• 제목/요약/키워드: Postpartum Depression

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산욕기 산모의 양육스트레스, 산후우울, 피로가 삶의 질에 미치는 영향 (The Effect of Parenting Stress and Depression and Fatigue on Quality of life in Early Postpartum Mothers)

  • 김정숙
    • 융합정보논문지
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    • 제8권6호
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    • pp.1-7
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    • 2018
  • 본 연구는 산욕기 산모의 삶의 질 에 영향을 미치는 요인을 파악하기 위해 시도 되었다. 본 연구는 D광역시 지역에 거주하는 출산 후 6-8주 이내의 여성 113명을 대상으로 한 서술적 조사연구이며 자료는 SPSS 21.0 프로그램을 이용하여, 기술통계, ANOVA, t-test, Pearson's correlation coefficient 및 Multiple regression analysis를 실시하였다. 자료수집은 2018년 8월부터 2018년 9월까지 하였다. 본 연구결과는 다음과 같다. 삶의 질에 가장 큰 영향요인은 양육스트레스(${\beta}=-.646$, p<.001), 피로(${\beta}=-.329$, p=.009)순으로 확인되었다. 양육스트레스(r=-.647, p<.01), 산후우울(r=-.826, p<.01), 피로(r=-.760, p<.01)는 삶의 질과 유의미한 상관관계를 보였다. 출산 후 산모는 공허감, 산후우울감 등 정서적 기분변화를 느끼는 경우 삶의 질 저하로 이어지기 때문에 산욕 기간 동안 신체적, 정신적 건강관련 간호중재 프로그램을 개발하는 것이 필요할 것이다.

산후풍(産後風)에 대(對)한 문헌적(文獻的) 고찰(考察) (Study of the oriental medical literature for 産後風(chan hou feng))

  • 민병호;유동열
    • 혜화의학회지
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    • 제13권1호
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    • pp.159-168
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    • 2004
  • '産後風(chan hou feng)' is a postpartum pain-syndrome which caused by inadequate postpartum health care. Recently '産後風(chan hou feng)' contain some symptoms in relate with dystonia like sleep disorder, tiredness, depression, anxiety etc. According to The International Association for the Study of Pain(IASP) "Pain is an unpleasant sensory and emotinal experience associated with actual or potential tissue damage, or described in terms of such damage". This definition means the pain is related to emotional state as well as physical, Physical and emotional changes are common after childbirth, which can cause pain. The important point in treating its '産後風(chan hou feng)' is that the patient in the postpartum period.

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산후기에 활용된 한약처방에 대한 국내 연구 분석 (An Analysis of Domestic Researches on the Prescriptions of Korean Herbal Medicine Used during Postpartum Period)

  • 김평화;정서윤;이은희
    • 대한한방부인과학회지
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    • 제31권4호
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    • pp.128-146
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    • 2018
  • Objectives: This study was performed to analyze the prescriptions of Korean herbal medicine which had been commonly used during postpartum period. Methods: We searched literature on postpartum cares with Korean Herbal medicine in 4 domestic search engines. After that, we conducted eligibility screening based on inclusion and exclusion criteria. Results: 1. We selected total 48 studies. There were 40 clinical studies (25 case reports and 15 case series) and 8 animal experimental studies. 2. Of the 40 clinical studies, other treatments were used together with herbal medicine : acupuncture (28), chuna manipulation (3), and pharmacopuncture (5). 3. Of the 25 case reports, the most common symptoms were musculoskeletal symptoms (8), followed by mental disorders including postpartum depression (5). Various prescriptions of herbal medicine were used depending on the diseases or symptoms. 4. In 15 case series, 665 subjects in 11 case series had taken Saenghwa-tang-gagam within 1~2 weeks after childbirth, and the average duration of Saenghwa-tang-gagam administration were $9{\pm}4.97$ days. 498 subjects in 9 studies were breast-feeding, and there were no side effects reported. 5. All experimental studies were about the recovery, the immunity and the breast-feeding associated puerperal characteristics. Also, 3 studies used Saenghwa-tang as an intervention. Conclusions: Saenghwa-tang can be commonly used for the purpose of prevention and care of the postpartum symptoms within the first 1~2 weeks after childbirth for 10 days. Also, various prescriptions of herbal medicine may be used depending on the diseases or symptoms, and can be conducted with other treatments like acupuncture, cupping, moxibustion, pharmacopuncture and chuna manipulation.

이민 임산부의 스트레스와 분만경험에 대한 현상학적 연구 (A phenomenologic study on the stresses and the experiences of pregnant women and postpartum mothers who had immigrated to the United States)

  • 조영숙
    • 대한간호학회지
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    • 제24권3호
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    • pp.432-447
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    • 1994
  • Koreans are one of the fastest growing immigrant groups in America. Adjsting to life in foreign country produces a great deal of stress. Differences in culture, language, expectation and social behavior can lead to misunderstandings. The pregnancy and delivery event is one of maturational crisis in life cycle. The purpose of this research was to understand the structure of the lived experience of pregnant women and postpartum mothers who had immigrated to the United States. The research question was "What is the structure of the experience of pregnant women and postpartal mothers?" The sample consisted of 16 women registrated at the Obstetrics and Gynecology Department of one local clinic in Hawaii. The unstructured interviews were carried out from Jnuary 5, through January, 30, 1994. They were audio-recorded and analyzed using Van Kaam's method. There are different views on the causative factors of stress. Maladjustement to the immigrant life, spousal conflicts, anxiety related to bringing up the bay and conflicts between mother-in-law and daughter-in-law are considered to be related factors. The experiences of pregnant women over the period of the pregnancy can be varied and can include change of body image, emotional and physical change. The experiences of postpartum mothers over the postpartum period can be varied and can include postpartum depression emotional irritability, fear related to bringing up the baby and disappointment with husband. Positive experiences over the period of pregnancy and postpartum were the strengthen-ing beliefs. Sources of support were, first, spouse then mother and faith. Support was also received from the physician in charge and through self-control. The nurse, by providing empathetic support, should be a person with whom they can express their feelings and share their experiences.

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Moderating Effect of Family Support on the Relationship between Parenting Stress on Depression of Immigrant Women

  • Park, Ok-Im;Moon, Hee
    • 여성건강간호학회지
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    • 제17권5호
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    • pp.447-453
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    • 2011
  • Purpose: The purpose of this research was to identify levels of parenting stress, depression and family support of immigrant women and to investigate the moderating effect of family support on the relationship between parenting stress and depression of immigrant women. Methods: The research was carried out with 86 immigrant women who were registered in multi-cultural support centers and receiving education in three cities South Jeolla Province. Data were collected using structured questionnaires and analyzed using descriptive statistics, correlation analysis and hierarchical regression analysis with SPSS/WIN 17.0. Results: The level of parenting stress perceived by the immigrant women was moderate and the level of depression was slightly high. The level of family support as perceived by the wives was slightly high as well. There was a positive correlation between depression and parenting stress but no correlation with family support. Effects of parenting stress on depression were moderated by family support. Conclusion: Results indicate that family support provided to immigrant women moderated effects of parenting stress on depression. Accordingly, as family support is critical to immigrant women, education and other programs need to be provided to promote understanding of family support as a help for immigrant women.

산전후 우울 변화 - 성장혼합모형을 이용한 단기종단연구 (A Short-Term Longitudinal Investigation of Pre- and Postnatal Depressive Symptoms of Korean Women)

  • 신나리
    • 대한가정학회지
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    • 제49권9호
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    • pp.59-72
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    • 2011
  • This study examined whether there are underlying latent classes of growth trajectories of maternal depression in the Korean population. Data from the first phase of the Panel Study of Korean Children (PSKC) of the Institute of Child Care and Education (KICCE) were used for this study. The final sample of participants included 1,471 mothers, who completed three interviews: at birth, at one month, and at four months. A two-class model consisting of depression (12.3%) and non-depression (87.7%) was considered the best-fitting solution using Mplus 3.13. The changes in postnatal depression in the Korean population within four weeks after childbirth, which is the period of "postpartum onset", seem to be important. Logistic regression analysis showed that duration of breast-feeding and planned pregnancy effects were significantly associated with trajectory class membership.

체계적 건강관리프로그램이 모성과 미숙아의 건강증진 및 질병예방에 미치는 영향에 관한 연구 (The Effects of the Systemic Follow up Health Care Program on the Health Promotion and the Risk Reduction in Premature Infants and Their Mothers)

  • 안영미
    • 대한간호학회지
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    • 제34권6호
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    • pp.1129-1142
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    • 2004
  • Purpose: This research was conducted to evaluate the effects of asystemic follow-up care program on health promotion and risk reduction in 64 high-risk infants(HRI) including premature infants and their mothers. Method: The intervention consisted of systemic NICU education, tele-counseling and 3 home visits in 6 months. The subjects were divided into either the intervention group or the control group receiving the conventional NICU education without the tele-counseling and home visiting. Infant health promotion was measured using physical assessment, types of health problems, reflexes, OPD visiting history, DDST, immunization, feeding assessment, Infant death rate, etc. Maternal self-esteem, postpartum depression and family function were measured using the maternal self-report inventory(MRI), EPDS, and family apgar score(Fapgar), retrospectively. Result: All premature infants in the intervention group were in the normal range of growth and development, and the regular vaccination schedule. The health problems in the intervention group were addressed early so not to develop into adverse effects. The follow-up program for 6 months showed beneficial effects on MRI, EPDS, and Fapgar. Conclusion: A systemic follow-up health care program is beneficial on health promotion and risk reduction in 64 HRI including premature infants and their mothers.

Validation of the Korean version of the Perinatal Infant Care Social Support scale: a methodological study

  • Park, Mihyeon;Yoo, Hyeji;Ahn, Sukhee
    • 여성건강간호학회지
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    • 제27권4호
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    • pp.307-317
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    • 2021
  • Purpose: The purpose of this study was to develop and test the validity and reliability of the Korean version of the Perinatal Infant Care Social Support (K-PICSS) for postpartum mothers. Methods: This study used a cross-sectional design. The K-PICSS was developed through forward-backward translation. Online survey data were collected from 284 Korean mothers with infants 1-2 months of age. The 19-item K-PICSS consists of functional and structural domains. The functional domain of social support measures infant care practices of postpartum mothers. Exploratory factor analysis (EFA) and known-group comparison were used to verify the construct validity of the K-PICSS. Social support and postpartum depression were also measured to test criterion validity. Psychometric testing was not applicable to the structural social support domain. Results: The average age of mothers was 32.76±3.34 years, and they had been married for 38.45±29.48 months. Construct validity was supported by the results of EFA, which confirmed a three-factor structure of the scale (informational support, supporting presence, and practical support). Significant correlations of the K-PICSS with social support (r=.71, p<.001) and depression (r=-.40, p<.001) were found. The K-PICSS showed reliable internal consistency, with Cronbach's α values of .90 overall and .82-.83 in the three subscales. The vast majority of respondents reported that their husband or their parents were their main sources of support for infant care. Conclusion: This study demonstrates that the K-PICSS has satisfactory construct validity and reliability to measure infant care social support in Korea.

향기흡입법이 제왕절개술 산모의 주관적 수면의 질, 상태불안 및 우울에 미치는 효과 (Effects of Aroma Inhalation Method on Subjective Quality of Sleep, State Anxiety, and Depression in Mothers Following Cesarean Section Delivery)

  • 이선옥;황진희
    • 기본간호학회지
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    • 제18권1호
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    • pp.54-62
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    • 2011
  • Purpose: The purpose of this study was to test the effects of aroma inhalation on subjective quality of sleep, state anxiety, and depression of mothers who underwent a Cesarean section delivery. Methods: This study was designed as a nonequivalent control group quasi-experimental study based upon data acquired through a pre-post test. The experimental group (n=33) was given general obstetric nursing care plus dry inhalation method using lavender essential oil, in which each mother put one drop on a tissue and breathe near it for 5 minutes before going to bed. Then they put 1~2 drops on their pillow for 6 nights. The control group (n=34) was only given general obstetric nursing care. Data were collected using a questionnaire for measures of subjective quality of sleep, state anxiety, and depression by self-report. ${\chi}^2$-test, Fisher's exact test, t-test, and ANCOVA with SPSS/Win12.0 were used to analyze the data. Results: There were significant differences in subjective quality of sleep (p<.001), state anxiety (p=.049) and depression (p=.029). Conclusion: The results suggest that aroma inhalation method can be an effective nursing intervention to improve quality of sleep and decrease anxiety and depression in postpartum mothers suffering from stress related to a Cesarean section delivery.