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초산모를 위한 모성역할적응 프로그램의 효과

Effects of a Maternal Role Adjustment Program on First-time Mothers

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초록

Purpose: To investigate the effect of a maternal role adjustment program on first-time mothers. Methods: The research was quasi-experimental with a non-equivalent control group non-synchronized design. Participants were first-time mothers admitted to two postpartum clinics at women’s hospitals. The experimental group had 38 mothers and the control group had 35 mothers. A maternal role adjustment program was applied individually to the experimental group between the 1st and 2nd weeks after childbirth. Assessing Adaptation to Motherhood, Semantic Differential Scale-Myself as Mother, and Edinburgh Postnatal Depression Scale were used to measure effects of the program. A pre-test was conducted in the 1st week after childbirth while post-tests were conducted in the 4th and 6th weeks. Data were analyzed with x2 test, Fisher's exact test, t-test, and repeated measures ANOVA using SPSS 24.0. Results: Maternal role adjustment (F=6.17, p=.015) and maternal identity (F=6.63, p=.012) were significantly increased in the experimental group compared to those in the control group. However, the difference in postpartum depression (F=1.11, p=.335) was not statistically significant between the two groups. Conclusions: The maternal role adjustment program can be utilized as an effective nursing intervention program to enhance maternal role adjustment and maternal identity for first-time mothers.

Abstract

Purpose: To investigate the effect of a maternal role adjustment program on first-time mothers. Methods: The research was quasi-experimental with a non-equivalent control group non-synchronized design. Participants were first-time mothers admitted to two postpartum clinics at women’s hospitals. The experimental group had 38 mothers and the control group had 35 mothers. A maternal role adjustment program was applied individually to the experimental group between the 1st and 2nd weeks after childbirth. Assessing Adaptation to Motherhood, Semantic Differential Scale-Myself as Mother, and Edinburgh Postnatal Depression Scale were used to measure effects of the program. A pre-test was conducted in the 1st week after childbirth while post-tests were conducted in the 4th and 6th weeks. Data were analyzed with x2 test, Fisher's exact test, t-test, and repeated measures ANOVA using SPSS 24.0. Results: Maternal role adjustment (F=6.17, p=.015) and maternal identity (F=6.63, p=.012) were significantly increased in the experimental group compared to those in the control group. However, the difference in postpartum depression (F=1.11, p=.335) was not statistically significant between the two groups. Conclusions: The maternal role adjustment program can be utilized as an effective nursing intervention program to enhance maternal role adjustment and maternal identity for first-time mothers.

참고문헌 (30)

  1. Mercer RT, "Becoming a mother versus maternal role attainment", Journal of Nursing Scholarship, 36(30), pp.226~232 (2004)[DOI]
  2. Rubin R, "Attainment of the maternal role: Part I. processes", Nursing Research, 16(3), pp.237~245 (1967)
  3. Ludington-Hoe SM, "Postpartum: Development of maternicity", American Journal of Nursing, 77(7), pp.1171~1174 (1977)[DOI]
  4. Rubin R, "Maternal tasks in pregnancy", Journal of Advanced Nursing, 1(5), pp.347~376 (1976)
  5. Mercer RT, "The process of maternal role attainment over the first year", Nursing Research, 34(4), pp.198~204 (1985)
  6. Pridham KF, "Early postpartum transition: Progress in maternal identity and role attainment", Research in Nursing & Health, 14(1), pp.21~31 (1991)[DOI]
  7. Chae YS, "Adaptation of maternal roles and postpartum depression of primiparas during early postpartum period", pp.2005
  8. Mercer RT, "A review of nursing interventions to foster becoming a mother", Journal of Obstetric, Gynecologic, and Neonatal Nursing, 35(5), pp.568~582 (2006)[DOI]
  9. 채미영, "가정간호기반 모성역할강화 프로그램이 초산모의 모성정체성과 모성역할수행 자신감에 미치는 효과", 가정간호학회지, 18(2), pp.88~98 (2011), 한국가정간호학회
  10. Yoo DS, "The postpartum depression and maternal role adjustment of mothers having an infant", pp.2008
  11. Kim JY, "Psycho-social predicting factors model of postpartum depression", pp.2003
  12. 박경연, "초산모와 경산모의 산후 6주 우울 예측요인 비교", 한국모자보건학회지, 15(1), pp.25~36 (2011), 한국모자보건학회[DOI]
  13. Hava Özkan, "Maternal Identity Development Education on Maternity Role Attainment and My Baby Perception of Primiparas", Asian Nursing Research, 5(2), pp.108~117 (2011), 한국간호과학회
  14. 장영숙, "모성역할 증진 프로그램이 미숙아어머니의 모성역할 긴장, 양육 자신감, 모성 정체감에 미치는 효과", Child Health Nursing Research, 11(4), pp.472~480 (2005), 한국아동간호학회
  15. Kordi M, "The effect of maternal role training program on role attainment and maternal role satisfaction in nulliparous women with unplanned pregnancy", Journal of Education and Health Promotion, 6, pp.61~ (2017)
  16. Srisomboon A, "The effect of a maternal role promoting program on maternal role attainment in adolescent mothers with unplanned pregnancies", Journal of Nursing Science, 29(2), pp.74~81 (2011)
  17. 김연실, "모성건강관리프로그램이 임부의 우울, 모성역할자신감, 분만자신감에 미치는 효과", 동서간호학연구지, 23(2), pp.134~141 (2017), 동서간호학연구소
  18. 방경숙, "결혼이민자 산모에 대한 산후 간호중재 프로그램의 효과", Child Health Nursing Research, 20(1), pp.11~19 (2014), 한국아동간호학회[DOI]
  19. Gao LL, "Effects of an interpersonalpsychotherapy-oriented postnatal programme for Chinese firsttime mothers: A randomized controlled trial", International Journal of Nursing Studies, 52(1), pp.22~29 (2015)[DOI]
  20. 김미영, "암환자를 위한 개별교육과 집단교육프로그램이 암환자의 대처양상과 자가 간호행위에 미치는 효과", 동서간호학연구지, 20(1), pp.1~8 (2014), 동서간호학연구소[DOI]
  21. 장영숙, "워크북 프로그램이 미숙아어머니의 스트레스,모성역할 자신감,모유수유 실천에 미치는 효과", Journal of Korean Academy of Nursing, 35(2), pp.419~427 (2005), 한국간호과학회
  22. Sheehan F, "Assessing postpartum adjustment. A pilot study", Journal of Obstetric, Gynecologic, and Neonatal Nursing, 10(1), pp.19~22 (1981)
  23. Walker LO, "Investigating the semantic properties of two concepts", pp.1977
  24. 김아림, "신생아 집중 치료실 퇴원 후 미숙아 영아 어머니의 모성 역할 발달", 여성건강간호학회지, 21(4), pp.308~320 (2015), 한국여성건강간호학회
  25. Cox JL, "Detection of postnatal depression: Development of the 10-item Edinburgh Postnatal Depression Scale", The British Journal of Psychiatry, 150, pp.782~786 (1987)[DOI]
  26. 여정희, "출산 후 6개월 여성의 산후우울 정도와 예측요인", 여성건강간호학회지, 12(4) (2006), 한국여성건강간호학회
  27. 심규숙, "산모의 신생아 간호에 관한 교육요구도 조사", 한국모자보건학회지, 6(2), pp.287~296 (2002), 한국모자보건학회
  28. 송주은, "국내 모성적응증진 프로그램의 효과에 대한 체계적 문헌고찰", 여성건강간호학회지, 19(3), pp.129~141 (2013), 한국여성건강간호학회
  29. 송주은, "출산 후 1년 이내 초산모의 모성역할적응에 영향을 미치는 요인", 한국모자보건학회지, 20(3), pp.284~296 (2016), 한국모자보건학회[DOI]
  30. Walker J, "Psychology for nurses and the caring professions", pp.161~178 (2013), Soomoonsa

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