Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

Status and Influencing factors of health behavior in pregnant women in Yanbian area

연변지역 임부의 건강행위 이행실태 및 영향요인

  • 장해련 (중국 연변대학교 간호대학) ;
  • 이춘옥 (중국 연변대학교 간호대학) ;
  • 김현리 (충남대학교 간호대학)
  • Received : 2015.09.23
  • Accepted : 2015.11.06
  • Published : 2015.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: To Examine the status of health behavior and identify the influencing factors of health behavior among pregnant women. Method: The participants were 1011 pregnant women who visited outpatient hospital of in Yanbian, China. Participants were interviewed using Chinese version of Edinburgh Postnatal Depression Scale(EPDS), Perceived Social Supports(PSSS), general self-efficacy, and characteristics. Descriptive statistics, t-test, ANOVA, pearson correlation coefficient, binary logistic regression were used for data analysis with SPSS 19.0. Results: The mean score of health behavior was $28.93{\pm}6.59$ scores(0~45 scores). Antepartum depression(OR=0.94[0.90-0.98]), perceived social supports(OR=1.07[1.05-1.09]), self-efficacy(OR=1.36[1.04-1.79]) were predictor of health behavior among pregnant women, on the contrary to this the characteristics of pregnant women were not statistically significant. Conclusion: The implement of the health behavior among pregnant women was not ideal. It's necessary to develop a health behavior intervention focus on antepartum depression, social support, and self-efficacy for pregnant women.

본 연구의 목적은 임부를 대상으로 건강행위의 이행수준과 이와 관련된 영향요인을 파악하기 위함이다. 중국 연변지역에 소재한 모자보건병원 외래를 방문한 1011명의 임부를 연구대상으로 하였고, 연구대상자들의 산전우울, 사회적지지, 자기효능감, 건강행위 및 대상자 특성을 수집하였으며 SPSS19.0프로그램을 사용하여 기술통계, t-test, ANOVA, 피어슨 상관관계분석 및 이분형 로지스틱회귀분석 등 통계방법으로 자료를 분석하였다. 연구결과, 임부의 건강행위 이행수준은 $28.93{\pm}6.59$(0~45점)인 것으로 나타났다. 임부의 건강행위에 영향을 미치는 요인으로 산전우울(OR=0.94[0.90-0.98]), 사회적 지지(OR=1.07[1.05-1.09]) 및 자기효능감(OR=1.36[1.04-1.79])으로 나타났고 대상자의 특성은 통계적으로 유의하지 않았다. 결론적으로, 임부는 중간정도로 건강행위를 이행하고 있어 이상적이지 못하였다. 따라서 임부의 건강행위 증진을 위한 중재 프로그램 개발이 시급하고 산전우울, 사회적지지 및 자기효능감에 대한 중재방안이 충분히 고려되어야 할 것이다.

Keywords

References

  1. United Nations Fund for Population Activities. The State of the World's Midwifery, a Women's Right to Health, United Nations Fund for Population Activities, 2014.
  2. X. X. Cai, X. T. Li, H. P. Liu, Study on the Self-efficacy and Self-management Behaviors of Pregnant Women, Morden Preventive Medication, Vol. 39, No. 12, pp.2964-2967, 2012.
  3. J. H. Youn, J. I. Sook, Predictors of Postpartum Depression: Prospective Cohort Study, Korean Journal of academic nursing, Vol. 43, No. 2, pp.225-235, 2013. https://doi.org/10.4040/jkan.2013.43.2.225
  4. M. Z. Cui, K. Zhang, J. X. Song, X. D. Shen, M. Z. Xu, C. Y. Li, Correlation of Health Status and Depression among Pregnant Women in Yanbian Area, Maternal and Child Health Care of China, Vol. 30, No. 21, pp.3682-3684, 2015.
  5. Statistics Bureau of Jilin Province, The Monitoring and Evaluation Report on the Development of Women and Children in Yanbian, 2014, Statistical Information Network of Jilin Province, 2015-07-20, http://http://tjj.jl.gov.cn/tjfx/2008/201405/t20140515_1663718.html
  6. E. J. Lee, J. S. Park, Status of Antepartum Depression and Its Influencing Factors in Pregnant Women, Journal of the Korea Academia-Industrial Cooperaton Society, Vol. 14, No. 8, pp.3897-3906, 2013. DOI: http://dx.doi.org/10.5762/KAIS.2013.14.8.3897
  7. W. T. He, J. Lv, X. W. Gan, H. F. Mao, W. Song, H. M. Wang, M. Cao, H. H. Song, M. He, On Status Quo of Cognitive Behavior and Influencing Factors among Pregnant Women on Maternal Health Care in Shanghai, The Chinese Health Service Management, Vol. 8, pp.626-629, 2012.
  8. J. W. Lee, Y. S. Eo, E. H. Moon. Effects of Self Efficacy, Body Image and Family Support on Postpartum Depression in Early Postpartum Mothers, Journal of the Korea Academia-Industrial cooperaton Society, Vol. 16, No. 6, pp.4011-4020, 2015. DOI: http://dx.doi.org/10.5762/KAIS.2015.16.6.4011
  9. Z. Taheri, M. A. Mazaheri, M. Khorsandi, A. Hassanzadeh, M. Amiri, Effect of Educational Intervention on Self-efficacy for Choosing Delivery Method among Pregnant Women in 2013, International Journal of Preventive Medicine, Vol. 5, No. 10, pp.1247-1254, 2014.
  10. Y. Wang, X. Guo, Y. Lau, K. S. Chan, L. Yin, J. Chen, Psychometric Evaluation of the Mainland Chinese Version of the Edinburgh Postnatal Depression Scale, International Journal of Nursing Studies, Vol. 46, No. 6, pp.813-823, 2009. DOI: http://dx.doi.org/10.1016/j.ijnurstu.2009.01.010
  11. Q. J. Jiang, Perceived Social Support Scale, Chinese Journal of Behavioral Medical Science, Vol. 10, pp.41-43, 2001.
  12. J. X. Zhang, R. Schwarzer, Measuring Optimistic Self-beliefs: A Chinese Adaptation of the General Self-Efficacy Scale, Psychologia, Vol. 38, No. 3, pp.174-181, 1995.
  13. M. A. Kominiarek, A survey of Health Behaviors in Minority Women in Pregnancy: The Influence of Body Mass Index, Women's Health Issue: Official Publication of the Jacobs Institute of Women's Health, Vol. 24, No. 3, pp.291-295, 2014. DOI: http://dx.doi.org/10.1016/j.whi.2014.02.007
  14. J. K. Straughen, C. H. Caldwell, A. A. Jr. Young, D. P. Misra, Partner Support in a Cohort of African American Families and its Influence on Pregnancy Outcomes and Prenatal Health Behaviors, BMC Pregnancy and Childbirth, Vol. 13, pp.187-195, 2013. DOI: http://dx.doi.org/10.1186/1471-2393-13-187
  15. M. O. Kim, M. Yu, Influence of Marital Intimacy and Family Support, and Fatigue on the Stress of Pregnant Woman, Journal of the Korea Academia-Industrial cooperaton Society, Vol. 15, No. 4, pp.2179-2188, 2014. DOI: http://dx.doi.org/10.5762/KAIS.2014.15.4.2179