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배우자지지가 초산모의 산후우울과 자기효능감에 미치는 융합적 효과

Convergence effect of spouse's support on postpartum depression and self-efficacy in primipara

  • 투고 : 2017.11.13
  • 심사 : 2018.01.20
  • 발행 : 2018.01.28

초록

본 연구는 배우자지지가 초산모의 산후우울과 자기효능감에 미치는 융합적 효과를 알아보기 위해 37명의 정상만삭아를 분만한 초산모와 그들의 배우자를 대상으로 시행되었다. 배우자는 산후관리와 아기돌봄에 대한 교육자료와 함께 3회의 교육을 받은 후 산후 1주부터 6주까지 산후관리와 아기돌봄을 실천하였다. 산후 1주와 6주에 각각 수집된 자료는 SPSS 20.0으로 분석하였다. 산후 1주와 6주의 산후우울 유병률은 각각 24.3% 와 0% 였다. 배우자의 지지는 초산모의 산후우울을 감소시켰고 자기효능감을 증가시켰으며(p<.001), 산후우울에는 산후도우미, 월수입, 산전우울이, 산후 자기효능감에는 임신 중 입원치료가 영향을 미치는 요인으로 나타났다(p<.05). 본 연구결과는 대상자수를 확대하고 대조군을 설정한 후속연구 후 초산모의 산후우울감소와 자기효능감증진 프로그램개발에 활용될 수 있다.

This study is to find the convergence effect of a spouse's support on postpartum depression and self-efficacy in primipara. The subjects were 37 primipara who gave birth to normal full term babies and their spouses. Each spouse supported their mother and baby from the period of postpartum 1st to 6th week after finishing three sessions of postpartum mother and baby care using teaching material. The data was collected in the 1st and 6th week postpartum and analyzed using SPSS 20.0. The prevalence of postpartum depression in the 1st and 6th week were 24.3% and 0% each. The spouses' support lowered mothers' postpartum depression and increased self-efficacy(p<.001). And, the factors affecting to mothers' postpartum depression were additional personnel for postpartum management, income and antepartum depression, and to their self-efficacy was hospital treatment during pregnancy(p<.05). The results could be used in developing intervention programs on lowering primiparas' postpartum depression and increasing their self-efficacy after further studies with wider range of subjects and setting control group.

키워드

참고문헌

  1. I. Kirpinar, S. Gozum, T. Pasinlioglu, "Prospective study of postpartum depression in eastern Turkey prevalence, socio-demographic and obstetric correlates, prenatal anxiety and early awareness," J of Clinical Nursing, Vol. 19, No. 3-4, pp. 422-431, 2010. https://doi.org/10.1111/j.1365-2702.2009.03046.x
  2. M. S. Jang, H. S. Yang, "Study on the influence of child birth promotion policy due to postpartum care and maternity leave to economical activities in the era of convergence," J of Digital Convergence, Vol. 13, No. 10, pp. 245-254, 2015. https://doi.org/10.14400/JDC.2015.13.10.245
  3. Y. K. Shin, Factors affecting postpartum depression : focusing on self efficacy, marital conflicts and prenatal depression. The Sang myung University of Korea, Master's thesis, 2011.
  4. A. Z. Barrera, R. E. Wickham, R. F. Munoz, "Online prevention of postpartum dpression for Spanish-and English-speaking pregnant women: A pilot randomized controlled trial," Internet Intervention. Vol. 1, No. 2(3), pp. 257-265. 2015. https://doi.org/10.1016/j.invent.2015.06.002
  5. M. E. Kim, M. H. Hur, "Sleep quality, fatigue, and postpartum depression of mother in six months after delivery," Korean J of Women Health Nursing, Vol. 20, No. 4, pp. 266-276, 2014. https://doi.org/10.4069/kjwhn.2014.20.4.266
  6. P. van der Pligt, E. K. Olander, K. Ball, D. Crawford, K. D. Hesketh, M. Heychenne, K. Campbell, "Maternal dietary intake and physical activity habits during the postpartum period: associations with clinician advice in a sample of Australian first time mothers," BMC Pregnancy and Childbirth, Vol. 16, https://doi.org/10.1186/s12884-016-0812-4
  7. K. I., Mohammad, J. Gamble, D. K. Creedy, "Prevalence and factors associated with the development of antenatal and postnatal depression among Jordanian women," Midwifery, Vol. 27, No. 6, pp. 238-245, 2011. https://doi.org/10.1016/j.midw.2010.10.008
  8. C. G. Kim, M. Y. Choi, "Factors influencingmaternal depression : secondary data analysis," The Korean Academic Society of Adult Nursing, Vol. 28, No. 3, pp. 288-301, 2016. https://doi.org/10.7475/kjan.2016.28.3.288
  9. K. M. Kim, H. Y. Kim, "The systemic contemplation of sadness mediation program applied to internal senior citizens," J of digital Convergence, Vol. 13, No. 12, pp. 391-400, 2015. https://doi.org/10.14400/JDC.2015.13.12.391
  10. S. H. Kim, S. Y. Bae, "Analysis of convergent factors related to depression among some college women of health affiliated educations," J of digital Convergence, Vol. 13, No. 10, pp. 367-376, 2015. https://doi.org/10.14400/JDC.2015.13.10.367
  11. T. Kathree, O. M. Selohilwe, A. Bhana, I. Petersen, "Perceptions of postnatal depression and health care needs in a South African sample: the mental in maternal health care," BMC Womens Health, Vol. 12, pp. 14:140, 2014. doi. 10.1186/s12905-014-0140-7
  12. P. Leahy-Warren, G. McCarthy, P. Corcoran, "First-time mothers: social support, maternal parental self-efficacy and postnatal depression," J of Clinical Nursing, Vol. 21, No. 3-4, pp. 388-397, 2012. https://doi.org/10.1111/j.1365-2702.2011.03701.x
  13. S. Y. Park, K. Y. Park, "Correlation study of characteristics of bio-medical ethics and self-esteem for undergraduate students," J of Korea Convergence Society, Vol. 6, No. 6, pp. 255-261, 2015. https://doi.org/10.15207/JKCS.2015.6.6.255
  14. K. Falah-Hassani, R. Shiri, C. Dennis, "Prevalence and risk factors for comorbid postpartum depressive symptomatology and anxiety," J of Affective Disorders, Vol. 198, pp. 142-147, 2016. https://doi.org/10.1016/j.jad.2016.03.010
  15. E. Y. Chin, S. S. So, M. I. Lee, "Effect of life stress and anger expression in college students on suicidal ideation," J of digital Convergence, Vol. 13, No. 8, pp. 409-418, 2015. https://doi.org/10.14400/JDC.2015.13.8.409
  16. J. H. Youn, I. S. Jeong, "Predictors of postpartum depression: prospective cohort study," J of Korean Academy of Nursing, Vol. 43, No. 2, pp. 225-235, 2013. https://doi.org/10.4040/jkan.2013.43.2.225
  17. K. S. Kim, The effect of self-efficacy, social support on postpartum depression in mothers. Kyungpook National University, Ph. D. thesis, 2012.
  18. J. Cox, J. Holden, R. Sagovsky, "Detection of postnatal depression : development of the 10-item Edinburgh Postnatal Edpression Scale," The British Journal of Psychiatry, Vol. 150, pp. 782-786, 1987. https://doi.org/10.1192/bjp.150.6.782
  19. K. W. Han, M. J. Kim, J. M. Park, "The Edinburgh Postnatal Depression Scale, Korean version : reliability and validity," J of the Korean Society of Biological Therapies in Psychiatry, Vol. 10, No. 2, pp. 201-207, 2004.
  20. E. J. Lee, J. S. Park, "Development of a prediction model for postpartum depression: based on the examination of mediating effects of antepartum depression," J of Korean Academy of Nursing, Vol. 45, No. 2, pp. 211-220, 2015. https://doi.org/10.4040/jkan.2015.45.2.211
  21. D. Gjerdingen, P. McGovern, L. Attanasio, P. J. Johnson, K. B. Kozhimannil, "Maternal depressive symptoms, employment, and social support," J of the American Board of Family Medicine, Vol. 27, No. 1, pp. 87-96, 2014. https://doi.org/10.3122/jabfm.2014.01.130126
  22. S. O. Kim, H. S. Lim, G. C. Jeong, "Effects of support from spouse and family on the mental health of marriage immigrant women," J of the Korea Contents Association, Vol. 13, No. 11, pp. 221-235, 2013. https://doi.org/10.5392/JKCA.2013.13.11.221
  23. E. Y. Choi. A comparative study on the postpartum depression of Vietnam marriage immigrant women and Korean women. Gangneung-Wonju National University of Korea, Master's thesis, 2011.
  24. S. Y. Roh, E. Y. Kim, "Factors influencing depression of married immigrant women in rural areas," The Korean Academic Society of Adult Nursing, Vol. 24, No. 4, pp. 370-379, 2012. https://doi.org/10.7475/kjan.2012.24.4.370
  25. J. W. Lee, Y. S. Eo, E. H. Moon, "Effects of self efficacy, body image and family support on postpartum depression in early postpartum mothers," J of the Korea Academia-Industrial cooperation Society, Vol. 16, No. 6, pp. 4011-4020, 2015. https://doi.org/10.5762/KAIS.2015.16.6.4011
  26. 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 J of Women Health Nursing., Vol. 16, No. 1, pp. 29-36, 2010. https://doi.org/10.4069/kjwhn.2010.16.1.29
  27. M. E. Lee, Y. R. Kweon, "Psycho-social factors associated with depression in pregnant women," J of Korean Academy of Psychiatric and Mental Health Nursing, Vol. 20, No. 3, pp. 252-260, 2011. https://doi.org/10.12934/jkpmhn.2011.20.3.252
  28. C. L. Dennis, P. A. Janssen, J. Singer, "Identifying women at-risk for postpartum depression in the immediate postpartum period," Acta Psychiatrica Scandinavica, Vol. 110, No. 5, pp. 338-346, 2004. https://doi.org/10.1111/j.1600-0447.2004.00337.x