Jeong Geum Hee, Kim Hyun Kyoung
School of Nursing and Research Institute in Nursing Science, Hallym University, Chuncheon, South Korea.
Department of Nursing, Kongju National University, Kongju, South Korea.
J Adv Nurs. 2020 Jul;76(7):1638-1646. doi: 10.1111/jan.14346. Epub 2020 Mar 20.
To investigate pro-environmental health perceptions, behaviour and educational needs among pregnant women in Korea.
Based on concerns about the effects of environmental hazards and pollution on their babies and themselves, pregnant women behave in ways that protect their health. The framework of this study was based on Rogers' protection motivation theory.
Cross-sectional survey using questionnaires.
The sample comprised 358 pregnant women recruited from July - August 2018 in South Korea. Participants were recruited from prenatal classes at two healthcare centres and patients receiving prenatal check-ups at two women's hospitals.
Perceived educational needs were ranked in the following order: particulate matter (23.7%), electromagnetic waves (11.7%), instant food (food additives) (9.0%) and environmental hormones (8.3%). Age (β = 0.17, p = .001), perceived severity (β = 0.19, p = .001) and response efficacy (β = 0.28, p < .001) affected pro-environmental behaviour, which explained 23.0% of the variance.
Educational programs are necessary for mitigating environmental risks during pregnancy. Pregnant women engage in pro-environmental behaviour influenced by pro-environmental perceptions, especially perceptions of severity regarding environmental diseases and the efficacy of health behavioural responses. Nursing professionals can use these results to promote pro-environmental health in pregnant women.
This study demonstrated that pregnant women need environmental health programs in prenatal education. Pro-environmental perceptions regarding the severity of the environmental diseases and behavioural efficacy preceded the formation of environmental health behaviours. Nurses should support pregnant women's environmental health through educational interventions including air, electromagnetic, food pollution and endocrine disruptors.
调查韩国孕妇对环境健康的认知、行为及教育需求。
基于对环境危害和污染对自身及胎儿影响的担忧，孕妇会采取保护自身健康的行为。本研究框架基于罗杰斯的保护动机理论。
采用问卷调查的横断面研究。
样本包括2018年7月至8月在韩国招募的358名孕妇。参与者从两家医疗中心的产前课程以及两家妇女医院接受产前检查的患者中招募。
感知到的教育需求按以下顺序排列：颗粒物（23.7%）、电磁波（11.7%）、即食食品（食品添加剂）（9.0%）和环境激素（8.3%）。年龄（β = 0.17，p = 0.001）、感知严重性（β = 0.19，p = 0.001）和反应效能（β = 0.28，p < 0.001）影响环保行为，该行为解释了23.0%的变异。
开展教育项目对于降低孕期环境风险很有必要。孕妇的环保行为受环保认知影响，尤其是对环境疾病严重性及健康行为反应效能的认知。护理专业人员可利用这些结果促进孕妇的环境健康。
本研究表明孕妇在产前教育中需要环境健康项目。对环境疾病严重性及行为效能的环保认知先于环境健康行为的形成。护士应通过包括空气、电磁、食品污染和内分泌干扰物等方面的教育干预来支持孕妇的环境健康。
