자기효능감, 사회적 지지, 피로, 양육스트레스가 산후우울증에 미치는 영향
The Influence of Self-efficacy, Social Support, Postpartum Fatigue and Parenting Stress on Postpartum Depression
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Objectives: This study was performed to examine the influence of self-efficacy, social support, postpartum fatigue and parenting stress on postpartum depression in mothers. Methods: The authors conducted a survey using a self-administered questionnaire, conducted during May, 2011. The study subjects were 313 parturient mothers in 1 week after delivery. Results: To investigate the overall relationship between the variables, the authors conducted a path analysis using a linear structural equation model analysis. The equation was statistically appropriate and had a good fitness. The postpartum fatigue, and parenting stress factors, respectively influenced postpartum depression positively (p<0.01). The social support factor influenced postpartum fatigue and depression negatively (p<0.01) The self-efficacy factor influenced parenting stress negatively (p<0.01). The age of mother (γ=0.11), mood change during pregnancy (γ=-0.12), order of baby γ=0.43) and health status of mother (γ=0.14) influenced self-efficacy (p<0.05). The variable affecting social support was cooperation degree of husband (γ=0.36, p<0.01). The mood change during pregnancy (γ=0.21), nursing type (γ=0.11,), and health status of mother (γ=-0.26) influenced postpartum fatigue (p<0.05). And the variables affecting parenting stress were mood change during pregnancy (γ=0.12, p<0.05) and cooperation degree of husband (γ=-0.20, p<0.01). Conclusions: The self-efficacy, social support, fatigue, and parenting stress of parturient mother influenced to the postpartum depression. It would be necessary to develop programs to increase self-efficacy and social support and to decrease the postpartum fatigue and parenting stress.
Abstract
Objectives: This study was performed to examine the influence of self-efficacy, social support, postpartum fatigue and parenting stress on postpartum depression in mothers. Methods: The authors conducted a survey using a self-administered questionnaire, conducted during May, 2011. The study subjects were 313 parturient mothers in 1 week after delivery. Results: To investigate the overall relationship between the variables, the authors conducted a path analysis using a linear structural equation model analysis. The equation was statistically appropriate and had a good fitness. The postpartum fatigue, and parenting stress factors, respectively influenced postpartum depression positively (p<0.01). The social support factor influenced postpartum fatigue and depression negatively (p<0.01) The self-efficacy factor influenced parenting stress negatively (p<0.01). The age of mother (γ=0.11), mood change during pregnancy (γ=-0.12), order of baby γ=0.43) and health status of mother (γ=0.14) influenced self-efficacy (p<0.05). The variable affecting social support was cooperation degree of husband (γ=0.36, p<0.01). The mood change during pregnancy (γ=0.21), nursing type (γ=0.11,), and health status of mother (γ=-0.26) influenced postpartum fatigue (p<0.05). And the variables affecting parenting stress were mood change during pregnancy (γ=0.12, p<0.05) and cooperation degree of husband (γ=-0.20, p<0.01). Conclusions: The self-efficacy, social support, fatigue, and parenting stress of parturient mother influenced to the postpartum depression. It would be necessary to develop programs to increase self-efficacy and social support and to decrease the postpartum fatigue and parenting stress.
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