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Development and Evaluation of Prenatal Education for Environmental Health Behavior Using Cartoon Comics
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Hyun Kyoung Kim, Hee Kyung Kim, Mirim Kim, Seohwa Park
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J Korean Acad Nurs 2021;51(4):478-488. Published online August 31, 2021
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DOI: https://doi.org/10.4040/jkan.21083
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 Abstract
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- 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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Citations
Citations to this article as recorded by  - The effect of DECO-MOM mobile application for a prenatal environmental health program on environmental health behaviors: a pilot test
Hae Kyung Jo, Hyun Kyoung Kim
BMC Pregnancy and Childbirth.2025;[Epub] CrossRef - Development and evaluation of a quasi-experimental sexual and reproductive health literacy (SRHL) programme for marriage immigrants in South Korea: focus on Vietnamese women
Heeran Chun, Young Sook Lee, Hyeran Yoon
BMJ Public Health.2025; 3(2): e002473. CrossRef - Examining the Effectiveness of Interactive Webtoons for Premature Birth Prevention: Protocol for a Randomized Controlled Trial
Sun-Hee Kim, Jennie C De Gagne
JMIR Research Protocols.2024; 13: e58326. CrossRef - Development and effects of a webtoon education program on preventive self-management related to premature labor for women of childbearing age: a randomized controlled trial
Sun-Hee Kim
Korean Journal of Women Health Nursing.2022; 28(3): 250. CrossRef - The effects of environmental prenatal program on environmental health perception and behavior using internet-based intervention in South Korea: A non-randomized controlled study
Hyun Kyoung Kim, Geum Hee Jeong, Hye Young Min, George Vousden
PLOS ONE.2022; 17(11): e0277501. CrossRef
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Development of an Instrument to Assess the Quality of Childbirth Care from the Mother's Perspective
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Geum Hee Jeong, Hyun Kyoung Kim, Young Hee Kim, Sun-Hee Kim, Sun Hee Lee, Kyung Won Kim
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J Korean Acad Nurs 2018;48(1):38-49. Published online January 15, 2018
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DOI: https://doi.org/10.4040/jkan.2018.48.1.38
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Abstract
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- Abstract
Purpose
This study aimed to develop an instrument to assess the quality of childbirth care from the perspective of a mother after delivery.
Methods
The instrument was developed from a literature review, interviews, and item validation. Thirty-eight items were compiled for the instrument. The data for validity and reliability testing were collected using a questionnaire survey conducted on 270 women who had undergone normal vaginal delivery in Korea and analyzed with descriptive statistics, exploratory factor analysis, and reliability coefficients.
Results
The exploratory factor analysis reduced the number of items in the instrument to 28 items that were factored into four subscales: family-centered care, personal care, emotional empowerment, and information provision. With respect to convergence validation, there was positive correlation between this instrument and birth satisfaction scale (r=.34, p<.001). The internal consistency reliability was acceptable (Cronbach's alpha =.96).
Conclusion
This instrument could be used as a measure of the quality of nursing care for women who have a normal vaginal delivery.
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Citations
Citations to this article as recorded by - Effect of a continuity of midwifery care model that used a respectful maternal care framework in Korea: a non-randomized study
Geumhee Jeong, Hyun Kyoung Kim, Uri Bang
Frontiers in Public Health.2025;[Epub] CrossRef - Maternal Health Effects of Internet-Based Education Interventions during the Postpartum Period: A Systematic Review
Jung Mi Chae, Hyun Kyoung Kim
Journal of Korean Academy of Community Health Nursing.2021; 32(1): 116. CrossRef - Internet-based prenatal interventions for maternal health among pregnant women: A systematic review and meta-analysis
JungMi Chae, Hyun Kyoung Kim
Children and Youth Services Review.2021; 127: 106079. CrossRef - Development and Evaluation of Prenatal Education for Environmental Health Behavior Using Cartoon Comics
Hyun Kyoung Kim, Hee Kyung Kim, Mirim Kim, Seohwa Park
Journal of Korean Academy of Nursing.2021; 51(4): 478. CrossRef - Development and Effect of Nurse-Centered Doula Support Program for Mothers with Natural Childbirth: PILOT TEST
Jimi Park, Ho Ran Park
Journal of The Korean Society of Maternal and Child Health.2019; 23(4): 269. CrossRef - Comparison of the Quality of Nursing Care as Perceived by Pediatric Nurses and Mothers of Hospitalized Children
So Yeon Yoo, Yae Young Kim, Haeryun Cho
Child Health Nursing Research.2018; 24(4): 373. CrossRef
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Impact of Pro-environmental Behavior on Dysmenorrhea
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Hyun Kyoung Kim
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J Korean Acad Nurs 2011;41(2):236-244. Published online April 30, 2011
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DOI: https://doi.org/10.4040/jkan.2011.41.2.236
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Abstract
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Purpose
In this study the impact of pro-environmental behavior, well-being oriented behavior, and use of cloth menstrual pads on dysmenorrhea in Korean female adults was examined according to the theory of reasoned action.
Methods
A cross-sectional study was conducted with 195 Korean female adults. Data were collected from June to August, 2010 using self-report questionnaires. Data were analyzed using t-test, one-way ANOVA, Pearson correlation coefficients, multiple regression, and logit regression with STATA 10.0.
Results
Pro-environmental behavior explained 48% of well-being oriented behavior. Well-being oriented behavior explained 10% of cloth pad use. Use of cloth pad explained 4% of dysmenorrhea and 5% of menstrual pain. The path through well-being oriented behavior had a significant effect from pro-environmental behavior to cloth pad use.
Conclusion
Use of cloth pad was significantly related with well-being oriented behavior, pro-environmental behavior, social influence, dysmenorrhea, and menstrual pain. The results of this study suggest that pro-environmental strategies can help health care providers diminish clients' menstrual symptoms. Nursing intervention can support pro-environmental behavioral strategies.
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Citations
Citations to this article as recorded by - Proposal of Mobile Application Service for a Sustainable Menstrual Experience
Min-Ju Park, Woo-Jeong Chon
Journal of Digital Contents Society.2022; 23(10): 1929. CrossRef - Effects of a dietary modification intervention on menstrual pain and urinary BPA levels: a single group clinical trial
SoMi Park, ChaeWeon Chung
BMC Women's Health.2021;[Epub] CrossRef - Factors Influencing Behavior of Reducing Exposure to Endocrine Disrupting Chemicals in Breastfeeding Mothers
Sun Hyang Kim, Eun-Young Jun
Korean Journal of Women Health Nursing.2018; 24(4): 423. CrossRef - Health behaviors related to endocrine-disrupting chemicals and the associated factors of adolescent Korean girls
SoMi Park, ChaeWeon Chung
Women & Health.2018; 58(8): 915. CrossRef - Relationship between Menstrual Distress and Sleep Disturbance in Middle-school Girls
Se Yeong Park, SoMi Park
Korean Journal of Women Health Nursing.2018; 24(4): 392. CrossRef
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Lived Experience of Considering Tomorrow among North Korean Refugees
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Ok Ja Lee, Hyun Kyoung Kim
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Journal of Korean Academy of Nursing 2007;37(7):1212-1222. Published online December 31, 2007
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DOI: https://doi.org/10.4040/jkan.2007.37.7.1212
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Abstract
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Purpose
The present study was done to discover the structure of universal actual experiences ‘Considering tomorrow’ of health and quality of life among North Korean refugees in terms of the socio-cultural context of South Korea.
Method
The research question was ‘what is the structure of the actual experience of ‘Considering tomorrow?’, which was examined based on the Parse's human becoming research method. Five North Korean adult refugees were recruited from a National Reconciliation Committee in Seoul/Incheon. The data was gathered from dialogues and collected from February, 2006 to November, 2006.
Results
The structures found in this study were: ‘hope for future life by taking responsibility and having harmony with South Koreans, by forming an integrated identification; having a chance for positive engagement, by attaining human freedom and hope; feeling respected, by assimilating self to the new world; getting freedom back, by facing a new challenge and preparing self for a new social role; overcoming cultural differences with fortified hardiness for survival, by making a decision for a life course with individual growth. In addition, conceptual integration was that ‘Considering tomorrow is transforming the enabling-limiting values’.
Conclusion
Health professionals need to know North Korean refugees' psychological difficulties, expectations of treatment, help seeking behavior, and expectations from mainstream culture. Additionally, understanding North Korean refugees' needs for reality, health education and a multi-disciplinary team approach are necessary to improve their health.
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Citations
Citations to this article as recorded by - Adaptation Experiences in South Korea of Men defecting from North Korea
Kyoung Mi Kim, Miyoung Kim
Journal of Korean Academy of Nursing.2013; 43(3): 431. CrossRef - Lived Experience of Psychological Suffering among the North Korean Refugees: Applied to Parse's Human Becoming Research Methodology
Hyun Kyoung Kim, Ok Ja Lee
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2010; 19(4): 359. CrossRef - Understanding the meaning of human dignity in Korea: a content analysis
Kae-Hwa Jo, Ardith Z Doorenbos
International Journal of Palliative Nursing.2009; 15(4): 178. CrossRef
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