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Research Paper
- Effects of a Pre-Conception Care Program in Women with Inflammatory Bowel Disease: A Mixed-Methods Study Including a Randomized Controlled Trial
- Lee, Young Jin , Kim, Hae Won , Kim, Yeon Hee , Yang, Suk-Kyun , Kim, Ji-Yeon
- J Korean Acad Nurs 2024;54(3):386-402. Published online August 31, 2024
- DOI: https://doi.org/10.4040/jkan.24010
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Abstract
PDF - Purpose
The purpose of this study was to conduct a pre-conception care program for women of childbearing age with inflammatory bowel disease (IBD) in Korea and verify its effects on self-efficacy for IBD management, IBD-related pregnancy knowledge, and IBD-related pregnancy anxiety. It also aimed to explore the changes in participants through the program.
Methods
A convergent mixed-methods study design was adopted. In the quantitative phase, 35 women (17 and 18 in the intervention and control group, respectively) participated. The intervention group attended a program that included small-group sessions and individual tele-coaching. To confirm the effects, data were collected before and one and four weeks after the intervention. In the qualitative stage, focus group interviews and tele-coaching were conducted with the intervention group.
Results
After the program ended, significant differences were observed over time between the intervention and control groups for self-efficacy for IBD management (Wald χ2 = 4.41, p = .036), IBD-related pregnancy knowledge (Wald χ2 = 13.80, p < .001) and IBD-related pregnancy anxiety (Wald χ2 = 8.61, p = .003). Qualitative data analysis revealed the following themes: (1) improving confidence in IBD management and awareness for planned pregnancy; (2) improving IBD awareness related to pregnancy and childbirth; and (3) relieving anxiety about and actively facing pregnancy.
Conclusion
This study is meaningful in that, to the best of our knowledge, it is the first to develop a pre-conception care program for women diagnosed with IBD and confirm its effectiveness. Furthermore, this program is expected to be suitable for patient counseling and education in clinical practice.
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Original Article
- Effects of Web-based Preconception Health Promotion Program for Couples about to be Married
- Nam Joo Je, So Young Choi
- J Korean Acad Nurs 2016;46(5):720-732. Published online October 31, 2016
- DOI: https://doi.org/10.4040/jkan.2016.46.5.720
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Abstract
PDF
Purpose This study was done to develop a Web-based preconception health promotion program to improve preconception health promotion awareness, perceived benefits, perceived self-efficacy and health behavior, and to reduce perceived barriers in couples about to be married.
Methods Participants were assigned to the experimental group (n=26 couples) or control group (n=25 couples). This program was comprised of a six hour Web-based lecture series which was given to the experimental group over a four week period.
Results Results for the two groups showed: 1) a significant difference in preconception health promotion awareness in men (self-perception: z=-3.62,
p <.001 content: F=18.49,p <.001) and in women (self-perception: z=-2.89,p =.004 content F=36.93,p <.001), 2) a significant difference in perceived benefits in men (z=-3.09,p =.002), and in women (F=6.38,p =.004), 3) a significant difference in perceived barriers in men (F=3.64,p =.030), and in women (F=11.36,p <.001), 4) a significant difference in perceived self-efficacy in men (F=12.16,p <.001), but no significant difference in women (F=1.93,p =.166), 5) a significant difference in health promoting behavior in men (F=16.31,p <.001), and in women (F=10.99,p =.001).Conclusion The results of this study show that the program is an effective nursing intervention in couples about to be married. Therefore, this program can be useful in encouraging health-promoting behavior for couples about to be married.
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