Yeo
    Journal of Korean Academy of Community Health Nursing.2012; 23(2): 117.     CrossRef
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The Relationship of Bone Mineral Densities and Period of Breast feeding in Premenopausal Women
Eun Nam Lee, Eun Ok Lee, Gwang Hae Lee
Journal of Korean Academy of Nursing 2000;30(1):29-38.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.1.29
AbstractAbstract PDF

To determine whether personal history of lactation in premenopausal women influence bone mineral density, a cross-sectional study was conducted. One hundred eighty-four premenopausal women were selected from women who had been checked for bone mineral density by dual energy x-ray absortiometry in lumbar spine, femoral neck, Ward's triangle, and trochanteric site at general hospitals in Seoul and Pusan. They completed a questionnaire including life style factors and reproductive history. In the data analysis, Pearson correlation coefficients were used to test any association between individual variables and bone mineral density and a statistical comparisons between long term lactation(>24 months) and short term lactation(<24 months) were made by one way analysis of covariance. The results were summarized as follows: 1) There was no significant difference in the bone mineral density of the lumbar vertebrae in premenopausal women between the long term lactation group(>24months) and the short term lactation group(<24months). 2) There was no significant difference in the bone mineral density of the femur neck, Ward's triangle, and trochanteric site in premenopausal women between the long term lactation group (>24months) and the short term lactation group (<24months). Considering these results, we suggest prospective studies that measure bone mineral density before and after, in addition to those during lactation. We also suggest the further study with premenopausal women less than 35 who have achieved peak adult bone mass.

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  • Uncomfortable Breast Experiences of Breast feeding Mothers
    노승옥, Insook Park, 조광남
    Qualitative Research.2012; 13(2): 131.     CrossRef
  • The Role of Salicornia herbacea in Ovariectomy-Induced Oxidative Stress
    Bae Jin Ha, Sang Hun Lee, Hee Jin Kim, Jin Young Lee
    Biological & Pharmaceutical Bulletin.2006; 29(7): 1305.     CrossRef
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The Meaning of Breastfeeding in Korean Mothers
Shin Jeong Kim, Geum Hee Jeong
Journal of Korean Academy of Nursing 1999;29(5):1042-1048.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.5.1042
AbstractAbstract PDF

The Purpose of this study was to explore the meaning of breastfeeding using a phenomenological research methodology. The sample consisted of 9 primiparous mothers who had breastfed their babies at least for 3 consecutive months. Data were collected from January 10 to February 28, 1998 through interviewing. The research question was "What was the meaning of breastfeeding to breastfeeding mothers?" Responses to non-structured open-ended question was audio-recorded during the interview. Data were analyzed using the phenomenological method of Colazzi. From the protocols, significant statements about meaning of breastfeeding were clustered into 8 themes. Mothers perceived meaning of breastfeeding as feeling of unification through tie, expression of love, gift, nutritional supplement, duty as a mother, nurturing, mystery, and identity. From the results of this study, breastfeeding mothers perceived breastfeeding positively, so nurses need to encourage mothers to breastfeed her baby and develop program which can promote successful breastfeeding.

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A Study on the Effect of Self-Management and Relaxation Training through Biofeedback on Influencing the Stress Response and Immune Functions
Soowoo Lee, Keum Soon Kim, Sung Hoi Park
Journal of Korean Academy of Nursing 1999;29(4):855-869.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.4.855
AbstractAbstract PDF

The purpose of this study was to test the effectiveness of self-management relaxation training through biofeedback and progressive muscle relaxation methods. The effectiveness of the experimental methods was tested by measuring the degree of symptoms of stress(SOS), the McNair's profile of Mood STates(POMS), the levels of ephinephrine, norepinephrine, pulse rate, blood pressure and natural killer cells. The subjects of this study were sixty six nursing students divided into four groups two groups were the biofeedback and progressive muscle relaxation groups, the other two groups served as control groups. One was a group of sophomores with no experience at all, the other a junior group without self-management or relaxation training. This study was condicted for eight weeks of clinical practice from April, 26th 1998 to June, 20th 1998. Biofeedback training was done with software developed by J&J company(1-410 form for abdominal respiration training). Progressive muscle relaxation training was done with an audiotape recorded according to Jacobson's Theory. The data were analyzed with frequencies, means, and analysis of cobariance using the SPSS program and the significance level of statistics was 5%. The results of the study are : 1) The importance of clinical practice stress reduction is shown in that the level of symptoms of stress in the experimental groups in clinical practice was higher than in the group receiving only a lecture. 2) The relaxation training methods of biofeeback and progressive muscle relaxation were effective in reducing the symptoms of stress under the clinical practice stress conditions. 3) The effectiveness of the biofeedback training relaxation method to reduce symptoms of stress was higher than that of progressive muscle relaxation. 4) The relaxation training methods of biofeedback and progressive muscle relaxation were effective in reducing stressful mood states. 5) The relaxation training methods of bioffedback and progressive muscle relaxation were not effective in reducing epinephrine and norepinephrine levels. 6) The relaxation training methods of biofeedback and progressive muscle relaxation were effective in increasing the number of natural killer cells. 7) The relaxation training methods of biofeedback and progressive muscle relaxation were effective in decreasing high systolic and diastolic values of blood pressure and high pulse rates. In summary, the relaxation methods of biofeedback and progressive muscle relaxation in reducing clinical practice stress were effective in lowering the level of symptoms of stress and the profile of stressful mood states. They were also effective in lowering high blood pressure and pulse rates. The relaxation methods were effective in increasing the number of natural killer cells as part of the immune function. However, relaxation methods were not effective symptoms of stress was more effective than the progressive muscle relaxation method.

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The Comparison of the Effectiveness of Pelvic Floor Muscle Exercise and Biofeedback Treatment for Stress Incontinence in Korean Women
Young Hee Choi, Myung Sook Sung, Jae Yup Hong
Journal of Korean Academy of Nursing 1999;29(1):34-47.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.1.34
AbstractAbstract PDF

This study evaluated the Comparison of the Effectiveness of Pelvic Floor Muscle exercise and Biofeedback treatment for Genuine Stress Incontinence I assigned 60 participants to 2 groups : 30 to the pelvic floor muscle exercise group and 30 to the biofeedback group. Treatment protocol lasted for 6 weeks. Peak pressure, and duration time of pelvic muscle contraction were evaluated by a perineometer. Lower urinary symptoms, sexual matter and life style scores were achieved by using Jackson's scale. The treatment efficacy of the pelvic floor muscle exercise is compared with the biofeedback group and the main results of the comparison are as follows: 1. Pelvic muscle contraction 1) The peak pressure in the biofeedback group was significantly increased(P=0.000). 2. The frequency and quantity of incontinence 1) The frequency of incontinence in the biofeedback group was significantly decreased(P=0.000). 2) The quantity of incontinence in the biofeedback group was significantly decreased(P=0.000). 3. The lower urinary symptoms Daily frequency(P=0.000), nocturia(P=0.000), urgency(P=0.000), bladder pain(P=0.000), unexplained incontinence(P=0.048), wearing protection(P=0.022), changing outer clothing(P=0.005), hesitancy(P=0.008), intermittent stream(P=0.000), abnormal strength of stream(P=0.004), retention(P=0.000), incomplete emptying(P=0.000), and inability to stop mid steam(P=0.006) of the lower urinary symptoms in the biofeedback group were significantly decreased. 4. The sexual matters The dry vagina(P=0.004) and pain during sexual intercourse(P=0.002) in the biofeedback group was significantly decreased. 5. The life style. The fluid intake restriction(P=0.007), affected daily task(P=0.003), avoidance of places & situation(P=0.003), interference in Physical activity(P=0.002), interference in relationship with other people(P=0.01), and feeling about the rest of life with urinary symptom(P=0.000) in the biofeedback group were significantly decreased. In conclusion, the biofeedback treatment was more effective than the pelvic floor muscle exercise in genuine stress incontinence.

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  • Effect of Pila-dance to Ease Urinary Incontinence of Middle-aged Women
    Hye-Jeon Hong
    The Korean Journal of Physical Education.2018; 57(2): 431.     CrossRef
  • The Convergence Study on the Effects of Three Pelvic Floor Muscle Excercise on Thickness of Pelvic Floor Muscle and Abdominal Muscles
    Si-Eun Kang, Jae-Hoon Shim, Sung-Dae Choung
    Journal of the Korea Convergence Society.2016; 7(1): 105.     CrossRef
  • Effect of Moxibustion at Junggeuk(CV3), Singwol(CV8) on Women's Urinary Incontinence and Quality of Life
    Eun-Sook Lee, Yi-Soon Kim, Jeong-Won Lee, Mi-Jung Oh, Gyeong-Cheol Kim
    Korean Journal of Acupuncture.2013; 30(3): 193.     CrossRef
  • Effects of an Incontinence Prevention Program on Postpartum Women
    Nam Ok Jeong
    Korean Journal of Women Health Nursing.2009; 15(3): 177.     CrossRef
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Attitudes of Pregnant women's husbands to Breast Feeding
Hae Kyung Chung, Kyung Hee Kim
Journal of Korean Academy of Nursing 1998;28(2):392-402.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1998.28.2.392
AbstractAbstract PDF

By using Q-methodology, this study examines the attitudes of pregnant womens' husbands toward breastfeeding. Also, the research provides basic data necessary to develop a strategy for recommending breastfeeding. A total of 112 items for the Q-population were collected from related literature and interviews with the general public, specialists, pregnant women and the general public, specialists, pregnant women and their husbands. Finally, 38 statements were selected. Twenty one husbands of pregnant women classified these statements on each card on a 1 to 9 point scale(forced normal distribution) and wrote the reasons for both the most supported and the mos resisted statements. The materials collected were analyzed by using pc QUANL program. The analysis drew down following fact that even though the attitudes of the husbands of pregnant were very similar, they could be classified to three types according to the motivation and recognition the degree of choosing breastfeeding. Type 1 is the mother's duty supporter, who insists that breastfeeding is completely natural and the proper duty of the mother. Type 2 is the emotional value supporter, who thinks that breastfeeding emotionally affects both the baby and the mother in a positive way. Type 3 is the conditional choice supporter, who chooses the most proper suckling way of feeding according to given conditions.

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The Effects of Swallowing with Oropharyngeal Sensory Stimulation in Nasogastric Tube Insertion in Stroke Patients
Myung Hee Kim, Mi Young Kim
Journal of Korean Academy of Nursing 2007;37(4):558-567.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.4.558
AbstractAbstract PDF
Purpose

This study was to identify the effects of oropharyngeal sensory stimulation on a functional oral intake scale, oro-pharyngeal swallowing functions, and aspiration pneumonia symptoms with nasogastric tube insertion in stroke patients.

 Method

This study was a nonequivalent control group non-synchronized design. The subjects of the study were 32 patients who were hospitalized in Kosin Gaspel hospital. The experimental subjects were stimulated for 10~20 minutes, 1 time per day. The intervention was implemented for 2 weeks.

 Result

Participants in the experimental group significantly received a higher score in oro-pharyngeal swallowing function than those in the control group. However the participants in the experimental group only got a high score in the function oralintake scale which doesn't imply a statistical significance. In addition, they didn't geta remarkably higher score in aspiration pneumonia symptoms than those in the control group.

 Conclusion

This study demonstrates that oropharyngeal sensory stimulation is effective in promoting recovery oro-pharyngeal swallowing function of nasogastric tube insertions in stroke patients.

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  • Changes in the dysphagia and nutritional status of patients with brain injury
    Hyeyeoung Kim, Yeonok Suh
    Journal of Clinical Nursing.2018; 27(7-8): 1581.     CrossRef
  • The Effect of Singing Intervention for Women Elderly with Dysphagia Risk
    Ok-Jong Yun, Young-Hee Lee
    Korean Journal of Adult Nursing.2012; 24(4): 380.     CrossRef
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Pelvic Floor Muscle Exercise by Biofeedback and Electrical Stimulation to Reinforce the Pelvic Floor Muscle after Normal Delivery
In Sook Lee, Euy Soon Choi
Journal of Korean Academy of Nursing 2006;36(8):1374-1380.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2006.36.8.1374
AbstractAbstract PDF
Purpose

This study was conducted to investigate the effectiveness of pelvic floor muscle exercise using biofeedback and electrical stimulation after normal delivery.

 Methods

The subjects of this study were 49 (experimental group: 25, control group: 24) postpartum women who passed 6 weeks after normal delivery without complication of pregnancy, delivery and postpartum. The experimental group was applied to the pelvic muscle enforcement program by biofeedback and electrical stimulation for 30 minutes per session, twice a week for 6 weeks, after then self-exercise of pelvic floor muscle was done 50-60 repetition per session, 3 times a day for 6 weeks. Maximum pressure of pelvic floor muscle contraction (MPPFMC), average pressure of pelvic floor muscle contraction (APPFMC), duration time of pelvic floor muscle contraction (DTPFMC) and the subjective lower urinary symptoms were measured by digital perineometer and Bristol Female Urinary Symptom Questionnaire and compared between two groups prior to trial, at the end of treatment and 6 weeks after treatment.

 Results

The results of this study indicated that MPPFMC, APPFMC, DTPFMC were significantly increased and subjective lower urinary symptoms were significantly decreased after treatment in the experimental group than in the control group.

 Conclusions

This study suggested that the pelvic floor muscle exercise using biofeedback and electrical stimulation might be a safer and more effective program for reinforcing pelvic floor muscle after normal delivery.

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  • Impact of postpartum exercise on pelvic floor disorders and diastasis recti abdominis: a systematic review and meta-analysis
    Nicole F Beamish, Margie H Davenport, Muhammad Usman Ali, Matthew J Gervais, Talia Noel Sjwed, Gyanjot Bains, Allison Sivak, Rita E Deering, Stephanie-May Ruchat
    British Journal of Sports Medicine.2025; 59(8): 562.     CrossRef
  • Childbirth as Fault Lines: Justifications in Physician–Patient Interactions About Postnatal Rehabilitation
    Xin Li, Yinong Tian, Yanping Meng, Lanzhong Wang, Yonggang Su
    Health Care Analysis.2024; 32(4): 312.     CrossRef
  • Pelvic floor muscle exercises plus biofeedback versus pelvic floor muscle exercises for patients with stress urinary incontinence: A systematic review and meta-analysis of randomized controlled trials
    Amina Pulatova, Nagima Mamedaliyeva, Gulzhakhan Omarova, Gulfairuz Urazbayeva, Ainura Veliyeva
    Electronic Journal of General Medicine.2023; 20(5): em520.     CrossRef
  • Effectiveness of physiotherapy for lower urinary tract symptoms in postpartum women: systematic review and meta-analysis
    Dai Zhu, Zhijun Xia, Zhiqi Yang
    International Urogynecology Journal.2022; 33(3): 507.     CrossRef
  • A network meta-analysis protocol of conservative interventions for urinary incontinence in postpartum women
    Yang Wang, Hui Li, Jun Wang, Qinghong Hao, Yang Tu, Yalin Chen, Mimi Qiu, Wei Peng, Yunlu Liu, Tianmin Zhu
    Medicine.2020; 99(33): e21772.     CrossRef
  • The molecular effects of electrical stimulation on the muscle components of the urethra of female rats after trauma by vaginal distention
    Gisela R. F. Salerno, Maria A. T. Bortolini, Regina C. T. Gomes, Suellen M. Feitosa, Manuel J. Simões, Edmar Zanoteli, Fernanda L. Castanho, Rodrigo A. Castro
    Neurourology and Urodynamics.2020; 39(2): 576.     CrossRef
  • Effect of pelvic floor muscle training on postpartum sexual function and quality of life: A systematic review and meta-analysis of clinical trials
    Zahra Hadizadeh-Talasaz, Ramin Sadeghi, Talaat Khadivzadeh
    Taiwanese Journal of Obstetrics and Gynecology.2019; 58(6): 737.     CrossRef
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The Effects of Inhalation of Essential Oils on the Body Weight, Food Efficiency Rate and Serum Leptin of Growing SD Rats
Myung Haeng Hur, Chan Kim, Chul Hyun Kim, Hae Chul Ahn, Hye Young Ahn
Journal of Korean Academy of Nursing 2006;36(2):236-243.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2006.36.2.236
AbstractAbstract PDF
Purposes

This experimental study was designed to verify the effect of inhalation of essential oils on body weight, feed intake, food efficiency rate and serum leptin.

 Methods

The subjects of this study were 90 growing SD rats (46 males and 44 females). They were allocated into one of four groups, the Fennel group, Patchouli group, Bergamot group and control group. The experimental treatment was the inhalation of aromatherapy essential oils which was applied two times a day for 10 minutes each during 8 weeks. To evaluate the effects, body weight, feed intake, food efficiency rate and serum leptin were measured before and after the treatment. The collected data was analyzed by repeated measures of Kolmogorov-smirnov test and Normal Q-Q plot for nomality, Kruskal Wallis test and χ2-test for experimental effects with the SPSS program.

 Results

The food efficiency rate was significantly lower in the Patchouli group and Fennel group than in the Bergamot group and control group (P=.000). No significant group effects were found for SD rat's body weight, feeding amount and serum leptin.

 Conclusion

In conclusion, these findings indicate that the inhalation of essential oils could be effective in lowering the food efficiency rate rather than the feed intake.

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  • Olfactory Stimulation by Fennel (Foeniculum vulgare Mill.) Essential Oil Improves Lipid Metabolism and Metabolic Disorders in High Fat-Induced Obese Rats
    Seong Jun Hong, Sojeong Yoon, Seong Min Jo, Hyangyeon Jeong, Moon Yeon Youn, Young Jun Kim, Jae Kyeom Kim, Eui-Cheol Shin
    Nutrients.2022; 14(4): 741.     CrossRef
  • Inhalation of Patchouli (Pogostemon Cablin Benth.) Essential Oil Improved Metabolic Parameters in Obesity-Induced Sprague Dawley Rats
    Seong Jun Hong, Jinju Cho, Chang Guk Boo, Moon Yeon Youn, Jeong Hoon Pan, Jae Kyeom Kim, Eui-Cheol Shin
    Nutrients.2020; 12(7): 2077.     CrossRef
  • The Effect of Foeniculum Vulgare (Fennel) on Body Composition in Postmenopausal Women with Excess Weight: A Double-blind Randomized Placebo-controlled Trial
    Nafiseh Saghafi, Masumeh Ghazanfarpour, Talat Khadivzadeh, Masoudeh Babakhanian, Maliheh Afiat
    Journal of Menopausal Medicine.2017; 23(3): 166.     CrossRef
  • Appetite-Enhancing Effects: The Influence of Concentrations of Benzylacetone and trans-Cinnamaldehyde and Their Inhalation Time, as Well as the Effect of Aroma, on Body Weight in Mice
    Kakuyou Ogawa, Michiho Ito
    Biological & Pharmaceutical Bulletin.2016; 39(5): 794.     CrossRef
  • Effect of Geranium Essential Oil on Food Intake via Olfactory Stimulus
    Seung-Jae Choi, Sang Baik Ye, Hyung Gyun Na, Gui Ok Kim, Chang Hoon Bae, Si-Youn Song, Yong Woon Kim, So Young Park, Yong-Dae Kim
    Korean Journal of Otorhinolaryngology-Head and Neck Surgery.2011; 54(11): 766.     CrossRef
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Effects of Abdominal Breathing Training Using Biofeedback on Stress, Immune Response and Quality of Life in Patients with a Mastectomy for Breast Cancer
Keum Soon Kim, So Woo Lee, Myoung Ae Choe, Myung Sun Yi, Smi Choi, So Hi Kwon
Journal of Korean Academy of Nursing 2005;35(7):1295-1303.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.7.1295
AbstractAbstract PDF
Purpose

This study was to determine the effects of abdominal breathing training using biofeedback on stress, immune response, and quality of life.

 Methods

The study design was a nonequivalent control group pretest-posttest, quasi-experimental design. Twenty-five breast cancer patients who had completed adjuvant chemotherapy were enrolled. The experimental group(n=12) was provided with abdominal breathing training using biofeedback once a week for 4 weeks. State anxiety, cancer physical symptoms, serum cortisol, T cell subsets(T3, T4, T8), NK cell and quality of life were measured both before and after the intervention.

 Results

Though state anxiety, cancer physical symptoms, and serum cortisol were reduced after 4 weeks of abdominal breathing training using biofeedback, there was no statistical significance. It showed, however, improvement in quality of life (p=.02), and T3(p=.04).

 Conclusion

Abdominal breathing training using biofeedback improves quality of life in breast cancer patients after a mastectomy. However, the mechanism of this beneficial effect and stress response requires further investigation with special consideration in subject selection and frequency of measurement. Nurses should consider this strategy as a standard nursing intervention for people living with cancer.

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  • A Review of Commercial and Medical-Grade Physiological Monitoring Devices for Biofeedback-Assisted Quality of Life Improvement Studies
    Pedro Nogueira, Joana Urbano, Luís Paulo Reis, Henrique Lopes Cardoso, Daniel Castro Silva, Ana Paula Rocha, Joaquim Gonçalves, Brígida Mónica Faria
    Journal of Medical Systems.2018;[Epub]     CrossRef
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    Dong Sun Oh
    Korean Journal of Clinical Laboratory Science.2015; 47(2): 90.     CrossRef
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    Sun Young Park, Jong Im Kim
    Journal of muscle and joint health.2013; 20(3): 171.     CrossRef
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    Hae Jeong Han, Aris Park, Hyun Sun Kim, HanKyung Moon, Yeon-Hwan Park
    Journal of Korean Oncology Nursing.2011; 11(2): 93.     CrossRef
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    Haejung Lee, Yeonjung Lim, Myung-Sook Yoo, Yongsuk Kim
    Cancer Nursing.2011; 34(6): E22.     CrossRef
  • Effects of Laughter Therapy on Depression, Quality of Life, Resilience and Immune Responses in Breast Cancer Survivors
    Eun A Cho, Hyun Ei Oh
    Journal of Korean Academy of Nursing.2011; 41(3): 285.     CrossRef
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    Myung Sook Choi, Young Joo Park
    Korean Journal of Women Health Nursing.2010; 16(4): 336.     CrossRef
  • Effects of Abdominal Breathing on State Anxiety, Stress, and Tocolytic Dosage for Pregnant Women in Preterm Labor
    Woo-Jeong Yu, Ju-Eun Song
    Journal of Korean Academy of Nursing.2010; 40(3): 442.     CrossRef
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    Jun-Young Choi
    Journal of the Korean Medical Association.2008; 51(5): 435.     CrossRef
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Effects of a Workbook Program on the Perceived Stress Level, Maternal Role Confidence and Breast Feeding Practice of Mothers of Premature Infants
Yung Sook Jang
Journal of Korean Academy of Nursing 2005;35(2):419-427.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2005.35.2.419
AbstractAbstract PDF
Purpose

The purpose of this study was to identify the effects of a workbook program on percieved stress levels, maternal role confidence and breastfeeding practices of mothers of premature infants.

 Method

This study employed a quasi-experimental non-equivalent pre-and-post test to compare the two groups. Data was collected from 32 subjects from March 10. to September 5, 2003 at an NICU located in S. city. In the sample, fifteen mothers were in the experimental group and seventeen were in the control group. A workbook program was provided twice during a period from two-three days after the baby's admission to one week after the first intervention. The instruments used were the PSS and self confidence scale. Data was analyzed by means of frequency, SD, χ2-test, Fisher's exact test, Mann-Whitney test, and the Wilcoxon signed rank test.

 Result

There was a significant difference in perceived stress levels between the experimental and control group (U=2.366, p=.018). There was not a significant difference in maternal role confidence between the two groups (U=1.002, p=.316). There was a significant difference in breastfeeding practice between the two groups (χ2= 4.910, p=.035).

 Conclusion

It is concluded that a program using a workbook has a positive effect on decreasing the perceived stress level and increasing breastfeeding practice.

Citations

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  • Effects of Systematic Discharge Education Program on Anxiety and Parenting Confidence in Mothers of Premature Infants
    Eunyoung Kim, Aeran Jo, Meenam Hwang, Hyunjin Moon, Daeun Jeong, Myungjin Jang, Choyeon Lim
    Journal of The Korean Society of Maternal and Child Health.2023; 27(2): 71.     CrossRef
  • Effects of a newborn care education program using ubiquitous learning on exclusive breastfeeding and maternal role confidence of first-time mothers in Vietnam: a quasi-experimental study
    Tran Thi Nguyet, Nguyen Vu Quoc Huy, Yunmi Kim
    Korean Journal of Women Health Nursing.2021; 27(4): 278.     CrossRef
  • Effects of an Infant Care Education Program for Mothers of Late-preterm Infants on Parenting Confidence, Breastfeeding Rates, and Infants' Growth and Readmission Rates
    Eun Hye Jang, Hyeon Ok Ju
    Child Health Nursing Research.2020; 26(1): 11.     CrossRef
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    Su Jeong Kim, Ji Min Seo
    Korean Journal of Women Health Nursing.2018; 24(3): 322.     CrossRef
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    Jin Suk Ra, Jiyoung Lim
    Journal of Korean Academy of Nursing.2012; 42(7): 936.     CrossRef
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    Ji-Eun Kim, Dong-Yean Park
    The Korean Journal of Community Living Science.2012; 23(4): 523.     CrossRef
  • Effects of a Discharge Education Program Using On-line Community for Parents of Premature Infants
    Jeong Soon Kim, Hee Sun Shin
    Journal of Korean Academy of Child Health Nursing.2010; 16(4): 344.     CrossRef
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    Yunmi Kim
    Journal of Korean Academy of Nursing.2009; 39(2): 279.     CrossRef
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Clinical Implications of the Glucose Test Strip Method for Early Detection of Pulmonary Aspiration in Nasogastric Tube- Fed Patients
Hwa Soon Kim
Journal of Korean Academy of Nursing 2004;34(7):1215-1223.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.7.1215
AbstractAbstract PDF
Purpose

This study was performed to test the clinical usefulness of the glucose test strip method for early detection of pulmonary aspiration in tube fed patients.

 Method

The subjects for the study were 36 patients who were receiving enteral feedings and 39 patients who were not given enteral feedings. For the analysis, the tube fed patients were divided into two groups (clinically significant aspiration and no aspiration) according to criteria.

 Result

The mean glucose concentration of tracheal secretions from non enteral fed patients was 26.35mg/dl and were lower than those concentrations found in tube fed patients (32.75mg/dl). The mean glucose concentration of the aspiration group was 45.60mg/dl and the glucose concentration of the non aspiration group was 19.93mg/dl. The difference was statistically significant (t=2.163, p=. 038). More subjects in the no aspiration group (73%) than the aspiration group (56%) had glucose concentrations below 20mg/dl. After deleting the cases that had samples containing blood, glucose concentrations of tracheal aspirates were lower in both groups.

 Conclusion

The glucose level of the aspiration group was significantly lower than the no aspiration group and more subjects in the aspiration group had a glucose level higher than 101mg/dl. Therefore, the glucose test of tracheal secretions in tube fed patients could be a desirable test for screening for tracheal aspiration. Especially the patient who is showing repeatedly high glucose levels should not be given feedings until reassessment is completed.

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Effects of Sensory Stimulation Program Conducted by Primipara on the Physical Growth and Mother-Infant Feeding Interaction for Full Term Infant
Mi Ye Kim, Gun Ja Jang, Sun Hee Kim
Journal of Korean Academy of Nursing 2004;34(5):820-828.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.5.820
AbstractAbstract PDF
Purpose

The purpose of this study was to identify the effectiveness of sensory stimulation program administered by primipara on the physical growth and mother-infant feeding interaction for the first 6 months of infancy.

 Method

Data were collected from December 1, 2001 to June 30, 2003. A total of 35 mothers and their infants were assigned to a control(n=17) and an experimental(n=18) group. Mothers in the experimental group received education related to sensory stimulation program and administered to their infants twice a day for 6 months. Both groups were measured the weight, length, head circumference and chest circumference of infants at 6 weeks, 10 weeks, 14 weeks, 18 weeks, and 22 weeks and the mother-infant feeding interaction at 6 weeks, 10 weeks through the home visiting.

 Result

Compared to the control group, the experimental group had significantly larger increases in head circumference for intervention period. In addition to, the experimental group showed significantly higher score in mother-infant interaction than control group.

 Conclusion

These data suggested that sensory stimulation program administered by primipara may improve the physical growth of full term infant and mother-infant feeding interaction.

Citations

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  • Integrative Review of Nursing Intervention Studies on Mother-Infant Interactions.
    Sun Jung Park, Shin Jeong Kim, Kyung Ah Kang
    Child Health Nursing Research.2014; 20(2): 75.     CrossRef
  • Postnatal parental education for optimizing infant general health and parent-infant relationships
    Janet Bryanton, Cheryl T Beck, William Montelpare
    Cochrane Database of Systematic Reviews.2013;[Epub]     CrossRef
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Effect of Progressive Muscle Relaxation using Biofeedback on Perceived Stress, Stress Response, Immune Response and Climacteric Symptoms of Middle-Aged Women
Ihn Sook Jeong
Journal of Korean Academy of Nursing 2004;34(2):213-224.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.2.213
AbstractAbstract PDF
Purpose

This study was aimed to evaluate the effect of progressive muscle relaxation training using biofeedback on perceived stress, stress response, immune response and climacteric symptoms.

 Method

This was a crossover, pre-post test design. The study subjects are 36 middle-aged women who were selected at 2 public health centers. The independent variable was Biofeedback training for 4 weeks, twice a week and home training for 4 weeks. Dependent variables were perceived stress, stress response, immune response, and climacteric symptoms measured with Hildtch's scale (1996).

 Result

Progressive muscle relaxation training using biofeedback was not effective in reducing perceived stress, but it was shown to be effective in reducing physiological stress responses such as pulse rate and EMG. Though blood pressure and skin conductance were repeatedly down, and skin temperature slowly increased, there were no statistically significant differences. Progressive muscle relaxation training using biofeedback was not effective in reducing serum cortisol, enhancing immune responses, or decreasing climacteric symptoms.

 Conclusion

The findings point to a pressing need for further, well-controlled and designed research with consideration in selection of subjects and instruments, frequency of measurements, the sampling method, and intervention modalities.

Citations

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  • Effects of progressive muscle relaxation therapy with home exercise on pain, fatigue, and stress in subjects with fibromyalgia syndrome: A pilot randomized controlled trial
    Seoung-A. Yoo, Chang-Yong Kim, Hyeong-Dong Kim, Suhng-Wook Kim
    Journal of Back and Musculoskeletal Rehabilitation.2022; 35(2): 289.     CrossRef
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    Hyun-Joo Park
    The Korean Journal of Rehabilitation Nursing.2019; 22(1): 38.     CrossRef
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    Kyeng Jin Kim, Yeon Kyung Na, Hae Sook Hong
    Western Journal of Nursing Research.2016; 38(8): 959.     CrossRef
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    Seong-Hi Park, Kuem Sun Han, Chang-Bum Kang
    Asian Nursing Research.2014; 8(3): 182.     CrossRef
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    Myung-Sook Yoo
    Korean Journal of Women Health Nursing.2010; 16(2): 186.     CrossRef
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Effects of Upper Extremity Exercise Training Using Biefeedback and Constraint-induced Movement on the Upper Extremity Function of Hemiplegic Patients
Keum Soon Kim, Ji Yeon Kang
Journal of Korean Academy of Nursing 2003;33(5):591-600.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.5.591
AbstractAbstract PDF
Purpose

The purpose of this study was to investigate the effects of exercise training using biofeedback and constraint-induced movement on the upper extremity function of hemiplegic patients.

 Method

A non-equivalent pretest-posttest design was used. Study subjects were a conveniently selected group of 40 hemiplegic patients(20 experimental subjects, 20 control subjects) who have been enrolled in two community health centers. After biofeedback training the subjects of experimental group were given constraint-induced movement, involving restraint of unaffected U/E in a sling for about 6 hours in a day over a period of two weeks, while at the same time intensively training the affected U/E. Outcomes were evaluated on the basis of the U/E motor ability(hand function, grip power, pinch power, U/E ROMs), and motor activity(amount, quality).

 Result

1. After 2 weeks of treatment, the motor abilities of affected U/E(hand function, grip power, pinch power, ROMs of wrist flexion, elbow flexion and shoulder flexion/extension) were significantly higher in subjects who participated in exercise training than in subjects in the control group with no decrement at 4-week follow-up. However, there was no significant difference in wrist extension between experimental or control group. 2. After 2 weeks of treatment, the amount of use and the quality of motor activity of affected U/E were significantly higher in subjects who participated in exercise training than in subjects in the control group with no decrement at 4-week follow-up.

 Conclusion

The above results state that exercise training using biofeedback and constraint-induced movement could be an effective intervention for improving U/E function of chronic hemiplegic patients. Long-term studies are needed to determine the lasting effects of constraint-induced movement.

Citations

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  • Can Short-Term Constraint-Induced Movement Therapy Combined With Visual Biofeedback Training Improve Hemiplegic Upper Limb Function of Subacute Stroke Patients?
    Hyun Seok, Seung Yeol Lee, Jihoon Kim, Jungho Yeo, Hyungdong Kang
    Annals of Rehabilitation Medicine.2016; 40(6): 998.     CrossRef
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    SungEun Lee, SungHyoun Cho, Kyoung Kim
    International Journal of Contents.2013; 9(1): 65.     CrossRef
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    Pil-Suck Buyn, Mi-Young Chon
    Journal of muscle and joint health.2012; 19(1): 46.     CrossRef
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Effects of Body Position and Time after Feeding on Gastric Residuals in LBW Infants
Sun Kyung Hwang, Hyun Ok Ju, Young Soon Kim, Hwa Za Lee, Young Hae Kim
Journal of Korean Academy of Nursing 2003;33(4):488-494.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2003.33.4.488
AbstractAbstract PDF
Purpose

To examine the effects of body position and time after feeding on gastric residuals in low birth weight infants(LBW).

 Methods

A repeated measures design was conducted. Twenty LBW infants being fed via indwelling nasogastric tubes were randomly assigned to one of 5 different position orderings. In each position, gastric residuals were measured at 30, 60, 90, 120, 150, and 180 minutes after feeding.

 Results

In comparisons of gastric residuals with position and time, the main effects of position and time were statistically significant (F = 5.038, p = 0.001; F = 429.763, p < 0.001, respectively), but the interaction between position and time was found not to be significant. In pairwise comparisons, the gastric residuals were more reduced in the right anterior oblique and prone positions compared with the left lateral position (P < 0.05) and the differences across time periods were significant (p < 0.001).

 Conclusion

The body position after feeding has a significant affect on gastric residuals over time in LBW infants. The right anterior oblique or prone position is recommended rather than left lateral position after feeding. Knowledge of the proper position and the pattern of gastric emptying over time after feeding may lead to the development of evidence-based nursing care.

Citations

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  • The Effects of Different Nursing Positions During Preterm Infants Feeding on Gastric Residual Volume and Emptying Rate: A Systematic Review and Network Meta‐Analysis
    Amal Mohamed Elhusein, Hammad Ali Fadlalmola
    International Journal of Nursing Practice.2024;[Epub]     CrossRef
  • Efficacy of body position on gastric residual in preterm infant: a systematic review and meta-analysis
    Kurvatteppa Halemani, Alwin Issac, Sanjay Dhiraaj, Prabhaker Mishra
    Clinical and Experimental Pediatrics.2023; 66(6): 262.     CrossRef
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    Duygu Gözen, Zeynep Erkut, Rabia Uslubaş, Leyla Bilgin
    Nutrition in Clinical Practice.2022; 37(4): 945.     CrossRef
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    J Rezae, H Kadivarian, A Abdi, M Rezae, K Karimpour, S Rezae
    Iran Journal of Nursing.2018; 30(110): 58.     CrossRef
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    Norma A. Metheny
    American Journal of Critical Care.2006; 15(4): 360.     CrossRef
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Effect of Debriefing Based on the Clinical Judgment Model on Simulation Based Learning Outcomes of End-of-Life Care for Nursing Students: A Non-Randomized Controlled Trial
Kyung In Jeong, Ja Yun Choi
J Korean Acad Nurs 2017;47(6):842-853.   Published online January 15, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.6.842
AbstractAbstract PDF
Abstract Purpose

This study was conducted to identify effects of debriefing based on the clinical judgment model for nursing students on their knowledge, skill performance, clinical judgment, self-confidence and learner satisfaction during simulation based end-of-life care (ELC) education.

 Methods

Simulation based ELC education was developed in six steps as follows: selection of learning subjects and objects, development of learning tools, a trial run of simulation-based education, students’ skill training, and evaluators’ training. Forty-eight senior nursing students (25 in the experimental group and 23 in the control group) participated in the simulation-based ELC education using a high-fidelity simulator. Debriefing based on the clinical judgment was compared with the usual debriefing.

 Results

ANCOVA showed that there were differences in knowledge (F=4.81, p=.034), skill performance (F=68.33, p<.001), clinical judgment (F=18.33, p<.001) and self-confidence (F=4.85, p=.033), but no difference in satisfaction (t=-0.38, p=.704) between the experimental and control groups.

 Conclusion

This study found that debriefing based on the clinical judgement model is effective for supporting nursing students for reflecting on clinical judgment and improving their diverse competencies in complex clinical settings such as ELC.

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  • Clinical Judgment Model‐Based Critical Reflection Program for Newly Graduated Nurses: A Nonrandomized Controlled Trial
    Ae Ran Kim, Jeong Hee Hong, Kyeongsug Kim, Yuna Kim, Jung Min Lee, Heejin Lee, Ji Hyun Yoon, Mi Soon Kim
    Research in Nursing & Health.2025; 48(2): 234.     CrossRef
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    Haena Lim, Yeojin Yi
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    Sunyoung Son, Deulle Min, Suhee Kim
    BMC Nursing.2025;[Epub]     CrossRef
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    Se Yeong Park, Jin Hwa Choi, Seung Ah Hong, Hyang Ok Choi, Sunyoung Moon
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    Sook Hyun Park, Jung Eun Lee, Yu-Jin Jung, Ha Neul Yoo, Yeon Su Kim, Young Hee Yi
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    Cynthia J. Mosher, Perman Gochyyev, Adam Cheng, Alex Morton, Jabeen Fayyaz, Susan E. Farrell, Janice C. Palaganas
    Clinical Simulation in Nursing.2024; 91: 101538.     CrossRef
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    Deborah Byrne, Stephanie Blumenfeld, Maureen Szulewski, Rita Ann Laske
    Home Healthcare Now.2023; 41(2): 84.     CrossRef
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    Hyun Young Koo, Bo Ryeong Lee, Hyeran An
    BMC Nursing.2023;[Epub]     CrossRef
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    Sumee Oh, Jungmin Park
    Nursing Reports.2023; 13(1): 506.     CrossRef
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    Yeoungsuk Song, Seurk Park
    Journal of Korean Academy of Fundamentals of Nursing.2022; 29(4): 399.     CrossRef
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    Gabriela Torres-Delgado, Ricardo Veloz Cárdenas
    International Journal on Interactive Design and Manufacturing (IJIDeM).2022; 16(2): 613.     CrossRef
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    Sun-Yi Yang, Yun-Hee Oh
    Nurse Education Today.2022; 117: 105464.     CrossRef
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    Sun‐Yi Yang
    Nursing Open.2021; 8(3): 1314.     CrossRef
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    Kyeongmin Jang, Sung Hwan Kim, Ja Young Oh, Ji Yeon Mun
    BMC Nursing.2021;[Epub]     CrossRef
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    Sun-Yi Yang, Yun-Hee Oh
    Clinical Simulation in Nursing.2021; 61: 42.     CrossRef
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    Aeri Jang, Suhyun Kim, Mi Ok Song
    Journal of Nursing Education.2020; 59(7): 382.     CrossRef
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Review Article
Effects of Breastfeeding Interventions on Breastfeeding Rates at 1, 3 and 6 Months Postpartum: A Systematic Review and Meta-Analysis
Seol Hui Park, Seang Ryu
J Korean Acad Nurs 2017;47(6):713-730.   Published online January 15, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.6.713
AbstractAbstract PDF
Abstract Purpose

This study was a systematic review and meta-analysis designed to evaluate the effects of breastfeeding intervention on breastfeeding rates.

 Methods

Based on the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA), a systematic search was conducted using eight core electronic databases and other sources including gray literature from January 9 to 19, 2017. Two reviewers independently select the studies and assessed methodological risk of bias of studies using the Cochrane criteria. The topics of breastfeeding interventions were analyzed using descriptive analysis and the effects of intervention were meta-analyzed using the Review Manager 5.2 software.

 Results

A total of 16 studies were included in the review and 15 were included for meta-analysis. The most frequently used intervention topics were the importance of good latch-on and frequency of feeding and determining adequate intake followed. The pooled total effect of breastfeeding intervention was 1.08 (95% CI 1.03~1.13). In the subgroup analysis, neither pre-nor post-childbirth intervention was effective on the breastfeeding rates at 1, 3, and 6 months, and neither group nor individual interventions had an effect. Only the 1 month breastfeeding rate was found to be affected by the individual intervention with the persistent strategies 1.21 (95% CI 1.04~1.40).

 Conclusion

Effective breastfeeding interventions are needed to help the mother to start breastfeeding after childbirth and continue for at least six months. It should be programmed such that individuals can acquire information and specific breastfeeding skills. After returning home, there should be continuous support strategies for breastfeeding as well as managing various difficulties related to childcare.

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  • Beyond Intentions: The Breastfeeding Intention-Practice Gap in Tunisia- A Cross-Sectional Analysis of Initiation and Continuation among Post-Partum Women
    Narjes karmous, Omar Oualha, Anouar Drira, Abdelwaheb Masmoudi, Badreddine Bouguerra, Abdennour Karmous
    F1000Research.2025; 14: 881.     CrossRef
  • Factors Associated with Breastfeeding Duration in Tunisia: A Cross-Sectional Analysis Highlighting the Role of Early Initiation
    Narjes karmous, Omar Oualha, Anouar Drira, Abdelwaheb Masmoudi, Badreddine Bouguerra, Abdennour Karmous
    F1000Research.2025; 14: 881.     CrossRef
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    Yeşim Yeşil, Hafize Öztürk Can
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    Jung Hee Yeo, Eun-Young Kim
    Midwifery.2022; 107: 103282.     CrossRef
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    Eunyoung Lee, Insook Cho, Seong Jin Cho, Eunju Lee
    Journal of Korean Academy of Nursing.2021; 51(2): 232.     CrossRef
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    Seol Hui Park, Seang Ryu
    Journal of The Korean Society of Maternal and Child Health.2021; 25(3): 184.     CrossRef
  • The Relationship of Previous Breastfeeding Experiences and Factors Affecting Breastfeeding Rates: A Follow-Up Study
    Jun-Yan Li, Yi Huang, Hao-Qi Liu, Jing Xu, Lu Li, Sharon R. Redding, Yan-Qiong Ouyang
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  • Effects of galactagogue herbal tea containing Chrysanthemum indicum as the main component on milk production in postpartum rats
    Jiyoung Choi, Yunjung Lee, Sunuk Choi, Eunju Park
    Journal of Nutrition and Health.2020; 53(5): 445.     CrossRef
  • A systematic review and meta-analysis of interventions incorporating behaviour change techniques to promote breastfeeding among postpartum women
    Angelos P. Kassianos, Emma Ward, Antonio Rojas-Garcia, Allison Kurti, Fiona C. Mitchell, Dian Nostikasari, Jamie Payton, Julian Pascal-Saadi, Claire Adams Spears, Caitlin Notley
    Health Psychology Review.2019; 13(3): 344.     CrossRef
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Original Articles
Effects of Breastfeeding Empowerment Program on Breastfeeding Self-efficacy, Adaptation and Continuation in Primiparous Women
Seon Mi Song, Mi Kyung Park
J Korean Acad Nurs 2016;46(3):409-419.   Published online June 30, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.3.409
AbstractAbstract PDF
Purpose

The purpose of this study was to develop a breastfeeding empowerment program and to investigate the effects of the breastfeeding empowerment program on self-efficacy, adaptation and continuation of breastfeeding for primiparous women.

 Methods

The 5 session breastfeeding empowerment program was developed and a non-equivalent control group non-synchronized quasi-experiment design was used. Fifty-five participants were assigned to either the experimental group (n=27) or the control group (n=28). Effects were tested using repeated measures ANOVA and χ2-test.

 Results

Scores for self-efficacy, adaptation and continuation of breastfeeding of in the experimental group after program were significantly higher than 1week, 4weeks, 8weeks scores in control group.

 Conclusion

The effects of the breastfeeding empowerment program for elevating self-efficacy, adaptation and continuation of breastfeeding in primiparous women were validated. Therefore, this program can be recommended for vigorous use in clinical practice.

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Effects of Self-directed Feedback Practice using Smartphone Videos on Basic Nursing Skills, Confidence in Performance and Learning Satisfaction
Seul Gi Lee, Yun Hee Shin
J Korean Acad Nurs 2016;46(2):283-292.   Published online April 29, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.2.283
AbstractAbstract PDF
Purpose

This study was done to verify effects of a self-directed feedback practice using smartphone videos on nursing students' basic nursing skills, confidence in performance and learning satisfaction.

 Methods

In this study an experimental study with a post-test only control group design was used. Twenty-nine students were assigned to the experimental group and 29 to the control group. Experimental treatment was exchanging feedback on deficiencies through smartphone recorded videos of nursing practice process taken by peers during self-directed practice.

 Results

Basic nursing skills scores were higher for all items in the experimental group compared to the control group, and differences were statistically significant ["Measuring vital signs" (t=-2.10, p=.039); "Wearing protective equipment when entering and exiting the quarantine room and the management of waste materials" (t=-4.74, p<.001) "Gavage tube feeding" (t=-2.70, p=.009)]. Confidence in performance was higher in the experimental group compared to the control group, but the differences were not statistically significant. However, after the complete practice, there was a statistically significant difference in overall performance confidence (t=-3.07. p=.003). Learning satisfaction was higher in the experimental group compared to the control group, but the difference was not statistically significant (t=-1.67, p=.100).

 Conclusion

Results of this study indicate that self-directed feedback practice using smartphone videos can improve basic nursing skills. The significance is that it can help nursing students gain confidence in their nursing skills for the future through improvement of basic nursing skills and performance of quality care, thus providing patients with safer care.

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Effects of an Individual Breast-feeding Promotion Program for Married Immigrant Women
Mi Kyoung Park, So-Hyun Moon
J Korean Acad Nurs 2016;46(1):128-139.   Published online February 29, 2016
DOI: https://doi.org/10.4040/jkan.2016.46.1.128
AbstractAbstract PDF
Purpose

This study was designed to evaluate the effects of an individual breast-feeding promotion program to address breast-feeding knowledge, attitude, method and rate of practice for married immigrant women.

 Methods

A non-equivalent control group quasi-experimental design was used (experimental group=16, control group=17). The intervention consisted of 3 phases: (1) Within 2 hours of delivery - individual breast-feeding training through video/verbal/practical training education and demonstration (2) After 1~2 days - group training using video, model doll, and breast models (3) After 7 days - family visit, counseling, retraining and reinforcement training. The data were analyzed using non-parametric tests with the SPSS program.

 Results

Married immigrant women who participated in the individual breast-feeding program scored high in knowledge, attitude, method and rate of practice compared to the control group.

 Conclusion

The results indicate that the individual breast-feeding program is very effective in increasing breast-feeding knowledge, attitude, method and rate of practicing breast feeding for married immigrant women. So, nurses are encouraged to aggressively utilize individual breast-feeding programs to help married immigrant women, who are exposed to vulnerability due to various situations.

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    Eunju Kwak, Seungmi Park
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    Hae Won Kim, Seungmi Park, Youngji Kim
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  • Effectiveness of Psychosocial and Educational Prenatal and Postnatal Care Interventions for Married Immigrant Women in Korea: Systematic Review and Meta-analysis
    Sun Kyung Kim, Seyeon Park, Sukhee Ahn
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Effects of Neurofeekback Training on EEG, Continuous Performance Task (CPT), and ADHD Symptoms in ADHD-prone College Students
ManHee Ryoo, ChongNak Son
J Korean Acad Nurs 2015;45(6):928-938.   Published online December 31, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.6.928
AbstractAbstract PDF
Purpose

This study explored the effects of neurofeedback training on Electroencephalogram (EEG), Continuous Performance Task (CPT) and ADHD symptoms in ADHD prone college students.

 Methods

Two hundred forty seven college students completed Korean Version of Conners' Adult ADHD Rating Scales (CAARS-K) and Korean Version of Beck Depression Inventory (K-BDI). The 16 participants who ranked in the top 25% of CAARS-K score and had 16 less of K-BDI score participated in this study. Among them, 8 participants who are fit for the research schedule were assigned to neurofeedback training group and 8 not fit for the research schedule to the control group. All participants completed Adult Attention Deficiency Questionnaire, CPT and EEG measurement at pretest. The neurofeedback group received 15 neurofeedback training sessions (5 weeks, 3 sessions per week). The control group did not receive any treatment. Four weeks after completion of the program, all participants completed CAARS-K, Adult Attention Deficiency Questionnaire, CPT and EEG measurement for post-test.

 Results

The neurofeedback group showed more significant improvement in EEG, CPT performance and ADHD symptoms than the control group. The improvements were maintained at follow up.

 Conclusion

Neurofeedback training adjusted abnormal EEG and was effective in improving objective and subjective ADHD symptoms in ADHD prone college students.

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    Roberta Neves Gago Rodrigues, Adriana Marcassa Tucci, Milena de Barros Viana
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Effects of Electric Stimulation and Biofeedback for Pelvic Floor Muscle Exercise in Women with Vaginal Rejuvenation Women
Jung Bok Lee, So Young Choi
J Korean Acad Nurs 2015;45(5):713-722.   Published online October 30, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.5.713
AbstractAbstract PDF
Purpose

The purpose of this study was to investigate the effects of pelvic floor muscle exercise using electric stimulation and biofeedback on maximum pressure of vaginal contraction, vaginal contraction duration and sexual function in women who have had vaginal rejuvenation.

 Methods

The research design was a non-equivalent control group non-synchronized design study. Participants in this study were women who had vaginal rejuvenation at C obstetrics and gynecology hospital. The 15 participants in the experimental group were given pelvic floor muscle exercise using electric stimulation and biofeedback and the 15 participants in the control group received self pelvic floor muscle exercise.

 Results

For maximum pressure of vaginal contraction, the experimental group showed a statistically significant increase compared to than the control group (t=5.96, p<.001). For vaginal contraction duration, the experimental group also showed a statistically significant increase compared to the control group (t=3.23, p=.003). For women's sexual function, the experimental group showed a significant increase when compared to the control group in total sexual function scores (t=3.41, p=.002).

 Conclusion

The results indicate that pelvic floor muscle exercise with electric stimulation and biofeedback after vaginal rejuvenation is effective in strengthening vaginal contraction pressure, vaginal contraction and that it also positively functions to increase women's sexual function.

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  • The effect of pelvic organ prolapse and various options for its correction on female sexual function: A review
    Nataliya M. Podzolkova, Vasilii В. Osadchev, Olga L. Glazkova, Kirill V. Babkov, Yulia V. Denisova
    Gynecology.2023; 25(1): 31.     CrossRef
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Associations of Breastfeeding Knowledge, Attitude and Interest with Breastfeeding Duration: A Cross-sectional Web-based Study
Nam Mi Kang, Yoon Ji Choi, Taisun Hyun, Jung Eun Lee
J Korean Acad Nurs 2015;45(3):449-458.   Published online June 30, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.3.449
AbstractAbstract PDF
Purpose

Maternal knowledge, positive attitudes and interest toward breastfeeding may improve the sustainability of breastfeeding. This study examined the associations of knowledge, attitudes, and interest toward breastfeeding with the duration of breastfeeding in Korean mothers who used the internet.

 Methods

We conducted a cross-sectional study of 604 Korean mothers who breastfed their babies. Mothers were recruited through the internet and their knowledge, attitudes and interest toward breastfeeding were assessed using a web-based self-administered questionnaire. Geometric means and odds ratio (OR) with 95% confidence intervals were calculated.

 Results

Higher knowledge, attitudes, and interest toward breastfeeding were associated with longer duration of breastfeeding in Korean mothers. In particular, mothers who had optimal breastfeeding duration were more likely to be aware of the easiness of breast milk stimulation and breastfeeding, the development of attachment between mother and child, and pleasure from breastfeeding compared to those mothers with shorter duration. The association with optimal breastfeeding duration was more pronounced among mothers who graduated from high school for total attitude scores and total interest scores, compared to mothers who graduated from college or above.

 Conclusion

The results of this study suggest that it is important to improve maternal knowledge, attitudes, and interest toward breastfeeding in Korean mothers who use the internet as a source of knowledge. Also, the study results imply that the development of strategies to target mothers with relatively low education levels may improve breastfeeding rates.

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    Yuting Fan, Sharon M Donovan, Kelly F Bost
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    Seungmi Park, In Sun Jang, Deulle Min
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    Nina A. Juntereal, Diane L. Spatz
    Journal of Obstetric, Gynecologic & Neonatal Nursing.2021; 50(6): 659.     CrossRef
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    Kathryn Corby, Debbie Kane, Deborah Dayus
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    Yuan Ruan, Qiang Zhang, Juanjuan Li, Rong Wan, Jun Bai, Wenzhong Wang, Yutong Zhou, Qingqing Wan, Jiang Zhao, Siyang Yu, Min Peng, Zhitao Liu, Joann M. McDermid
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    Himali Erandathie Ratnayake, Dhammica Rowel
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    Hyun Woo Park, Keun Ho Ryu, Yongjun Piao, Peipei Li, Jae Shik Hong, Hee Bum Kim, Hwanwook Chung, Jeong-Kyu Hoh, Yong Joo Kim
    Journal of Korean Medical Science.2018;[Epub]     CrossRef
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Breastfeeding Initiation and Continuation by Employment Status among Korean Women
Nam Mi Kang, Jung Eun Lee, Yeon Bai, Theo Van Achterberg, Taisun Hyun
J Korean Acad Nurs 2015;45(2):306-313.   Published online April 15, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.2.306
AbstractAbstract PDF
Abstract Purpose

The objective of this study was to examine the factors associated with initiation and continuation of breastfeeding among Korean women in relation to their employment status.

 Methods

Data were collected using a web-based self-administered questionnaire from 1,031 Korean mothers living in Seoul with babies younger than 24 months. Demographic characteristics, education on breastfeeding, rooming in, breastfeeding during hospital stay, and breastfeeding knowledge were examined. Multivariate logistic regression analyses were performed to identify factors associated with initiation and continuation at 1, 6 and 12 months according to mothers’ employment status.

 Results

Breastfeeding initiation rates were similar regardless of mothers’ employment status. Continuation rates decreased for both groups of mothers, but were significantly lower among employed mothers at all duration points. Unemployed mothers who were able to keep their babies in the same room during the hospital stay were more likely to initiate breastfeeding. The factor that was consistently associated with breastfeeding continuation for all duration points among unemployed mothers was whether the mother breastfed during the hospital stay. Higher knowledge scores and having an infant with atopic dermatitis were also associated with breastfeeding continuation at 6 months and 12 months, respectively for unemployed mothers, and receiving education on breastfeeding was associated with 12-month continuation for employed mothers.

 Conclusion

These results emphasize the significant roles of hospitals for breastfeeding initiation and continuation, with rooming-in, initial breastfeeding practice and education during hospital stay as important practices. In addition, for working mothers to continue their breastfeeding, significant support from the workplace is crucial.

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Development and Evaluation of Breastfeeding Promotion Program for Mothers with Breast Engorgement following Cesarean Birth
Jeongsug Cho, Sukhee Ahn
J Korean Acad Nurs 2014;44(2):170-178.   Published online April 30, 2014
DOI: https://doi.org/10.4040/jkan.2014.44.2.170
AbstractAbstract PDF
Purpose

This study was to develop a breastfeeding promotion program and to test effects of the program on levels of breast discomfort, breast size, sodium in breast milk, and type of feeding in mothers with breast engorgement following cesarean birth.

 Methods

A non-synchronized non-equivalent control group pretest-posttest design was used in this study. The participants were 70 postpartum mothers who were admitted to a postpartum care center and experienced breast engorgement following cesarean birth. The planned nursing intervention was the breastfeeding promotion program consisting of breast massage and 1:1 breastfeeding education, counseling, and support focusing on individualized problem solving provided for 10 days. Fifty-three women completed the program (experimental group 26, control group, 27). Measurements were level of breast discomfort, breast size, sodium in breast milk and type of feeding at pre and posttest.

 Results

Women who participated in the program experienced lower scores for breast discomfort, greater decrease in breast size, lower levels of sodium in breast milk, and practiced breastfeeding more than those in the control group.

 Conclusion

Results indicate that this breastfeeding promotion program is effective in reducing breast engorgement and improving breastfeeding practices, and is therefore recommended to enhance breastfeeding promotion practice in postpartum care centers.

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    Ji-Ah Song, Myung Haeng Hur
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    G Pinar, H Erbaba
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    Seol Hui Park, Seang Ryu
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A Structural Model for Primiparas' Breastfeeding Behavior
Hyun-Joo Yang, Ji-Min Seo
J Korean Acad Nurs 2013;43(3):399-408.   Published online June 28, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.3.399
AbstractAbstract PDF
Purpose

The study was done to construct and test a structural model to explain primipara breastfeeding behavior.

 Methods

The participants were 213 primiparas on postpartum wards. Data were analyzed using the PASW 18.0 and AMOS 19.0 programs.

 Results

Fitness statistics for the hypothetical model were appropriate (χ2 =38.50, p=.070, GFI=.96, RMSEA=.05, AGFI=.93, NFI=.95, TLI=.97, CFI=.98, PNFI=.57, χ2/df=1.43). Breastfeeding behaviors were directly influenced by intention to breastfeed, perceived effectiveness of breastfeeding, and the amount of supplementary feeding. The amount of supplementary feeding had the largest direct impact on breastfeeding behavior. The largest total effect on breastfeeding behavior was intention to breastfeed. The environment of the maternity hospital indirectly influenced breastfeeding behavior. These factors explained 18.9% of variance in the primipara breastfeeding behavior.

 Conclusion

The results of the study indicate that in order to promote primipara breastfeeding the amount of supplementary feeding immediately after the birth should be limited and an environment that encourages exclusive breastfeeding in the hospital should be provided. The results also suggest it is necessary to provide nursing interventions that increase the intention to breastfeed and the perceived effectiveness of breastfeeding.

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    Sawsan Abuhammad
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    Sun-Hee Kim
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    Seung Hui Heo, Yoon Goo Noh
    Korean Journal of Women Health Nursing.2017; 23(4): 233.     CrossRef
  • Development of a Breastfeeding Effectiveness Scale (BES)
    Hyun-Joo Yang, Min-Young Jeong, Ji-Min Seo
    Korean Journal of Women Health Nursing.2016; 22(4): 264.     CrossRef
  • Comparison of Lactation Problems, Knowledge, and Adaptation on Breastfeeding between Users and Non-Users of Lactation Clinic
    Myoung Hee Yun, Hye Sook Shin
    Journal of East-West Nursing Research.2014; 20(2): 112.     CrossRef
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Breast Feeding Rates and Factors Influencing Breast Feeding Practice in Late Preterm Infants: Comparison with Preterm Born at Less than 34 Weeks of Gestational Age
Gun Ja Jang, Sang Lak Lee, Hyeon Mi Kim
J Korean Acad Nurs 2012;42(2):181-189.   Published online April 30, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.2.181
AbstractAbstract PDF
Purpose

This study was done to compare breast feeding rates and factors influencing feeding practice between late preterm (34≤GA<37) and preterm infants (GA<34).

 Methods

A survey was done of 207 late preterm and 117 preterm infants in neonatal intensive care units (NICU) of 4 university hospitals in D city. Data were collected from July 2009 to June 2010 from 324 medical records in the NICU. Breast-feeding at home was checked either by telephone survey or questioning during hospital visits.

 Results

Rate of breast feeding for late preterm infants was significantly lower than for preterm infants. There was no significant difference in breast-feeding at home. We found differences in factors influencing breast feeding between the two groups. Factors influencing feeding for late preterm infants were type of delivery, mothers' occupation, feeding type during hospitalization, time elapse from hospital discharge, total admission days, infant's body weight at first feeding and length of NPO (nothing by mouth). Factors influencing feeding for preterm infants were birth order, maternal disease and obstetric complications, and one-minute Apgar score.

 Conclusion

Results of the study show low rates of breast-feeding for late preterm infants indicating a need for breast-feeding education for mothers of these infants.

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    Ruth Martí-Lluch, Bonaventura Bolíbar, Joan Llobera, José A Maderuelo-Fernández, Rosa Magallón-Botaya, Álvaro Sánchez-Pérez, Ma José Fernández-Domínguez, Emma Motrico, Enric Vicens-Pons, Blanca Notario-Pacheco, Lia Alves-Cabratosa, Rafel Ramos
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    Jo Yoon Lee, Wha Jin Hyun, Kang Wook Lee
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Effects of Breast Massage on Breast Pain, Breast-milk Sodium, and Newborn Suckling in Early Postpartum Mothers
Sukhee Ahn, Jinhee Kim, Jungsuk Cho
J Korean Acad Nurs 2011;41(4):451-459.   Published online August 31, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.4.451
AbstractAbstract PDF
Purpose

In this study the effects of breast massage on breast pain, breast-milk sodium, and newborn suckling in early postpartum mothers were investigated.

 Methods

The design was a non-synchronized nonequivalent control group pretest-posttest design. Sixty postpartum mothers who were admitted to a postpartum care center and had problems with breastfeeding were recruited. Of these mothers, 44 were assigned to the intervention group and received two 30-minute breast massages within 10 days of postpartum period. The others were assigned control group and received only routine care. Breast pain was measured using a numeric pain scale and number of times newborns suckled was observed throughout breastfeeding. Breast milk was self-collected to evaluate breast-milk sodium.

 Results

Mean age of postpartum mothers was 30 years old. Compared to the control group, women in the intervention group reported significant decreases in breast pain (p<.001), increases in number of times newborns suckled after the first and second massage (p<.001), and a decrease in breast-milk sodium after the first massage (p=.034).

 Conclusion

Breast massage may have effects on relieving breast pain, decreasing breast-milk sodium, and improving newborn suckling. Breast massage can be used to solve breast problems. Further research is needed to validate our findings.

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    Journal of Korean Academy of Community Health Nursing.2020; 31(4): 427.     CrossRef
  • A Systematic Review of Breast Care for Postpartum Mothers
    Ji-Ah Song, Myung Haeng Hur
    Korean Journal of Women Health Nursing.2019; 25(3): 258.     CrossRef
  • TO STUDY THE IMPACT OF UNILATERAL BREAST MASSAGE ON MILK VOLUME AMONG POSTNATAL MOTHERS - A QUASI-EXPERIMENTAL STUDY
    Santhosh Kumar Kraleti ., Swapna Lingaldinna ., Sravani Kalvala ., Sadiqua Anjum ., Himabindu Singh .
    Indian Journal of Child Health.2018; 5(12): 731.     CrossRef
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    Hyunsoon Park, Insook Cho, Min-Kyeong Kim
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    Jeongsug Cho, Sukhee Ahn
    Journal of Korean Academy of Nursing.2014; 44(2): 170.     CrossRef
  • Effects of Oketani Breast Massage on Breast Discomfort, Breast Pumping Time and Breast-milk compositions in Preterm Infants' Mothers
    Hee-Young Kim, Kyeong-Uoon Kim
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    Jung Hee Yeo, Guil Nam Moon, Sun-Ok Lee
    Korean Journal of Women Health Nursing.2012; 18(2): 98.     CrossRef
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Development of a Resource-based Relative Value Scale and Its Conversion Factor for Advanced Nursing Practices in the National Health Insurance
Jin Hyun Kim, Myung Ae Kim, Mi Won Kim, Kyung Sook Kim, Cheong-Suk Yoo
J Korean Acad Nurs 2011;41(3):302-312.   Published online June 13, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.3.302
AbstractAbstract PDF
Purpose

The purpose of this study was to develop a resource-based relative value scale (RBRVS) and its conversion factor for advanced nursing practices carried out by critical care nurse practitioners (CCNP) in intensive care units.

 Methods

The methodology was developed by calculating CCNP's RBRVS for 32 advanced nursing services based on CCNP's workload and time spent in the context of national health insurance. A cost analysis was performed to estimate the conversion factor of CCNP's RBRVS. The share of CCNP's contribution to fee-for-service in intensive care units was also analyzed.

 Results

Calculation of the RBRVS of 32 advanced nursing practices showed a range of points from 100.0 to 1,181.4 and an average of 296.1 points. The relevant conversion factor for advanced nursing practices in CCNP were estimated at 37.3-48.4 won. The contribution rate of CCNP's advanced nursing practices in the relative value scale of the national health insurance was estimated at 0.1-31.3%.

 Conclusion

Measuring the economic value of advanced nursing services will be a basis for esta-blishing a reimbursement system for CCNP's practices and thus encourage a social demand for advanced nurse practitioners.

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    Yingli Wang, Cong Wang, Hongfei Ren, Ling Mao, Fenjiao Chen, Taoyun Liang, Yuqin Luo, Yan Jiang
    Journal of Evaluation in Clinical Practice.2025;[Epub]     CrossRef
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Effects of Breast-feeding Education and Support Services on Breast-feeding Rates and Infant's Growth
Gun-Ja Jang, Sun-Hee Kim
J Korean Acad Nurs 2010;40(2):277-286.   Published online April 30, 2010
DOI: https://doi.org/10.4040/jkan.2010.40.2.277
AbstractAbstract PDF
Purpose

This study was done to investigate the effects of breast-feeding education and support services on rate of breast-feeding three and six months after birth, and the effect on infant's growth (weight, height, body mass index [BMI]). The experimental group which had both education and support services was compared with the control group which had only breast-feeding education.

 Methods

This study was a quasi-experimental study with a time-series design. The participants were 39 mothers who were hospitalized for childbirth. Twenty mother were assigned to the experimental group and 19 mothers, to the control group. The breast feeding education was done during hospitalization, and support services were provided once a week after discharge for a month (a total 4 times) by a maternity ward nurse. Data regarding breastfeeding rate at one month after childbirth was collected by phone call; the breast-feeding rates at three and six months after childbirth were collected in a visit to the families. The child's weight and height were also measured during the visit.

 Results

The experimental group had a statistically significant higher rate for frequency of breast-feeding at one, three and six months after childbirth than the control group. However, there was no meaningful difference between the two groups for infant growth.

 Conclusion

The results of this study suggest that breast-feeding education is helpful for a start, but support services are also necessary to sustain breast-feeding.

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  • Exclusive Breastfeeding Rates of Breastfeeding-Willing Mothers and Its Influencing Factors by the 1st, 3rd, and 6th Month of Postpartum
    이선옥, Kyung-Yeon Park, 나성순
    JOURNAL OF THE KOREAN SOCIETY OF MATERNAL AND CHILD HEALTH.2012; 16(1): 44.     CrossRef
  • Effects of Self-breast Pumping in Primiparous Women after Cesarean Delivery
    Jung Hee Yeo, Guil Nam Moon, Sun-Ok Lee
    Korean Journal of Women Health Nursing.2012; 18(2): 98.     CrossRef
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Factors Affecting Mother's Adaptation to Breastfeeding
Sun Hee Kim
J Korean Acad Nurs 2010;40(2):225-235.   Published online April 30, 2010
DOI: https://doi.org/10.4040/jkan.2010.40.2.225
AbstractAbstract PDF
Purpose

The aim of this study was to identify factors which influence breastfeeding adaptation from among the following: parity and feeding behavior, social support, psychological, and demographic factors.

 Methods

The respondents were 179 breastfeeding mothers. Data were collected from June 2 to 19, 2009 at two community health centers and one pediatric outpatient department. Data were analyzed using the SPSS program and included descriptive statistics, t-test, ANOVA, correlation, and multiple regression.

 Results

The major findings of this study were: 1) Significant differences in the level of breastfeeding adaptation were related to number of children, current problems related to breastfeeding, and lay supporters. 2) Level of breastfeeding adaptation was significantly related to marriage satisfaction, proportion of breastfeeding, length of previous breastfeeding, planned length of breastfeeding, parenting stress, and encouragement to breastfeed given by medical personnel. 3) Regression analysis showed that parenting stress, marriage satisfaction, current problems related to breastfeeding, and proportion of breastfeeding explained 44.3% of variance for breastfeeding adaptation. Length of previous breastfeeding also explained 9.7% of breastfeeding adaptation among mothers who had breastfed an elder child.

 Conclusion

Mothers with lower marriage satisfaction, breastfeeding problems, and higher parenting stress require more help from their family and nurses for breastfeeding adaptation. Future research should include variables, such as mother's and baby's behavior related to breastfeeding, knowledge about breastfeeding, and attitude toward breastfeeding.

Citations

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  • Women's quality of life and mental health in the first year after birth: Associated factors and effects of antenatal preventive measures among mothers in the ELFE cohort
    S. Barandon, L. Castel, C. Galera, J. van der Waerden, A.-L. Sutter-Dallay
    Journal of Affective Disorders.2023; 321: 16.     CrossRef
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    Jung Hee Yeo, Eun-Young Kim
    Midwifery.2022; 107: 103282.     CrossRef
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    Yu-Jeong Jeong, Ju-Hee Nho, Hye Young Kim, Ji Young Kim
    International Journal of Environmental Research and Public Health.2021; 18(6): 2988.     CrossRef
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    Sun-Hee Kim
    Korean Journal of Women Health Nursing.2020; 26(4): 326.     CrossRef
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    Chae Yeon Lee, Hun Ha Cho
    Journal of The Korean Society of Maternal and Child Health.2019; 23(3): 162.     CrossRef
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    Ya Ki Yang
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    Seung Hui Heo, Yoon Goo Noh
    Korean Journal of Women Health Nursing.2017; 23(4): 233.     CrossRef
  • Quality of life of mothers at the sixth week and sixth month post partum and type of infant feeding
    José Matías Triviño-Juárez, Beatriz Nieto-Pereda, Dulce Romero-Ayuso, Begoña Arruti-Sevilla, Beatriz Avilés-Gámez, Maria João Forjaz, Cristina Oliver-Barrecheguren, Sonia Mellizo-Díaz, Consuelo Soto-Lucía, Rosa Plá-Mestre
    Midwifery.2016; 34: 230.     CrossRef
  • Effects of Breastfeeding Empowerment Program on Breastfeeding Self-efficacy, Adaptation and Continuation in Primiparous Women
    Seon Mi Song, Mi Kyung Park
    Journal of Korean Academy of Nursing.2016; 46(3): 409.     CrossRef
  • Association of Parenting Stresses, Maternal Role Adjustment, and Types of Feeding during Hospital Stays at Birth to Breastfeeding Adaptation
    Sukhee Ahn, Yunmi Kim
    Korean Journal of Women Health Nursing.2015; 21(4): 262.     CrossRef
  • Maternal Psychosocial Factors that Affect Breastfeeding Adaptation and Immune Substances in Human Milk
    Eun Sook Kim, Mi Jo Jeong, Sue Kim, Hyun-A Shin, Hyang Kyu Lee, Kayoung Shin, Jee Hee Han
    Korean Journal of Women Health Nursing.2014; 20(1): 14.     CrossRef
  • Comparison of Lactation Problems, Knowledge, and Adaptation on Breastfeeding between Users and Non-Users of Lactation Clinic
    Myoung Hee Yun, Hye Sook Shin
    Journal of East-West Nursing Research.2014; 20(2): 112.     CrossRef
  • Factors affecting exclusive breast‐feeding during the first 6 months in Korea
    Myo Jing Kim, Yu‐Mi Kim, Jae‐Ho Yoo
    Pediatrics International.2013; 55(2): 177.     CrossRef
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    Hyun-Joo Yang, Ji-Min Seo
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    Ji-Eun Kim, Dong-Yean Park
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Methods and Applications to estimate the Conversion Factor of Resource-based Relative Value Scale for Nurse-Midwife's Delivery Service in the National Health Insurance
Jinhyun Kim, Yoomi Jung
J Korean Acad Nurs 2009;39(4):574-583.   Published online August 31, 2009
DOI: https://doi.org/10.4040/jkan.2009.39.4.574
AbstractAbstract PDF
Purpose

This paper analyzed alternative methods of calculating the conversion factor for nurse-midwife's delivery services in the national health insurance and estimated the optimal reimbursement level for the services.

 Methods

A cost accounting model and Sustainable Growth Rate (SGR) model were developed to estimate the conversion factor of Resource-Based Relative Value Scale (RBRVS) for nurse-midwife's services, depending on the scope of revenue considered in financial analysis. The data and sources from the government and the financial statements from nurse-midwife clinics were used in analysis.

 Results

The cost accounting model and SGR model showed a 17.6-37.9% increase and 19.0-23.6% increase, respectively, in nurse-midwife fee for delivery services in the national health insurance. The SGR model measured an overall trend of medical expenditures rather than an individual financial status of nurse-midwife clinics, and the cost analysis properly estimated the level of reimbursement for nurse-midwife's services.

 Conclusion

Normal vaginal delivery in nurse-midwife clinics is considered cost-effective in terms of insurance financing. Upon a declining share of health expenditures on midwife clinics, designing a reimbursement strategy for midwife's services could be an opportunity as well as a challenge when it comes to efficient resource allocation.

Citations

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  • Opening Status of the Korea Midwifery Birthing Centers and Development of Midwifery Practice Guideline
    Ji Young Song, Young-Joo Park
    Journal of Korean Academy of Nursing.2020; 50(4): 583.     CrossRef
  • Methods and Estimates of the Reimbursement for the Nurse Midwifery Center in the National Health Insurance
    Hyomin Im, Jinhyun Kim
    Korean Journal of Women Health Nursing.2011; 17(4): 328.     CrossRef
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Effects of a Breast-Feeding Empowerment Program on Exclusive Breast-Feeding
Yunmi Kim
J Korean Acad Nurs 2009;39(2):279-287.   Published online April 28, 2009
DOI: https://doi.org/10.4040/jkan.2009.39.2.279
AbstractAbstract PDF
Purpose

The purpose of this study was to develop an antepartum-postpartum breast-feeding program titled "Breast-feeding Empowerment Program" and to measure the effects of this program on breast-feeding empowerment and the rate of exclusive breast-feeding.

 Methods

The study design was a nonequivalent control group design with repeated measures.

 Results

The scores for breast-feeding empowerment of the experimental group (EG) were higher than those of the control group (CG) at week 1, 4, 8, 12. The rates for exclusive breast-feeding of the experimental group were also higher than those of the control group: 86.4% in the EG and 40.9% in the CG at week 1; 100% vs 42.9% at week 4; 86.4% vs 38.1% at week 8; 95.5% vs 38.1% at week 12; 94.7% vs 31.6% at 6 months; 89.5% vs 26.3% at 12 months.

 Conclusion

The study provided evidence that raising consciousness and strengthening mother's will and skills for exclusive breast-feeding helps them to achieve successful breast-feeding by themselves. In addition mothers need to be empowered to breast-feed starting before delivery and continuing after delivery. This approach could make long-term exclusive breast-feeding successful.

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  • A COMPARATIVE STUDY OF DRAINAGE OF BREAST ABSCESS BY CONVENTIONAL INCISION AND DRAINAGE VERSUS SUCTION DRAINAGE VERSUS ULTRASOUND-GUIDED NEEDLE ASPIRATION
    ANKIT CHORMA, ARUN KUMAR PARGI, RINKU YADAV
    Asian Journal of Pharmaceutical and Clinical Research.2022; : 29.     CrossRef
  • Relationship between emotional labelling of breastfeeding situation and intention to breastfeed/support breastfeeding among French adolescents and young people
    Irène Capponi, Françoise Roland
    Journal of Public Health.2021; 29(1): 135.     CrossRef
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    Ali Khani Jeihooni, Seyyed Mansour Kashfi, Pooyan Afzali Harsini
    British Journal of Midwifery.2019; 27(1): 33.     CrossRef
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    Taeim Kim, Gunja Jang
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    Marzieh Akbarzadeh, Nasrin Bahmani, Marzieh Moatari, Saeede PourAhmad
    British Journal of Midwifery.2013; 21(4): 276.     CrossRef
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    Ji-Eun Kim, Dong-Yean Park
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  • Effects of Breast-feeding Adaptation, Attitude and Practice of Primipara Depending on Method of Postpartum Breast-feeding Education
    Seung Eun Yun, Hyea Kyung Lee
    Korean Journal of Women Health Nursing.2012; 18(2): 75.     CrossRef
  • Effects of Breast Massage on Breast Pain, Breast-milk Sodium, and Newborn Suckling in Early Postpartum Mothers
    Sukhee Ahn, Jinhee Kim, Jungsuk Cho
    Journal of Korean Academy of Nursing.2011; 41(4): 451.     CrossRef
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    Miyoung Kim, Sun Hee Kim, Ja Hyung Lee
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    Jang-Rak Kim, Baek-Geun Jeong, Ki-Soo Park, Yune-Sik Kang
    Journal of agricultural medicine and community health.2011; 36(2): 130.     CrossRef
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Development of a Breast Feeding Adaptation Scale (BFAS)
Sun Hee Kim
J Korean Acad Nurs 2009;39(2):259-269.   Published online April 28, 2009
DOI: https://doi.org/10.4040/jkan.2009.39.2.259
AbstractAbstract PDF
Purpose

The aim of this study was to develop a breast feeding adaptation scale (BFAS) to evaluate adaptation to breastfeeding for breastfeeding mothers and their infants and to test the validity and reliability of the instrument.

 Methods

The study was conducted as follows: application of the conceptual framework, identification of the content domains, items generation, and test of validity and reliability. In order to test validity and reliability, two panels of experts reviewed items and subcategories of the preliminary questionnaire and then data were collected from 329 mothers who were up to 4 weeks postpartum and breastfeeding. Descriptive statistics, t-test, factor analysis, and Cronbach's alpha were used to analyze the data.

 Results

The conceptual framework was based on the Roy adaptation model. The content domains were developed via literature review, review of instruments, and data acquired from the interviews of breastfeeding mothers and nurses. A total of 69 items belonging to 8 domains were generated. A reduction to 44 preliminary items was accomplished through content validity analysis. Factor analysis extracted 8 factors with a total of 27 items on a 5-point Likert scale. Content validity, construct validity, criterion validity, and reliability of the BFAS were established.

 Conclusion

The newly developed BFAS is a reliable and valid instrument with which the adaptation of breastfeeding mothers and their infants to the breastfeeding behavior can be evaluated.

Citations

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  • Traumatic breastfeeding experience in women: Scale development, validity and reliability study
    Fatma Nilüfer Topkara, Elif Dağlı, Feyza Aktaş Reyhan
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    Ayşenur Turan, İffet Güler Kaya, Latife İnce
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  • Development of Maternal Adaptation Scale for the Primipara Women
    Jungmi Ko, Ju-Eun Song
    Journal of Korean Maternal and Child Health.2024; 28(2): 51.     CrossRef
  • Emzirme Adaptasyon Ölçeği Türkçe Geçerlik ve Güvenirlik Çalışması
    Yasemin DİNÇEL, Resmiye ÖZDİLEK
    Bandırma Onyedi Eylül Üniversitesi Sağlık Bilimleri ve Araştırmaları Dergisi.2021; 3(3): 190.     CrossRef
  • Breastfeeding Adaptation Scale-Short Form for mothers at 2 weeks postpartum: construct validity, reliability, and measurement invariance
    Sun-Hee Kim
    Korean Journal of Women Health Nursing.2020; 26(4): 326.     CrossRef
  • Effects of Breast-Feeding Adaptation and Quality of Sleep on Postpartum Depression in Puerperal Women
    Chae Yeon Lee, Hun Ha Cho
    Journal of The Korean Society of Maternal and Child Health.2019; 23(3): 162.     CrossRef
  • Factors associated with Maternal Attachment of Breastfeeding Mothers
    Sun-Hee Kim
    Child Health Nursing Research.2019; 25(1): 65.     CrossRef
  • 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.     CrossRef
  • Effects of Breastfeeding Empowerment Program on Breastfeeding Self-efficacy, Adaptation and Continuation in Primiparous Women
    Seon Mi Song, Mi Kyung Park
    Journal of Korean Academy of Nursing.2016; 46(3): 409.     CrossRef
  • Development of a Breastfeeding Effectiveness Scale (BES)
    Hyun-Joo Yang, Min-Young Jeong, Ji-Min Seo
    Korean Journal of Women Health Nursing.2016; 22(4): 264.     CrossRef
  • Association of Parenting Stresses, Maternal Role Adjustment, and Types of Feeding during Hospital Stays at Birth to Breastfeeding Adaptation
    Sukhee Ahn, Yunmi Kim
    Korean Journal of Women Health Nursing.2015; 21(4): 262.     CrossRef
  • Maternal Psychosocial Factors that Affect Breastfeeding Adaptation and Immune Substances in Human Milk
    Eun Sook Kim, Mi Jo Jeong, Sue Kim, Hyun-A Shin, Hyang Kyu Lee, Kayoung Shin, Jee Hee Han
    Korean Journal of Women Health Nursing.2014; 20(1): 14.     CrossRef
  • Brestfeeding Rate and Its Related Factors In Rural area
    Hyun-Jee Kim, Keon-Yeop Kim, Jeong-Yeon Hwangbo
    Journal of the Korea Academia-Industrial cooperation Society.2014; 15(3): 1671.     CrossRef
  • Comparison of Lactation Problems, Knowledge, and Adaptation on Breastfeeding between Users and Non-Users of Lactation Clinic
    Myoung Hee Yun, Hye Sook Shin
    Journal of East-West Nursing Research.2014; 20(2): 112.     CrossRef
  • Effects of Breast-feeding Adaptation, Attitude and Practice of Primipara Depending on Method of Postpartum Breast-feeding Education
    Seung Eun Yun, Hyea Kyung Lee
    Korean Journal of Women Health Nursing.2012; 18(2): 75.     CrossRef
  • Factors Affecting Mother's Adaptation to Breastfeeding
    Sun Hee Kim
    Journal of Korean Academy of Nursing.2010; 40(2): 225.     CrossRef
  • Effects of Breast-feeding Education and Support Services on Breast-feeding Rates and Infant's Growth
    Gun-Ja Jang, Sun-Hee Kim
    Journal of Korean Academy of Nursing.2010; 40(2): 277.     CrossRef
  • 1,176 View
  • 16 Download
  • 17 Crossref
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Effects of a Breast Feeding Promotion Program for Working Women
Ji-Won Yoon, Young-Joo Park
J Korean Acad Nurs 2008;38(6):843-852.   Published online December 31, 2008
DOI: https://doi.org/10.4040/jkan.2008.38.6.843
AbstractAbstract PDF
Purpose

The purpose of this study was to measure the effects of a breast feeding promotion program for working women on breast feeding continuation, mother-infant attachment, and maternal sensitivity.

 Methods

The design of this study is nonequivalent control group design with repeated measures.

 Results

There were significant differences in breast feeding continuation between two groups at each time point except 2 days and 1 week after delivery. The scores of mother-infant attachment and maternal sensitivity of experimental group were higher than those of the control group, but there were no significant differences between two groups.

 Conclusion

Although some modifications in contents and administration will be required to increase the effectiveness of the program, breast feeding promotion program for working women can be an effective nursing intervention which can facilitate breast feeding continuation and mother-infant relationships.

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  • Maternal sensitivity, its relationship with child outcomes, and interventions that address it: a systematic literature review
    Carolyn L. Deans
    Early Child Development and Care.2020; 190(2): 252.     CrossRef
  • Breastfeeding Support for Mothers in Workplace Employment or Educational Settings: Summary Statement
    Kathleen A. Marinelli, Kathleen Moren, Julie Scott Taylor, and The Academy of Breastfe
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    Ji-Eun Kim, Dong-Yean Park
    The Korean Journal of Community Living Science.2012; 23(4): 523.     CrossRef
  • Effects of a Breast-Feeding Empowerment Program on Exclusive Breast-Feeding
    Yunmi Kim
    Journal of Korean Academy of Nursing.2009; 39(2): 279.     CrossRef
  • 905 View
  • 5 Download
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Effect of Postpartum Breast-feeding Support by Nurse on the Breast-feeding Prevalence
Gun Ja Jang, Sun Hee Kim, Kyung Soon Jeong
Journal of Korean Academy of Nursing 2008;38(1):172-179.   Published online February 28, 2008
DOI: https://doi.org/10.4040/jkan.2008.38.1.172
AbstractAbstract PDF
Purpose

The purpose of this study was to investigate the effects of the professional nurse's postpartum breast-feeding support on breast-feeding prevalence for mothers who delivered in Baby-Friendly Hospitals (BFH).

 Methods

This quasi experimental study was designed with a nonequivalent control group post test. The subjects of this study were 55 mothers who were hospitalized in the delivery room of a university hospital which was selected as a BFH in Daegu from October 1, 2005 to June 30, 2006. Twenty nine mothers were assigned to the experimental group and 26 mothers to the control group. Postpartum breast-feeding support by nurses' telephone calls to the experimental group was provided once a week for 4 weeks postpartum and then once a month for 16 weeks postpartum. Four post tests were given at postpartum week 4, 8, 12, and 16. The control group was given a telephone call at postpartum week 4, 8, 12, and 16.

 Results

The breast-feeding prevalence of the experimental group was significantly higher than that of the control group for each period.

 Conclusion

Postpartum breast-feeding support by nurses may be a useful intervention to increase breast-feeding prevalence.

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    Priyalatha Ganesh, Rajeswari Subbarayan
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    Seon Mi Song, Mi Kyung Park
    Journal of Korean Academy of Nursing.2016; 46(3): 409.     CrossRef
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    Myoung Hee Yun, Hye Sook Shin
    Journal of East-West Nursing Research.2014; 20(2): 112.     CrossRef
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    Hyun-Joo Yang, Ji-Min Seo
    Journal of Korean Academy of Nursing.2013; 43(3): 399.     CrossRef
  • Breast Feeding Rates and Factors Influencing Breast Feeding Practice in Late Preterm Infants: Comparison with Preterm Born at Less than 34 Weeks of Gestational Age
    Gun Ja Jang, Sang Lak Lee, Hyeon Mi Kim
    Journal of Korean Academy of Nursing.2012; 42(2): 181.     CrossRef
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    Ji-Eun Kim, Dong-Yean Park
    The Korean Journal of Community Living Science.2012; 23(4): 523.     CrossRef
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    이선옥, Kyung-Yeon Park, 나성순
    JOURNAL OF THE KOREAN SOCIETY OF MATERNAL AND CHILD HEALTH.2012; 16(1): 44.     CrossRef
  • Improvements of Behavior and Attitude of Pregnant Women Trained by A Maternity-oriented Antenatal Education Program: Assessment of Korean Gentle Birth (KGB) Program
    김영란, 장우식, Sohn,Hae-Sook, 전채민, Chun Jin Ho, 민유선, 남문희
    JOURNAL OF THE KOREAN SOCIETY OF MATERNAL AND CHILD HEALTH.2012; 16(2): 227.     CrossRef
  • Types of Breastfeeding and its Predictors of Mothers in Twenty-four Months after Birth
    Miyoung Kim, Sun Hee Kim, Ja Hyung Lee
    Korean Journal of Women Health Nursing.2011; 17(1): 21.     CrossRef
  • Effects of Breast Massage on Breast Pain, Breast-milk Sodium, and Newborn Suckling in Early Postpartum Mothers
    Sukhee Ahn, Jinhee Kim, Jungsuk Cho
    Journal of Korean Academy of Nursing.2011; 41(4): 451.     CrossRef
  • Effects of Breast-feeding Education and Support Services on Breast-feeding Rates and Infant's Growth
    Gun-Ja Jang, Sun-Hee Kim
    Journal of Korean Academy of Nursing.2010; 40(2): 277.     CrossRef
  • Factors Affecting Mother's Adaptation to Breastfeeding
    Sun Hee Kim
    Journal of Korean Academy of Nursing.2010; 40(2): 225.     CrossRef
  • Factors Explaining Mothers' Breastfeeding Satisfaction
    Sun Hee Kim
    Korean Journal of Women Health Nursing.2009; 15(4): 270.     CrossRef
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