임신 후기 임부의 임신스트레스와 우울의 관계에서 피로의 매개효과
The Mediating Effect of Fatigue on the Relationship between Pregnancy Stress and Depression during the Third Trimester of Pregnancy
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본 연구는 임신 후기 임부의 스트레스와 우울과의 관계에서 피로의 매개효과를 파악하기 위해 시도되었다. 경기소재 여성전문병원에 내원한 임신 후기 임부 161명을 대상으로 분석한 결과, 대상자의 임신스트레스 정도는 점수범위 1~4점에서 2.09±.87점, 피로 1~4점에서 2.31±.84점, 우울 0~3점에서 0.85±.81점으로 중간 정도의 점수를 나타내었다. 임부의 임신스트레스는 피로(r=.599, p< .001), 우울(r=.587, p< .001)과 정적 상관관계가 있는 것으로 나타났으며, 피로 또한 우울과 정적 상관관계(r=.484, p< .001)가 있었다. 임신스트레스는 피로와 우울에 동시에 영향을 주고, 피로가 임신스트레스와 우울과의 인과적 경로에 포함되는 매개변수로서의 효과를 가짐을 알 수 있었다. 따라서 원활한 임신과정과 아기의 긍정적인 발달을 위해서 관련 전문가들은 임신과정에서 경험하는 다양한 문제들에 대한 이해를 가짐과 동시에 적정 시기에 필요한 중재가 이루어질 수 있도록 개별프로그램을 계획할 필요가 있다.
Abstract
Purpose: We aimed to assess the mediating effect of fatigue on the relationship between pregnancy stress and depression during the third trimester of pregnancy. Methods: We surveyed 161 pregnant women at a hospital in Gyeonggi province in Korea from October to November, 2017. Data were analyzed by the SPSS WIN 22.0 program. Results: The mean scores of pregnancy stress, fatigue and depression were 2.09±.87 with a range of 1∼4, 2.31±0.84 with a range of 1∼4 and 0.85±0.81 with a range of 0∼3, respectively. Pregnancy stress was positively correlated with fatigue (r=.60, p<.001) and depression (r=.59, p<.001) and fatigue was positively correlated with depression (r=.48, p<.001). The mediating effect of fatigue on the relationship between pregnancy stress and depression (β=.21, p=.010) was found. Conclusion: We found the mediating effect of fatigue on the relationship between pregnancy stress and depression. Thus, healthcare professionals should assess the pregnant woman’s negative emotions in the early stage and facilitate their positive transition utilizing the assesment findings. For example, a development of interventions considering physical and psychological aspects for decreasing fatigue may improve the pregnant women’s well-being during pregnancy and childbirth. In conclusion, the healthcare professionals should understand the potential problems during pregnancy and strive to enhance the positive process of pregnancy and growth of the baby.
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