• Title, Summary, Keyword: 산후우울

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

  • Yeo, Jung Hee;Chun, Nami
    • Journal of Korean Academy of Nursing
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    • v.43 no.1
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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.

A Comparative Study on the Postpartum Depression of Vietnamese Marriage Immigrant Women and Korean Women (베트남 결혼이주여성과 한국여성의 산후우울 비교)

  • Choi, Eun-Young;Lee, Eun-Hee;Choi, Jung-Sook;Choi, Sun-Ha
    • Korean Journal of Women Health Nursing
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    • v.17 no.1
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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.

Effects of Fatigue and Postpartum Depression on Maternal Perceived Quality of Life (MAPP-QOL) in Early Postpartum Mothers (초기 산욕기 산모의 피로와 산후우울이 지각된 삶의 질에 미치는 영향)

  • Choi, So-Young;Gu, Hye-Ja;Ryu, Eun-Jeong
    • Korean Journal of Women Health Nursing
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    • v.17 no.2
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    • pp.118-125
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    • 2011
  • Purpose: This study was done to identify effects of fatigue and postpartum depression on quality of life in early postpartum mothers. Methods: The data were collected from 130 mothers at four general hospitals in J and M metropolitan cities. Instruments used to collect the data for the study were the Fatigue Scale developed by Pugh (1993); Postpartum Depression Scale developed by Cox, Holden & Sagovsky (1987), and the Quality of Life Scale developed by Hill, Aldag, Hekel, Riner, G., & Bloomfield (2006). Results: Results showed that the mean for fatigue was 56.74, the mean for postpartum depression was $8.00{\pm}4.37$ and mean for quality of life was 19.78. The quality of life variable showed statistically significant differences for the variable: age (F=3.20, p=.026). The relationship between fatigue and quality of life showed a significant negative correlation (r=-.44, p<.001). The relationship between postpartum depression and quality of life also showed a negative correlation (r=-.42, p<.001). The relationship between postpartum depression and fatigue showed a positive correlation (r=.59, p<.001). These factors explained 23% of the variance in quality of life. Conclusion: The results indicate that it is necessary to develop nursing intervention programs to improve quality of life in for early postpartum mothers.

Analyzing the Relationships between Changes in Postpartum Depression and Child-rearing System Variables in Korean Mothers (한국 영아어머니의 산후우울 변화와 양육 관련 체계변인간의 관계 분석)

  • Chun, Hui-Young;Ok, Kyung-Hee
    • Journal of Korean Home Management Association
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    • v.29 no.6
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    • pp.153-167
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    • 2011
  • This study analyzed changes in postpartum depression in mothers from one month after childbirth to the first year using panel data collected overtime, in an effort to determine the relationship between the amount of change and child-rearing system variables. The subjects were 1097 mothers who belonged to both the lower and upper $30^{th}$ percentile groups in the depression change distribution of the 2008 Korean Children Panel Study (PSKC), a large, population-based study conducted by the Korea Institute of Childcare and Education. The data were analyzed by t-tests, $x^2$ tests, partial correlation coefficient analyses and regression analyses. The results are summarized as follows: First, the mothers' postpartum depression showed a significant increase during the first year as opposed to the first month after birth. Second, after controlling for socio-demographical variables of the mothers, the changes related to depression showed a positive relationship with child-rearing stress, and the child's emotional temperament, but showed a negative relationship with the mother's self-esteem, the child's birth order, and the father's participation in child-rearing activities. Third, variables having a significant effect on changes in postpartum depression were the mother's self-esteem and child-rearing stress, the child's age in months, and social support. Variables pertaining to the mother's characteristics variables had a more powerful effect than other child-rearing system variable categories. The results suggest the necessity to develop a parental education program or a mother-child health service in consideration of the variables that affect mothers, as determined in this study, in an effort to prevent postpartum depression.

The Relationship between Early Neo-maternal Exposure, and Maternal Attachment, Maternal Self-esteem and Postpartum Depression in the Mothers of NICU Infants (신생아 중환자실에서의 초기 모아상호노출과 모아애착, 모성자존감 및 산후우울간의 관계분석)

  • Ahn Young-Mee;Kim Mi-Ran
    • Journal of Korean Academy of Nursing
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    • v.35 no.5
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    • pp.798-809
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    • 2005
  • Purpose: This study was performed to investigate the quantities of three neo-maternal exposures; visiting frequency, auditory contact and physical contact, and to examine the relationship between the quantities of each exposure and maternal attachment, maternal self-esteem and postpartum depression in 40 mothers of NICU babies during the first week in the NICU. Method: Each neo-maternal exposure was counted at every mother's visit to the newborn and maternal attachment, maternal self-esteem and postpartum depression were measured using the maternal attachment inventory, the maternal self-report inventory and Edinburgh Postpartum Depression Scale (EPDS) on the first and seventh day in the NICU. Result: The Mean of each neo-maternal exposure was 8.77(2.81) for the visiting frequency, 5.82(3.66) for the auditory contact and 5.60(2.89) for the physical contact during 7 days in the NICU. No significant changes were found in the scores of maternal attachment, maternal self-esteem and postpartum depression between the first and the seventh day in the NICU. The quantities of neo-maternal exposures were positively related to the scores of maternal attachment and maternal self-esteem but not related to postpartum depression. Conclusion: The results of the study suggest the lack of early neo-maternal exposure in cases of NICU hospitalization negate its beneficial effects on maternal psychological well-being in increasing maternal attachment and self-esteem. More efforts are neededfor the neo-maternal interaction and the reevaluation of NICU visitation hours in order to promote maternal-infant interaction.

Effects of Music Therapy and Phone Counseling on Postpartum Depression and Maternal Identity in High Risk Women (음악요법과 전화상담이 고위험 산모의 산후우울과 모성정체성에 미치는 효과)

  • Kim, Hae Won;Kim, Sun Ok;Kim, Hye Gyung;Jeon, Hyang Ran
    • Perspectives in Nursing Science
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    • v.11 no.1
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    • pp.63-73
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    • 2014
  • Purpose: This study examine the effects of music therapy and phone counseling on postpartum depression and maternal identity in high risk women. Methods: A nonequivalent control group time series research design was employed. Eighteen women comprised the experimental group and seventeen women, the control group. Experimental group received 4 weeks of music therapy and phone counseling. Postpartum depression and maternal identity were measured prior to intervention and on the 1st, 2nd, and 4th weeks after its introduction. Results: The first hypothesis (i.e., "the degree of postpartum depression would be lower in the experimental group than in the control group in a month's time") was not supported (z=-0.47, p=.641). The second hypothesis (i.e., "the degree of maternal identity would be lower in the experimental group than in the control group in a month") was not supported as well (z=1.08, p=.285). Conclusion: There is the need to monitor long-term effects of music therapy and phone counseling on high risk postpartum women, beyond 4 weeks observed in this study. Additionally, the development of music therapy tailored to high risk individuals and systematic phone counseling protocols for postpartum depression is required.

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NEWS&TOPICS 해외

  • Lee, Ju-Yeong
    • The Science & Technology
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    • no.12
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    • pp.8-9
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    • 2003
  • 이집트 미라 방부 비밀은 참죽나무 기름/ 英 생거센터 DNA 염기분석 20억쌍 돌파/ 산후 우울증, 아이 공격적 성격 원인/ 익룡, 새보다 동작 더 빨랐다/ 줄기세포로 청각 모세포 생성/ 인슐린 · 호르몬 조절로 선충 수명 6배 연장/ 자동 약물투여 마이크로칩 개발/ 소행성 '헤르메스' 66년만에 재관측

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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 (영아 자녀를 둔 어머니가 지각하는 부의 양육참여와 산후 우울의 관계 : 부부관계의 매개효과 및 모의 자아인식의 중재효과)

  • Seo, Mi-Jung
    • Korean Journal of Child Studies
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    • v.32 no.6
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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.

A Comparison of Postpartum Depression according to Delivery Mode in the Postpartum Women (분만유형에 따른 산욕기 산모의 산후 우울 비교)

  • Koh, Hyo-Jung;Lee, Ja-Young;Kim, Hye-Young
    • Korean Parent-Child Health Journal
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    • v.13 no.2
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    • pp.95-101
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    • 2010
  • Purpose: This study is intended to identify difference postpartum depression according to delivery mode in the postpartum women. Methods: The subjects were 239 postpartum women in D and A city. Data collected from June 9, 2006 to August 6, 2007 using structured questionnaire surveys and convenience sampling. Measuring instrument was BDI (Beck Depression Inventory) translated By Lee and Song (1991). Collected data was analyzed by $x^2$-test, ANCOVA, Stepwise Multiple Regression with SPSS/PC 14.0. Results: There were significant differences in postpartum period ($x^2$=12.40, p = .002) and sleeping hours ($x^2$=9.09, p = .011) as analysed distribution of the subjects according to delivery mode. As result of analyzing the difference of postpartum depression according to delivery mode using ANCOVA, C-sec women's postpartum depression was higher than vaginal delivery women statistically (F=6.32, p = .013). As a result of Multiple Regression, income was a influencing factor of postpartum depression in vaginal delivery women and support of spouse and sleeping hours were influencing factors in C-sec women. Conclusion: There were differences in postpartum depression and their influencing factors according to delivery mode. Therefore it is necessary to develop and study a concrete nursing intervention and strategies for reducing the postpartum depression according to delivery mode.

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