Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of Self Efficacy, Body Image and Family Support on Postpartum Depression in Early Postpartum Mothers

산욕초기 산모의 산후우울에 자기효능감, 신체상, 가족지지가 미치는 영향

  • Received : 2015.03.17
  • Accepted : 2015.06.11
  • Published : 2015.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to determine the self efficacy, body image and family support affect on postpartum depression in early postpartum mothers. The data was collected 306 mothers on the first week after delivery from one hospital located in B city. The instruments were a survey of general characteristics, obstetrical characteristics, the Edinburgh Postnatal Depression Scale(EPDS), self-efficacy, body image and family support. Data was analysed using descriptive statistics, Pearson correlation coefficients, and stepwise multiple regression. The results revealed that the average item score of the EPDS was 6.09. The significant predictors of postpartum depression were body image, emotional state in pregnancy, and family support. These variables had a 38.4% explainability. The results indicate that the postpartum mothers should be screened for postpartum depression early in the postpartum period and it's necessary to implement nursing intervention focused on to enhance the body image and family support, especially the weak emotional state mothers in pregnancy.

본 연구는 산욕초기 산모의 산후우울 정도를 확인하고, 산후우울에 자기효능감, 신체상 및 가족지지가 미치는 영향을 파악하여 산후우울 예방을 위한 프로그램 개발의 기초자료를 제공하고자 시도되었다. 연구대상은 B광역시에 소재한 산부인과 전문병원에 입원하여 출산한 지 1주일 이내의 산욕초기 산모를 근접모집단으로 하였으며, 최종 대상자는 306명이었다. 2013년 1월부터 4월까지 자기효능감, 신체상, 가족지지 및 산후우울에 대한 자료를 수집하였고, 통계검정은 SPSS 20.0을 이용하여 실수와 백분율, 평균과 표준편차, t-test, ANOVA, Pearson correlation coefficient, stepwise multiple regression을 수행하였다. 연구결과 대상자의 산후우울 점수는 평균 6.09점(30점 만점)이었고, 산후우울은 일반적 특성 및 산과적 특성 중 월평균, 결혼만족도, 임신계획여부, 임신 중 정서상태, 수유형태, 남편의 가사보조에 따라 차이가 있었다. 산후우울은 자기효능감, 신체상, 가족지지와 부적상관관계가 있으며, 산후우울에 영향을 미치는 요인은 신체상, 임신중 정서상태, 가족지지이었고, 이들이 산후우울을 38.4% 설명하였다. 결론적으로 산욕초기 산모의 산후우울을 예방하기 위해서는 긍정적 신체상을 갖도록 도와주고, 가족지지 체계를 강화할 것이 요구된다. 특히 임신 중 정서상태가 불안했던 산모의 산후우울을 면밀히 사정하여 적절한 중재를 제공할 필요가 있다.

Keywords

References

  1. E. G. You, N. M. Kang, M. H. Kim, S. A. Kim, S. J. Kim, "Maternity women health nursing II", Seoul, Hyunmoonsa. 2008.
  2. M. K. Kwon, H. W. Kim, N. S. Kim, J. A. Jang, "Postpartum depression and maternal role confidence, parenting stress, and infant temperament in mothers of young infants", Journal of Korean Academy of Child Health Nursing, 12, 3, pp. 314-321, 2006.
  3. S. O. Meadows, S. S. McLanahan, J. Brooks-Gunn, "Parental depression and anxiety and early childhood behavior problesm across family types", Journal of Marriage and Family, 69, 5, pp. 1162-1177, 2007. DOI: http://dx.doi.org/10.1111/j.1741-3737.2007.00439.x
  4. S. N. Vigod, L. Villegas, C. L. Dennis, L. E. Ross, "Prevalence and risk factors for postpartum depression among women with preterm and low-birth-weight infants: a systematic review", An International Journal of Obstetrics and Gynaecolgy, 117, 5, pp. 540-550, 2010. DOI: http://dx.doi.org/10.1111/j.1471-0528.2009.02493.x
  5. Z. N. Stowe, A. L. Hostetter, D. J. Newport, "The onset of postpartum depression: implications for clinical screening in obstetrical and primary care", American Journal of Obstetrics and Gynecology, 192, 2, pp. 522-526, 2005. DOI: http://dx.doi.org/10.1016/j.ajog.2004.07.054
  6. C. T. Beck, R. K. Gable, "Comparative analysis of the performance of the postpartum depression screening scale with two other depression instruments", Nursing Research, 50, 4, pp. 242-250, 2001. DOI: http://dx.doi.org/10.1097/00006199-200107000-00008
  7. S. O. Lee, J. H. Yeo, S. H. Ahn, H. S. Lee, H. J. Yang, M. J. Han, "Postpartum depressive score and related factors pre- and post-delivery", Korean Journal of Women Health of Nursing16, 1, pp. 29-36, 2010. DOI: http://dx.doi.org/10.4069/kjwhn.2010.16.1.29
  8. Y. J. Park, H. J. Shin, H. S. Ryu, S. H. Cheon, S. H. Moon, "The predictors of postpartum depression", Journal of Korean Academy of Nursing, 34, 5, pp. 722-728, 2004.
  9. Y. M. Ahn, J. H. Kim, "Comparison of maternal self-esteem, postpartal depression, and family function in mothers of normal and of low birth-weight infants", Journal of Korean Academy of Nursing, 33, 5, pp. 580-590, 2003.
  10. C. A. T. Beck, "Predictors of postpartum depression: an update", Nursing Research, 50, 5, pp. 275-285, 2001. DOI: http://dx.doi.org/10.1097/00006199-200109000-00004
  11. J. H. Youn, I. S. Jeong, "Predictors of postpartum depression: prospective cohort study", Journal of Korean Academy of Nursing, 43, 2, pp. 225-235, 2013. DOI: http://dx.doi.org/10.4040/jkan.2013.43.2.225
  12. J. H. Yeo, "Postpartum depression and its predictors at six months postpartum", Journal of Korean Academy of Womens Health Nursing, 12, 4, pp. 355-362, 2006.
  13. K. S. Kim, "The effect of self-efficacy, social support on postpartum depression in mothers", Unpublished doctoral dissertation, Kyungpook National University, Daegu, 2012.
  14. E. S. Choi, K. E. Lee, "Relationships between body shape, body image and health complaints in women registered at a facility for managing body shape", Journal of Korean Academy of Woman's Health Nursing, 3, 2, pp. 169-180, 1998.
  15. B. H. Kim, H. W. Jeon, Y. Jung, "Relationship between postpartum depression and body image in postpartum women", Journal of Korean Academy of Nursing, 32, 6, pp. 906-916, 2002.
  16. E. S. Park, "A study on burden and depression of the spouses talking care of CVA patients and their adaptation", Unpublished doctoral dissertation, Hanyang University, Seoul, 1999.
  17. S. D. Danielle, M. Jennifer, M. A. DiNallo, L. Tiffany, B. S. Kirner, "Determinants of pregnancy and postpartum depression: prospective influences of depressive symptoms, body image satisfaction, and exercise behavior", Annals of Behavioral Medicine, 36, 1, pp. 54-63, 2008. DOI: http://dx.doi.org/10.1007/s12160-008-9044-9
  18. J. L. Cox, J. M. Holden, R. Sagovsky, "Detection of postnatal depression, development of the 10 item Edinburgh Postnatal Depression Scale", British Journal of Psychiatry, 150, pp. 782-786, 1987. DOI: http://dx.doi.org/10.1192/bjp.150.6.782
  19. K. W. Han, M. J. Kim, J. M. Park, "The Edinburg Postnatal Depression Scale, Korean version: reliability and validity", Journal of Korean Society of Biological Therapies in Psychiatry, 10, 2, pp. 201-207. 2004.
  20. R. P. Lederman, C. G. Weingarten, E. Lederman, "Postpartum self evaluation questionnaire: measures of maternal adaptation", Birth Defects Original Article Series, 22, 6, pp. 201-231, 1981.
  21. J. H. Ahn, "A study on body image and self esteem for the hemodialysis patient", Unpublished master thesis, Ewha Womans Unviersity, Seoul, 1996.
  22. J. W. Park, "A study of the developmental instrument for social support", Unpublished doctoral dissertation, Yensei University, Seoul, 1985.
  23. J. S. Won, H. Cho, "The effect of community based mental health rehabilitation program on perceived family support of mentally ill patients", Journal of Korean Academy of Psychiatric and Mental Health Nursing, 7, 1, pp. 187-198, 1998.
  24. K. S. Bang, H. J. Kang, M. K. Kwon, "Relation of postpartum depression with socio-demographic and clinical characteristics of preterm infants and mothers", Child Health Nursing Research, 21, 1, pp. 1-10, 2015. DOI: http://dx.doi.org/10.4094/chnr.2015.21.1.1
  25. J. Y. Hwang, Y. K. Kim, S. B. Koh, C. K. Huh, J. D. Park, "A clinical study on the postpartum depression", Korean Journal of Obstetrics Gynecology, 42, pp. 1508-1512, 1999.
  26. A. L. Ryu, T. H. Kim, H. H. Lee, "Evaluation of risk factors for the postpartum depression with Edinburgh Postnatal Depression Scale(EPDS) score", Korean Journal of Perinatology, 21, 1, pp. 74-80, 2010.
  27. E. J. Jang, "Psychosocial and obstetric factors associated with postpartum depressive symptoms", Unpublished master thesis, Dongguk University, Seoul, 2008.
  28. M. H. Jung, J. I. Kim, "A study on the relationship among prenatal social support and postpartum blues", Korean Journal of Women Health Nursing, 11, 1, pp. 38-45, 2005.
  29. Y. Y. Jung, H. W. Kim, "Factors associated with postpartum depression and its influence on maternal identity", Korean Journal of Women Health Nursing, 20, 1, pp. 29-37, 2014. DOI: http://dx.doi.org/10.4069/kjwhn.2014.20.1.29
  30. S. E. Lee, "A study of the postpartum weight retention, BMI, and body image in postpartum women", The Symposium of Korean Society of Nursing Science, 5, pp. 198-199, 2004.
  31. E. J. Kim, Y. H. Seo, "A narrative study on becoming a mother through experiences in the puerperal period", Child Studies in Diverse Context, 29, 1, pp. 115-131, 2008.
  32. Y. K. Shin, Y. S. Choi, "The effect of self efficacy, marital conflicts and prenatal depression on postpartum depression", Journal of Korea Association of Family Relations, 18, 1, pp. 155-176, 2013.
  33. F. Abdollahi, S. G. Sazlina, A. M. Zain, M. Zarghami, M. A. Jafarabadi, M. S. Lye, "Postpartum depression and psycho-socio-demographic predictors", Asia- Pacific Psychiatry, 6, 4, pp. 425-434, 2014. DOI: http://dx.doi.org/10.1111/appy.12152
  34. J. Y. Bai, "Construction of a postpartum depression model", Unpublished doctoral dissertation, Ewha Womans University, Seoul, 1996.

Cited by

  1. Status and Influencing factors of health behavior in pregnant women in Yanbian area vol.16, pp.11, 2015, https://doi.org/10.5762/KAIS.2015.16.11.7863