• 제목/요약/키워드: Postpartum depression

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산후우울 예측요인 (The Predictors of Postpartum Depression)

  • 박영주;신현정;유호신;천숙희;문소현
    • 대한간호학회지
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    • 제34권5호
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    • pp.722-728
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    • 2004
  • Purpose: This study was designed to determine the predictors of postpartum depression. Method: One hundred-sixty one women within one year after delivery from one public health center located in the northern area of Seoul were used in this study. The instruments were a survey of general characteristics, the Edinburgh Postnatal Depression Scale, recent life events index, perceived social support from family, Quality of marriage index, parenting stress index, and Rosenberg's self-esteem inventory. Data was analysed using descriptive statistics, Pearson correlation coefficients, and logistic regression. Result: The average item score of the EPDS was 6.67. 12.4% of respondents, who scored above a threshold 12, were likely to be suffering from a depression of varying severity. The fitness of the model for explaining postpartum depression from six variables, plan for pregnancy, family support, quality of marital relation, perceived social support, life events, childcare stress, and self-esteem, was statistically significant and the predictive power of these variables was 90.9%. The significant predictors of postpartum depression were family support and child care stress. Conclusion: Further research is needed to identify the prevalence rate of postpartum depression using more reliable sampling methods from a large general population. Nursing interventions need to be developed for promoting family support and reducing childcare stress.

지언고론요법 및 이정변기요법으로 호전된 산후 우울증 환자 치험 1례 (A Clinical Report of a postpartum depression patient who treated by Giungoroen-therapy and IiGyeungByunQi-therapy)

  • 서영민;서덕원;류호선;안효진;박세진;이필재
    • 동의신경정신과학회지
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    • 제21권3호
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    • pp.151-161
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    • 2010
  • Objectives : Postpartum depression is a kind of serious problem which influences on the parturients, her family. In this case we tried psychotherapy to postpartum depression patient. Methods : We treated the patient with Oriental psychotherapy. And then we compared postpartum depression before treatment with on after treatment by Korean version of Edinburgh Postnatal Depression Scale(K-EPDS). Results : After treatments, the clinical symptoms were improved and K-EPDS was reduced 16 to 6. Conclusions : Oriental psychotherapy is effective on postpartum depression.

분만경험과 산후 우울이 출산 후 여성의 삶의 질에 미치는 영향 (Influence of Childbirth Experience and Postpartum Depression on Quality of Life in Women after Birth)

  • 여정희;전나미
    • 대한간호학회지
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    • 제43권1호
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    • pp.11-19
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    • 2013
  • Purpose: The purpose of this study was to identify influence of childbirth experience and postpartum depression on quality of life in women after birth. Methods: Two hundred and eleven postpartum women were asked to complete the questionnaires on their childbirth experience during their admission and on their postpartum depression and quality of life between one to three weeks after birth. Initial data were collected from February 1 to May 30, 2011 at two obstetric hospitals in Busan, Korea. Data were analyzed using t-test, ANOVA, Pearson correlation coefficients, and hierarchical multiple regression. Results: The women's childbirth experience and postpartum depression were identified as factors influencing quality of life after birth. The model explained 50% of the variables. Conclusion: Results suggest that childbirth educators should include strategies to increase a positive childbirth experience and to decrease postpartum depression in their education programs in order to improve women's quality of life.

사회환경적 인자와 관련된 산후우울의 임상적 연구 (A Clinical Study on the Social Environmental Factors of Postpartum blues and depression)

  • 김락형;권보형;김수연
    • 동의신경정신과학회지
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    • 제12권2호
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    • pp.27-35
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    • 2001
  • Objective : Doctors who treat women in childbed have to pay attention to postpartum blues and depression which women in childbed can suffer from, as well as recovery of physical function. Methods : Subjects were 107 females who admitted in Woosuk Hospital of Oriental Medicine from September, 2000 to October, 2001 and made out the question paper within 10 days after delivery. The paper included EPDS(Edinburgh Postnatal Depression Scale) and many items known to be the factors related to postpartum blues and depression. Results : The rate of postpartum depression assessed by EPDS was 16.8%. As the result of analysis, there were significant statistic corelations between each group assessed by EPDS and age parity relation with husband yes or no living with parents-in-law. But there were no significant corelations between each group assessed by EPDS and education religion yes or no occupation delivery method sex of infant marriage type yes or no rearing the infant. Conclusions : We recognized that insufficiency- of delivery experience and stress due to bad adaptation after delivery are possible to be risk factors of postpartum blues and depression. More research should be taken on the corelation between postpartum depression and yes or no living with parents-in-law, because this result is opposite to the trouble between mother-in-law and daughter-in-law. In addition, more research is needed on corelation between physical condition, oriental-diagnosis of women in childbed and postpartum depression.

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출산여성의 산후관리수행의 관련요인 (Related Factors to Postpartum Care Performance in Postpartum Women)

  • 김증임
    • 여성건강간호학회지
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    • 제13권2호
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    • pp.98-104
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    • 2007
  • Purpose: The purpose of this study was to explore the barriers and the enhancing factors and predictors to postpartum care performance. Methods: The Research design in this study was a cross-sectional correlational survey. Subjects were 145 women at 6 to 10 weeks post delivery at an OB & GY clinic. Data was gathered with postpartum care performance, and other related variables including emotional status during pregnancy, fatigue, health recovery status, maternal role and identity. Data was analyzed using the SPSS WIN(version 11.0) program. Results: The mean score of postpartum care performance was 3.08 of 5, it had significant differences in emotional status during pregnancy, coincidence of expected sex, health recovery status, postpartum fatigue and postpartum depression. The maternal role and health recovery status were enhancing factors of postpartum care performance. Also, the barrier factors were fatigue, depression and coincidence of expected sex. Among these factors, the present health recovery status had an predictability of 11.7%, postpartum fatigue 3.2%, and coincidence of expected sex 2.5%, for a total predictability factor of 17.4% on postpartum care performance. Conclusion: Among these related factors to postpartum care performance, present health recovery status was the most predictable factor and then postpartum fatigue, and coincidence of expected sex. We need to establish a strategy to reduce postpartum fatigue and implement nursing interventions for health related consequences in postpartum women.

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지지간호가 미숙아 어머니의 산후 우울에 미치는 효과 (The Effects of Supportive Nursing Management on Postpartum Depression of Mothers with Premature Infants)

  • 김은숙;김은영;이지연;김진경;이현주;이승희;김지영;원하연
    • 임상간호연구
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    • 제15권3호
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    • pp.157-170
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    • 2009
  • Purpose: This quasi-experimental study was conducted to investigate the effects of supportive nursing management on postpartum depression in the mothers with premature infants. Methods: The subjects were 21 mothers who delivered premature babies in a university hospital. The experimental group of 10 mothers was provided with supportive nursing management program by nurses in neonatal ICU and the control group of 11 mothers was provided with usual management only. The designed programs were given 4 times to the experimental group while their babies were hospitalized, and telephone consultation was provided 3 times after discharge. The stress, anxiety, identity, support from their husbands & family members, and postpartum depression were measured 3 times using Edinburgh Postnatal Depression Scale (the 4th day of premature's hospitalization, the day of discharge and the day of 4 weeks after discharge). Results: There was no significant difference in general characteristics and the influential factors of postpartum depression between the two groups, so they were homogeneous. There was no significant difference in depression (F=0.01, p=.917). However there was significant difference over time (F=6.74, p=.003) and the interaction between measurement time and treatment (F=3.59, p=.037). Conclusion: The supportive nursing management on postpartum depression of mothers with premature infants is considered effective and useful in reducing postpartum depression. Further research is warranted to investigate paternal depression and the program's long-term effects.

산욕기 산모의 산후우울이 모유수유 실천에 미치는 영향 (The Effect of Postpartum Depression on Breast-Feeding Practice in Puerperium Mothers)

  • 김선미;김병관
    • 디지털융복합연구
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    • 제17권7호
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    • pp.187-195
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    • 2019
  • 본 연구는 산욕기 산모의 산후우울에 따른 모유수유 실천 여부를 확인하고 그 상관관계를 규명함으로써 건강한 모유수유 실천을 도모하고, 더불어 수유부를 위한 간호중재의 기초자료를 활용하기 위해 시도되었다. 산후조리원 3곳에 입실한 산모를 대상으로 산후우울 정도에 따른 모유수유 실천을 조사하였으며, 수집된 자료는 SPSS 20.0 프로그램을 이용하여 분석하였다. 그 결과 산욕기 산모의 산후우울은 모유수유 실천에 유의미한 영향을 미쳤으며(Exp (B) = 0.887, p = 0.014), 산후우울이 높을수록 규칙적인 모유수유 실천율이 낮아졌다($x^2=19.556$, p = 0.000). 그러므로 산후우울과 유의성을 나타낸 변인들을 중점적으로 간호중재가 이루어진다면, 산후우울 경감은 물론 모유수유 실천율 상승효과에 기여할 수 있을 것이다.

Family Factors Influencing Korean Mothers' Postpartum Depression

  • Kim, Sang Lim;Yang, Sungeun
    • International Journal of Advanced Culture Technology
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    • 제6권4호
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    • pp.45-51
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    • 2018
  • The purpose of the study was to examine the effects of family related factors (mothers' self-esteem, mothers' parenting stress, mothers' marital satisfaction, fathers' parenting involvement, and social support) on mothers' postpartum depression. The subjects were 797 households that were extracted from the $1^{st}$ wave of the Panel Study of Korean Children (PSKC). The study variables were measured using the survey questionnaires, and analyses of Pearson's correlation and multiple regression were conducted. Results showed that family related factors significantly predicted mothers' postpartum depression. Moreover, the most significant predictor was mothers' parenting stress, followed by marital satisfaction, self-esteem, fathers' parenting involvement, and social support. Study findings indicate that mothers' postpartum depression is attributed to not only personal but also family related factors. Our results suggest importance of parent education and family support along with social support.

영아 자녀를 둔 어머니가 지각하는 부의 양육참여와 산후 우울의 관계 : 부부관계의 매개효과 및 모의 자아인식의 중재효과 (The Relationship between a Father's Involvement in Parental Roles and Postpartum Depression : The Mediating Effects of Marital Relationships and the Moderating Effects of Mother's Self-Perception)

  • 서미정
    • 아동학회지
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    • 제32권6호
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    • pp.107-121
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    • 2011
  • This study examined the mediating effects of marital relationships (marital satisfaction, marital conflict) and the moderating effects of mother's self-perception (self-efficacy, self-esteem) on the relationship between a father's involvement in parental roles and postpartum depression. The participants consisted of 1,863 mothers with infants from the Panel Study of Korean Children. The findings from this study are as follows. First, there were significant correlations between a father's involvement in the parental role, marital satisfaction, marital conflict, self-efficacy, self-esteem and postpartum depression. Second, the relationship between a father's involvement in the parental role and postpartum depression was significantly mediated by both marital satisfaction and marital conflict. Finally, both self-efficacy and self-esteem were seen to moderate the relationship between a father's involvement in the parental role and postpartum depression.

산모의 우울이 생후 4개월 영아의 기질, 건강과 성장발달에 미치는 영향 (The Impacts of Postpartum Depression on the Temperament, Health and Development of 4-month-old Infants)

  • 방경숙
    • Perspectives in Nursing Science
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    • 제9권1호
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    • pp.9-15
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    • 2012
  • Purpose: This study was conducted to determine the impacts of maternal depression on the temperament, health problems, and development of 4-month-old infants. Methods: For this longitudinal comparative study, data collected at one month postpartum and at the 4th month of follow-up were evaluated from sixty five pairs. The Edinburgh Postnatal Depression Scale (EPDS) was used to assess the symptoms of depression. Results: Eighteen point 5 percent and15.4% of mothers were diagnosed with postpartum depression at one month post-partum and at the 4th month of follow-up, respectively. The temperament of the infants between the two groups was not different. However, the infants of the depressed mothers had more health problems after 4 months. Depressed mothers had a lower score for the acceptance of Home Observation for Measurement of the Environment (HOME), and the development score of their infants was lower than that of the non-depressed mothers. Conclusion: Maternal depression affects the health and development of infants. Women should be screened for potential risk factors and for symptoms of depression during postpartum periods so that appropriate interventions including emotional support can be initiated in a timely manner.

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