• 부모자녀건강학회지
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• 제21권1호
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• pp.39-49
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• 2018

Purpose: This study was to investigate the effects of fatigue, postpartum family support on postpartum depression in postpartum women. Methods: Data were collected through structured questionnaires. The participants of this study were 123 postpartum women in B metropolitan city. The data were analyzed with the SPSS/Win 18.0 program, using descriptive statistics, in independent t-test, and stepwise multiple regression. Results: The subjects' degree of fatigue and postpartum depression had strong positive correlation (r=.623, p<.001). The subjects' degree of postpartum family support and postpartum depression had moderate negative correlation (r=-415, p<.001). Factors that affect postpartum depression were fatigue (${\beta}=.492$, p<.001), postpartum family support (${\beta}=-.234$, p=.001), pre-conception job (${\beta}=.222$, p=.001), Pregnancy depression (${\beta}=.177$, p=.007), Parity (${\beta}=.167$, p=.009). The explanation power was 55.0%. Conclusion: The study results indicate that it is necessary to various programs that can reduce postpartum mothers' fatigue and improve postpartum family support, in order to reduce the postpartum depression.

• 동서간호학연구지
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• 제25권2호
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• pp.91-102
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• 2019

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.

• 여성건강간호학회지
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• 제15권3호
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• pp.216-223
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• 2009

Purpose: The purpose of this study was to investigate the influencing factors of postpartum depression among parturient women between 4 to 6 weeks after childbirth. Methods: The participants were 146 healthy postpartum women who delivered at three women's health hospitals in Chungnam province in 2008. Data were collected by a self-report questionnaire. Collected data were analyzed by using the SPSS WIN 14.0 program. Results: There was a significant difference in postpartum depression depending on the educational level. Postpartum depression was significantly correlated with childcare stress, social support, infant fussiness, Sanhujori satisfaction, subjective health condition, and sleep satisfaction. Stepwise multiple regression analysis showed that postpartum depression was significantly predicted by childcare stress, Sanhujori satisfaction and subjective health condition. These variables explained 49.0% of the variance of postpartum depression. Conclusion: It is concluded that a nursing intervention for postpartum depression should focus on decreasing childcare stress and improving Sanhujori satisfaction. further studies are required to verily and substantiate the effect of the developed nursing intervention programs.

• 대한간호학회지
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• 제29권1호
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• pp.9-20
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• 1999

Postpartum depression is one of the most serious problems in maternal health because it affects not only the mother but also her family. Postpartum depression disturbs maternal -infant interaction and attachment. However, most postpartum depression patients ignore this problem and do not seek treatment. Thus this study in conducted to development of a Home-Based Multimedia Tutoring System for postpartum depression management. With this computerized system, mothers in the postpartum periods can check the level of postpartum depression using a personal computer. This system will go through each mother's data and screen those who have abnormal values. In addition this system includes intervention programs -education for nutrition, hygiene care, sleep, postpartum exercise, methods of relaxation, deep breathing, visualization, music therapy and family therapy-to relieve postpartum depression. Using this system, a mother who has a minor level of depression can manage it by herself. Computer language used in this study were html 3.2, OS used was Microsoftware NT Server 4.0, the graphic tool was Adobe Photoshop 4.0, and the Webpage tool was Notepade. The results of this study are show at internet “URL : http : //203.241.225.42/”. Finally, the author suggests that this system could be adequately applied to assessing postpartum depression and as a intervention strategy for mothers during the postpartum period. Further this study contributes to designing an appropriate postpartum depression prevention strategy.

• 대한간호학회지
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• 제45권2호
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• pp.211-220
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• 2015

Purpose: This study was done to develop a prediction model for postpartum depression by verifying the mediation effect of antepartum depression. A hypothesized model was developed based on literature reviews and predictors of postpartum depression by Beck. Methods: Data were collected from 186 pregnant women who had a gestation period of more than 32 weeks and were patients at a maternity hospital, two obstetrics and gynecology specialized hospitals, or the outpatient clinic of K medical center. Data were analysed with descriptive statistics, correlation and exploratory factor analysis using the SPSS/WIN 18.0 and AMOS 18.0 programs. Results: The final modified model had good fit indices. Parenting stress, antepartum depression and postpartum family support had statistically significant effects on postpartum depression, and defined 74.7% of total explained variance of postpartum depression. Antepartum depression had significant mediation effects on postpartum depression from stress in pregnancy and self-esteem. Conclusion: The results of this study suggest that it is important to develop nursing interventions including strategies to reduce parenting stress and improve postpartum family support in order to prevent postpartum depression. Especially, it is necessary to detect and treat antepartum depression early to prevent postpartum depression as antepartum depression can affect postpartum depression by mediating antepartum factors.

• 여성건강간호학회지
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• 제11권1호
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• pp.38-45
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• 2005

Purpose: This study was to examine the degree of prenatal emotional status, preparation for delivery, postpartum social support, and postpartum blues and to investigate the relationship of the above variables in postpartum women. Method: The subjects were 131 postpartum women. Selection criteria were women who were 2 to 8 weeks post delivery. After Informed consent was obtained, they were asked to fill out a self-administered questionnaire. The instrument was a Postnatal Depression & Anxiety check list. Result: The mean age of the subjects was 29.3 years, and 63.4% of subjects delivered their children by vaginal birth. 18.3 percent had felt depressed during their pregnancy. The mean score of the postpartum blues was 19.2. 61.8 percent of the subjects had postpartum blues and 8.4 percent experienced postpartum depression. Monthly income was negatively correlated to postpartum blues (r=-.189, p<.05), but the emotional status during pregnancy had a significant and positive relationship. However, preparation for delivery had no significant correlation with postpartum blues. While husband support and social support had a tendency to have a negative correlation. Conclusion: Further research is needed to identify the factors that affect the emotional status during pregnancy with various scales. Also, intervention programs to increase emotional support for pregnancy and husband support are needed.

• 대한한의학회지
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• 제41권3호
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• pp.32-54
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• 2020

Objectives: The purpose of this scoping review is to describe the research trends of postpartum healthcare for postpartum women, as well as to identify further direction for research in the area of postpartum healthcare. Methods: This study was conducted sequentially according to the Scoping Review Method referred to as 'frameworks of Arskey and O'Malley'. We searched for articles published as of May 15th, 2020 in seven Korean databases in order to obtain the data. A key term search strategy was employed, including terms such as "Postpartum period care", "Postpartum health", "Postpartum care", and "Postpartum status" to identify relevant studies. Results: Eighty-three articles were selected from a total of 259. The research has been undertaken steadily since 1997, particularly in the fields of Nursing and Korean medicine. In terms of study design, survey studies were the majority (48.2%), followed by interventions and experimental papers (32.5%). However, qualitative research areas are lacking. The research topics were largely divided into two categories: postpartum care characteristics and postpartum care interventions. The characteristics of postpartum care were highly connected with care for mental health. Among the postpartum care interventions, the most common employed was Korean medicine intervention. Conclusion: This study confirms that management of mental health during the postpartum period is necessary. In addition, it is necessary to identify the experiences of postpartum women and the effectiveness of a postpartum care intervention program through the utilization of qualitative research methods. In particular, such research is needed in the field of Korean medicine.

• 여성건강간호학회지
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• 제17권1호
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• pp.39-51
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• 2011

Purpose: This study aimed to examine postpartum depression of Vietnamese married immigrant women and Korean women, and to identify factors that affect postpartum depression. Methods: Subjects of one hundred and thirty-five women who had delivered a baby within 3 years were part of the study. Of these women, sixty were Vietnamese married immigrant women and sixty seven were Korean women living in Gangwon Province. Kim's (2005) Korean version of Cox's (1987) EPDS (Edinburgh Postnatal Depression Scale) was used to evaluate postpartum depression. The reliability of the entire subjects was Cronbach's ${\alpha}$=.677, Vietnamese women .743, and Korean women .654. Results: There were significant differences between the two groups in demographic data and obstetric history. There were significant differences in EPDS (t=-0.236, p=.814) of the type of household between the two groups. Korean women experienced more depression in the items of EPDS 1,2,5, and Vietnamese women experienced more depression in the items of EPDS 7, 8, and 10 when comparing item by item. The influencing factors of EPDS in entire subjects were marriage type, satisfaction of relationship with the husband and other household extended family members, and emotional experience during pregnancy. Conclusion: Postpartum depression has occurred regardless of ethnicity, therefore prevention programs targeted at depression, and family support programs should be developed for all childbearing women.

• 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.

• 한국보건간호학회지
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• 제32권3호
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• pp.376-387
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• 2018

Purpose: This study was conducted to assess the breast feeding rate and maternal adaptation of mothers with infants and children in early childhood in a community. Methods: This descriptive study was conducted from November to December 2015, and included a total of 283 mothers of infants and children in early childhood. The data were analyzed using descriptive analysis, the ${\chi}^2-test$, and one way ANOVA. Results: The rates of breast feeding after birth were 76.3% (1 month postpartum), 69.3% (3 months postpartum), 53.4% (6 months postpartum), 32.2% (9 months postpartum), and 22.6% (12 months postpartum). The level of maternal adaptation of subjects was $3.78{\pm}0.54$. Subjects who were breastfed until 9 months postpartum had a higher level of maternal adaptation than those who stopped breast feeding at 1 month postpartum (F=3.926, p<.002). The breast feeding rate of subjects who were educated about breast feeding after childbirth was significantly higher than that of those who did not receive breast feeding education after delivery. Conclusion: To increase the breast feeding rate and maternal adaptation, community health nurses should develop and provide breast feeding programs to mothers soon after childbirth.