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http://dx.doi.org/10.14370/jewnr.2018.24.1.81

The Mediating Effect of Fatigue on the Relationship between Pregnancy Stress and Depression during the Third Trimester of Pregnancy  

Kim, Miok (Department of Nursing, Dankook University)
Kim, Younglan (Department of Nursing, Dankook University)
Publication Information
Journal of East-West Nursing Research / v.24, no.1, 2018 , pp. 81-89 More about this Journal
Abstract
Purpose: We aimed to assess the mediating effect of fatigue on the relationship between pregnancy stress and depression during the third trimester of pregnancy. Methods: We surveyed 161 pregnant women at a hospital in Gyeonggi province in Korea from October to November, 2017. Data were analyzed by the SPSS WIN 22.0 program. Results: The mean scores of pregnancy stress, fatigue and depression were $2.09{\pm}.87$ with a range of 1~4, $2.31{\pm}0.84$ with a range of 1~4 and $0.85{\pm}0.81$ with a range of 0~3, respectively. Pregnancy stress was positively correlated with fatigue (r=.60, p<.001) and depression (r=.59, p<.001) and fatigue was positively correlated with depression (r=.48, p<.001). The mediating effect of fatigue on the relationship between pregnancy stress and depression (${\beta}=.21$, p=.010) was found. Conclusion: We found the mediating effect of fatigue on the relationship between pregnancy stress and depression. Thus, healthcare professionals should assess the pregnant woman's negative emotions in the early stage and facilitate their positive transition utilizing the assesment findings. For example, a development of interventions considering physical and psychological aspects for decreasing fatigue may improve the pregnant women's well-being during pregnancy and childbirth. In conclusion, the healthcare professionals should understand the potential problems during pregnancy and strive to enhance the positive process of pregnancy and growth of the baby.
Keywords
Pregnant women; Stress; Fatigue; Depression;
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