• Journal of the Korea Convergence Society
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• v.9 no.1
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• pp.171-180
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• 2018

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.

• The Journal of the Korea Contents Association
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• v.17 no.6
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• pp.329-338
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• 2017

The purpose of this study was to develop the couple breast-feeding education program and to investigate the effects of program on breast-feeding self-efficacy, spouse support and breast-feeding satisfaction of primipara. The 3 session(20-40 min/one day) the breastfeeding spouses education program was developed and a non-equivalent control group quasi-experiment design was used. Sixty-three participants were assigned to either the experimental group (n=32) or the control group (n=31). A pre-test and post-test were done to identify the effect of the program. Effects were tested using $x^2$-test, t-test. Scores for breast-feeding self-efficacy(t=3.44, p=.001), spouse support(t=3.03, p=.004) and breast-feeding satisfaction(t=3.64, p=.001) of the experimental group after program were significantly higher than the control group scores. The effects of the couple breast-feeding education program for elevating breast-feeding self-efficacy, spouse support and breast-feeding satisfaction of primipara were validated. Therefore, this program can be recommended for vigorous use in clinical practice.

• Women's Health Nursing
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• v.9 no.3
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• pp.213-223
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• 2003

Purpose: This study was conducted to identify the effects of a prepared childbirth education on the knowledge and delivery participation levels of the spouses of primiparas. Method: The study's subjects were a convenience sample of 126 spouses, consisting of an experimental group of 74 educated for prepared childbirth for 10 hours. This study was measured by using a 41-item measurement instrument for knowledge of childbirth that was devised from Kang's(1981) instrument and a 23-item measurement instrument for measuring delivery levels which was developed through clinical experiences. The data gathered as analyzed by using SPSS WIN10.0. Result: There were no significant differences between the experimental group and the control group in homogeneity concerning the general characteristics of the spouses of primiparas. The first hypothesis, which stated that the level of knowledge of childbirth in the experimental group who received prepared childbirth education would be higher than in control group, was statistically supported by the Compared Independent Sample t-test(t=17.92, p=.000). The second hypothesis, which stated that the level of participation of delivery in the experimental group who received prepared childbirth education would be higher than in the control group, was also statistically supported (t=28.87, p=.000). The third hypothesis, which stated that there would be a correlation between the level of knowledge and the level of participation in the experimental group who received prepared childbirth education, showed a high positive correlation(r=.810, p=.000). Conclusion: The above results indicate that the increase of knowledge through prepared childbirth education in the spouses of primiparas has a high correlation with delivery partici- pation levels which engenders physical and moral support for primiparas at delivery. Additionally, a varied prepared childbirth education acts as an effective means to increase under- standing and support for primiparas couples who experience tension, anxiety and fear due to an unprepared delivery in Korea.

• Women's Health Nursing
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• v.15 no.3
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• pp.205-215
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• 2009

Purpose: This study aims to provide foundational data for preparing for educational programs on the role of a father that are designed to help primiparous spouses carry out the paternal role successfully. Methods: This study was conducted in two OB/GYN clinics and a study sample of 277 primiparous spouses who satisfied the selection criteria was selected. Results: Of the correlation among the childhood experiences, paternal attachment and role of a father of the subjects, the childhood experiences had a positive correlation with the paternal-infant attachment and the role of a father. The paternal-infant attachment and the role of a father also had a positive correlation. Conclusion: An infant is influenced primarily by his or her parents, who will have immense influences on the child's growth and development. Since the paternal-infant attachment is closely related to the role of a father, the development of positive paternal-infant attachment must be preceded in order for a primiparous spouse to carry out the role of a father successfully. Therefore, the development of nursing intervention programs is needed to foster the proper understanding of the role of a father, accommodate the practical needs of primiparous spouses and nurture the paternal-infant attachment for the promotion of realistic, successful role of a father.

• Child Health Nursing Research
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• v.13 no.3
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• pp.291-298
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• 2007

Purpose: The father's role performance in this study was identified as the correlation between self-confidence and satisfaction with parenting role by husbands of primiparous. Methods: Participants were recruited at a professional obstetric and gynecologic hospital in Seoul. For use in this study, the tool by Lederman et al. was modified to incorporate father's self-confidence and satisfaction with role performance. Percentages, means, t-test, ANOVA and Pearson Correlation Coefficients were used to analyze the data with the SPSS WIN 11.0m program. Results: The mean score for self-confidence in father's role performance was 35.19 and satisfaction in father's role performance was 45.13. General characteristic significantly related to father's role performance were marriage satisfaction and type of delivery. Also marriage satisfaction and religion were related to satisfaction with role performance in this study. There was a positive correlation between degree of self-confidence and degree of satisfaction in father's role performance. Conclusions: The degree of satisfaction in father's role performance was positively related to self-confidence. So, nursing interventions to improve father's role performance may lead to improvement in father's self-confidence and satisfaction with role performance. Further research is needed to exam causality.

• Women's Health Nursing
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• v.4 no.1
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• pp.5-35
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• 1998

This study attempted to determine the relation between the maternal role strain and their husbands' support in employed and nonemployed first-time mothers, and how it changed over time. A descriptive, longitudinal and comparative study design was conducted to collect and analyzed the data at three times(at 3-4days, at 4-6wks and at 3-month postpartum) regarding the change of maternal role strain and their husbands' support in employed and nonemployed first-time mothers. The subjects were 133 first-time mothers who delivered vaginally at K university hospital in Deagu, Korea from Dec., 1994 to Oct., 1995. Among these 58 were employed and 75 were nonemployed first-time mothers. This instruments used to data collection in this study were by Hobbs(1968 : The Difficulty Index for First-time Parents), Staffensmeier(1982: Transition Difficulty Measure), Tayer(1976: Emotional Support from Husband), Lee, Hae Kyoung(1992 : Physical Support from Husband). The analysis of data was done with SAS/PC program which included percentage, $x^2$-test, Pearson correlation, Repeated Measure ANOVA, Time Contrast Analysis and t-test. The results were as follows : 1. There was a significant negative correlation only at 3-4days(r=-.19, P=.0265) and at 4-6wks postpartum(r=-.18, P=.0392) between maternal role strain and husband's support of the first-time mothers. Thus, the more support from husband, the less maternal role strains the first-time mothers felt. Therefore, the 1st hypothesis that "the more husband's support the first-time mother felt at all the time of testing, the less maternal role strains they got" was partially supported at 3-days and 4-6 weeks postpartum. There was no correlation between maternal role strain and t husband's support of the employed first-time mothers at al testing times(at 3-4days postpartum : r=-.95, P=.9548, at 4-6wks postpartum : r=-.0960, P=.4733 and at 3-month postpartum : r=-.05, P=7306). On the contrary, the unemployed first-time mothers felt less maternal role strain when they received more support from their husband at 3-4 days postpartum(r=-.31, P=.0073) and at 4-6wks postpartum(r=-.23, P=.0490). 2. There was no difference of maternal role strain between two groups with regards to employment status(F=.97, P=.3270). But the maternal role strains of two groups were changed differently each other over time(F=3.89, P=.00234). Therefore, the 2nd hypothesis that "there was the difference in the maternal role strains with regard to employment status and over time" was rejected. 3. There was no difference in husband's support between the employed and the nonemployed first-time mothers(F=3.06, P=.0826). But there was a significant interaction between employment status and over time(F=3.64, P=.0267), so the support from husband of the employed and the unemployed first-time mothers was changed differently each other over time. The support from husband of the employed first-time mothers was lowered significantly and continuously at 4-6wks (F=5.20, P=.0263) and at 3-month postpartum(F=6.47, P=.0137) than at 3-4 days postpartum. On the contrary, there was no difference in change of husband's support of the employed first-time mothers between the 3-4 days and the 4-6wks postpartum(F=1.70, P=.1962) and between the 3-4 days and the 3-month postpartum(F=.21, P=.6513). Mean husband's support of the nonemployed first-time mothers was raised at 4-6wks postpartum than at 3-4 days postpartum but lowed at 3-month postpartum. The support form husband of both groups was tending downwards at 3-month postpartum than at 4-6wks postpartum, but the one between two groups was changed differently each other over time. The husband's support of the employed first-time mothers(M${\pm}$SD=64. 26${\pm}$8.63) was higher than the one of the nonemployed first-time mothers(M${\pm}$SD=59.16${\pm}$11.11) (t=-2.98, P=.0035), so the 3rd hypothesis that "there was the difference in the husband's support with regard to employment status and over time" was supported. On the basis of these conclusions, the following suggestion is proposed. This study examined the change and relationship between maternal role strain and husband's support in the employed and the nonemployed first-time mothers. So the further study regarding the comparison between the employed and the nonemployed multiparas is necessary.