Effects of a Pre-Conception Care Program in Women with Inflammatory Bowel Disease: A Mixed-Methods Study Including a Randomized Controlled Trial.
Purpose: The purpose of this study was to conduct a pre-conception care program for women of childbearing age with inflammatory bowel disease (IBD) in Korea and verify its effects on self-efficacy for IBD management, IBD-related pregnancy knowledge, and IBD-related pregnancy anxiety. It also aimed t...
| Publicado en: | Journal of Korean Academy of Nursing Vol. 54; no. 3; pp. 386 - 403 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Korean Society of Nursing Science
Aug2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=179561987&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 179561987 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 20053673 ATS7 jtl: Journal of Korean Academy of Nursing issn: 20053673 maglogo: N pubinfo: dt: Aug2024 vid: 54 iid: 3 pid: 42744 pub: Korean Society of Nursing Science place: , <Blank> artinfo: ui: 179561987 179561987 179561987 10.4040/jkan.24010 179561987 ppf: 386 ppct: 17 formats: fmt: @attributes: type: P tig: atl: Effects of a Pre-Conception Care Program in Women with Inflammatory Bowel Disease: A Mixed-Methods Study Including a Randomized Controlled Trial. aug: au: Young Jin Lee Hae Won Kim Yeon Hee Kim Suk-Kyun Yang Ji-Yeon Kim affil: College of Nursing, Eulji University, Uijeongbu, Korea sug: subj: Inflammatory Bowel Diseases Therapy Prepregnancy Care South Korea Prenatal Care South Korea Treatment Outcomes Evaluation Program Evaluation Women South Korea Human Pregnancy Multimethod Studies Patient Attitudes Female Adult South Korea Self-Efficacy Self-Management Health Knowledge Anxiety Prevention and Control Attitude to Pregnancy Behavioral Changes Evaluation Pretest-Posttest Design Focus Groups Interviews Chi Square Test Patient Education Hospitals Analysis of Variance Scales Questionnaires Fisher's Exact Test T-Tests Mann-Whitney U Test Multiple Regression Data Analysis Software Descriptive Statistics Repeated Measures Funding Source Randomized Controlled Trials Random Assignment Adult: 19-44 years Female ab: Purpose: The purpose of this study was to conduct a pre-conception care program for women of childbearing age with inflammatory bowel disease (IBD) in Korea and verify its effects on self-efficacy for IBD management, IBD-related pregnancy knowledge, and IBD-related pregnancy anxiety. It also aimed to explore the changes in participants through the program. Methods: A convergent mixed-methods study design was adopted. In the quantitative phase, 35 women (17 and 18 in the intervention and control group, respectively) participated. The intervention group attended a program that included small-group sessions and individual tele-coaching. To confirm the effects, data were collected before and one and four weeks after the intervention. In the qualitative stage, focus group interviews and tele-coaching were conducted with the intervention group. Results: After the program ended, significant differences were observed over time between the intervention and control groups for self-efficacy for IBD management (Wald χ² = 4.41, p = .036), IBD-related pregnancy knowledge (Wald χ² = 13.80, p < .001) and IBD-related pregnancy anxiety (Wald χ² = 8.61, p = .003). Qualitative data analysis revealed the following themes: (1) improving confidence in IBD management and awareness for planned pregnancy; (2) improving IBD awareness related to pregnancy and childbirth; and (3) relieving anxiety about and actively facing pregnancy. Conclusion: This study is meaningful in that, to the best of our knowledge, it is the first to develop a pre-conception care program for women diagnosed with IBD and confirm its effectiveness. Furthermore, this program is expected to be suitable for patient counseling and education in clinical practice. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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