Kim Seo Yun, Kim Hae Won
College of Nursing, Seoul National University, Seoul, Korea.
College of Nursing, Research Institute of Nursing Science, Seoul National University, Seoul, Korea.
Korean J Women Health Nurs. 2020 Jun 30;26(2):109-119. doi: 10.4069/kjwhn.2020.06.12. Epub 2020 Jun 22.
The purpose of this study was to describe prenatal nursing intervention studies on pregnant women and their families published in Korean nursing journals to identify research trends and to analyze the characteristics of intervention studies. This scoping review was conducted using Arksey and O'Malley's framework. We identified a research question and searched six domestic electronic databases for relevant articles. Forty-five references that met the inclusion and exclusion criteria were finally selected. We extracted the data using an analytic framework, and then collated and summarized the characteristics of the intervention studies. The most frequently used research designs were non-randomized controlled trials (91.1%), and only a few studies applied a specific theoretical framework (24.4%). The participants were mainly pregnant women only (64.4%) during the third trimester (35.6%) of pregnancy. Prenatal education was the most common type of intervention (48.9%), followed by complementary therapy (37.8%) and psychosocial support programs (13.3%). The most commonly used outcome variables were drawn from the psychological domain (44.5%), although distinct types of outcome variables-especially from the psychological and physical domains-were used to measure the effectiveness of different types of prenatal interventions. This review suggests that further prenatal nursing intervention studies in Korea should expand the study participants to include pregnant women's family members, high-risk and vulnerable groups, and women throughout entire pregnancy. Furthermore, it is necessary to develop integrative prenatal nursing interventions that promote family support and participation by facilitating partnerships among women, families, and nurses before, during, and after pregnancy.
本研究旨在描述韩国护理期刊上发表的关于孕妇及其家庭的产前护理干预研究，以确定研究趋势并分析干预研究的特点。本范围综述采用了阿克西和奥马利的框架进行。我们确定了一个研究问题，并在六个国内电子数据库中搜索相关文章。最终筛选出45篇符合纳入和排除标准的参考文献。我们使用分析框架提取数据，然后整理并总结干预研究的特点。最常用的研究设计是非随机对照试验（91.1%），只有少数研究应用了特定的理论框架（24.4%）。参与者主要是仅孕妇（64.4%），处于妊娠晚期（35.6%）。产前教育是最常见的干预类型（48.9%），其次是辅助疗法（37.8%）和心理社会支持项目（13.3%）。最常用的结局变量来自心理领域（44.5%），尽管不同类型的结局变量——尤其是来自心理和身体领域的变量——被用于衡量不同类型产前干预的效果。本综述表明，韩国未来的产前护理干预研究应扩大研究参与者范围，纳入孕妇家庭成员、高危和弱势群体以及整个孕期的女性。此外，有必要开发综合性的产前护理干预措施，通过在怀孕前、期间和之后促进女性、家庭和护士之间的合作，来促进家庭支持和参与。
