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산후조리원 이용여부에 따른 초산모의 신체적, 심리적 건강상태 및 모성역할적응의 변화양상에 관한 연구

The Changing Pattern of Physical and Psychological Health, and Maternal Adjustment Between Primiparas Who Used and Those Who did Not Use Sanhujori Facilities

  • 송주은 (단국대학교 간호학과) ;
  • 박보림 (박보림 국제모유수유 클리닉)
  • Song, Ju-Eun (Department of Nursing, Dankook University) ;
  • Park, Bo-Lim (Park Bo Lim International Board of Lactation Consultant's Clinic)
  • 투고 : 2010.05.07
  • 심사 : 2010.08.09
  • 발행 : 2010.08.31

초록

Purpose: The purpose of this study was to compare levels of postpartum fatigue, depression, childcare stress, and maternal identity according to postpartum period between primiparas who used Sanhujori facilities and those who did not. Methods: The research design was a longitudinal descriptive study using self-report questionnaires. Participants were 55 healthy primiparas who delivered at one of 3 hospitals in Chungnam, 21 using Sanhujori facilities and 34 not using these facilities during the first three weeks after childbirth. Data were collected from October 2008 to April 2009 at three measurement points, 2-4 days after childbirth (T1), 4-6 weeks (T2), and 12-14 weeks (T3). Data were analyzed using the SPSS 17.0 WIN program. Results: There was a significant difference in childcare stress between the two groups at 4-6 weeks after childbirth. Postpartum depression and childcare stress at 4-6 weeks were significantly higher than those of the other postpartum periods, while maternal identity was significantly lower. Conclusion: Child care stress is the most important issue among women who use Sanhujori facilities and the 4-6 week period after childbirth is very difficult to primiparas. These results indicate that nursing interventions for primiparas in Sanhujori facilities should focus on reducing childcare stress. Furthermore proper follow-up programs at 4-6 weeks are needed to decrease the difficulties in adjustment by new mothers.

키워드

참고문헌

  1. Ahn, S. H. (2002). Postpartum health: A comparison of mothers with preterm infants and mothers with full-term infants. Korean Journal of Women Health Nursing, 8, 7-19.
  2. Cheon, J. A. (1990). The effect of postpartum stress and social network on the postpartum depression. Unpublished master's thesis, Korea University, Seoul.
  3. Chon, K. K., & Rhee, M. K. (1992). Preliminary development of Korean version of CES-D. Korean Journal of Clinical Psychology, 11, 65-76.
  4. Cutrona, C. E. (1984). Social support and stress in the transition to parenthood. Journal of Abnormal Psychology, 93, 378-390.
  5. Jang, Y. S. (2005). Effects of a maternal role promotion program for mothers of premature infants on maternal role strain, maternal role confidence and maternal identity. Journal of Korean Academy of Child Health Nursing, 11, 472-480.
  6. Jung, E. S., & Yoo, E. K. (2002). A study for the development of standardized management manuel in Sanhujoriwon: Centered on the management of women & newborn. Korean Journal of Women Health Nursing, 8, 301-313.
  7. Jung, H. (1999). A study on the nursing needs and service satisfactory of users in the postpartum care center. Korean Journal of Women Health Nursing, 5, 193-199.
  8. Jung, M. H., & Kim, J. I. (2005). A study on the relationship among prenatal emotional status, preparation for delivery, postpartum social support and postparum blues. Korean Journal of Women Health Nursing, 11, 38-45.
  9. Kim, J. W., Kim, J. H., Eun, D. W., & Kim, H. (2005). Psychosocial and obstetric predictors of depressive symptomatology at postpartum 4 weeks. Korean Journal of Obstetric and Gynecology, 48, 901-909.
  10. Kim, J. Y., & Kim, J. G. (2008). Psycho-social predictors model of postpartum depression. Korean Journal of Health Psychology, 13, 111-140.
  11. Kim, S. O. (2007). Nursing care needs and satisfaction of the mothers in the postpartum care center. Unpublished mater's thesis, Kosin University, Busan.
  12. Koh, H. J. (1996). The relationship between role strain and identity in first-time mothers with regard to employment status. Unpublished doctoral dissertation, Ewha Womans University, Seoul.
  13. Lee, E. H., Jung, Y. H., Kim, J. S., Song, R. Y., & Hwang, G. U. (2008). Statistical methods for health care research (2nd ed.). Seoul: Koonja.
  14. Lee, K. A., & Zaffke, M. (1998). Longitudinal changes in fatigue and energy during pregnancy and the postpartum period. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 28, 183-191.
  15. Leung, S., Martinson, I., & Arthur, D(. 2005). Postpartum depression and related psychosocial variables in Hong Kong Chinese women: Finding from a prospective study. Research in Nursing & Health, 28, 27-38. https://doi.org/10.1002/nur.20053
  16. Mercer, R. T. (2006). Nursing support of the process of becoming a mother. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 35, 649-651. https://doi.org/10.1111/j.1552-6909.2006.00086.x
  17. Park, Y. S. (1991). Transition to motherhood of primipara in postpartum period. Unpublished doctoral dissertation, Seoul National University, Seoul.
  18. Pugh, L. C. (1993). Childbirth and the measurement of fatigue. Nursing Measurement, 1, 57-66.
  19. Radloff, L. S. (1977). The CES-D scale: A self report depression scale for research in the general population. Applied Psychological Measurement, 1, 385-401. https://doi.org/10.1177/014662167700100306
  20. Reeder, S. J., Martin, L. L., & Koniak-Griffin, D. (1997). Maternity nursing (18th ed.). New York, NY: Lippincott.
  21. Song, J. E. (2001). A comparative study on the level of postpartum women's fatigue between rooming-in and non rooming-in groups. Korean Journal of Women Health Nursing, 7, 241-255.
  22. Song, J. E. (2006). A structural model of postpartum fatigue of the primipara in Korea. Unpublished doctoral dissertation, Yonsei University, Seoul.
  23. Song, J. E., Chang, S. B., & Kim, S. (2008). Childcare stress, postpartum depression, and postpartum fatigue between women who used and did not used Sanhujori facilities. Journal of The Korean Society of Maternal And Child Health, 12, 33-46.
  24. Suh, Y. S., & Huh, J. K. (2002). A study on the managing of mother and baby in the postparum care center. Journal of the Korean Association of Child Care and Education, 29(6), 23-44.
  25. Troy, N. W. (1999). A comparison of fatigue and energy levels at 6 weeks and 14 to 19 weeks postpartum. Clinical Nursing Research, 8, 135-152. https://doi.org/10.1177/10547739922158205
  26. Wambach, K. A. (1998). Maternal fatigue in breastfeeding primiparae during the first nine weeks postpartum. Journal of human lactation, 14, 219-229. https://doi.org/10.1177/089033449801400311
  27. Water, M. A., & Lee, K. A. (1996). Differences between primigravidas and multigravidas mothers in sleep disturbances, fatigue, and functional status. Journal of Nurse Midwifery, 41, 364-367. https://doi.org/10.1016/S0091-2182(96)00049-3
  28. Yoo, E. K. (1993). Health promoting behavior for women's health: An analysis on meaning of Sanhujori, Korean postpartum care. Korean Journal of Nursing Query, 2(2), 37-65.
  29. Yoo, E. K., & Ahn, Y. M. (2001). A model for community based mother infant care center-TMIC (transitional mother infant care center) using a Sanhujoriwon-. Journal of Korean Academy of Nursing, 31, 932-947.

피인용 문헌

  1. A Comparative Study of Postpartum Stress, Postpartum Depression, Postpartum Discomfort and Postpartum Activity, Between Women who Used and those Women did not Used Sanhujori Facilities vol.17, pp.2, 2013, https://doi.org/10.21896/jksmch.2013.17.2.184
  2. 국내 모성적응증진 프로그램의 효과에 대한 체계적 문헌고찰 vol.19, pp.3, 2010, https://doi.org/10.4069/kjwhn.2013.19.3.129
  3. Effects of Laughter Therapy on Immune Responses in Postpartum Women vol.21, pp.12, 2010, https://doi.org/10.1089/acm.2015.0053
  4. 한국사회 결혼이민여성의 모성적응 관련 양적논문에 대한 체계적 고찰 vol.21, pp.1, 2010, https://doi.org/10.4069/kjwhn.2015.21.1.55
  5. 남편의 산후조리 인식, 교육요구도 및 가족건강성에 관한 연구 vol.21, pp.2, 2010, https://doi.org/10.4069/kjwhn.2015.21.2.93
  6. 포커스 그룹 연구방법을 적용한 초산모의 산후조리원 이용 경험 분석 vol.21, pp.3, 2010, https://doi.org/10.4069/kjwhn.2015.21.3.184
  7. 한국 산욕기 여성의 보완대체의학 사용실태와 영향요인 vol.22, pp.1, 2010, https://doi.org/10.4069/kjwhn.2016.22.1.1
  8. 중국인 이민 초산모의 산후조리 경험 vol.22, pp.1, 2010, https://doi.org/10.4069/kjwhn.2016.22.1.48
  9. Perceptions and Challenges : Postpartum Care Among Korean Americans Through an Online Community vol.27, pp.3, 2010, https://doi.org/10.1177/1043659614556353
  10. Influencing Factors on Maternal Role Adjustment among the Primipara Women in the First Year after Childbirth vol.20, pp.3, 2010, https://doi.org/10.21896/jksmch.2016.20.3.284
  11. Bladder Symptoms, Fatigue and Physical Activity in Postpartum Women vol.11, pp.1, 2017, https://doi.org/10.1016/j.anr.2017.03.002
  12. 출산 여성의 산후관리서비스 이용에 영향을 미치는 요인 vol.11, pp.1, 2017, https://doi.org/10.12811/kshsm.2017.11.1.143
  13. 산후조리원 이용 산모의 건강증진행위 영향요인 vol.23, pp.2, 2010, https://doi.org/10.4069/kjwhn.2017.23.2.135
  14. 출산여성의 산후관리서비스 이용 결정요인과 형평성 분석 vol.27, pp.4, 2017, https://doi.org/10.4332/kjhpa.2017.27.4.304
  15. Ecological Factors Influencing Breastfeeding Decisions among Korean Immigrant Mothers in America vol.27, pp.3, 2010, https://doi.org/10.1007/s10826-017-0927-x
  16. 간호대학생의 SBAR를 이용한 단계별 의사소통 교육프로그램의 효과: 시나리오와 간호사례기반 역할극을 중심으로 vol.24, pp.2, 2010, https://doi.org/10.5977/jkasne.2018.24.2.115
  17. 융복합 시대 취업모의 모성역할적응에 모아애착 및 사회적 지지가 미치는 영향 vol.18, pp.6, 2020, https://doi.org/10.14400/jdc.2020.18.6.379
  18. Effects of a maternal role adjustment program for first time mothers who use postpartum care centers ( Sanhujoriwon ) in South Korea: a quasi-experimental study vol.20, pp.1, 2010, https://doi.org/10.1186/s12884-020-02923-x
  19. 공공산후조리원 확대의 타당성에 관한 융합 연구: 편익-비용 분석을 중심으로 vol.11, pp.12, 2010, https://doi.org/10.15207/jkcs.2020.11.12.409
  20. The Review and Future Perspectives of the Postpartum Care Service System for the Improvement of the Private-Postpartum Care Center’s Publicity vol.25, pp.3, 2010, https://doi.org/10.21896/jksmch.2021.25.3.153