Journal of East-West Nursing Research (동서간호학연구지)

East-west Nursing Research Institute, Kyung Hee University (경희대학교 동서간호학연구소)
권호 표지
DOI QR코드

DOI QR Code

The Effects of Maternal Health Care Program on Depression, Maternal Role Self-confidence and Delivery Self-efficacy in Pregnant Women

모성건강관리프로그램이 임부의 우울, 모성역할자신감, 분만자신감에 미치는 효과

  • 김연실 (두원공과대학교 간호학과) ;
  • 이윤정 (꽃동네대학교 간호학과) ;
  • 박규희 (동강대학교 간호학과)
  • Received : 2017.06.08
  • Accepted : 2017.10.30
  • Published : 2017.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to investigate the effects of the maternal health care program on pregnant women's depression, maternal role self-confidence and delivery self-efficacy in a public health center. Methods: This study used a non-equivalent control group quasi-experiment design attempted to verify the effectiveness of maternal health care program. In the experimental group (39 participants), maternal health care program was applied for 120 minutes for 8 weeks, and the control group (40 participants) was provided with a booklet for maternal health care. Data collection was conducted from September 20, 2015 to November 30, 2015. Data were analyzed using ${\chi}^2-test$, Fisher's exact test and t-test. Results: The maternal health care program showed a significant effect on maternal role self-confidence and delivery self-efficacy compared to control group. Conclusion: The maternal health care program conducted at the public health center was found to be effective in improving maternal role self-confidence and delivery self-efficacy. Further development of a program to mediate the depression of the expectant mothers is needed.

Keywords

References

  1. Shim CS, Lee YS. Effects of a yoga-focused prenatal program on stress, anxiety, self confidence and labor pain in pregnant women with in vitro fertilization treatment. Journal of Korean Academy of Nursing, 2012;42(3):369-76. http://dx.doi.org/10.4040/jkan.2012.42.3.369
  2. Swang NM. The necessity for establishing a public prenatal health promotion and education system. Health and Welfare Policy Forum. 2010;163:50-64.
  3. Whang NM, Yoon KJ. Development of Maternal and Child Health Center Model. Health and Social Welfare Review report. 2007. http://repository.kihasa.re.kr:8080/handle/201002/943
  4. Van Bussel, JC, Spitz BH, Demyttenaere K. Anxiety in pregnant and postpartum women: An exploratory study of the role of maternal orientations. Journal of Affective Disorders. 2009;114: 232-42. https://doi.org/10.1016/j.jad.2008.07.018
  5. Woods SM, Melville JL, Guo Y, Fan MY, Gavin A. "Psychosocialstress during pregnancy", American Journal of Obstetrics & Gynecology. 2010;202(61): 61-7.
  6. An YG, Jang HK, Beak KR, Kim DK, Lee K, Jang MS. Development of Mindfulness for Pregnant Women (MPW) Program and its Psychological Efficacy. The Korean Journal of Cognitive and Bilolgical Psychology. 2011;23(3): 321-37. https://doi.org/10.22172/cogbio.2011.23.3.002
  7. O'Keane V, Marsh MS. Depression during pregnancy. BMJ: British Medical Journal, 2007 ;334(7601): 1003. https://doi.org/10.1136/bmj.39189.662581.55
  8. Dayan J, Creveuil C, Marks MN, Conro, S, Herlicoviez M, Dreyfus M, et al. Prenatal depression, prenatal anxiety, and spontaneous preterm birth: a prospective cohort study among women with early and regular care. Psychosomatic medicine. 2006;68(6): 938-46. https://doi.org/10.1097/01.psy.0000244025.20549.bd
  9. Leigh B, Milgrom J. Risk factors for antenatal depression, postnatal depression and parenting stress. BMC psychiatry. 2008;8(1): 24. https://doi.org/10.1186/1471-244X-8-24
  10. Cho YJ, Han JY, Choi JS, Ahn HK, Ryu HM, Kim MY, et al. Prenatal multivitamins containing folic acid do not decrease prevalence of depression among pregnant women. Journal of Obstetrics and Gynaecology. 2008;28(5): 482-84. https://doi.org/10.1080/01443610802196658
  11. Kwon M. Antenatal depression and mother-fetal interaction. Journal of Korean Academy of Child Health Nursing. 2007;13(4): 416-26.
  12. Kim H, Bracha Y, Tipnis A. Automated depression screening in disadvantaged pregnant women in an urban obstetric clinic. Archives of women's mental health. 2007;10(4):163-69. https://doi.org/10.1007/s00737-007-0189-5
  13. Mercer RT, Walker LO. A review of nursing interventions to foster becoming a mother. Journal of Obstetric, Gynecologic, & Neonatal Nursing. 2006;35(5):568-82. https://doi.org/10.1111/j.1552-6909.2006.00080.x
  14. Thoyre S, Shaker C, Pridham K. The early feeding skills assessment for preterm infants. Neonatal Network. 2005;24(3):7-16. https://doi.org/10.1891/0730-0832.24.3.7
  15. Chae MY, Hwang MS. The effects of home care nursing based maternal role strengthening programs on the maternal identity and confidence of maternal role on first-time mothers. The Journal of Korean Academic Society of Home care Nursing. 2011;18(2):88-98.
  16. Yeo JH. Childbirth Experience of Participants in Lamaze Childbirth Education. Korean Journal of Women Health Nursing 2010;16(3):215-23. http://dx.doi.org/10.4069/kjwhn.2010.16.3.215.
  17. Kim GJ. The effects of doula touch delivery education on self-confidence delivery, knowledge of childbirth, couple satisfaction. Journal of the Korea Academia-Industrial Cooperation Society. 2013;14(6):2880-888. https://doi.org/10.5762/KAIS.2013.14.6.2880
  18. Park HS, Whang MY. The Study on the Effectiveness of 'To be a Good Mom' Program based on Transactional Analysis on the Stress. Depression and Self-efficacy. Mental Health and Social Work. 2015;43(2):228-52.
  19. Ban JY, Kim DY. The Effect of the Art Therapy Program Based on Picture Diary on the Pregnant Women's Delivery Psychology. Art Therapy Intervention Research. 2003;10(2): 173-99.
  20. Song JE, Ahn JA. Effect of intervention programs for improving maternal adaptation in korea: systematic review. Korean Journal of Women Health Nursing. 2013;19(3): 129-41. http://dx.doi.org/10.4069/kjwhn.2013.19.3.129
  21. Cho MJ, Kim KH. Diagnostic validity of the CES-D(korean version) in the assessment of DSM-III-R major depression. Journal of Korean Neuropsychiatric Association. 1993;32(3): 381-99.
  22. Walkeret LO, Crin H, Thompson E. Maternal role attainment and identity in the postpartum period : stability and change. Nursing Research. 1986;35(2): 68-71.
  23. Lee MK. Factors influencing self confidence during delivery in laboring women.w. Korean Journal of Women Health Nursing 2005;11(1): 20-6.
  24. Statistics Korea. 2016. Population survey. http://meta.narastat.kr/metasvc
  25. Kim SN, Lee JY, Shin SH, Choi CW, Kim EK, Kim HS, et al. Clinical manifestations of capillary hemangiomas in preterm infants. Korean Journal of perinatology. 2015;26(3): 222-28. http://dx.doi.org/10.14734/kjp.2015.26.3.222
  26. Donesky-Cuenco D, Nguyen HQ, Paul S, Carrieri-Kohlman V. Yoga therapy decreases dyspnea-related distress and improves functional performance in people with chronic obstructive pulmonary disease: a pilot study. The Journal of Alternative and Complementary medicine. 2009;15(3): 225-34. https://doi.org/10.1089/acm.2008.0389
  27. Jun HS. The effect of experience of pregnancy on back pain and delivery self-efficacy. Journal of Korean Physical Education Association for Girls and Women. 2008;22(2): 229-42.
  28. Jun EH, Choi SH. Effect of a public health center prenatal program on bady mass index, pregnancy stress and childbirth confidence. The Korean Society of Living Environmental System. 2015;22(1): 1-10. https://doi.org/10.21086/ksles.2015.02.22.1.1
  29. Joo KS. The Development and Effects of a Tailored Maternal Health Management Program for Maternal Adaptation of immigrant Pregnant Women [dissertation]. Seoul: Korea University; 2015. pp.1-67.

Cited by

  1. 초산모를 위한 모성역할적응 프로그램의 효과 vol.24, pp.3, 2018, https://doi.org/10.4069/kjwhn.2018.24.3.322