Language：Japanese   Publisher：(公社)日本母性衛生学会  

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Language：Japanese   Publisher：(一社)日本助産学会  

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Language：English   Publishing type：Research paper (scientific journal)   Publisher：Springer Science and Business Media LLC  

Background Non-communicable diseases account for 71% of global deaths. Health behaviors are fundamental for prevention. Previous studies have indicated that health literacy, such as functional, interactive, and critical, affects people's health behaviors. Health information is widely available online. Young people tend to access the Internet for information, which highlights the importance of eHealth literacy. Although previous studies have assessed eHealth literacy in single-country contexts, cross-cultural comparisons between high- and middle-income nations remain limited, particularly in understanding its role during global health crises. The COVID-19 pandemic has dramatically accelerated the shift toward seeking digital health information, fundamentally changing how students access and utilize health resources. However, whether eHealth literacy could mitigate the impact of COVID-19 on lifestyle remains unclear. Therefore, this study aimed to examine the impact of eHealth literacy on health behaviors among university students in Japan and Indonesia providing unique insights into cross-cultural differences. Methodology This cross-sectional study used a self-administered, web-based questionnaire. The participants were first- to fourth-year nursing students from universities in both countries. eHealth literacy and health behaviors were evaluated via the e-Health Literacy Scale (eHLS) and Healthy Lifestyle Scale for University Students (HLSUS), respectively. Structural equation modeling was conducted to evaluate the impact of eHLS on HLSUS, adjusting for potential confounders. A multigroup structural equation model was used to assess configural, metric, and scalar invariance. Results In total, 99 and 407 responses were obtained from Japan and Indonesia, respectively (response rates: Japan, 23.9%; Indonesia, 89.6%). The direct effect of eHLS on HLSUS was 0.33; the indirect effect via the impact of COVID-19 was 0.06. The metric invariance, although not scalar, was supported in the model that included data from both countries. Conclusions eHealth literacy universally could influence health behaviors among Japanese and Indonesian university students. However, it did not fully mitigate the effects of COVID-19. Enhancing eHealth literacy could support better health behaviors among university students.

DOI： 10.7759/cureus.78450

PubMed

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Language：English   Publishing type：Research paper (scientific journal)  

AIM: Evidence-based indicators are needed to increase the frequency of practicing care for hiesho, which can be a risk factor during childbirth. Such practice will lead to hiesho prevention. This study aimed to develop a Hiesho Care Practice Scale (HCPS) for pregnant women and examine its reliability and validity. METHODS: To develop a HCPS and examine its reliability and validity, we conducted a questionnaire-based survey among nurses who provide hiesho care for pregnant women in Japan. RESULTS: The analysis included 100 participants (recovery rate: 96%). Exploratory factor analysis produced four factors and 20 items. The model's fit indices obtained from the confirmatory factor analysis include goodness of fit of .80, adjusted goodness of fit of .75, comparative fit index of .88, and root mean squared error of approximation of .08. The correlation coefficients for the patient coaching skill evaluation scale for criterion-related validity test ranged from .23 to .51 (p < .01). Cronbach's α was .88, and intraclass correlation coefficient (ICC) was .81. CONCLUSIONS: The HCPS developed in this study consisted of four factors and 20 items, and its reliability and validity were verified. This scale enables the subjective and objective evaluation of hiesho care practice in the nursing profession. It may contribute to standardizing and developing improvement measures for hiesho care among pregnant women by nurses and midwives.

DOI： 10.1111/jjns.12621

PubMed

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Language：Japanese   Publishing type：Research paper (scientific journal)  

DOI： 10.5630/jans.44.274

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Language：English   Publishing type：Research paper (scientific journal)  

AIM: To evaluate the effectiveness of an individualized nutritional education program in promoting adequate nutrient intake in pregnant women. METHODS: A stratified randomized controlled trial was conducted. Participants were stratified by factors affecting the primary outcome and randomly assigned to the intervention or control groups. Intervention group participants received an individualized 30-min booklet-based education program in their 2nd and 3rd trimesters; the control group received usual care. The primary outcome was protein intake after the intervention, which was compared between the intervention and control groups. Secondary outcomes included comparing the amount of increase of protein before and after the intervention. Nutrient intake was measured using a self-administered short dietary history questionnaire, and analyses of covariance and t tests were performed. RESULTS: Of the 130 participants, 66 were assigned to the intervention group and 64 to the control group. There was no difference in protein intake between the two groups after the intervention (p = .051, 95% CI [-0.021, 12.4]). Comparing the increase in protein intake before and after intervention, the intervention group was 7.4 g/day higher than that of the control group (p = .040; F = 4.31; effect size = 0.36). CONCLUSIONS: The primary outcome, a comparison of protein intake between the groups after the program, revealed no significant differences. However, on comparing the amount of protein increase before and after the intervention, the intervention group's increase was significantly higher than that of the control group. Results indicate the potential for individualized face-to-face interventions for pregnant women in Japan.

DOI： 10.1111/jjns.12599

PubMed

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Language：Japanese   Publisher：(公社)日本母性衛生学会  

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Language：Japanese   Publisher：(NPO)バイオテクノロジー標準化支援協会  

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Language：Japanese   Publisher：(一社)日本助産学会  

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Language：Japanese   Publisher：(NPO)バイオテクノロジー標準化支援協会  

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Language：Japanese   Publisher：(NPO)バイオテクノロジー標準化支援協会  

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Language：Japanese   Publisher：(公大)横浜市立大学医学部看護学科  

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Language：Japanese   Publisher：神奈川母性衛生学会  

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Language：Japanese   Publisher：神奈川母性衛生学会  

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Language：Japanese   Publisher：(公社)日本母性衛生学会  

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Language：English   Publishing type：Research paper (scientific journal)  

AIM: Hiesho is a condition characterized by having a cold sensation in the hands or feet (i.e., sensitivity of the hands or feet to cold). This condition is common among Japanese women and is an important health problem. In this study, we aimed to evaluate a hiesho intervention program for nurses called "Preventing Hiesho: Intervention Program for Educating Nurses" in terms of its effectiveness in improving the knowledge and perceptions of nurses about the importance of hiesho care. METHODS: A total of 130 nurses from Japanese hospitals and clinics providing prenatal care participated in our randomized controlled trial. Sixty-eight nurses participated in the "Preventing Hiesho: Intervention Program for Educating Nurses" for 2 weeks (intervention group). Sixty-two nurses received a pamphlet on hiesho care (control group). The responses of the participants to the questionnaire survey were collected by postal mail. An intention-to-treat analysis of the results was conducted. RESULTS: One week after the implementation of the web-based learning program, the scores of knowledge and perceptions of the importance of administering hiesho care were significantly higher in the intervention group than in the control group. CONCLUSIONS: A 2-week web-based learning program for educating nurses on preventing hiesho significantly improved their knowledge and perceptions of the importance of hiesho care.

DOI： 10.1111/jjns.12490

PubMed

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Language：Japanese   Publisher：(一社)日本助産学会  

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Language：Japanese   Publisher：神奈川母性衛生学会  

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Language：Japanese   Publisher：神奈川母性衛生学会  

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Language：Japanese   Publisher：神奈川母性衛生学会  

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Language：Japanese   Publisher：神奈川母性衛生学会  

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Language：Japanese   Publisher：(公社)日本母性衛生学会  

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Language：Japanese   Publishing type：Research paper (scientific journal)  

DOI： 10.5630/jans.41.527

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Language：Japanese   Publisher：(一社)日本助産学会  

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Language：Japanese   Publisher：(一社)日本助産学会  

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Language：Japanese   Publisher：(一社)日本助産学会  

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Language：English   Publisher：(公大)横浜市立大学医学部看護学科  

フィリピンと日本の看護教育を比較するため、フィリピン大学マニラ校(UPM)と当大学(YCU)のカリキュラムを精査した。日本では看護師になるためには97単位以上の履修が必要であるが、フィリピンでは202単位以上が求められた。フィリピンでは、人口あたりの医師や看護師の数が日本の1/4〜1/5なので、卒業後すぐに活動できる看護師が必要とされた。フィリピンの看護教育は医療の要求するレベルに従って構築されていた。日本では高齢化社会になり、カリキュラムは人生の発達段階に合わせて分類されており、新人看護師は自身の看護技術と現場が期待するレベルのギャップを感じていた。フィリピンではいろいろな環境に適応できるような看護教育を設定しており、日本の看護教育も臨床実習を増やす必要があると考えられた。

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Other Link： https://search.jamas.or.jp/index.php?module=Default&action=Link&pub_year=2020&ichushi_jid=J05163&link_issn=&doc_id=20200403360001&doc_link_id=2000005&url=https%3A%2F%2Fkango-sakuin.nurse.or.jp%2Fnid%2F2000005&type=%8D%C5%90V%8A%C5%8C%EC%8D%F5%88%F8Web&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00014_1.gif

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Publishing type：Research paper (scientific journal)   Publisher：Japan Academy of Midwifery  

DOI： 10.3418/jjam.jjam-2019-0026

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Language：Japanese   Publishing type：Research paper (scientific journal)  

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Language：Japanese   Publisher：(一社)日本助産学会  

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Language：Japanese   Publisher：(一社)日本助産学会  

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Language：Japanese   Publisher：(公社)日本母性衛生学会  

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Language：Japanese  

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Language：English   Publishing type：Research paper (scientific journal)  

BACKGROUND: In Japan, 85% of pregnant women do not practice antenatal perineal massage. Therefore, we developed a smartphone website to support the practice of antenatal perineal massage. The purpose of the present study was to evaluate the feasibility of our smartphone website. METHODS: Pregnant women were recruited at five hospitals or clinics in Tokyo, Japan. Participants assigned to the smartphone website group (n = 74) were asked to register on the smartphone website. After completing registration, they could login and use all the contents of the website. After giving birth, participants completed a 5-item questionnaire evaluating the acceptability of the smartphone website. Participants assigned to the leaflet group (n = 71) received a leaflet on antenatal perineal massage and completed a similar 4-item questionnaire evaluating the leaflet. Data were collected from April 2014 to November 2014. Data analysis was performed using chi-square and t-tests to analyze responses to close-ended questions, and content analysis was conducted to analyze responses of open-ended questions. RESULTS: In the smartphone website group, 9 women (12.2%) did not register on the smartphone website. Approximately 80% of the women who responded indicated that the smartphone site was easy to understand and useful for practicing antenatal perineal massage. In the smartphone website group, the reply rate for reporting the frequency of massage was 43.6%. Although the ratings and frequency at which the material was accessed tended to be higher in the smartphone website group than in the leaflet group, there were no significant differences. CONCLUSIONS: Most pregnant women in the smartphone website group provided a favorable evaluation for the smartphone website. However, some participants had suggestions for improvement, which need to be incorporated in a revised version of the website. Therefore, the present study's results demonstrate the feasibility of a smartphone website to support the practice of antenatal perineal massage, and they may aid in the development of similar web-based educational material for pregnant women. TRIAL REGISTRATION: This trial was registered with the UMIN Clinical Trials Registry ( UMIN000013979 ) on May 16, 2014.

DOI： 10.1186/s12884-017-1536-9

PubMed

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Language：Japanese   Publisher：(公社)日本母性衛生学会  

CiNii Books

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Other Link： http://search.jamas.or.jp/link/ui/2017221379

Language：Japanese   Publishing type：Research paper (scientific journal)  

DOI： 10.15015/00000527

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Language：English   Publishing type：Research paper (scientific journal)  

BACKGROUND: In Japan, the rate of pregnant women who practice antenatal perineal massage was only 15.1%. AIM: The aim of this study was to develop and evaluate a smartphone website and a leaflet to support antenatal perineal massage practice for primiparous women. METHODS: In a randomised control trial, 161 primiparous women were randomly assigned to a smartphone website group (n=81) or a leaflet group (n=80). Data analysis were by per protocol analysis and intention to treat analysis. FINDINGS: Of the 161 women participants, 47 in the smartphone website group and 49 in the leaflet group completed all questionnaires. Primary outcome was continuance rate (three times a week over a three week period) of antenatal perineal massage practice. The rates by a per protocol analysis were 51.1% in the smartphone website group and 51.0% in the leaflet group, respectively. There was no significant difference between the groups. Moreover, the rates by an intention to treat analysis were 29.6% in the smartphone website group and 31.3% in the leaflet group, respectively. There was also no significant difference between the groups. There were no significant differences in the evaluation of perineal massage, childbirth self-efficacy, satisfaction with efforts towards childbirth, and perineal outcomes following childbirth which were measured as secondary outcomes between the groups. CONCLUSION: There was no significant difference in continuance rate of antenatal perineal massage practice between those using a smartphone website and those with a leaflet, however, the rate was better than no instructions.

DOI： 10.1016/j.wombi.2016.01.010

PubMed

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Language：Japanese   Publisher：Japan Academy of Midwifery  

<b>Purpose</b><br>To determine women's perception of antenatal perineal massage and to identify factors impeding their massage practice.<br><b>Methods</b><br>A questionnaire survey was conducted with a purposive sample of 390 women from eight Japanese urban hospitals, clinics and birth centers and who had a vaginal and full-term delivery. The 334 (85.6%) valid responses were analyzed statistically.<br><b>Results</b><br>1. There were 114 women (52.1%) who practiced antenatal perineal massage and 105 women (47.9%) who did not. Among the 114 women who practiced perineal massage, 59.6% continued the massage until childbirth. Of the 105 women who did not practiced the massage, 45.7% felt a resistance to touching their perineum.<br>2. The rate of women taught how to practice antenatal perineal massage by a midwife, and who practiced perineal massage was significantly larger than who had not practiced (<i>p</i>=.000). Conversely, the rate of women who were taught how the massage during their maternity class, and did not practice was significantly larger than who practiced (<i>p</i>=.000).<br>3. Over half of women who knew how to perform antenatal perineal massage felt it was difficult for example: 'how to move fingers','how much pressure to apply', 'how deeply should a finger be inserted into the vagina' and 'how long does massage practice last'. Women who stopped practicing antenatal perineal massage had felt significantly more difficulty in practicing the massage than those who continued until childbirth (<i>p</i>=.012)<br>4. Women who continued to practice perineal massage felt significantly more positive 'effects on preparation for childbirth' and 'effects on childbirth' than who stopped practicing the massage (<i>p</i>=.000).<br>5. Self-efficacy, 'childbirth in my own way', of primiparous who practiced perineal massage was significantly larger than who did not practice (<i>p</i>=.014).<br><b>Conclusion</b><br>Factors impeding antenatal perineal massage practice were: (1) resistance to touching their perineum, (2) lack of knowledge and (3) some difficulty practicing the massage. Moreover, it was important to not only practice perineal massage but also continue in order to redeem the effects. Therefore, midwives and maternity educators need to support pregnant woman in their efforts to continue antenatal perineal massage until childbirth.

DOI： 10.3418/jjam.28.173

J-GLOBAL

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Language：Japanese   Publisher：Japan Society of Maternal Health  

Purpose To determine the degree of mother's perineal pain following childbirth, which occurs in hospitals and birth centers and to identify the nursing care provided for such pain. Method A questionnaire survey was conducted with a purposive sample of 503 women who had a vaginal and full-term delivery from nine Japanese urban hospitals (n=413) and birth centers (n=90). The 425 (84.5%) valid responses were analyzed statistically. Results 1. Factor analysis results indicated that postnatal women experienced: "difficulty sitting", "loss of volition", "difficulties with excretion and cleanliness" and "difficulty in moving". 2. Only a minority of women practiced perineal massage during pregnancy (15.1%) or received perineal care during the postpartum period (14.1%). Women's satisfaction with perineal pain care was significantly lower than with general postnatal care (p<0.001). 3. At least 90% of women learned about perineal pain from midwives or their families, and the majority of advisers about pain were midwives or nurses. Conclusion Postnatal women experienced: "difficulty sitting", "loss of volition", "difficulty moving" and "difficulties with excretion and cleanliness". It is very important to guide pregnant women in perineal massage and develop nursing care for perineal pain management because few women practiced antenatal perineal massage or received perineal pain care during the postpartum period to alleviate the pain.

CiNii Books

J-GLOBAL

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Language：Japanese  

CiNii Books

J-GLOBAL

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Language：Japanese  

DOI： 10.5630/jans.33.4_24

CiNii Books

J-GLOBAL

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Language：Japanese  

CiNii Books

J-GLOBAL

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Language：Japanese   Publisher：(株)メディカ出版  

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Language：Japanese   Publisher：(株)医学書院  

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Language：Japanese   Publisher：(一社)日本助産学会  

J-GLOBAL

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Language：Japanese   Publisher：(公社)日本看護科学学会  

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http://www.iacsc2017.com/<br />
The 8th IACSC international symposium &amp; general assembly

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Language：Japanese   Publisher：(一社)日本助産学会  

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Event date： 2022.2

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Presentation type：Poster presentation  

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Presentation type：Poster presentation  

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