Korean J Women Health Nurs.  2017 Jun;23(2):135-144. 10.4069/kjwhn.2017.23.2.135.

Factors Influencing Health Promoting Behavior in Postpartum Women at Sanhujoriwon

• Choi H
• Jung N

• KMID: 2424149
• DOI: http://doi.org/10.4069/kjwhn.2017.23.2.135

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.

Keyword

Postpartum care; Mood; Health status; Social support; Health behavior

MeSH Terms

Cross-Sectional Studies
Health Behavior
Linear Models
Postnatal Care
Postpartum Period*

Reference

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.

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.

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.

5. Klainin P, Arthur DG. Postpartum depression in Asian cultures: A literature review. International Journal of Nursing Studies. 2009; 46(10):1355–1373.

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.

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.

8. Mercer RT. Nursing support of the process of becoming a mother. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2006; 35(5):649–651.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.