신생아중환자실에 입원 중인 미숙아 어머니의 산욕초기 산후우울 예측요인
Predictors of Early Postpartum Depression in Mothers of Preterm Infants in Neonatal Intensive Care Units
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목적 본 연구는 산욕초기 미숙아 어머니의 산후우울과 예측요인을 파악하기 위한 서술적 조사연구이다. 방법 연구대상자는 일 지역 두 곳의 신생아중환자실에 미숙아가 입원 중인 미숙아 어머니로 분만 후 2-3주이며, 배우자가 있는 기혼여성 101명을 대상으로 하였다. 자료수집기간은 2010년 6월부터 2011년 1월까지였다. 연구도구는 산후우울(Edinburgh Postnatal Depression Scale), 산전 우울, 주관적 아기 건강상태, 의료인 지지, 배우자 지지 측정도구를사용하였다. 자료는 SPSS win 18.0 program을 이용하여 기술통계, ttest,χ2-test, multiple logistic regression으로 분석하였다. 결과 산욕초기 미숙아 어머니의 산후우울 발생률은 81.6%였으며, 산후우울 예측요인은 분만방법(OR, 5.57; 95% CI, 1.25-24.77), 주관적 아기 건강상태(OR, 0.34; 95% CI, 0.16-0.70) 및 의료인 지지(OR, 0.52; 95% CI,0.28-0.97) 등으로 나타났다. 결론 대부분의 미숙아 어머니들은 산욕초기 산후우울을 나타내었기 때문에 조기 중재를 목적으로 한 스크리닝이 필요하다. 또한 산후우울은제왕절개로 분만하였으며, 주관적으로 아기 건강상태가 불건강하다고인식할수록 그리고 의료인 지지가 낮을수록 발생비율이 높게 나타났다. 따라서 의료인들은 미숙아 어머니들이 제왕절개로 분만한 경우 더욱 관심을 기울어야 하며, 주관적으로 자신의 아기를 부정적으로 인식하지 않도록 도와야 한다.
Abstract
Purpose: This study was done to investigate the point prevalence of postpartum depression and its predictors during early postpartum inmother of preterm infants. Methods: Participants were 101 women, 2-3 weeks after delivery whose preterm babies were hospitalized in a neonatalintensive care unit. Data were collected from June 2010 to January 2011. The instruments included ‘Edinburgh Postnatal Depression Scale’,‘Prenatal depression’, ‘Subjective health status of infant’, ‘Medical staff support’, and ‘Husband support’. Collected data were analyzed using t-test,χ2-test, and multiple logistic regression with SPSS/WIN version 18.0. Results: The point prevalence was 86.1% that postpartum depressionoccurred during the early postpartum period in mothers of preterm infants. Three significant predictors of postpartum depression in mothersof preterm infants were identified; ‘Type of delivery (OR, 5.57; 95% CI, 1.25-24.77)’, ‘Subjective health status of infant (OR, 0.34; 95% CI, 0.16-0.70)’, and ‘Medical staff support (OR, 0.52; 95% CI, 0.28-0.97)’. Conclusion: The results indicate that postpartum mothers should be screenedfor postpartum depression early in the postpartum period and that, medical personnel should pay particular attention to mothers with a caesareansection and should help mothers of preterm babies to develop positive perceptions of their babies.
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