산후우울, 사회적 지지, 모성정체성이 산욕기 산모의 삶의 질에 미치는 영향
Effects of Postpartum Depression, Social Support, Maternal Identity on Maternal Postpartum Quality of Life among Women in Postpartum Period
2
조회
0
다운로드
6
인용
0
참고문헌
키워드
초록
Purpose: This study aimed to identify the effects of postpartum depression, social support, and maternal identity on quality of life among women in the postpartum period. Methods: Descriptive, cross-sectional study design was used. A total of 188 women in the postpartum period participated from breastfeeding clinics and internet community networks. A self-report questionnaire packet containing Edinburgh postnatal depression scale, social support, semantic differential scale-maternal identity, and maternal postpartum quality of life (MAPP-QOL) tools was used for data collection. The data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation coefficients, and stepwise multiple regression analysis using SAS 9.4 program. Results: Postpartum depression was negatively associated with MAPP-QOL. Husband support, significant others support, myself as a mother, and my baby was positively correlated with MAPP-QOL. It was found that postpartum depression, husband support, significant others support, myself as a mother were factors influencing MAPP-QOL. These factors explained 51% of the variance of MAPP-QOL. Conclusion: The results of this study suggested that it is important to develop and implement postpartum nursing interventions that can improve postpartum depression, as well as the social support of husband and significant others, and maternal identity to enhance MAPP-QOL.
Abstract
Purpose: This study aimed to identify the effects of postpartum depression, social support, and maternal identity on quality of life among women in the postpartum period. Methods: Descriptive, cross-sectional study design was used. A total of 188 women in the postpartum period participated from breastfeeding clinics and internet community networks. A self-report questionnaire packet containing Edinburgh postnatal depression scale, social support, semantic differential scale-maternal identity, and maternal postpartum quality of life (MAPP-QOL) tools was used for data collection. The data were analyzed using descriptive statistics, t-test, one-way ANOVA, Pearson's correlation coefficients, and stepwise multiple regression analysis using SAS 9.4 program. Results: Postpartum depression was negatively associated with MAPP-QOL. Husband support, significant others support, myself as a mother, and my baby was positively correlated with MAPP-QOL. It was found that postpartum depression, husband support, significant others support, myself as a mother were factors influencing MAPP-QOL. These factors explained 51% of the variance of MAPP-QOL. Conclusion: The results of this study suggested that it is important to develop and implement postpartum nursing interventions that can improve postpartum depression, as well as the social support of husband and significant others, and maternal identity to enhance MAPP-QOL.
참고문헌 (30)
- Women’s health nursing curriculum research group, "Women’s health nursing Ⅱ" (2020), Soomoonsa
- Papamarkou M, "Investigation of the association between quality of life and depressive symptoms during postpartum period : a correlational study", BMC Women’s Health, 17(1), pp.115~ (2017)[DOI]
- Daglar G, "Depression, anxiety and quality of life of mothers in the early postpartum period", International Journal of Behavioral Sciences, 11(4), pp.152~159 (2018)
- Hill PD, "Maternal postpartum quality of life questionnaire", Journal of Nursing Measurement, 14(3), pp.205~220 (2006)[DOI]
- Van der Woude DA, "Health status and quality of life in postpartum women : a systematic review of associated factors", European Journal of Obstetrics & Gynecology and Reproductive Biology, 185, pp.45~52 (2015)[DOI]
- Emmanuel E, "Relationship between social support and quality of life in childbearing women during the perinatal period", Journal of Obstetric. Gynecologic & Neonatal Nursing, 41(6), pp.62~70 (2012)[DOI]
- 여정희, "분만경험과 산후 우울이 출산 후 여성의 삶의 질에 미치는 영향", Journal of Korean Academy of Nursing, 43(1), pp.11~19 (2013), 한국간호과학회
- 김정숙, "산욕기 산모의 양육스트레스, 산후우울, 피로가 삶의 질에 미치는 영향", 융합정보논문지, 8(6), pp.1~7 (2018), 중소기업융합학회[DOI]
- 최소영, "초기 산욕기 산모의 피로와 산후우울이 지각된 삶의 질에 미치는 영향", 여성건강간호학회지, 17(2), pp.118~125 (2011), 한국여성건강간호학회
- 김민정, "산후우울 종단 코호트 연구: 모의 정신건강 및 모-자녀관계", 영유아아동정신건강연구, 11(2), pp.53~73 (2018), 한국영유아아동정신건강학회[DOI]
- 김연정, "한국 산후조리 문화의 변화에 관한 연구", 아시아문화연구, 26, pp.217~240 (2012), 아시아문화연구소[DOI]
- Walker LO, "Investigating the semantic properties of two concepts", pp.1977
- Mercer RT, "Becoming a mother versus maternal role attainment", Journal of Nursing Scholarship, 36(3), pp.226~232 (2004)[DOI]
- Shin HJ, "Maternal sensitivity : a concept analysis", Journal of Advanced Nursing, 64(3), pp.304~314 (2008)[DOI]
- Lee HK, "Construction of a maternal role attainment model in primiparas during the postpartum period", pp.1992
- 김수정, "초산모를 위한 모성역할적응 프로그램의 효과", 여성건강간호학회지, 24(3), pp.322~332 (2018), 한국여성건강간호학회[DOI]
- 채현주, "어머니 역할 실습교육이 어머니됨에 미치는 효과", 여성건강간호학회지, 17(1), pp.52~63 (2011), 한국여성건강간호학회
- Cox JL, "Detection of postnatal depression development of the 10-item Edinburgh postnatal depression scale", British Journal of Psychiatry, 150, pp.782~786 (1987)[DOI]
- 한귀원, "한국어판 에딘버러 산후우울 척도 : 신뢰도와 타당도", 생물치료정신의학, 10(2), pp.201~206 (2004), 대한생물치료정신의학회
- Koh HJ, "The relationship between role strain and identity in first-time mothers with regard to employment status", pp.1996
- Ferrans CE, "Quality of life index : development and psychometric properties", Advances in Nursing Science, 8(1), pp.15~24 (1985)[DOI]
- Hill PD, "Maternal perceived quality of life following childbirth", Journal of Obstetric, Gynecologic & Neonatal Nursing, 36(4), pp.328~334 (2007)[DOI]
- 윤지향, "산후우울증 관련요인: 전향적 코호트 연구", Journal of Korean Academy of Nursing, 43(2), pp.225~235 (2013), 한국간호과학회
- Dennis CL, "Can we identify mothers at risk for postpartum depression in the immediate postpartum period using the Edinburgh Postnatal Depression Scale?", Journal of Affective Disorders, 78(2), pp.163~169 (2004)[DOI]
- Jung MH, "A Study on the relationship among prenatal emotional status, preparation for delivery, postpartum social support and postpartum blues", Korean Journal of Women Health Nursing, 11(1), pp.38~45 (2005)[DOI]
- "The 2018 Postpartum care survey" (2019)[URL]
- The 2018National Survey on Fertility and Family Health and Welfare, "Lee SY", Korea Institute for Health & Social Affairs, ~ (2018)
- 신송이, "집단이야기치료를 통한 양육초기여성의 정체성 변화 경험에 관한 연구: 모성이데올로기를 중심으로", 한국기독교상담학회지, 29(1), pp.67~93 (2018), 한국기독교상담심리학회[DOI]
- Oh H, "The relationship among maternal identity, role attainment and postpartum depression", Journal of the Korean Society of Maternal & Child Health, 5(2), pp.255~266 (2001)
- 송주은, "산후조리원 이용여부에 따른 초산모의 신체적, 심리적 건강상태 및 모성역할적응의 변화양상에 관한 연구", Journal of Korean Academy of Nursing, 40(4), pp.503~514 (2010), 한국간호과학회