The present report describes a case that showed a normal fetal karyotype in an antenatal genetic study but an abnormal placental karyotype of 46,XX,r (15) on postnatal examination. The pregnancy was complicated by fetal nuchal translucency in the first trimester and intrauterine growth restriction in the second and third trimesters. A 1780 gm female baby was born after 40 weeks of gestation, but died of respiratory distress and sepsis on the 10th day of life. Our case was unique in that the placental chromosomal aberration was a structural abnormality instead of a numerical aberration that is seen in most reported cases of confined placental mosaicism.
This study measures the subjectivity(opinions·attitudes)of college women. Identifying the schemata(structure of subjectivity) would be a basic step for the women's health education and the promotion to alternative strategies of women's health nursing. More concretely, these following research questions are focused. 1) The subjective schemata : find out typologies based on the opinions and attitudes toward the health lifestyle. 2) Applications : describe the characteristics of each type. 3) Alternatives : provide suggestion of the promotion to alternative strategies for women's health nursing. Q- Methodological method was used for that purpose. As for the research method, Q-statements were preliminary collected in the study from through in-depth interviews and a literature review. For the study 36 Q-statements were selected. 33 college women were used as subjects for research. The 33 college women sorted the 36 statements using the principle of Forced Normal Distribution. The principle of Forced Normal Distribution, which has nine scales to measure the individual opinions, was called. Q-Factor Analysis by using PC Quanl Program to supply the material. According to the outcomes of this study, there were three categories of special opinions about the health lifestyle in college women. The first type is called Initiatived Health Management Type. The second type is called Social Activity Centered Type. The third type is called Positive Outlook Type. Through the result of this study, the health lifestyle could be identified by 3 types, therefore the nurses needed to understand each women's meaning to health lifestyle so they could develop the appropriate nursing intervention based the typology of the health lifestyle this study explored. Finally, The result of the study will provide clues for developing a nursing interventional program and alternative strategies for the health promotion lifestyle in college women.
This study has been done for the purpose of testing the effects of education for women's health on the performance of health promoting behavior and self esteem of college women. The study was designed as simulated control group pretest-posttest design, the experimental group was composed 182 college women and the control group was composed 151 college women at D University in Seoul. The instruments used for this study were Health Promoting Behavior Scale developed by Walker et al(1987)were modified by Shin(1997) and Self Esteem Scale developed by Rosenberg(1965). The data were analyzed by chi-square test, t-test and ANCOVA using $SPSSIPC^+$ program. The results were as follows: 1. The result of the homogeneity test in terms of the demographic characteristics of two group showed that there were significant difference in major discipline($x^2=155.854$, p=.000), religion($x^2=6.325$, p=.011), and disease experience($x^2=3.949$, p=.046). 2. Hypotheses 1 that the college women who get women's health education will have a higher score of health promoting behavior than the college women who do not get women's health education was supported. The score of health promoting behavior between two group showed statistically difference(t=7.25, p= .000). Mer control of covariates(major discipline, religion, and disease experience), the score of health promoting behavior between two group showed statistically difference(F=31.817, p= .000). 3. Hypotheses 2 that the college women who get women's health education will have a higher score of self esteem than the college women who do not get women's health education was supported. The score of self esteem between two group showed statistically difference(t=4.91, p= .000). After control of covariates(major discipline, religion, disease experience), the score of self esteem between two group showed statistically difference(F=12.688, p= .000). The following suggestions are made based on the above results : 1) Replication of the research is needed to confirm effects of health education including the college man and various demographic differences. 2) More effective health education programs appropriate to subject need to be developed. 3) Nursing college or departments of nursing should make an effort to develop and carry out various health education program for health for all.
The purposesof the study are to analyze the community nursing center in U.S.A and to develop the model of nursing care system based on nurse-midwifery clinic in community for women's health in Korea. 1. In America nursing center is defined as nurse-anchored system of primary care delivery or neighborhood health center. Nursing centers are identified the following four types: (1) community outreach centers, which are similar to traditional public health clinics: (2) institutional-based centers following the mission of a large institution, such as a hospital or university: (3) wellness/health promotion centers, which offer screening, education, counseling, triage, and health maintenance services: and (4) independent practice. Nursing centers are a concept of services provided by nurses in practice arrangements in a community. Nursing centers offer a variety of services, ranging from primary care provided by advanced practice nurses with medical acute management and nursing care to the more traditional education, health promotion, screening wellness and coordination services. Some services, such as the care provided by advanced practice nurses are reimbursed under various insurance plan in some instances and states, where as others, such as preventive and educational services, are not. Thus, lack of reimbursement has threatened the survival of some centers. Licensing of nursing centers varies by state and program and accreditation of nursing centers is also limited. 52% of centers are affiliated with another facility and 48% are freestanding centers. The number of registered nurse at the nursing centers ranges from just one to 115, with a mean of eight RNs peragency and a median of three. Nursing centers avail ability varies: 14% are open 24 hours, 27% have variable short hours, 23% are open 6-7 days per week, and 36% are open Monday- Friday. As the result of my visiting three health centers in Seattle and San Francisco, the women's primary care nurse practitioners focus on a systematic and comprehensive assessment of the health status of women and diagnosis and management of common physical and psychosocial health concerns of women in ambulatory settings. Therapeutic nursing strategies are directed toward self-care, risk reoduction, health surveillance, stress reduction, healthy nutrition, social support, healthy coping, psychological well-being, and pharmacological therapy. They function as primary care providers for the well ness and illness care of women from adolescence through the older adult years and pregnant families. 2. In Korea a nurse-midwife practices independently for pregnant women's health including childbearing family at her own clinic in community. Her services are reimbursed under national health insurance but they are not paid on a fee-for-service schedule covering items. Analyzing the nursing centers in America, I suggest that nurse-midwifery clinics offer primary care for women and home care for chronic ill patients. The health law and health insurance policy should be reovised in order to expand nurse-midwife's and home care nurse's roles at nurse-midwifery clinic.
Purpose: This research was conducted to investigate perceived health status, health promoting behaviors and depression level in Korean and foreign students at women's university. Methods: The sample group of this study consists of 100 Korean students at a women's university and 98 foreign students from China and Vietnam who were enrolled at the same university in G City. The research results were analyzed using the SAS program (Version 8.2) with Chi-square test, Fisher's exact test and t-test. Results: 1) The Korean students showed a significantly higher score in drinking and smoking than foreign students. Also, age, religion, part time job, stress and allowance were significantly different between the two groups. 2) The foreign students showed a significantly higher score in perceived health status and health promoting behavior than the Korean students. 3) The foreign students showed a significantly higher score in depression than the Korean students. Conclusion: In the development of health programs for foreign students, it is necessary to focus on reducing depression and to consider the traditions of their own countries. It is desired to conduct further study about health promoting behavior and factors affecting health with respect to the countries where the foreign students originated.
Purpose: The purpose of this study was to compare birth outcomes between Korean women and immigrant women. Methods: Medical records were reviewed retrospectively from 201 immigrant women and 201 Korean women who delivered babies at K women's hospital in U city from January 2006 to December 2009. Maternal outcomes related factors included nationality, age, obstetric history, delivery type, indications of cesarean section, and complications of pregnancy and delivery. Principal neonatal outcomes were birth weight, Apgar scores, and complications of newborns. Results: Immigrant women were younger and had fewer pregnancies, abortions, and surviving children than Korean women. The rate of primary cesarean section and its indication in immigrant women were not significantly different from Korean women. However, immigrant women's newborn were more likely to have low birth weight and meconium staining. Conclusion: The results of this study indicate less equity of immigrant women in women's health care, although immigrant women's babies had lower Apgar score and more meconium staining. Nurses should help immigrant women cope with labor process effectively to prevent adverse health outcomes for their newborns.
Health behavior constitutes the single most important factor in an individual's health maintenance program. Pender's health promotion model emphasizes the positive aspects of health-seeking behavior hut omits some negative ones. Although Pender's work does include the concept of barriers, the main focus is upon health habits rather than upon the interaction between the consumer and the health care system. Therefore, since individuals actually do face many barriers in their health-seeking behavior, the present study deals with negative concepts-the barriers to health and healthy behavior. For this reason the expression health-seeking behavior was chosen over health promotion. In conclusion, the results show that barriers to health-seeking behavior are causal factors that could explain and predict the health-seeking behavior of middle life women. Midlife women shows that they have barriers to health-seeking behavior especially in inconvenience, cost, healthcenter site-related problem, relationship, fear. These findings suggest the need to develop a nursing strategy to improve the empowerment of self-determination in middle-aged women. Consequently, a goal of nursing care for middle-aged women should be to help them pursue health care with a greater degree of self-sufficiency.
Purpose: The purpose of this study was to identify social support and health status based on characteristics of leisure activity in middle-aged women. Methods: Participants were 148 middle-aged women living in the capital area. Data were collected through self-report questionnaires which were constructed to include leisure activity characteristics, social support and Brodman's CMI. Data were analyzed using t-test, and ANOVA, with SPSS/WIN 14.0. Results: Social support was different depending on leisure type, leisure partner, length of participation in present activity, regularity, and motivation to start activity. Health status was different depending on the length of participation in present activity, and regularity. Conclusion: Because social support and health status depend on characteristics of leisure activity, further study in nursing one how to resolve the physical, psychological, social and health problems that middle-aged women might experience through various leisure activities.
This study reviewed about Health Management of Women's with Menstrual Disorder and the differences in opinions between the Eastern- Western Nursing Sciences. The purpose of this study was to find out a possible integration of the Eastern-Western Nursing Sciences for Health Management of Women's with Menstrual Disorder and to suggest a distinct frame of Korean Nursing Intervention Method. In the last decade, the women's movement has succeeded in changing in inappropriate and poor treatment. The health consumer movement has also achieved many gains in improving the quality of health care. Yet the medical care offered women during their life stages is still characterized by a lack of effectiveness, safety, and consideration. Today, Although there are differences between Oriental and Western Medicine in approaches to clients, the Eastern-Western Nursing Sciences in approach to clients can be hoped that contribution will be made to the development of nursing intervention which is suitable to Korean context.
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