The physical and emotional health of South Korean mothers of preterm infants in the early postpartum period: a descriptive correlational study
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: This study investigated the physical and emotional health of South Korean mothers of preterm infants in the early postpartum period. Methods: In this descriptive correlational study, the participants included 91 mothers of preterm infants who were admitted to the neonatal intensive care unit of a tertiary hospital in South Korea. Physical health status was measured using a self-reported questionnaire, postpartum depression using the Edinburgh Postnatal Depression Scale, anxiety using the State-Trait Anxiety Inventory, and guilt using a 4-item scale. Results: Fatigue had the highest score among mothers' physical health problems, followed by shoulder pain, nipple pain, neck pain. The average postpartum depression score was 11.02 points, and 44% of women had postpartum depression with a score of 12 or above. Postpartum depression significantly was correlated with physical health (r=.35, p=.001), anxiety (r=.84, p<.001), and guilt (r=.75, p<.001) and was significantly higher for women with multiple births, and preterm infants who required ventilator and antibiotic treatment. Anxiety also showed a significant difference according to preterm infants’ condition. Conclusion: The significant correlations between postpartum depression and physical health, anxiety, and guilt indicate a need for nursing interventions that provide integrated management of mothers’ physical and emotional health.
Abstract
Purpose: This study investigated the physical and emotional health of South Korean mothers of preterm infants in the early postpartum period. Methods: In this descriptive correlational study, the participants included 91 mothers of preterm infants who were admitted to the neonatal intensive care unit of a tertiary hospital in South Korea. Physical health status was measured using a self-reported questionnaire, postpartum depression using the Edinburgh Postnatal Depression Scale, anxiety using the State-Trait Anxiety Inventory, and guilt using a 4-item scale. Results: Fatigue had the highest score among mothers' physical health problems, followed by shoulder pain, nipple pain, neck pain. The average postpartum depression score was 11.02 points, and 44% of women had postpartum depression with a score of 12 or above. Postpartum depression significantly was correlated with physical health (r=.35, p=.001), anxiety (r=.84, p<.001), and guilt (r=.75, p<.001) and was significantly higher for women with multiple births, and preterm infants who required ventilator and antibiotic treatment. Anxiety also showed a significant difference according to preterm infants’ condition. Conclusion: The significant correlations between postpartum depression and physical health, anxiety, and guilt indicate a need for nursing interventions that provide integrated management of mothers’ physical and emotional health.
참고문헌 (30)
- McGovern P, "Mothers' health and work-related factors at 11weeks postpartum", Annals of Family Medicine, 5(6), pp.519~527 (2007)[DOI]
- Chien LY, "Postpartum physical symptoms and depressive symptomatology at 1 month and 1 year after delivery : a longitudinal questionnaire survey", International Journal of Nursing Studies, 46(9), pp.1201~1208 (2009)[DOI]
- Kantrowitz-Gordon I, "Expanded care for women and families after preterm birth", Journal of Midwifery and Womens Health, 58(2), pp.158~166 (2013)[DOI]
- 최은아, "신생아의 신생아집중치료실 입원에 대한 어머니 경험", Child Health Nursing Research, 24(4), pp.407~419 (2018), 한국아동간호학회[DOI]
- Bouras G, "Preterm birth and maternal psychological health", Journal of Health Psychology, 20(11), pp.1388~1396 (2015)[DOI]
- Hanko C, "Course of mental health and mother-infant bonding in hospitalized women with threatened preterm birth", Archives of Gynecology and Obstetrics, 301(1), pp.119~128 (2020)[DOI]
- Lee JY, "Guilt and social support in the mothers of premature infants", master, pp.2011
- Hill PD, "Maternal perceived quality of life following childbirth", Journal of Obstetric, Gynecologic, and Neonatal Nursing, 36(4), pp.328~334 (2007)[DOI]
- 최소영, "초기 산욕기 산모의 피로와 산후우울이 지각된 삶의 질에 미치는 영향", 여성건강간호학회지, 17(2), pp.118~125 (2011), 한국여성건강간호학회
- Webb DA, "Postpartum physical symptoms in new mothers : their relationship to functional limitations and emotional well-being", Birth(Berkeley, Calif), 35(3), pp.179~187 (2008)[DOI]
- Woolhouse H, "Physical health after childbirth and maternal depression in the first 12months post partum : results of an Australian nulliparous pregnancy cohort study", Midwifery, 30(3), pp.378~384 (2014)[DOI]
- Anderson C, "Implications of preterm birth for maternal mental health and infant development", MCN : American Journal of Maternal, 2017, pp.42(2), 108~114
- 이주연, "초산모를 위한 산후관리 모바일 앱 개발 및 효과 검증", 여성건강간호학회지, 23(3), pp.210~220 (2017), 한국여성건강간호학회[DOI]
- Misund AR, "Mental health in women experiencing preterm birth", BMC Pregnancy and Childbirth, 14, pp.263~ (2014)[DOI]
- 방경숙, "미숙아와 어머니의 인구사회학적, 임상적 특성과 산후우울과의 관련성", Child Health Nursing Research, 21(1), pp.1~10 (2015), 한국아동간호학회[DOI]
- Faul F, "Statistical power analyses using G*Power 3. 1 : tests for correlation and regression analyses", Behavior Research Methods, 41(4), pp.1149~1160 (2009)[DOI]
- Aksu S, "Long-term postpartum health problems in Turkish women : prevalence and associations with self-rated health", Contemporary Nurse, 53(2), pp.167~181 (2016)[DOI]
- Cox JL, "Detection of postnatal depression development of the 10-item Edinburgh Postnatal Depression Scale", The British Journal of Psychiatry, 150(6), pp.782~786 (1987)
- 한귀원, "한국어판 에딘버러 산후우울 척도 : 신뢰도와 타당도", 생물치료정신의학, 10(2), pp.201~206 (2004), 대한생물치료정신의학회
- 김수연, "산모의 불안, 부부관계 및 우울이 산욕후기 우울에 미치는 영향", 한국모자보건학회지, 21(2), pp.139~148 (2017), 한국모자보건학회[DOI]
- Spielberger CD, "Manual for the statetrait anxiety inventory" (1970), Consulting Psychologist press
- 권은경, "희귀유전대사질환 아동 어머니의 양육 스트레스와 죄책감", 임상간호연구, 14(3), pp.153~163 (2008), 병원간호사회
- Laageide L, "Postpartum nipple symptoms : risk factors and dermatologic characterization", Breastfeeding Medicine, 16(3), pp.215~221 (2021)[DOI]
- Wilson N, "Postpartum fatigue and depression : a systematic review and meta-analysis", Journal of affective disorders, 246, pp.224~233 (2019)[DOI]
- Gomez-Perez L, "Bidirectional relationship between physical health symptoms and depressive symptoms in the pre-and postpartum period", Journal of Psychosomatic Research, 139, pp.110280~ (2020)[DOI]
- Saur AM, "Risk factors associated with stress symptoms during pregnancy and postpartum : integrative literature review", Women and Health, 61(7), pp.651~667 (2021)[DOI]
- Kang EJ, "Plan of health care and supporting child care for mother and neonatal", Child Care Policy Forum, 59, pp.16~32 (2019)
- Helle N, "Very low birth-weight as a risk factor for postpartum depression four to six weeks postbirth in mothers and fathers : cross-sectional results from a controlled multicentre cohort study", Journal of Affective Disorders, 180, pp.154~161 (2015)[DOI]
- 이재영, "신생아중환자실에 입원 중인 미숙아 어머니의 산욕초기 산후우울 예측요인", Child Health Nursing Research, 20(2), pp.87~95 (2014), 한국아동간호학회[DOI]
- 김민정, "산후우울 종단 코호트 연구: 모의 정신건강 및 모-자녀관계", 영유아아동정신건강연구, 11(2), pp.53~73 (2018), 한국영유아아동정신건강학회[DOI]
