초산모와 경산모의 산후 6주 우울 예측요인 비교
A Comparative Study on the Predictors of Depression between Primipara and Multipara at Postpartum 6 Weeks
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Objectives: The purpose of this study was to identify differences of influential factors on maternal depression between primipara and multipara. Methods: The participants (primipara 141, multipara 133) were recruited from the obstetric medical center in a metropolitan city. Data were measured on each participant from July 2007 to September 2007, and analyzed by t-test, ANOVA, pearson correlation coefficient, and stepwise multiple regression. Results: The depression of the primipara was 6.23 and the multipara was 4.41. 'Satisfaction with a becoming a mother' and 'employed' were 21.1% of the variance in primiparas' postpartum depression. On the other hand, significantly influencing factors on multiparas' postpartum depression were 'maternal infant attachment', satisfaction with a becoming a mother' and 'age', which explained 29.5% of the variance in the depression. Conclusions: Obviously, influential factors on postpartum depression turned up differences between primipara and multipara. Therefore, it is recommended that the frequency of delivery should be considered in developing depression care programs for the postpartum mother.
Abstract
Objectives: The purpose of this study was to identify differences of influential factors on maternal depression between primipara and multipara. Methods: The participants (primipara 141, multipara 133) were recruited from the obstetric medical center in a metropolitan city. Data were measured on each participant from July 2007 to September 2007, and analyzed by t-test, ANOVA, pearson correlation coefficient, and stepwise multiple regression. Results: The depression of the primipara was 6.23 and the multipara was 4.41. 'Satisfaction with a becoming a mother' and 'employed' were 21.1% of the variance in primiparas' postpartum depression. On the other hand, significantly influencing factors on multiparas' postpartum depression were 'maternal infant attachment', satisfaction with a becoming a mother' and 'age', which explained 29.5% of the variance in the depression. Conclusions: Obviously, influential factors on postpartum depression turned up differences between primipara and multipara. Therefore, it is recommended that the frequency of delivery should be considered in developing depression care programs for the postpartum mother.
참고문헌 (41)
- 김분한, "분만 여성의 산후 우울과 신체상의 관계", Journal of Korean Academy of Nursing, 32(7), pp.906~916 (2002), 한국간호과학회
- 김선희, "모유수유하는 여성의 어머니 되어가기 과정", 여성건강간호학회지, 15(3), pp.186~195 (2009), 여성건강간호학회
- 김은주, "산욕기 경험을 통한 “엄마 되어감”에 관한 내러티브 연구", 아동학회지, 29(1), pp.115~131 (2008), 한국아동학회
- 권미경, "영아기 어머니의 산후 우울 정도와 모성역할 자신감, 양육 스트레스, 영아기질에 관한 연구", Child Health Nursing Research, 12(3), pp.314~321 (2006), 아동간호학회
- 나용진, "산후우울증에 관한 임상적 연구", 석사, pp.1993
- 남궁연옥, "도시지역 일부 산모들의 산후우울과 사회적 지지와의 관련성", 한국모자보건학회지, 11(2), pp.149~161 (2007), 한국모자보건학회
- 류경희, "공동육아협동조합의 대안적 가족형태로서의 가능 성 탐색", 한국가족관계학회지, 5(2), pp.119~151 (2000)
- 박시성, "산후우울증의 심리사회적 위험요인", 정신신체의학, 7(1), pp.124~133 (1999), 한국정신신체의학회
- 박영주, "산후우울 예측요인", Journal of Korean Academy of Nursing, 34(5), pp.722~728 (2004), 한국간호과학회
- 배정이, "산후우울의 이론적 모형구축에 관한 연구", 박사, pp.1996
- 백미례, "미숙아 어머니와 만삭아 어머니의 영아돌보기에 대한 자신감과 어머니 역할 전환에 따른 어려움과 만 족도 비교연구", 석사, pp.1990
- 송주은, "산욕후기 산모의 산후우울 영향요인", 여성건강간호학회지, 15(3), pp.216~223 (2009), 여성건강간호학회
- 안숙희, "산후 3개월 동안 체중저류 양상과 관련요인", 한국모자보건학회지, 9(1), pp.19~32 (2005), 한국모자보건학회
- 양미선, "영아기 자녀를 둔 어머니의 산후우울과 양육스트레스와의 관계", 석사, pp.2000
- 양영옥, "산욕기 산모의 산후우울 정도와 영향요인", 부모자녀 건강학회지, 6(2), pp.159~168 (2003)
- 이경혜, "여성건강간호 학 II", pp.272~275 (2010), 현문사
- 장군자, "모유수유 영아모가 인지한 영아기질과 모아애착 정도", 여성건강간호학회지, 15(3), pp.224~230 (2009), 여성건강간호학회
- 정명희, "산욕기 산모의 임신시 정서상태, 분만준비도, 산후 사회적 지지도 및 산후 우울감과의 관계연구", 여성건강간호학회지, 11(1), pp.38~45 (2005), 한국여성건강간호학회
- 조영숙, "산욕기 산모의 자아존중감과 산후우울과의 관계 연구", 정신간호학회지, 1(1), pp.97~110 (1992)
- 최의순, "산욕기 산모의 산후 우울증에 영향을 미 치는 요인", 여성건강간호학회지, 6(3), pp.358~371 (2000)
- 최보문, "산후 정신병의 임상적 고찰", 신경정신의 학, 20(2), pp.121~125 (1981)
- 한규은, "모성 자존감 및 모성 민감성과 모아 애착과의 관 계", 석사, pp.2001
- 홍종문, "산전 및 산후의 정서변화 연구", 신경정신 의학, 25(3), pp.341~439 (1986)
- Beck CT, "Comparative analysis of the performance of the postpartum depression screening scale with tow other depression instruments", Nursing Research, 50(4), pp.242~250 (2001)
- Brodie DA, "The relationship between body-image and body fat in adult women", Psychol Med, 18(623), pp.631~ (1988)
- Buist A, "The management of postnatal depression", Physician, 22(11), pp.2025~2029 (1993)
- Chen CM, "Postpartum Taiwanese women: their postpartum depression, social support and health-promoting lifestyle profiles", J of Clinical Nursing, 16, pp.1550~1560 (2007)
- Cox JL, "Detection of postnatal depression: Development of Edinburgh postnatal depression scale", Br J Psychiatry, 157, pp.288~289 (1990)
- Doucet S, "Differentiation and clinical implications of postpartum depression and postpartum psychosis", JOGNN, 38, pp.269~279 (2009)
- Gotlib I, "Prevalence rates and demographic characteristics associated with depression in pregnancy and the postpartum", J Consult Clin Psychol, 57(2), pp.269~274 (1989)
- Hung CH, "Women's postpartum stress, social support, and health status", Western J Nurs Res, 27(2), pp.148~159 (2005)
- Leifer M, "Psychological effect of motherhood: A study of first pregnancy" (1977), Draeger
- Logsdon MG, "The impact of postpartum depression on mothering", J Obstet Gynecol Neonatal Nurs, 35(5), pp.652~658 (2006)
- McGrath JM, "Maternal depression and infant temperament charccteristics", Infant Behav Dev, 31(1), pp.71~84 (2008)
- Muller ME, "A questionnaire to measure mother to infant attach", J Nurs Meas, 2(2), pp.129~141 (1994)
- Murry JB, "Postpartum depression", Genet Soe Gen Psychol Monogr, 113, pp.193~212 (1987)
- Posmontier B, "Functional status outcomes in mothers with and without postpartum depression", J Midwifery Womens Health, 53, pp.310~318 (2008)
- Stowe ZN, "Women at risk for postpartum- onset major depression", Am J Obstet Gynecol, 173, pp.639~645 (1995)
- Tabachnick, BG, "Using multivariate statistics, 4th ed" (2001), Allyn & Bacon
- Webb NW, "Postpartum physical symptoms in new mothers: Their relationship to functional limitations and emotional well-being", Birth, 35(3), pp.179~187 (2008)
- Wisner KL, "Timing of depression recurrence in the first year after birth", J of Affective Disorders, 78, pp.249~252 (2004)