Journal List > Korean J Women Health Nurs > v.23(2) > 1089565

Choi and Jung: Factors Influencing Health Promoting Behavior in Postpartum Women at Sanhujoriwon

Abstract

Purpose

The purpose of this study was to identify degrees of mood states, perceived health status, social support, and health promoting behavior, and to explore factors influencing health promoting behavior in postpartum women who were at Sanhujoriwon.

Methods

A cross-sectional survey design was used. Data were collected using questionnaires from 197 postpartum women who were at Sanhujoriwon from May 28 to June 18, 2015. Data were analyzed using descriptive statistics, Pearson's correlation analyses, and a multiple linear regression.

Results

The mean age of the participants was 31.8 years. About a half (47.2%) participants had a plan to receive 2 weeks of Sanhujoriwon care service. The mean health promoting behavior score was 123.5 ranged from 72 to 171. The health promoting behavior was explained by perceived health status (β=.25) and social support (β=.24). These factors accounted for 14% of the health promoting behavior.

Conclusion

The findings of this study reveal an important role of perceived health status, social support in health promoting behavior of postpartum women at Sanhujoriwon.

REFERENCES

1. Park YS, Cho DS, Lee EH, Kim JI, Shin HS, Jung JW, et al. Women's health nursing II. 7th ed.Paju: Soomoonsa;2012. p. 318–356.
2. Kim ME, Hur MH. Sleep quality, fatigue, and postpartum depression of mother at six months after delivery. Korean Journal of Women Health Nursing. 2014; 20(4):266–276.
crossref
3. Jung YY, Kim HW. Factors associated with postpartum depression and its influence on maternal identity. Korean Journal of Women Health Nursing. 2014; 20(1):29–37.
crossref
4. Cho EJ. Subjective sleep quality in depressed and non-depressed mothers during the late postpartum period. Korean Journal of Women Health Nursing. 2009; 15(2):108–120.
crossref
5. Klainin P, Arthur DG. Postpartum depression in Asian cultures: A literature review. International Journal of Nursing Studies. 2009; 46(10):1355–1373.
crossref
6. Ahn S. Canonical correlation between Korean traditional postpartum care performance and postpartum health status. Journal of Korean Academy Nursing. 2005; 35(1):37–46.
crossref
7. Viguera AC, Tondo L, Koukopoulos AE, Reginaldi D, Lepri B, Baldessarini RJ. Episodes of mood disorders in 2,252 pregnancies and postpartum periods. American Journal of Psychiatry. 2011; 168(11):1179–1185.
crossref
8. Mercer RT. Nursing support of the process of becoming a mother. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2006; 35(5):649–651.
crossref
9. Yoo EK. Health promoting behavior for women's health: An analysis on meaning of Sanhujori, Korea, postpartum care. Korean Journal of Nursing Query. 1993; 2(2):37–65.
10. Kim YJ, Chung MR. A study on the change of postpartum care in Korea. Asia Cultural Studies. 2012; 26:217–240.
11. Yoo EK. Women's postpartal cultural need: Rethinking on the meaning of Sanhujori, the traditional postpartum care in Korea and its clinical application. The Korean Nurse. 1998; 37(3):27–40.
12. Jeong IS, Lee SJ, Jeong JS, Yoon SW, Jeong SY, Ha J, et al. Development of infection control guideline for postpartum care centers. Korean Journal of Nosocomial Infection Control. 2013; 18(2):57–88.
crossref
13. Yoo EK, Ahn YM. A model for community based mother infant care center -TMIC (transitional mother infant care center) using a Sanhujoriwon. Journal of Korean Academy of Nursing. 2001; 31(5):932–947.
crossref
14. Korea Ministry of Health & Welfare. 2015 Press Resources on the current state of Sanhujoriwon [Internet]. Seoul: Author;2015. [cited 2015 June 17]. Available from:. http://www.mohw.go.kr/front_new/index.jsp.
15. Lee SY. Improving the population quality in low fertility and aging Korea: Policy challenges for birth outcomes for women of advanced maternal age. The 36th Korean Society of Maternal And Child Health conference. 2014. November 18; Korea National Assembly Library Conference Center. Seoul: Korean Society of Maternal And Child Health; 2014. p.199–215.
16. Kim MA, Choi SY. A comparative of postpartum stress, postpartum depression, postpartum discomfort and postpartum activity, between women who used and those women did not used Sanhujori facilities. Journal of the Korean Society of Maternal and Child Health. 2013; 17(2):184–195.
17. Song JE, Park BL. The changing pattern of physical and psychological health, and maternal adjustment between primiparas who used and those who did not use Sanhujori facilities. Journal of Korean Academy of Nursing. 2010; 40(4):503–514.
crossref
18. Park YJ, Lee SJ, Park ES, Ryu HS, Lee JW, Chang SO. A metaanalysis of explanatory variables of health promotion behavior. Journal of Korean Academy Nursing. 2000; 30(4):836–846.
crossref
19. Srof BJ, Velsor-Friedrich B. Health promotion in adolescents: A review of Pender's health promotion model. Nursing Science Quarterly. 2006; 19(4):366–373.
crossref
20. Jeong NO, Lee MH. A predictive model on health promotion behavior in women who immigrate for marriage. Journal of Korean Academy of Nursing. 2010; 40(5):695–704.
crossref
21. Pender NJ. Health promotion in nursing practice. 3rd ed.New Jersey: Prentice Hall;1996. p. 243–244.
22. Kim H, Jeong I. Effects of a newborn care education program on newborn care confidence and behavioral accuracy of primiparas in a postpartum care center. Journal of Korean Academy of Nursing. 2007; 37(1):125–134. http://www.dbpia.co.kr/Article/3028839.
crossref
23. Jung MH, Kim JI. A study on the relationship among prenatal emotional status, preparation for delivery, postpartum social support and postpartum blues. Korean Journal of Women Health Nursing. 2005; 11(1):38–45.
crossref
24. Sung EJ. Relationships between health promoting behavior and family support in postpartum women [master's thesis]. Daegu: Gyeongsang National University;2003. p. 60.
25. Kim JH, Song JE, Yoo JE, Lee YM, Han MK, Kim SY, et al. Factors that affect the choice of the utilization of Sanhujoriwon among the postpartal women. Korean Journal of Women Health Nursing. 2001; 7(1):56–66.
26. McNair DM, Lorr M, Droppleman LF. Manual for profile of mood states. San Diego, CA: Educational and Industrial Testing Service;1971. p. 27.
27. Yeun EJ, Shin-Park KK. Verification of the profile of mood states-brief: Cross-cultural analysis. Journal of Clinical Psychology. 2006; 62(9):1173–1180.
crossref
28. Ware JE. Scales for measuring general health perceptions. Health Services Research. 1976; 11(4):396–415.
29. Cobb S. Social support as a moderator of life stress. Psychosomatic Medicine. 1976; 38(5):300–314.
crossref
30. Yeun EJ, Kim HJ, Jeon MS. Factors influencing health promoting behavior among hospital registered nurses-mood states, resourcefulness, and health perception. Journal of Korean Academy of Nursing Adminstration. 2011; 17(2):198–208.

Table 1.
Health Promoting Behavior according to Demographic and Obstetric Characteristics (N=197)
Characteristics Categories n (%) or M±SD Health promoting behavior
M±SD t or F p
Age (yr) 20~43 31.8±3.9 123.48±17.55 1.82 .165
  ≤30 67 (34.0) 124.25±16.79    
  31~35 102 (51.8) 121.59±18.11    
  ≥36 28 (14.2) 128.50±16.68    
Education ≤High school 39 (19.8) 121.79±17.41 -0.67 .505
  ≥College 158 (80.2) 123.89±17.61    
Family income ≤300 58 (29.4) 122.93±18.84 2.11 .124
(10,000 won) ≥301 139 (70.6) 125.50±17.54    
Employment Yes 83 (42.1) 126.11±15.89 1.81 .072
  No 114 (57.9) 121.56±18.50    
Family structure Nuclear 185 (93.9) 123.19±7.63 -0.89 .376
  Large 12 (6.1) 127.83±16.30    
Religion Yes 93 (47.2) 125.69±17.80 1.68 .095
  No 104 (52.8) 121.50±17.17    
Sanhujoriwon care (wk) 1 66 (33.5) 120.64±7.64 1.31 .271
  2 93 (47.2) 124.77±17.95    
  ≥3 38 (19.3) 125.24±16.15    
Delivery place Hospital 11 (5.6) 127.45±14.12 0.77 .441
  Clinic 186 (94.4) 123.24±7.73    
Delivery mode Vaginal birth 109 (55.3) 122.84±18.66 -0.56 .574
  Cesarean birth 88 (44.7) 124.26±16.13    
Baby gender Male 87 (44.2) 124.93±16.43 1.03 .302
  Female 110 (55.8) 122.33±18.38    
Parity Primipara 121 (61.4) 123.77±17.43 0.67 .505
  Multipara 76 (38.6) 121.92±18.73    
Planned pregnancy Yes 130 (66.0) 124.68±18.14 1.35 .179
  No 67 (34.0) 121.13±16.22    
Expected baby gender Yes 143 (72.6) 124.30±16.64 1.07 .285
  No 54 (27.4) 121.30±19.75    
Feeding Breast 81 (41.1) 124.53±7.23 0.43 .651
  Mixed 110 (55.8) 122.97±7.90    
  Milk 6 (3.0) 118.50±16.86    
Table 2.
Levels of Mood States, Perceived Health Status, Social Support, and Health Promoting Behavior (N=197)
Variables M±SD Possible range Actual range Mean of items
Mood disorders 15.45±16.88 -20~100 -14~73  
Tension 5.57±4.38 0~20 0~20  
Depression 2.52±3.33 0~20 0~18  
Anger 2.56±3.02 0~20 0~16  
Vigor 6.53±4.20 0~20 0~20  
Fatigue 4.96±3.50 0~20 0~16  
Confusion 6.35±3.05 0~20 0~16  
Perceived health status 3.49±0.73 1~5 2~5  
Social support 104.64±23.09 8~160 32~158  
Husband support 27.31±4.86 0~32 8~32  
Parents of a married woman 26.13±7.41 0~32 0~32  
Parents of one's husband 21.09±9.79 0~32 0~32  
Etc. 4.65±10.43 0~32 0~32  
Nurse 25.45±6.09 8~32 8~32  
Health promoting behavior 123.48±17.55 43~172 72~171 2.87
Physical function recovery 21.94±4.90 8~32 9~32 2.79
Nutrition 21.93±3.47 7~28 12~28 3.14
Hygiene management 18.55±3.07 6~24 12~24 3.09
Information research effort 19.95±4.16 7~28 9~28 2.85
Health evaluation 21.94±4.90 8~32 9~32 2.74
Social-psychological adaptation 18.79±3.95 7~28 10~28 2.69

Multiple response.

Table 3.
Relationships among Study Variables (N=197)
Variables Perceived health state Mood state Social support
r (p) r (p) r (p)
Mood state -.43 (<.001)    
Social support .16 (.026) -.05 (.474)  
Health promoting behavior .29 (<.001) -.13 (.062) .28 (<.001)
Table 4.
Factors Influencing Health Promoting Behavior (N=197)
Variables B SE β t p
Perceived health state 6.05 1.63 .25 3.71 <.001
Social support 0.18 0.05 .24 3.58 <.001
Adj. R2=.14, F=15.78, p<.001
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