Journal of Korean Academy of Nursing

Original Articles

Development and Evaluation of a Web-based Support Program for the Maternal Role of Primiparas: Jeong Soo Kim; Journal of Korean Academy of Nursing 2005;35(1):165-176. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.1.165

Purpose

This study was conducted to develop and evaluate a Web-based program for the maternal role of primiparas who use the internet.

Method

The study process was a systems requirements analysis, design and development of a program, program testing by experts, program implementation, and program evaluation by users. A nonequivalent control group non-synchronized design was used. The data was collected from October 5th, 2002 to February 24th, 2003.

Result

1. Based on inquiries into mothers' needs, a Web-based support program was developed. The program was then modified from feedback received from experts. 2. In a sub-scale analysis of mothers' perception of a baby, amenability and persistence was significantly higher in the intervention group. The differences in the mean score of maternal self-confidence and maternal satisfaction were significant. 3. Cyber counseling was done for a total of 73 cases and the most frequent problems for counseling were feeding and nutrition (28.8%), followed by baby care, and health problems.

Conclusion

It was proven that a Web-based support program provided appropriate support to primiparas and was effective in promoting their maternal role. Therefore, this study suggests that a Web-based support program for primiparas can become a powerful nursing intervention on virtually all mother and infant health concerns.

Citations

Citations to this article as recorded by

Effects of a Mobile Web-based Pregnancy Health Care Educational Program for Mothers at an Advanced Maternal Age
Hee Jung Wang, Il Ok Kim
Journal of Korean Academy of Nursing.2015; 45(3): 337. CrossRef
Development and Application of a Web-based Expert System using Artificial Intelligence for Management of Mental Health by Korean Emigrants
Jeongyee Bae
Journal of Korean Academy of Nursing.2013; 43(2): 203. CrossRef
Development and Evaluation of an e-Learning Program for Mothers of Premature Infants
Nae-Young Lee, Young-Hae Kim
Journal of Korean Academy of Nursing.2008; 38(1): 152. CrossRef
Development of a Web-based Senescence Preparation Education Program for Successful Aging for Middle-aged Adults
Young-Mi Jung
Journal of Korean Academy of Nursing.2008; 38(6): 831. CrossRef

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Predictors of Maternal Identity of Korean Primiparas: Hyun-Ju Chae, Ju-Eun Song, Sue Kim; J Korean Acad Nurs 2011;41(6):733-741. Published online December 31, 2011; DOI: https://doi.org/10.4040/jkan.2011.41.6.733

Abstract PDF

Purpose

The purpose of this study was to identify factors influencing maternal identity of Korean primiparas.

Methods

The data were collected by a self-report questionnaire in 2006. The participants were 210 healthy primiparous women who delivered at one of three medical centers and revisited the outpatient department for follow up between 4 to 6 weeks after childbirth. Data were analyzed using the SPSS WIN 17.0 program with descriptive statistics, t-test, one way ANOVA, Pearson correlation coefficient, and stepwise multiple regression.

Results

Maternal identity was significantly correlated with Taekyo accomplishment, the culturally based prenatal preparation (p<.001). Transitional gratification to motherhood (p<.001), postpartum depression (p<.001), childcare stress (p<.001), infant temperament (p<.001), and social support (p<.001) were also significantly correlated with maternal identity. The stepwise multiple regression analysis showed that maternal identity was significantly predicted by transitional gratification to motherhood, infant temperament, childcare stress, and Taekyo accomplishment. These variables explained 31.0% of the variance of maternal identity.

Conclusion

The results of this study suggest that postpartum nursing interventions to promote maternal identity should focus on reinforcing education and support for reducing childcare stress and infant difficulty, and increasing transitional gratification to motherhood. Also, prenatal encouragement and education for improving Taekyo accomplishment may be helpful to promote maternal identity after birth.

Citations

Citations to this article as recorded by

Effects of stress, depression, and spousal and familial support on maternal identity in pregnant women
Hye-Jung Seo, Ju-Eun Song, Youngjin Lee, Jeong-Ah Ahn
Korean Journal of Women Health Nursing.2020; 26(1): 84. CrossRef
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Yu-Mi Im, Tae-Jin Yun, Il-Young Yoo, Sanghee Kim, Juhye Jin, Sue Kim
BMC Pregnancy and Childbirth.2018;[Epub] CrossRef

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The Changing Pattern of Physical and Psychological Health, and Maternal Adjustment Between Primiparas Who Used and Those Who did Not Use Sanhujori Facilities: Ju-Eun Song, Bo-Lim Park; J Korean Acad Nurs 2010;40(4):503-514. Published online August 31, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.4.503

Abstract PDF

Purpose

The purpose of this study was to compare levels of postpartum fatigue, depression, childcare stress, and maternal identity according to postpartum period between primiparas who used Sanhujori facilities and those who did not.

Methods

The research design was a longitudinal descriptive study using self-report questionnaires. Participants were 55 healthy primiparas who delivered at one of 3 hospitals in Chungnam, 21 using Sanhujori facilities and 34 not using these facilities during the first three weeks after childbirth. Data were collected from October 2008 to April 2009 at three measurement points, 2-4 days after childbirth (T1), 4-6 weeks (T2), and 12-14 weeks (T3). Data were analyzed using the SPSS 17.0 WIN program.

Results

There was a significant difference in childcare stress between the two groups at 4-6 weeks after childbirth. Postpartum depression and childcare stress at 4-6 weeks were significantly higher than those of the other postpartum periods, while maternal identity was significantly lower.

Conclusion

Child care stress is the most important issue among women who use Sanhujori facilities and the 4-6 week period after childbirth is very difficult to primiparas. These results indicate that nursing interventions for primiparas in Sanhujori facilities should focus on reducing childcare stress. Furthermore proper follow-up programs at 4-6 weeks are needed to decrease the difficulties in adjustment by new mothers.

Citations

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Hee-Sun Kim, Jae Hee Lee, Jeong Rim Lee, Ji-Won Eom, Ja Yeun Koo, Byoung Lok Park, Hyun Soo Park, In Sook Sohn
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BMC Women's Health.2021;[Epub] CrossRef
Effects of a maternal role adjustment program for first time mothers who use postpartum care centers (Sanhujoriwon) in South Korea: a quasi-experimental study
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BMC Pregnancy and Childbirth.2020;[Epub] CrossRef
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Journal of Korean Academic Society of Nursing Education.2018; 24(2): 115. CrossRef
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The Korean Journal of Health Service Management.2017; 11(1): 143. CrossRef
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Korean Journal of Women Health Nursing.2016; 22(1): 1. CrossRef
Influencing Factors on Maternal Role Adjustment among the Primipara Women in the First Year after Childbirth
송주은, 고정미
JOURNAL OF THE KOREAN SOCIETY OF MATERNAL AND CHILD HEALTH.2016; 20(3): 284. CrossRef
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Korean Journal of Women Health Nursing.2015; 21(2): 93. CrossRef
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Korean Journal of Women Health Nursing.2015; 21(1): 55. CrossRef
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The Journal of Alternative and Complementary Medicine.2015; 21(12): 781. CrossRef
Experiences of Sanhujori Facility Use among the First Time Mothers by the Focus Group Interview
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Korean Journal of Women Health Nursing.2015; 21(3): 184. CrossRef
Changes in perceived health status, physical symptoms, and sleep satisfaction of postpartum women over time
Ju‐Eun Song, Hyun Ju Chae, Chang Hee Kim
Nursing & Health Sciences.2014; 16(3): 335. CrossRef
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International Journal of Mental Health Nursing.2013; 22(4): 359. CrossRef
A Comparative Study of Postpartum Stress, Postpartum Depression, Postpartum Discomfort and Postpartum Activity, Between Women who Used and those Women did not Used Sanhujori Facilities
김민아, Choi so young
JOURNAL OF THE KOREAN SOCIETY OF MATERNAL AND CHILD HEALTH.2013; 17(2): 184. CrossRef
Effect of Intervention Programs for Improving Maternal Adaptation in Korea: Systematic Review
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Korean Journal of Women Health Nursing.2013; 19(3): 129. CrossRef

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Effects of a Newborn Care Education Program on Newborn Care Confidence and Behavioral Accuracy of Primiparas in a Postpartum Care Center: Hyunkyung Kim, Ihnsook Jeong; Journal of Korean Academy of Nursing 2007;37(1):125-134. Published online February 28, 2007; DOI: https://doi.org/10.4040/jkan.2007.37.1.125

Abstract PDF

Purpose

The study aimed to identify the effects of a newborn care education program on newborn care confidence and behavioral accuracy of primiparas in a postpartum care center.

Method

This was a quasi-experimental study with a non-equivalent control group non-synchronized design. Subjects were 29 primiparas selected from a postpartum care center in D and P hospitals in Ulsan. The intervention was a newborn care education program which was composed of education with a booklet, demonstration, watching a video, and verbal encouragement. The outcome variables were newborn care confidence and behavioral accuracy. Data was collected from Feb. 1 to Mar 22 in 2005 with self-administered questionnaires and observation by researchers. Data was analyzed using the χ²-test, Fisher's exact test, t-test and ANCOVA.

Result

The experimental group showed significantly higher score changes between the pre-test and post-test in confidence and behavioral accuracy than the control group.

Conclusion

The newborn care education program showed positive effects on newborn care confidence and behavioral accuracy of primiparas in a postpartum care center. Therefore, we recommend that this program should be applied in postpartum care centers.

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