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12 "Pregnancy"
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Research Papers
Perceptual Factors Associated with Gestational Weight Gain: A Cross-Sectional Survey
Sehee Kim, Sukhee Ahn
J Korean Acad Nurs 2024;54(4):495-508.   Published online November 1, 2024
DOI: https://doi.org/10.4040/jkan.24052
AbstractAbstract PDFePub
Purpose

Recent years have seen an increase in the number of pregnant women whose weight gain during pregnancy exceeds the recommended range. This study was intended to determine the relationships among demographic attributes, key perceptual factors, and gestational weight gain (GWG).

Methods

This cross-sectional study was conducted between April and July 2022. First-time pregnant women beyond 36 weeks of gestation who were recruited via social media completed an online survey. Data were analyzed using one-way ANOVA, chi-square test, and logistic regression, all performed using SPSS software.

Results

Of the 369 participants, 63 (17.1%) exceeded the recommended GWG guidelines, while 148 (40.1%) fell within the recommended range, and the remaining 158 (42.8%) had inadequate GWG. Being overweight or obese before pregnancy significantly increased the risk of excessive GWG (p < .001). This risk was also significantly greater for women with low internal weight locus of control (OR = 0.58, 95% CI 0.41~0.82), high external weight locus of control (OR = 1.75, 95% CI 1.31~2.34), and negative body image (OR = 0.62, 95% CI 0.51~0.75).

Conclusion

The growing trend of excessive GWG among pregnant women is influenced by a combination of prepregnancy body mass index (BMI) and perceptual factors, including weight locus of control and body image. These findings underscore the need to implement weight management intervention strategies before pregnancy, taking into consideration BMI, and to enhance positive body image and internal locus of control.

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Development and Evaluation of Prenatal Education for Environmental Health Behavior Using Cartoon Comics
Kim, Hyun Kyoung , Kim, Hee Kyung , Kim, Mirim , Park, Seohwa
J Korean Acad Nurs 2021;51(4):478-488.   Published online August 31, 2021
DOI: https://doi.org/10.4040/jkan.21083
AbstractAbstract PDF
Purpose
This study aimed to develop and examine the effects of a prenatal program on environmental health behavior using cartoon comics among Korean pregnant women.
Methods
This study used a non-equivalent control group pre-test/post-test design. The program used cartoon comics to explore environmental health behaviors during pregnancy. The program consisted of the following four components: environmental toxicants during pregnancy, avoiding particulate matter during pregnancy, environmental toxicants during baby care, and making a healthy environment for children. In total, 35 pregnant women participated in the study: 18 in the experimental group and 17 in the control group. Data collection and program adaptation were conducted between November 3, 2020 and January 19, 2021. The effect of the prenatal education program was evaluated by t-test and repeated measures ANOVA.
Results
Learning experience (t = - 2.35, p = .025), feasibility (t = - 2.46, p = .019), satisfaction (t = - 2.23, p = .032) were higher in the experimental group than in the control group in the first post-test. Feasibility (t = - 2.40, p = .022) was higher in the experimental group than in the control group in the second post-test. Repeated-measures ANOVA showed significant interactions between time and group in environmental susceptibility (F = 9.31, p < .001), self-efficacy (F = 3.60, p = .033), and community behavior (F = 5.41, p = .007).
Conclusion
This study demonstrates the need for a prenatal education program to promote environmental health perceptions and behavior during pregnancy. We suggest a prenatal class adopting the creative cartoon comics to promote the maternal environmental health behaviors.
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Original Articles
Effect of Lifestyle Intervention Program for Overweight and Obesity Pregnant Women
Choi, Hye Kyung , Kim, Hyeon Ok
J Korean Acad Nurs 2020;50(3):459-473.   Published online June 30, 2020
DOI: https://doi.org/10.4040/jkan.19228
AbstractAbstract PDF
Purpose
This study was conducted to identify the effects of a lifestyle intervention program on weight gain, dietary habits, fatigue andpregnancy stress, blood pressure, and neonatal birth weight, using Cox’s interaction model of client health behavior for overweight andobese women.
Methods
This was a quasi-experimental research with a non-equivalent control group pre-post test design. A total of 52patients who met the selection criteria, including 25 in the experimental group and 27 in the control group, were the subjects of the study;they comprised overweight and obese pregnant women who were receiving prenatal care at A and B women’s hospital in J province. Thelifestyle intervention program ran for 12 weeks in total and consisted of interactions involving affective support, health information, andprofessional/technical competencies. The data collection period was from February 1, 2017 to August 31, 2017.
Results
This study showeddifferences in the appropriate weight gain rate (x2=6.17, p=.013), suppression of an increase in fatigue (t=-2.32, pp =.012), and an increasein pregnancy stress (t=-1.87, p=.034). Yet, no differences in physical activity, dietary habits change, blood pressure, and neonatal birthweight (p>.05) were found.
Conclusion
The study findings indicate that this program could be an effective intervention for the control ofappropriate weight gain, fatigue, and pregnancy stress. Therefore, a lifestyle intervention program based on Cox’s interaction model of clienthealth behavior could be an efficient strategy for a positive health outcome of overweight and obesity pregnant women.
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Comparison of Awareness about Alcohol Use during Pregnancy among Female College Students by Drinking Levels: Using the Theory of Planned Behavior
Saem Yi Kang, Hae Won Kim
J Korean Acad Nurs 2019;49(6):690-700.   Published online January 17, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.6.690
AbstractAbstract PDF
Abstract Purpose:

The purpose of this study was to examine the awareness of alcohol use during pregnancy and factors influencing the intention to abstain from alcohol during pregnancy by drinking levels.

Methods:

Utilizing a comparative descriptive design, a total of 359 female college students were recruited. Measurements were Theory of Planned Behavior (TPB) variables related awareness of alcohol use during pregnancy, Korean Version of the Alcohol Use Disorders Identification Test, knowledge about alcohol use during pregnancy, and socio-demographic factors. Main variables were compared by drinking levels. The factors influencing the intention to abstain from alcohol during pregnancy were identified using hierarchical regression analysis.

Results:

Non-problematic alcohol behavior group (n=185) had higher the intention to abstain from alcohol during pregnancy than problematic alcohol behavior group (n=174) (t=3.13, p=.002). The significant TPB variables influencing the intention to abstain from alcohol during pregnancy were that attitudes (β =-.44, p<.001), subjective norms (β =.14, p=.026), and perceived behavior control (β =.19, p=.002) in non-problematic alcohol behavior group, whereas the corresponding variables in the problematic alcohol behavior group were attitudes (β =-.51, p<.001) and subjective norms (β =.21, p=.006).

Conclusion:

It is necessary to increase the intention to abstain from alcohol during pregnancy for the female college students having problematic alcohol behavior. The following strategies are recommended for them; decreasing acceptable attitudes toward alcohol use during pregnancy and reinforcing the influence of social pressure toward to abstain from alcohol during pregnancy.

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A Study of the Relationship between the Intention of Pregnancy and the Child-Rearing Attitudes of Mothers with Infants
Jung Ha Sim
Journal of Nurses Academic Society 1997;27(2):454-464.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1997.27.2.454
AbstractAbstract PDF

The purpose of this study was to identify the correlation between the intention of pregnancy and the child rearing attitudes of mothers with infants. The data was collected from 138 mothers by means of an interview and questionnaire in a period from April 1 to April 30, 1997, when they came to have their infants vaccinated at one hospital and one health care center. The collected data was analyzed by means of the SPSS Program using percentage, means and standard deviation in each area and the ANOVA and Pearson correlation Coefficient. The results of this study were as follows : 1. It showed that the mother's degree of intention of pregnancy was 3.90(+/-1.19) among the possible score of 0~5 and the score of child rearing attitudes was 70.1 among the possible score of 20~100. The mean score of the items was 3.50(+/-.36) among the possible score of 0~5. 2. There was a significant relation between the intention of pregnancy and child rearing attitudes. It was mildly positive but was significant(r=.21, p<0.05). 3. There was a significant relation between the period from marriage to the time of pregnancy and the intention of pregnancy(F=.57, p<0.05). Also, it was found out that the group of mothers who became pregnant later than 12 months after marriage wanted after pregnancy more than the group of women who were pregnant within 12 months after marriage(F=11.30, p<0.01). 4. There was a significant relation between the period from marriage to the time of pregnancy and child rearing attitudes(F=4.14, p<0.05). It showed that the child rearing attitudes of the group of women who became pregnant later than 12 months after marriage was positive(F=11.42, p<0.01). Also, in case tat the both the husband and wife decided on the pregnancy, the child rearing attitudes were more positive(F=7.15, p<0.05). In conclusion, when the intention of pregnancy was stronger, the subjects' child rearing attitudes were more positive. Also when both the husband and wife decided on the pregnancy, the attitudes were more positive. So it seems that both husband and wife should discuss and agree upon pregnancy, having a sufficient period during which both the spouses prepare for the intention of pregnancy. Additionally, it is suggested that when the husband and wife are doing family planning, it would be beneficial to use a program of 'Woman's Intention on Pregnancy' during this process.

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Women's View to Pregnancy
Mi La Lee, Ju Yeon Cho
Journal of Nurses Academic Society 1996;26(1):5-14.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1996.26.1.5
AbstractAbstract PDF

The purpose of this study is to find the Korean women's view to pregnancy within the Korean cultural context, to help nurses understand psychosocioemotional schema of the pregnant women, and to contribute to theory- building on the meaning of pregnancy. The interviewees were 21 women in their twenties or thirties and they were selected by theoretical sampling technique. Thirteen women of the interviewees were single and others married. Data were collected by in-depth interviews from September November in 1994. Interviews were tape-recorded and transcribed. Data were analyzed by Van Kaam's phenomenological method. Results were as follows. Eighty two descriptive expression were found and they were grouped under fourteen common factors. These are [to maintain family],[instinct][obli-gation],[what one should do],[to make home],[to tie couple firmly],[means to overcome a period of lassitude], [token of love],[hope], [to avoid loneli-ness], [wanted to have a baby],[to provide for old ages], [to be a mother], [to achieve her desire through baby]. Finally, fourteen common factors were grouped under four higher categories. Five common factors, [to maintain family],[instinct],[obligation],[what one should do],[to make home] were grouped under (custom). Three factors,[to tie couple firmly],[means to overcome a period of lassitude], [token of love] were grouped under (love between couple). Four factors,[hope],[to avoid loneliness], [wanted to have a baby],[to provide for old ages] were grouped under (pursuiting safety). Two factors, [to be a mother], [to achieve her desire through baby] were grouped under (self fulfillment). At present, the most distinguishing motivation of childbearing was rooted in the cultural custom. Kortean women thought that it was their duties to have children and children were necessary in life. But they were beginning to recognize that baby could tie couple more firmly and get rid of their loneliness. Korean women no longer considered their children as the one who would take care of them when they were old or who would satisfy their unmet needs. As pregnancy is not women's duty only, authors recommend further studies on men's view to pregnancy.

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Pregnant Women's Attitude and Satisfaction for Sexuality
Young Pyo Lee, Shin Jeong Kim, Geum Hee Jeong
Journal of Korean Academy of Nursing 2000;30(5):1292-1302.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.5.1292
AbstractAbstract PDF

The relationship between the attitude and satisfaction for sexuality of pregnant women was observed to provide rationales of nursing intervention to help promote healthy sexual lifestyles. Questionnaires were collected from 211 obstetric outpatients of H university hospital in C city, Korea from February to May 1999. The research tools were D.S.F.I (Derogatis Sexual Function Inventory in Korean, Chronbach's alpha= 0.710) and Sexuality Satisfaction Method (Kim, 1997, Chronbach's alpha =0.864). Data was analyzed for frequency, mean, standard deviation, Pearson correlation, t-test and ANOVA by Windows SAS. The results of this study were as follows: Mean age of the subjects were 29.8; the average score of attitude to sex was moderate (27.60), and that of satisfaction sex was high (54.11); the positive relationship was shown between attitude and satisfaction for sexuality (r=0.51, p=.000); the higher educational and income levels of pregnant women and their husbands, were the better the attitude and satisfaction for was; professional women had better attitude than housewives. According to the results, it is suggested that the study is necessary to develop an effective nursing intervention related with the sexuality of pregnant women.

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Differences of Women's Perception of Fatigue According to the Period of Pregnancy
Geum Hee Jeong, Shin Jeong Kim
Journal of Korean Academy of Nursing 2000;30(3):731-740.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.3.731
AbstractAbstract PDF

A study was done to identify the differences of women's perception of fatigue according to the period of pregnancy. Questionnaires were collected from 510 normal pregnant women in 3 University Hospitals in Korea from April to November of 1999. The questionnaires used to measure pregnant women's fatigue were the "Subjective Symptoms of Fatigue Test" designed by the Research Committee of Industrial Fatigue in Hygienic Association of Japanese Industry. The collected data was analyzed by SPSS-Win. The results revealed that there was a significant difference according to the periods of pregnancy: The degree of fatigue was the highest in the first trimester and then third and second trimester in decreasing order (F=89.53, p=0.000). The degree of fatigue was also compared with the respect to the general characteristics of women: There were statistically significant differences according to number of pregnancy (t=6.41, p=0.000), expectation of pregnancy (t=-291, p=0.004) and weight change (F=8.07, p=0.000). Therefore, variable nursing intervention should be provided to alleviate the fatigue according to the each trimester of pregnant period. Especially the nursing intervention program to alleviate the physical fatigue in the first trimester is necessary.

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Pregnancy, Abortion and Delibery Rates for Korean Teenagers
Young Joo Park, Pyoung Sahm Ku, Tak Kim, Jae Chul Shin, Chan Lee, Joon Moon, Min Jung Oh
Journal of Korean Academy of Nursing 1998;28(3):573-582.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1998.28.3.573
AbstractAbstract PDF

The purpose of this study was to investigate pregnancy, abortion and delivery rates among Korean teenagers. The subjects of this study were 11,433 teenagers aged 13-19 year in Seoul, Pusan, Taegu, Kwangju, Insheon, Taejeon and Ansan, Korea. Data were collected from Feb. 1994 to May 1995, 16 months, by schoolnurses or the researchers. The results showed pregnancy rate was 7.2 per 1,000 teenagers, the abortion rate was 4.3 per 1,000 teenagers, and delivery rate was 1.2 per 1,000 teenagers. In the pregnancy experience, the main factors related to teenage pregnancy were love or marriage engagement. In the abortion experience, 53.9% of teenagers had more than two abortion experiences, 38.1% midtrimester abortion, 22% complications after abortion. In the delivery experience, 64.3% of teenagers delivered with no prenatal care and 42.9% had a delay in realizing they were pregnant. Fifty percent were delivered by non-professionals in non-medical institutions.

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Health Promoting Behavior in Pregnant Couples: Actor-Partner Interdependence Model Analysis
Ju Hee Kim, Young-A Song
J Korean Acad Nurs 2017;47(4):467-475.   Published online January 15, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.4.467
AbstractAbstract PDF
Abstract Purpose

This study aimed to identify the actor and partner effects of self-efficacy, marital adjustment, and social support on the health promoting behavior of Korean pregnant couples.

Methods

Participants were 132 couples who met the eligibility criteria. Data were collected from June to November, 2016 at a community health center. The Actor-Partner Interdependence Model was used for analyzing the actor and partner effects of self-efficacy, marital adjustment, and social support on health promoting behavior.

Results

The fitness indices for the model were GFI=0.90, NFI=0.92, CFI=0.91, TLI=0.90, and RMSEA=0.04, which satisfied the criteria. Self-efficacy had actor and partner effect on health promoting behavior of wives, but had only actor effect of on health promoting behavior of husbands. Marital adjustment showed actor and partner effect on the health promoting behavior of pregnant couples. Social support only had an actor effect on the health promoting behavior of wives. And, marital adjustment and social support had a mutual effect.

Conclusion

This study indicates that the partner involvement is needed to develop health promotion programs for pregnant couples.

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Multiple Factors in the Second Trimester of Pregnancy on Preterm Labor Symptoms and Preterm Birth
Jeung-Im Kim, Mi-Ock Cho, Gyu-Yeon Choi
J Korean Acad Nurs 2017;47(3):357-366.   Published online January 15, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.3.357
AbstractAbstract PDF
Abstract Purpose

The aim of this study was to determine the influence of various factors on preterm labor symptoms (PLS) and preterm birth (PB).

Methods

This prospective cohort study included 193 women in the second stage of pregnancy. Multiple characteristics including body mass index (BMI), smoking, and pregnancy complications were collected through a self-report questionnaire. Pregnancy stress and PLS were each measured with a related scale. Cervical length and birth outcome were evaluated from medical charts. Multiple regression was used to predict PLS and logistic regression was used to predict PB.

Results

Multiple regression showed smoking experience, pregnancy complications and pregnancy specific stress were predictors of PLS and accounted for 19.2% of the total variation. Logistic regression showed predictors of PB to be twins (OR=13.68, CI=3.72~50.33, p<.001), shorter cervix (<25mm) (OR=5.63, CI=1.29~24.54, p<.05), BMI >25 (kg/m2) (OR=3.50, CI=1.35~9.04, p<.01) and a previous PB (OR=4.15, CI=1.07~16.03, p<.05).

Conclusion

The results of this study show that the multiple factors affect stage II pregnant women can result in PLS or PB. And preterm labor may predict PB. These findings highlight differences in predicting variables for pretrm labor and for PB. Future research is needed to develop a screening tool to predict the risk of preterm birth in pregnant women.

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Impact of Prepregnancy Body Mass Index on Pregnancy Outcome in Women with a Singleton Conceived by Assisted Reproductive Technology and Spontaneously Conceived Pregnancy: A Case-Control Study
Ju Hee Kim, Hye Sook Shin, Bo Kyung Park, Kwang Moon Yang, Young Ho Lee, Hyun Mee Ryu
J Korean Acad Nurs 2012;42(4):517-524.   Published online August 12, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.4.517
AbstractAbstract PDF
Abstract Purpose

To compare and confirm the impact of prepregnancy body mass index on pregnancy outcome in women with a singleton conceived by assisted reproductive technology and spontaneously conceived pregnancy.

Methods

A sample of 165 and 247 pregnant women with and without assisted reproductive technology were retrospectively recruited from electronic medical charts of C hospital.

Results

There were significant differences between the two groups for maternal age, paternal age, length of marriage, prepregnancy body mass index, parity, spontaneous abortion experience, and preterm delivery. A prepregnancy body mass index of ≥25 was associated with higher risk for maternal and neonatal complication in the assisted reproductive technology group.

Conclusion

The results indicate that a higher prepregnancy body mass index is associated with increased risks for adverse pregnancy outcomes for women using assisted reproductive technology. So these women need appropriate care to compensate for the risk.

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