Child Health Nursing Research

Korean Academy of Child Health Nursing (한국아동간호학회)
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South Korean first-time mothers' knowledge of digestive health problems in infancy and their utilization of health care facilities for digestive health concerns: a descriptive study

  • Yijin Lee (Seoul National University Hospital) ;
  • Kyung-Sook Bang (College of Nursing.Center for World-leading Human-care Nurse Leader for the Future by BK21 Project.The Research Institute of Nursing Science, Seoul National University)
  • Received : 2024.05.08
  • Accepted : 2024.06.14
  • Published : 2024.07.31
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Abstract

Purpose: This study aimed to assess the knowledge level of first-time mothers regarding digestive health issues in infancy and to examine the utilization of healthcare facilities for such problems. Methods: Data from 119 first-time mothers of infants under 6 months of age were analyzed. Descriptive statistics, t-test, and one-way analysis of variance (ANO-VA) were conducted using the SPSS software. Results: The average correct response rate for first-time mothers' knowledge of digestive health problems in infancy was 61.9%. The highest correct response rate was observed for infantile colic, while diarrhea had the lowest. Less than 50% of mothers received education on infant digestive health problems across all categories. Among digestive health problems in infancy, diarrhea exhibited the highest rate of healthcare utilization, whereas infantile colic had the lowest. First-time mothers' knowledge of digestive health problems in infancy varied based on maternal age (t=-3.66, p<.001), education level (t=-2.26, p=.026), and planned pregnancy (t=3.24, p=.002). Moreover, mothers who received education on infant digestive health problems demonstrated better overall knowledge of digestive health problems. Conclusion: The rate of education regarding digestive health problems during infancy among first-time mothers was < 50%. Furthermore, mothers educated on infant digestive health issues exhibited improved knowledge. Therefore, it is necessary to provide appropriate pre-education to primiparous common gastrointestinal health issues in infants.

Keywords

References

  1. Jiang H, Gallier S, Feng L, Han J, Liu W. Development of the digestive system in early infancy and nutritional management of digestive problems in breastfed and formula-fed infants. Food & Function. 2022;13(3):1062-1077. https://doi.org/10.1039/d1fo03223b
  2. Mahon J, Lifschitz C, Ludwig T, Thapar N, Glanville J, Miqdady M, et al. The costs of functional gastrointestinal disorders and related signs and symptoms in infants: a systematic literature review and cost calculation for England. BMJ Open. 2017;7(11):e015594. https://doi.org/10.1136/bmjopen-2016-015594
  3. McAuley K, McAullay D, Strobel NA, Marriott R, Atkinson DN, Marley JV, et al. Hospital utilisation in indigenous and non-indigenous infants under 12 months of age in Western Australia, prospective population based data linkage study. PLoS One. 2016;11(4): e0154171. https://doi.org/10.1371/journal.pone.0154171
  4. Ministry of Health and Welfare. Postpartum care survey [Internet]. 2021 [cited 2022 December 6]. Available from: https://www.mohw.go.kr/board.es?mid=a10411010100&bid=0019&tag=&act=view&list_no=369936
  5. Anmut W, Fekecha B, Demeke T. Mother's knowledge and practice about neonatal danger signs and associated factors in Wolkite Town, Gurage Zone, SNNPR, Ethiopia, 2017. Journal of Biomedical Sciences. 2017;6(5):33. https://doi.org/10.4172/2254-609X.100077
  6. Herbert HK, Lee AC, Chandran A, Rudan I, Baqui AH. Care seeking for neonatal illness in low- and middle-income countries: a systematic review. PLoS Medicine. 2012;9(3):e1001183. https://doi.org/10.1371/journal.pmed.1001183
  7. Vandenplas Y, Hauser B, Salvatore S. Functional gastrointestinal disorders in infancy: impact on the health of the infant and family. Pediatric Gastroenterology, Hepatology & Nutrition. 2019;22(3):207-216. https://doi.org/10.5223/pghn.2019.22.3.207
  8. Ricci SS, Kyle T, Carman S. Maternity and pediatric nursing. 3rd ed. Wolters Kluwer; 2017. p. 1577-1627.
  9. Kim HS, Sim MK, Kim TI, Kathleen NF, Rosemary WTC, Carole KA. Factors influencing parenting confidence in first-time mothers of infants in their first year. Journal of Korean Academy of Child Health Nursing. 2007;13(2):119-127.
  10. Kwon MK, Bang KS, Kim H. Comparison of knowledge and confidence of newborn care between mother and father. Korean Parent-Child Health Journal. 2015;18(1):11-18.
  11. Ong SF, Chan WC, Shorey S, Chong YS, Klainin-Yobas P, He HG. Postnatal experiences and support needs of first-time mothers in Singapore: a descriptive qualitative study. Midwifery. 2014;30(6):772-778. https://doi.org/10.1016/j.midw.2013.09.004
  12. Shorey S, Chan SW, Chong YS, He HG. Perceptions of primiparas on a postnatal psychoeducation programme: the process evaluation. Midwifery. 2015;31(1):155-163. https://doi.org/10.1016/j.midw.2014.08.001
  13. An HS, Bang KS. Effects of newborn care education for first-time fathers on their knowledge and confidence in newborn care at postpartum one month. Journal of Korean Academy of Nursing. 2014;44(4):428-436. https://doi.org/10.4040/jkan.2014.44.4.428
  14. Lee YE, Oh E. Knowledge and education demand toward newborn care in multi-cultural mothers. Journal of the Korean Society of Maternal and Child Health. 2015;19(1):47-57. https://doi.org/10.21896/jksmch.2015.19.1.47
  15. Senthamarai P. A study to assess the knowledge on selected gastro intestinal problems of infants among mothers in a selected rural area, Kumaramangalam, Tiruchengodu [dissertation]. Tiruchengode: Vivekanandha College of Nursing, Tiruchengode; 2012. p. 1-182.
  16. Hwang H, Kim J. Effects of a newborn care education program using infant model. Journal of the Korea Academia-Industrial Cooperation Society. 2014;15(6):3805-3812. https://doi.org/10.5762/KAIS.2014.15.6.3805
  17. Huang Y, Chen L, Wang X, Zhao C, Guo Z, Li J, et al. Maternal knowledge, attitudes and practices related to neonatal jaundice and associated factors in Shenzhen, China: a facility-based cross-sectional study. BMJ Open. 2022;12(8):e057981. https://doi.org/10.1136/bmjopen-2021-057981
  18. Steven P, Altmann TR, Hannermann RE. Caring for your baby and young child: birth to age 5. 6th ed. American Academy of Pediatrics; 2014. p. 521-552. https://doi.org/10.1542/9781581108729
  19. Healthy Children. Symptom checker [Internet]. 2024 [cited 2023 January 7]. Available from: https://www.healthychildren.org/english/tips-tools/symptom-checker/pages/default.aspx
  20. Burns CE. Pediatric primary care. 6th ed. Elsevier; 2017. p. 833-888.
  21. Seshamalini P. A study to assess the effectiveness of planned teaching programme on knowledge of minor disorders of newborn among postnatal mothers admitted in postnatal ward at Institute of Obstetrics and Gynecology and Government Hospital for Women and Children, Chennai [dissertation]. Chennai: College of Nursing, Madras Medical College; 2018. p. 1-175.
  22. Seneadza NAH, Insaidoo G, Boye H, Ani-Amponsah M, Leung T, Meek J, et al. Neonatal jaundice in Ghanaian children: assessing maternal knowledge, attitude, and perceptions. PLoS One. 2022;17(3):e0264694. https://doi.org/10.1371/journal.pone.0264694
  23. Demis A, Getie A, Wondmieneh A, Alemnew B, Gedefaw G. Knowledge on neonatal jaundice and its associated factors among mothers in northern Ethiopia: a facility-based cross-sectional study. BMJ Open. 2021;11(3):e044390. https://doi.org/10.1136/bmjopen-2020-044390
  24. Yuksel Kacan C, Pallos A, Ozkaya G. Examining knowledge and traditional practices of mothers with children under five in Turkey on diarrhoea according to education levels. Annals of Medicine. 2022;54(1):674-682. https://doi.org/10.1080/07853890.2022.2044508
  25. Cardoso AMR, Marin HF. Gaps in the knowledge and skills of Portuguese mothers associated with newborn health care. Revista Latino-Americana de Enfermagem. 2018;26:e2997. https://doi.org/10.1590/1518-8345.1859.2997
  26. Zhang L, Hu P, Wang J, Zhang M, Zhang QL, Hu B. Prenatal training improves new mothers' understanding of jaundice. Medical Science Monitor: International Medical Journal of Experimental and Clinical Research. 2015;21:1668-1673. https://doi.org/10.12659/msm.893520
  27. Salia SM, Afaya A, Wuni A, Ayanore MA, Salia E, Kporvi DD, et al. Knowledge, attitudes and practices regarding neonatal jaundice among caregivers in a tertiary health facility in Ghana. PLoS One. 2021;16(6):e0251846. https://doi.org/10.1371/journal.pone.0251846
  28. Nhampossa T, Mandomando I, Acacio S, Nhalungo D, Sacoor C, Nhacolo A, et al. Health care utilization and attitudes survey in cases of moderate-to-severe diarrhea among children ages 0-59 months in the District of Manhica, southern Mozambique. The American Journal of Tropical Medicine and Hygiene. 2013;89(1 Suppl):41-48. https://doi.org/10.4269/ajtmh.12-0754