DOI QR코드

DOI QR Code

The Effects of Auricular Acupressure on Depression and Fatigue among Early Postpartum Mothers

이압요법을 활용한 간호중재 프로그램이 초기 산욕기 산모의 산후우울과 산후피로에 미치는 효과

  • Kim, So Hwan (Gyeongsang National University Hospital) ;
  • Sung, Kyung Mi (College of Nursing & Institute of Health Sciences, Gyeongsang National University)
  • Received : 2019.04.06
  • Accepted : 2019.05.24
  • Published : 2019.11.30

Abstract

Purpose: The purpose of this study was to examine the effects of auricular acupressure on postpartum depression and fatigue among early postpartum mothers. Methods: A non-equivalent control group pretest-posttest design was used. Forty early postpartum mothers were recruited from two postpartum care centers and randomly assigned to experimental group (n=20) and control group (n=20). The experimental group received the nursing intervention of auricular acupressure. Results: There were significant differences in postpartum depression and fatigue between the two groups. The participants in the experimental group showed significantly decreased scores of postpartum depression (z=-2.51, p=.012) and fatigue (t=5.36, p<.001). Conclusion: The nursing intervention programs using the auricular acupressure is effective in reducing depression and fatigue of early postpartum mothers. The findings will be useful for the health promotion among early postpartum mothers.

Keywords

References

  1. Choi ES, Oh JA. A study on the factors related to postpartum depression in postpartum women. Korean Journal of Women Health Nursing. 2000;6(3):358-71.
  2. Kim ME, Hur MH. Sleep quality, fatigue, and postpartum depression of mother in six months after delivery. Korean Journal of Women Health Nursing. 2014; 20(4):266-76. https://dx.doi.org/10.4069/kjwhn.2014.20.4.266
  3. Righetti-Veltema M, Bousquet A, Manzano J. Impact of postpartum depressive symptoms on mother and her 18-month-old infant. European Child and Adolescent Psychiatry. 2003;12(2):75-83. http://dx.doi.org/10.1007/s00787-003-0311-9
  4. Ministry of Health and Welfare. A study on the realities of postpartum care. 2018. http://www.mohw.go.kr/react/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=032901&CONT_SEQ=347424&page=5
  5. Boyd RC, Amsterdam JD. Mood disorders in women from adolescence to late life: An overview. Clinical Obstetrics and Gynecology. 2004;47(3):515-26. doi:10.1097/01.grf.0000129921.46497.ae
  6. Dennis CL. Can we identify mothers at risk for postpartum depression in the immediate postpartum period using the Edinburgh Postnatal Depression Scale?. Journal of Affective Disorders. 2004;78(2):163-9. https://doi.org/10.1016/S0165-0327(02)00299-9
  7. Han KW, Kim MG, Park JM. The edinburgh postnatal depression scale, Korean version: Reliability and validity. The Korean Society of Biological Therapies in Psychiatry. 2004;10(2):201-7.
  8. Lee JW, Eo YS, Moon EH. Effects of self efficacy, body image and family support on postpartum depression in early postpartum mothers. Journal of the Korea Academia-Industrial Cooperation Society. 2015;16(6):4011-20. https://doi.org/10.5762/KAIS.2015.16.6.4011
  9. Pugh LC, Milligan RA. Patterns of fatigue during childbearing. Applied Nursing Research. 1995;8(3):140-3. https://doi.org/10.1016/S0897-1897(95)80593-1
  10. Song JE. A comparative study on the level of postpartum women's fatigue between rooming-in and non rooming-in groups. Seoul: Yonsei University; 2001. pp.1-69.
  11. Pugh LC, Milligan RA. A framework for the study of childbearing fatigue. Advances in Nursing Science. 1993;15(4):60-70. https://psycnet.apa.org/doi/10.1097/00012272-199306000-00007
  12. Choi SY, Gu HJ, Ryu EJ. Effects of fatigue and postpartum depression on maternal perceived quality of life (MAPP-QOL) in early postpartum mothers. Korean Journal of Women Health Nursing. 2011;17(2):118-25. https://doi.org/10.4069/kjwhn.2011.17.2.118
  13. Choi MS, Lee EJ. Effects of foot-reflexology massage on fatigue, stress and postpartum depression in postpartum women. Journal of Korean Academy of Nursing. 2015;45(4):587-94. http://dx.doi.org/10.4040/jkan.2015.45.4.587
  14. Ko YL, Lin SC, Lin PC. Effect of auricular acupressure for postpartum insomnia: An uncontrolled clinical trial. Journal of Clinical Nursing. 2016;25(3-4):332-9. http://doi.org/10.1111/jocn.13053
  15. Kang MA. Effect of auricular acupressure on fatigue and depression in patients undergoing chemotherapy for breast cancer. Journal of Health Service Management. 2018;14(4):229-39. http://doi.org/10.12811/kshsm.2018.12.4.229
  16. Chang EK, Park HO. Effects of auricular acupressure therapy on musculoskeletal pain, depression and sleep of the elderly in long-term care facilities. Journal of Korean Academy of Community Health Nursing. 2018;29(2):133-42. https://doi.org/10.12799/jkachn.2018.29.2.133
  17. Lee JO, Kwon YS. Effects of auriculotherapy on sleep disorders in the elderly. Journal of East-West Nursing Research. 2009;15(1):1-8.
  18. Jo EM. The effects of the postpartum depression management program for primiparas. Gyeonggi: Ajou University; 2005. pp.1-66.
  19. Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression; Development of the 10- item Edinburgh postnatal depression scale. British Journal of Psychiatry. 1987;150:782-6. https://doi.org/10.1192/bjp.150.6.782
  20. Kim JI. A validation study on the translated Korean version of the Edinburgh Postnatal Depression Scale. Korean Journal of Women Health Nursing. 2006;12(3):204-9. https://doi.org/10.4069/kjwhn.2006.12.3.204
  21. Ministry of Health and Welfare, Health and Welfare Association. Cold prescription of mind (prenatal postpartum depression guidebook). Seoul: Changseong Culture; 2014. pp.1-53.
  22. So JR. Ear reflexion therapy. Seoul: Truth inquity; 2003. pp.15-386.
  23. Jo CS. Health society by auricular acupuncture. Anyang: Auricular Acupuncture Association; 2015. pp.11-389. http://echim.net/solbooks_5.php
  24. Song JE, Chang SB, Son YJ. The influencing factors on postpartum fatigue in parturient women. The Journal of Korean Academic Society Adult Nursing. 2007;19(4):670-81.
  25. Lee JY, Ju HO. Predictors of early postpartum depression in mothers of preterm infants in neonatal intensive care units. Child Health Nursing Research. 2014;20(2):87-95. http://dx.doi.org/10.1053/adnc.2003.50013
  26. Kwon HJ, Kim KH, Choi MH, Cho JY, Ahn YM, Kim KS. Effects of postpartum depression and temperament of infant on child-care stress among mothers of newborn infants. Child Health Nursing Research. 2011;17(2):69-73. https://doi.org/10.4094/jkachn.2011.17.2.69
  27. Lee DJ. The effects of fatigue, postpartum family supports on postpartum depression in postpartum women. Busan: Kosin University; 2018: pp. 1-59.
  28. Namkung YO, Yang HK, Cho YC. Relationship between women's postpartum depression and social support. Journal of the Korean Society of Maternal and Child Health. 2007;11(2):149-61. http://doi.org/10.21896/jksmch.2007.11. 2.149
  29. Kim KS, Kam S, Lee WK. The influence of self-efficacy, social support, postpartum fatigue and parenting stress on postpartum depression. Journal of the Korean Society of Maternal and Child Health. 2012;16(2):195-211. http://doi.org/10.21896/jksmch.2012.16.2.195
  30. Youn JH, Jeong IS. Predictors of postpartum depression: Prospective cohort study. Journal of Korean Academy of Nursing. 2013;43(2):225-35. http://doi.org/10.4040/jkan.2013.43.2.225