Journal of Korean Academy of Nursing

Suk-Kyun Yang

2 Articles

Effects of a Pre-Conception Care Program in Women with Inflammatory Bowel Disease: A Mixed-Methods Study Including a Randomized Controlled Trial: Young Jin Lee, Hae Won Kim, Yeon Hee Kim, Suk-Kyun Yang, Ji-Yeon Kim; J Korean Acad Nurs 2024;54(3):386-402. Published online August 31, 2024; DOI: https://doi.org/10.4040/jkan.24010

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.

Citations

Citations to this article as recorded by

The experiences of fertility concerns in women with inflammatory bowel disease of childbearing age: a descriptive qualitative study
Lewei Tu, Qiaoyu Wu, Mengxiao Jiang, Meihao Wei, Ying Wang, Ying Xiao
BMC Gastroenterology.2025;[Epub] CrossRef

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Depression and Risk Factors in Patients with Crohn's Disease: Ok-Hee Cho, Yang-Sook Yoo, Suk-Kyun Yang; J Korean Acad Nurs 2012;42(2):207-216. Published online April 30, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.2.207

Abstract PDF

Purpose

This study was conducted to determine the risk factors among patients with depression with Crohn's disease.

Methods

Data were collected by questionnaire from 276 patients who were diagnosed with Crohn's disease at a tertiary hospital located in Seoul. Measurements included patients' demographic characteristics, clinical characteristics, depression level, and health-related quality of life. Data were analyzed using t-test, χ²-test, Wilcoxon rank sum test, and logistic regression analyses.

Results

The incidence rate of depression (BDI-II≥14scores) was 31.9% (n=88). Univariate analysis revealed that being a woman, school graduation status, economic status (low), BMI(<18.5Kg/m²), disease duration (≥3 years), CDAI (≥150 scores), frequency of hospital admission (≥2), extra-intestinal manifestation (arthralgia, stomatitis), administration of 5-aminosalicylic acid, and disease related quality of life (SIBDQ<50 scores) were associated with depression. Multivariate analysis revealed that economic status (low), school graduation status, and quality of life (SIBDQ<50 scores) were more likely to report high level of depression.

Conclusion

Future research should consider managing depression as an essential component of comprehensive care for patients with Crohn's disease. In addition, further research is needed to develop strategies to better improve quality of life among patients with Crohn's disease who are depressed.

Citations

Citations to this article as recorded by

Are Depression and Anxiety Underdiagnosed in Socially Vulnerable Patients With Inflammatory Bowel Disease?
Jessica L Sheehan, Ariel A Jordan, Kira L Newman, Laura A Johnson, Dala Eloubeidi, Shirley Cohen-Mekelburg, Jeffrey A Berinstein, Renuka Tipirneni, Peter D R Higgins
Inflammatory Bowel Diseases.2024; 30(10): 1696. CrossRef
Prevalence of symptoms of anxiety and depression in patients with inflammatory bowel disease: a systematic review and meta-analysis
Brigida Barberio, Mohammad Zamani, Christopher J Black, Edoardo V Savarino, Alexander C Ford
The Lancet Gastroenterology & Hepatology.2021; 6(5): 359. CrossRef
Prevalence of Anxiety and Depression in Inflammatory Bowel Disease: Systematic Review and Meta-Analysis
Brigida Barberio, Mohammad Zamani, Christopher J. Black, Edoardo V. Savarino, Alexander Ford
SSRN Electronic Journal .2020;[Epub] CrossRef
Depression, Anxiety, Related Risk Factors and Cognitive Distortion in Korean Patients with Inflammatory Bowel Disease
Jun Ho Song, Jong Woo Kim, Chi Hyuk Oh, Hyo Jong Kim, Chang Kyun Lee, Won Sub Kang
Psychiatry Investigation.2020; 17(11): 1126. CrossRef
A Model of the Quality of Life in Patients with Crohn’s Disease
Shin Ae Lee
Journal of Korean Academy of Fundamentals of Nursing.2020; 27(4): 333. CrossRef
Is the Chinese medicinal formula Guipi Decoction (归脾汤) effective as an adjunctive treatment for depression? A meta-analysis of randomized controlled trials
Chen-xia Sheng, Ze-qi Chen, Han-jin Cui, A-li Yang, Cong Wang, Zhe Wang, Nan-xiang Su, Tao Tang
Chinese Journal of Integrative Medicine.2017; 23(5): 386. CrossRef
Determinants of Healthcare Utilization Among Veterans with Inflammatory Bowel Disease
Mimi C. Tan, Hashem B. El-Serag, Jason K. Hou
Digestive Diseases and Sciences.2017; 62(3): 607. CrossRef
The Mental Health State of Quiescent Inflammatory Bowel Disease Patients
Sung Chul Park, Yoon Tae Jeen
Gut and Liver.2016;[Epub] CrossRef
Factors Associated with Anxiety and Depression in Korean Patients with Inactive Inflammatory Bowel Disease
Min Chul Kim, Yoon Suk Jung, Young Seok Song, Jung In Lee, Jung Ho Park, Chong Il Sohn, Kyu Yong Choi, Dong Il Park
Gut and Liver.2016;[Epub] CrossRef
The Mediating Effect of Resilience on Depression and Rehabilitation Motivation in Stroke Patients
Eun Sil Choi, Eun Nam Lee, Jeong Lim Cho
Journal of muscle and joint health.2016; 23(1): 19. CrossRef
Body Image, Self Esteem, and Health related Quality of Life in Patients with Crohn's Disease
Young Jin Lee, Eui Geum Oh
Korean Journal of Adult Nursing.2014; 26(4): 383. CrossRef
Factors related to Quality of Life of Patients with Ulcerative Colitis
Yang-Sook Yoo, Miyoung Chung, Ok-Hee Cho
Korean Journal of Adult Nursing.2014; 26(2): 129. CrossRef
Psychiatric co-morbidities in Crohn's disease: an often overlooked aspect
Shailendra Kapoor
Revista da Associação Médica Brasileira.2013; 59(2): 100. CrossRef
Psychiatric co-morbidities in Crohn's disease: an often overlooked aspect
Shailendra Kapoor
Revista da Associação Médica Brasileira (English Edition).2013; 59(2): 100. CrossRef

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