Research in Community and Public Health Nursing

Most-read articles are from the articles published in 2021 during the last three month.

Original Articles

A Path Analysis for Health-related Quality of Life in Long-term Care Insurance In-home Service Users: Je Hyun Kim, Seung Mi Park; Res Community Public Health Nurs. 2023;34(1):1-11. Published online March 31, 2023; DOI: https://doi.org/10.12799/rcphn.2022.00283

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Abstract PDF: Purpose
The purpose of this study is to construct and verify a path model for the factors affecting on quality of life in long-term care insurance in-home service users.
Methods
Total 246 participants using long-term care insurance in-home service were recruited from long-term care agencies. Data collection was conducted using a structured questionnaire from March 1st to March 31st 2021. The collected data were analyzed using SPSS 26 and AMOS 26 programs.
Results
The hypothetical path model was suitable for explaining the health-related quality of life in long-term care insurance in-home service users and has an explanatory power of 39.8%. Long-term care grade, depression, perceived health status, social support, age and living arrangement had a significant total effect on the quality of life in long-term care insurance in-home service users.
Conclusion
Long-term care insurance in-home service policies need to be expanded, such as screening and relieving depression, strengthening social support, and fostering a positive perception of health to improve the quality of life of the elderly.

Needs assessment of community health practitioners for community care competency of older adults: Na Bee Yoon, Hyeon Kyeong Lee, Haesun Lee, Sang Woo Park; Res Community Public Health Nurs. 2023;34(1):32-42. Published online March 31, 2023; DOI: https://doi.org/10.12799/rcphn.2022.00360

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Abstract PDF: Purpose
To identify needs and priorities of community care competency for older adults among community health practitioners. Methods: Data were collected from a convenient sample of 326 community health practitioners using an online questionnaire, which included items on community care competencies and personal characteristics. Items were developed through literature review, consultation meeting, content validity verification, and preliminary investigation. The data were analyzed using the t-test, one-way ANOVA, and Scheffe’s test with SPSS 25.0. The analysis of needs and priorities was conducted by using the Borich needs assessment and the Locus for focus model. Results: Three competencies have been identified as high-priority needs; ‘Linkages with resources’, ‘Education to others’, ‘Leadership and management’. Conclusion: The findings of this study indicate the need to develop an educational program for community health practitioners to strengthen community care competencies. The programs will need to be provided, especially for young community health practitioners, to ensure that they are well equipped to care for community-dwelling older adults living in rural areas.

Factors Associated with Fear of Falling by Fall Experience in the Community-dwelling Elderly: Yeong Mi Seo, Eun Sook Lee; Res Community Public Health Nurs. 2023;34(1):12-21. Published online March 31, 2023; DOI: https://doi.org/10.12799/rcphn.2022.00199

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Abstract PDF: Purpose
This study aimed to identify factors associated with fear of falling(FOF) by fall experience in the community-dwelling elderly. Methods: Multivariate logistic regression with complex samples was used to analyze the data of 74,475 elders aged 65 and over from the Community Health Survey in 2019. Results: Factors associated with FOF included gender, age, education level, smoking, high-risk drinking, physical activity, stress, depression, cognitive impairment, subjective health status, hypertension, and diabetes mellitus in the non-fall group. In the single fall group, the associated factors were gender, age, physical activity, stress, depression, cognitive impairment, and subjective health status. Related factors in the recurrent fall group included gender, age, physical activity, cognitive impairment, and subjective health status. Conclusion: The study’s findings suggest that it is necessary to develop different strategies to prevent FOF by understanding the contributing factors of FOF in each group of fall experience.

School Nurses’ Perception of Job Performance Difficulties, Job Stress, Job Identity and Job Satisfaction: Eun Kyo Cho, Hyun Jung Moon; Res Community Public Health Nurs. 2023;34(1):43-51. Published online March 31, 2023; DOI: https://doi.org/10.12799/rcphn.2023.00010

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Abstract PDF: Purpose
To examine school nurses' perception of job performance difficulties, stress, identity, and satisfaction, and to identify the factors that affect job satisfaction. Methods: Data were collected through online survey questionnaires distributed to 189 regular school nurses working in Metropolitan I. The self-report questionnaire consisted of three instruments and demographic questions. The data were collected from June 29 to July 31, 2020, and analyzed using frequency, percentage, mean and standard deviation, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression statistical techniques. Results: Perception of job performance difficulties showed a significant positive correlation with job stress (r=.20. p=.007), job identity (r=-.55, p<.001) and job satisfaction (r=-.39, p<.001), and each showed a negative correlation. Job stress showed a negative correlation with job satisfaction (r=-.65, p<.001), and job satisfaction and job identity showed a positive correlation (r=.53, p<.001). Job stress (β=-.58, p<.001), job identity (β=.43, p<.001), school-level elementary school (β=.19, p<.001), and middle school (β=.13, p=.011) were found to have a significant effect on job satisfaction. Conclusion: As job stress, job identity, and school level are important factors influencing job satisfaction, interventions are needed to lower the job stress of school nurses and strengthen their job identity. In addition, since the job satisfaction of school nurses can have a great impact on the health and happiness of students as well as the quality of life of future generations, it is necessary to improve policies and systems to increase the job satisfaction of school nurses.

Validation of Types of Body Pain Areas and Related Factors in the Korean Aged Using Latent Class Analysis: Sang Ye Shin, Eun Suk Lee; Res Community Public Health Nurs. 2023;34(1):22-31. Published online March 31, 2023; DOI: https://doi.org/10.12799/rcphn.2022.00290

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Abstract PDF: Purpose
The purpose of this study is to find a nursing intervention plan by classifying the body pain areas of the Korean aged and analyzing related factors. Methods: This study performed the latent class analysis, cross-analysis, and one-way ANOVA using the SPSS 25, M-plus 7.0 program on 4,388 older adults aged 65 or over using the data from the 2020 Aging Research Panel. Results: As a result of the Latent Class Analysis, participants divided into four groups. Group 1 was the 'shoulder and low back pain group' with high shoulder and back pain, group 2 was the 'upper body pain group' with severe pain in the arms, wrists and fingers and chest, group 3 was the 'lower pain focused group' with high pain in the legs and knees, and finally, group 4 was the 'general low pain group' with low pain overall. The result of the study shows that the group that did not exercise regularly, the female group, and the low socioeconomic status group have more pain in general. The upper body central pain group showed a low level of life satisfaction. Conclusion: This study discusses various nursing interventions for the prevention of chronic pain, especially for the aged female group who has diverse body pain areas, the aged with low socioeconomic status, and the aged who do not exercise.

Factors Influencing on Core Competencies in Disaster Nursing by University Hospital Nurses’ Experiences of Caring for Patients with COVID-19: Bo Won Choi, Yeong Mi Ha; J Korean Acad Community Health Nurs. 2022;33(2):247-258. Published online June 30, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.2.247

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Abstract PDF

Purpose
Considering that nurses perform critical roles for caring for patients during the COVID-19 pandemic, it is important to investigate core competencies in disaster nursing. This study aimed to identify influencing factors on core competencies in disaster nursing by examining relationships between attitudes toward disaster management, disaster preparedness, and core competencies in disaster nursing in university hospital nurses’ experiences of caring for patients with COVID-19. Methods The participants were nurses working in two university hospitals who had either experiences of caring for patients with COVID-19 or no experiences. A questionnaire was distributed to 198 participants between October and November 2021. Results The findings of multiple regression analysis demonstrated that the factors related to core competencies in disaster nursing in the participants were disaster preparedness (β=.80, p<.001) and nurses’ experiences of caring for patients with COVID-19 (β=.11, p=.007). Specifically, the factors related to core competencies in disaster nursing in those having experiences of direct caring for patients with COVID-19 were disaster preparedness (β=.84, p<.001) and marital status (β=.16, p=.001). The factors related to core competencies in disaster nursing in those with indirect caring for patients with COVID-19 were disaster preparedness (β=.75, p<.001) and an intention to participate in disaster response (β=.16, p=.037). Conclusion Based on this study, it is important to develop disaster nursing education programs focusing on the full spectrum of disaster management including disaster preparedness, disaster response, and disaster recovery training.

Citations

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Influences of Nursing Professionalism and Nursing Intention on Disaster Nursing Competency among Nurses when a Disaster Occurs in a Community: Response to COVID-19
Hyun-Jung JANG, Yoon-Jung KOO, Sun-Yeon HONG, Jeong-Eon PARK, Soo-Jin BAE, Suk-Jin PARK
THE JOURNAL OF FISHERIES AND MARINE SCIENCES EDUCATION.2023; 35(2): 276. CrossRef
The Influence of Infection Control Fatigue and Compassion Competence on Disaster Nursing Core Competencies of Nurses at COVID-19 Designated Hospitals
Jae-Hyun Ha, Hyun-Ju Lee, Ki-Ryeon Kim
Journal of Korean Academy of Fundamentals of Nursing.2022; 29(4): 461. CrossRef

Development and Effect of the Integrated Health Promotion Program for Cancer Survivors Living at Home: Hee Sang Yoon, Eun A Hwang; J Korean Acad Community Health Nurs. 2021;32(1):51-63. Published online March 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.1.51

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Abstract PDF

Purpose
This study aimed to develop an integrated health promotion program for cancer survivors residing in the community based on the shared care model, and evaluate its effectiveness. Methods: A quasi-experimental trial was conducted. The participants consisted of 35 cancer survivors with completed intensive cancer therapy at the cancer hospital. The intervention group (n=20) and the control group (n=15) were recruited from among a district home cancer patient registrations. The intervention group participated in an integrated health promotion program based on the MAPP (Mobilizing for Action through Planning and Partnership) development process. The program consisted of physical, psycho-social and body image units. The participants were assessed before the program, and immediately after the program. Data were collected between July 1 and September 2, 2018 using FACT-G quality of life (QOL), distress thermometer (DT), and resilience. The data were analyzed by performing a x ² test, Fisher’s exact test, Mann-Whitney test, and ranked ANCOVA using SPSS. Results: The intervention group reported a higher QOL overall and significantly higher social/family well-being than the control group. Distress was significantly lower in intervention group than in the control group. Resilience had no significant difference between the two groups. Conclusion: These findings indicate that the integrated health promotion program base on the shared care model and MAPP development process could be effective intervention for improving social/family well-being and the QOL, and reducing distress of cancer survivors at home. Community health center nurses need to provide intervention to support self-care competency for cancer survivors’ comprehensive care with physical, psycho-social, and body image to help them adjust their life to a moderate risk group in the community.

Citations

Citations to this article as recorded by

Distress among Korean Cancer Survivors: A Latent Profile Analysis
Kwang-Hi Park, Min Kyung Song
International Journal of Environmental Research and Public Health.2022; 19(3): 1613. CrossRef
Introduction to methodology for the development of an integrative medical service model
Moon Joo Cheong, Myeung Su Lee, Min Cheol Joo, Sang-Yeol Lee, Jung-Han Lee, Jong-Min Yun, Yeonseok Kang, Myeong Soo Lee, Hyung Won Kang
Integrative Medicine Research.2022; 11(2): 100840. CrossRef
Community-Based Oncology Nursing: Status and Prospects
Jeong Sook Park
Asian Oncology Nursing.2022; 22(4): 203. CrossRef

Experiences of Public Officials for the COVID-19 Response in the Community Health Center: Haeng Mi Son, Hye Ryun Yang, Bo Hyun Park; J Korean Acad Community Health Nurs. 2021;32(4):578-592. Published online December 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.4.578

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Abstract PDF

Purpose
The purpose of this study was to examine the experiences of public officials working for the Coronavirus Disease-19 (COVID-19) response in community health centers in South Korea. Methods: A qualitative thematic analysis was conducted using data collected from three focus groups and two individual interviews. Results: The participants performed quarantine tasks in a poor working environment with several problems, such as significant workload, lack of manpower, and inappropriate compensation system. Participants experienced obstacles in performing quarantine works, which had the lack of the detailed quarantine guidelines, work support and cooperation system. Participants suffered from civil complaints. Participants endured sacrifices in their personal lives while partaking in COVID-19 response work without holidays, and subsequently experienced health problems. And also participants said that it was necessary to secure expertise and effective communication for infectious disease management. Conclusion: The study results suggest that policies are required that are aimed to improve the working environment and the recruitment of experts in infectious diseases. In addition, the job stress related to the COVID-19 response by public officials in community health centers must be evaluated, and the relation of their job stress to physical and mental problems, as well as psychosocial stress, must be examined.

Citations

Citations to this article as recorded by

Community Health Nursing During the COVID-19 Pandemic in Korea: Consequences, Challenges, and Directions
Eunjoo Kim, Ju Young Yoon, Hyori Kim
Journal of Community Health Nursing.2023; 40(2): 79. CrossRef
Mental Health and Quality of Life for Disaster Service Workers in a Province under COVID-19
Ji-Won Na, Chan-Mo Yang, Sang-Yeol Lee, Seung-Ho Jang
Journal of Clinical Medicine.2022; 11(6): 1600. CrossRef
Awareness of the epidemiological investigation tasks of the nurse in charge of COVID-19 epidemiological investigations
Haeng-Mi Son, Won-Hee Choi, Hye-Ryun Yang, Young-Hui Hwang
The Journal of Korean Academic Society of Nursing Education.2022; 28(4): 433. CrossRef
The COVID-19 Correspondence Work Experience of Community Health Practitioners
Jae-Hyun Ha, Hyun-Ju Lee
Journal of Korean Academy of Community Health Nursing.2022; 33(2): 139. CrossRef
Student nurse experiences in public healthcare clinical practice during the COVID-19 pandemic: A qualitative study
Yun-Jung Choi, Youn-Joo Um
Nurse Education Today.2022; 119: 105586. CrossRef

A Structural Equation Model on Standard Precautions Compliance of Nursing Students: Hey Jin Ha, Eun A Kim; J Korean Acad Community Health Nurs. 2022;33(3):321-331. Published online September 30, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.3.321

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Abstract PDF: Purpose
This study is to establish a structural model for standard precautions compliance of nursing students. This conceptual model was based on the IMB (Information-Motivation-Behavioral skills) model of Fisher and Fisher. Methods: Data were collected from October 12 to December 1, 2020, and the subjects were nursing students from G metropolitan city and J province, and the data of a total of 334 subjects were analyzed. For data analysis, this study used the SPSS 24.0 and AMOS 24.0 programs. Results: The hypothetical model showed a good fit to the data: x ² =106.46 (p<.001), x ² /df=2.54, RMSEA=.07, SRMR=.04, CFI=.96, TLI=.94. It was confirmed that the variables that have a statistically significant influence on the standard precautions compliance in nursing students were in the order of self-efficacy, social support, personal attitude, and standard precautions knowledge. The model explained 48.3% of the variance in standard precautions compliance of nursing students. Conclusion: It is necessary to develop and apply various specialized extracurricular programs that can induce an individual attitude toward observing standard precautions compliance in a positive direction in relationships with teachers and peers and gain their support.

Factors Related to Long-term Hospital Length of Stay and Opinions on Discharge-related Community-based Medical and Welfare Service on Elderly Patients with Chronic Diseases in Korean Veterans Hospitals: Young Mi Yoon, Jin Hee Park, Moon Sook Hwang; J Korean Acad Community Health Nurs. 2022;33(4):357-371. Published online December 31, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.4.357

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Abstract PDF: Purpose
This study aims to investigate factors related to long-term length of stay (LOS) of patients with chronic diseases in Korean veterans hospitals. Methods: The subjects were 196 elderly patients with chronic disease staying in the hospital for more than 10 days, Data were collected by the survey of patients with structured questionnaires and medical records review by nurses from July 15 to August 10, 2019. Collected data were analyzed using t-test, ANOVA, Pearson's correlation coefficient and stepwise multiple regression. Results: The present and desired LOS were 37.78±32.66 days and 60.87±45.95 days, respectively. Factors affecting hospital LOS were found to be main disease (genitourinary) (p<.001), assistance in activities of daily living (p<.001), area of hospital (p<.001), payment of medical fees (p=.026), hospital satisfaction (p=.036) and the explanatory power of these variables was 26.4%. The most common health problems that need to be solved after discharge were symptom alleviation and health promotion. These problems can be solved using community-based facility services or visiting medical-welfare services (especially home care nursing). Conclusion: In order to reduce hospital LOS, the following measures are required: personalized self-management education, provision of transportation services for dialysis therapy of inactive patients, linking patients with visiting medical-welfare services including home care nursing and mobile healthcare services, operation of the case management system including the notice of the discharge date at admission, interim check of patient status, and connecting the patient with community resources or transferring the patient to long-term care facilities at discharge.

Associated Factors of Depression and Suicidal Behaviors among Korean Adolescents: Web-based Survey of the Korea Youth Risk Behavior in 2015~2017: Hyun A Choi, Hye Jin Yang; J Korean Acad Community Health Nurs. 2021;32(3):292-302. Published online September 30, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.3.292

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Abstract PDF

Purpose
Suicide among adolescents is a serious problem worldwide, and especially, the suicide rate of teenagers is increasing rapidly in South Korea. This study was conducted to investigate the factors affecting the respective suicidal behavior in terms of home-environment characteristics, health behavior characteristics, and psychological health characteristics in Korean adolescents.
Methods
The data of the Web-based Survey of the Youth Risk Behavior from 2015 to 2017 collected by the Korea Centers for Disease Control and Prevention (KCDC) was analyzed using multivariable logistic regression analysis.
Results
The influential factors by depression and suicidal behavior (suicidal ideation (SI), suicidal plan (SP), and suicidal attempt (SA)) were female(adjusted odds ratios [aOR], 1.45, 1.69, 1.30, 2.19), age (aOR 1.03, 0.98, 0.97, 0.90), no family members (aOR 1.21, 1.36, 2.11, 2.32), living with only the father (aOR 1.05, 1.06, 1.07, 1.11), high economic status (aOR 1.15, 1.22, 1.34, 1.46), residence in relatives’ home (aOR 1.6, 1.36, 2.34, 1.97), drinking experience (aOR 1.35, 1.47, 1.57, 1.76), smoking experience (aOR 1.28, 1.30, 1.31, 1.94), hospital treatment experience due to violence (aOR 2.18, 3.33, 6.24, 8.40), bad health status (aOR 1.23, 1.48, 2.00, 2.15), unhappiness (aOR 2.49, 6.14, 6.72, 8.89), and a lot of stress (aOR 6.05, 10.40, 4.86, 5.52).
Conclusion
The suicidal behavior risk screening and prevention program for adolescents should be developed considering the subjective happiness and hospital treatment experience status due to violence that affects suicidal behavior.

Citations

Citations to this article as recorded by

Predictors of suicide ideation among South Korean adolescents: A machine learning approach
Hayoung Kim Donnelly, Yoonsun Han, Suna Kim, Dong Hun Lee
Journal of Affective Disorders.2023; 329: 557. CrossRef
The influences of mental health problem on suicide-related behaviors among adolescents: Based on Korean Youth Health Behavior Survey
Eunok Park
The Journal of Korean Academic Society of Nursing Education.2023; 29(1): 98. CrossRef

Development of the Self-Care Non-adherence Risk Assessment Scale for Patients with Chronic Illness: Mi Rae Jo, Hee Young Oh; J Korean Acad Community Health Nurs. 2021;32(4):415-429. Published online December 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.4.415

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Abstract PDF: Purpose
The purpose of this study was to develop the Self-Care Non-adherence Risk Assessment Scale (SCNRAS) for patients with chronic illness in South Korea.
Methods
This study was conducted from April to July, 2020 and utilized a convenience sampling method to recruit 336 patients with chronic illness from three hospitals located in South Korea. The content, factorial structure, item-convergent/discriminant validity, convergent validity, internal consistency reliability, and test-retest reliability of the scale were evaluated. The data were analyzed using exploratory and confirmatory factor analyses, Pearson’s correlation coefficient, Cronbach’s ⍺, and intra-class correlation coefficient.
Results
The exploratory and confirmatory factor analyses yielded six-factors. Convergent validity was demonstrated using measures of defining issues. Internal consistency reliability and test-retest reliability were found to be acceptable, as indicated by a Cronbach’s ⍺ of .65~.81 and an intra-class correlation coefficient of .93~.98. The Self-Care Non-adherence Risk Assessment Scale for patients with chronic illness is a new instrument that comprehensively measures the knowledge, skill, physical function status, access to health care, social support, motivation, and confidence. It comprises 18 items scored on a 5-point Likert scale. The validity and reliability of the scale were verified. Conclusion: The scale developed through this study is expected to screen those who need nursing intervention early by predicting the self-care non-adherence risk group.

The Changed Parenting Experiences of Mothers of Elementary School Students in the Face of the COVID-19 Pandemic: Seol Hwa Moon, Eun Mi Oh, Sun Young You; J Korean Acad Community Health Nurs. 2021;32(2):162-174. Published online June 30, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.2.162

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Abstract PDF

Purpose
The purpose of this qualitative study is to explore the changed parenting experiences of mothers of elementary school kids living in the aftermath of the COVID-19 outbreak in Korea. Methods: From July to August in 2020, 10 mothers parenting elementary school students under the COVID-19 were interviewed in depth. For data analysis, a phenomenological research methodology suggested by Colaizzi was used.
Results
According to the analysis, the experiences of mothers consisted of four categories: the ‘pain from the uncontrollable COVID-19’, ‘the problem of family relations due to the COVID-19 pandemic situation’, ‘standing firm against the drastic changes’, and ‘accepting the world changed by the COVID-19’.
Conclusion
The findings in this study vividly represent the parenting experiences of mothers of elementary school students after the outbreak of COVID-19. As the pandemic persists, mothers parenting elementary school students feel complex emotions and experience exhaustion, but in the process, they found family members growing positively and trying to adjust to each other to overcome the crisis. To support positive adaptation to catastrophic situations, an institutional and political foundation is needed to develop a systematic crisis management program customized for mothers and families of elementary school students. The results of this study can be used as basic data when establishing national policies and support systems so that mothers parenting elementary school students can better adapt to and overcome crisis situations.

Citations

Citations to this article as recorded by

The Effects of Depression and Fear in Dual-Income Parents on Work-Family Conflict During the COVID-19 Pandemic
Gijung Jung, Ji Sun Ha, Mihyeon Seong, Ji Hyeun Song
SAGE Open.2023; 13(1): 215824402311576. CrossRef
Care-related Topic Trends during COVID-19 on an Online Parenting Forum: Topic Modeling by Family Life Cycle
You Rok Do
Journal of Families and Better Life.2023; 41(1): 29. CrossRef
A Case Study on the Parenting Experience of Mothers with Infants During the COVID-19 Pandemic
Minji Lee, Jihyeon Oh
The Korean Journal of Community Living Science.2022; 33(2): 295. CrossRef
Association Among Mothers’ Loneliness, Cognitive Flexibility, and Children’s Social Competence: Moderated Mediating Effect of Mothers’ Perceived Impact of COVID-19 on Daily Lives
Yea-Ji Hong
Korean Journal of Child Studies.2022; 43(2): 125. CrossRef
Mothers’ experience of caring for home-quarantined children after close contact with COVID-19 in Korea: an exploratory qualitative study
Hyeyeon Lee, Mihui Kim, Ocksim Kim, Sue Kim, Seongmi Choi
Korean Journal of Women Health Nursing.2021; 27(3): 220. CrossRef

The Effects of Self-efficacy and Self-stigma on Self-care in People with Diabetes: Ka Woun Seo; J Korean Acad Community Health Nurs. 2021;32(1):86-94. Published online March 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.1.86

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Abstract PDF

Purpose
This descriptive study investigated the effects of self-efficacy and self-stigma on self-care in people with diabetes. Methods: The study included a total of 377 patients with diabetes enrolled in university hospitals in D city and public health centers in S city. Data were collected from 1 July to 31 August, 2017, and were analyzed using descriptive statistics, t-test, analysis of variance, Pearson’s correlation coefficient, and hierarchical multiple regression. Results: Diabetes self-care was positively correlated with diabetes self-efficacy, whereas it was negatively correlated with diabetes self-stigma. Participants’ education level, marital status, perceived health status, type of medication, self-efficacy, and self-stigma explained 42.4% of the variance in diabetes self-care. Conclusion: The findings indicate that diabetes self-efficacy and self-stigma are important factors for improving self-care in patients with diabetes. Therefore, systematic programs for enhancing self-efficacy and reducing self-stigma of these individuals should be developed.

Citations

Citations to this article as recorded by

“Shame on Me”: Exploring the Role of Self-Stigma in Psychological Outcomes Among Type 2 Diabetes Patients in Hong Kong
Nelson C. Y. Yeung, Eric Kam Pui Lee, Alice Pik Shan Kong, Maria Kwan Wa Leung
International Journal of Behavioral Medicine.2023;[Epub] CrossRef
The Mediating Effect of Acceptance Action in the Relationship between Diabetes Distress and Self-stigma among Old Adults with Diabetes in South Korea
Hyesun Kim, Kawoun Seo
Journal of Korean Academy of Community Health Nursing.2022; 33(4): 446. CrossRef

Gestational diabetes and breastfeeding-related pain as major contributors to early breastfeeding cessation: Deulle Min, Eun Ju Kwak, Seung Mi Park; Res Community Public Health Nurs. 2023;34(1):52-60. Published online March 31, 2023; DOI: https://doi.org/10.12799/rcphn.2022.00332

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Abstract PDF: Purpose
This study aimed to determine the effects of gestational diabetes mellitus, breastfeeding-related pain, and infant growth on the cessation of breastfeeding. Methods: This is secondary data analysis. This study included 60 pregnant women from 3 prenatal breastfeeding clinics. Pregnant women aged 20–49 years, with or without a diagnosis of gestational diabetes mellitus were enrolled. The participants were administered four self-reported questionnaires, one at 5 days, 14 days, 3 months, and 6 months postpartum. A linear mixed model and Cox regression analysis were used. Data were collected between May 25, 2020 and June 14, 2021. Results: The rate of breastfeeding cessation was 55.0% (n=33). The average maternal ages were 32.30 (±4.61) and 31.33 (±7.05) years in the cessation and maintenance groups, respectively. The average duration of breastfeeding in the cessation group was 56.27 (±37.48) days. After adjusting for all covariates, the risk of breastfeeding cessation was 2.5 times greater among participants diagnosed with gestational diabetes mellitus (p=.042). Additionally, the risk of breastfeeding cessation was 1.3 times greater among those with severe breastfeeding-related pain (p=.015). Conclusion: The first two months postpartum is the most essential time for healthcare workers to provide support and address difficulties associated with breastfeeding for mothers with gestational diabetes mellitus.

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