디지털융복합연구 (Journal of Digital Convergence)

  • 제19권6호
  • /
  • Pages.429-438
  • /
  • 2021
  • /
  • 2713-6434(pISSN)
  • /
  • 2713-6442(eISSN)
한국디지털정책학회 (The Society of Digital Policy and Management)
권호 표지
DOI QR코드

DOI QR Code

국내 산후 비만과 산후 우울증 관련 요인 연구

A Study on Factors on Postpartum Obesity and Postpartum Depression in Korea

  • 구정은 (부천대학교 뷰티케어학과) ;
  • 김규리 (을지대학교 미용화장품과학과)
  • Ku, Jung-Eun (Department of Beauty Care, Bucheon University) ;
  • Kim, Gyu-Ri (Dept.Department of Beauty and Cosmetic Science, Eulji University)
  • 투고 : 2021.05.19
  • 심사 : 2021.06.20
  • 발행 : 2021.06.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구는 국내 산후 복과 산후 우울증 및 스트레스 등의 실태조사를 통해 원인을 분석하고, 산모의 사회적 고립를 예방하고자 시도한 서술적 조사연구이다. 연구방법-전국에 거주하는 1살 이하의 자녀를 둔 주 대상인 20-40대 여성을 표본으로 선정하였고, 총 111부를 최종 분석 자료로 사용하였다. 연구결과-산모들의 일반적 특성 -일반적 특성으로 사회 경험을 묻는 말에서는 91.1%(102명)가 사회 경험이 있다고 응답하였고, 8%(9명)만이 사회 경험이 없다고 응답하였다.(사회경험유 91.1%(102명), 사회경험 무 8%(9명) 사회 복귀를 여부를 묻는 질문에서는 17.9%의 산모가 복귀하였다고 응답하였고, 54.5%의 산모는 복귀하지 않았으며, 18.8%의 산모는 출산 휴가 중인 것으로 나타났다. 출산 전과 후의 BMI 변화와 일반적 특성의 교차분석(카이제곱 검정) 산모들의 BMI 증가 수준을 살펴본 결과 Table 3과 같이 BMI가 평균 이하로 증가한 산모가 55%, 평균 이상으로 증가한 여성이 45%로 조사되었다. 연구결과- 임신과 출산으로 인해 여성들은 신체적 변화로 인해 과체중이 될 확률이 높다. 연구결과-임신과 출산으로 산후비만은 산후 정신적, 신체적 문제에 영향을 미치는 개인의 중요한 원인으로 확인되었다. 연구 결과를 바탕으로 산모비만관리와 우울증관리에 적극적인 정부 정책이 필요하다고 사료된다.

This study aims to prevent maternal social isolation by analyzing the causes of postpartum obesity and postpartum depression and stress in Korea. Gneral characteristics of mothers as a result of the study: 91.1% (102 people) answered that they had social experience, and only 8% (9 people) answered that they had no social experience. In the question of whether to return to society, 17.9% responded that they have already returned, 54.5% did not, and 18.8% were on maternity leave. As a result of examining the level of BMI increase among mothers through chi-square test of BMI changes before and after childbirth and general characteristics, 55% experienced below-average BMI increase; 45% experienced above-average BMI increase. Those in their 30s accounted for 40.2%, and those in their 40s accounted for 57.1%. Postpartum obesity and maternal psychological status (t-test): Mothers with postpartum obesity were more hypersensitive (t = -1.997, p = 0.048) and more prone to suffer from hard breathing (t = -1.930, p = 0.056), emptiness (t = -2.673, p = 0.010), and body numbness (t = -2.315, p = 0.024) than mothers who are not suffering from not postpartum obesity. Per the results of postpartum BMI increase and maternal psychological state (t-test) analysis, mothers with an average increase in postpartum BMI were more depressed than mothers who did not. Research Results - Postpartum obesity due to pregnancy and childbirth has been identified as an important individual cause affecting mental and physical problems after childbirth. In conclusion, I also think that the government should support the management of maternal obesity and the elimination of depression through the results of this study.

키워드

과제정보

This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (Grant Number:2021-0050).

참고문헌

  1. World Health Organization. Obesity: preventing and managing the global epidemic-Introduction. WHO Technical Report Series. 2000;894:1-253.
  2. Ahn, O. S., & Oh, W. O. (2006). Relationship among postpartum depression, parenting stress and self-esteem in mothers during puerperium. Journal of the Korean Society of Maternal and Child Health, 10(1), 58-68.
  3. Ogden CL, Carroll MD, Curtin LR, McDowell MA, Tabak CJ, Flegal KM. Prevalence of overweight and obesity in the United States, 1999-2004. JAMA. 2006;295(13):1549-55. https://doi.org/10.1001/jama.295.13.1549
  4. Ministry of Food and Drug Safety. www.mfds.go.kr. 「2020 Medical Narcotics Appetite Suppressant Standards for safe use.
  5. Kim & Park,. Drug Therapy for Obesity. Korean Journal of Obesity, 2012, 21.4.
  6. Fontaine KR, Redden DT, Wang C, Westfall AO, Allison DB. Years of life lost due to obesity. JAMA 2003;289:187-93 https://doi.org/10.1001/jama.289.2.187
  7. Bromel, T., Blum, WF, Ziegler, A., Schulz, E., Bender, M., Fleischhaker, C., ... & Hebebrand, J. (1998). Serum leptin levels increase rapidly after initiation of clozapine therapy. molecular psychiatry , 3 (1), 76-80. https://doi.org/10.1038/sj/mp/4000352
  8. FERNSTROM, Madelyn H. Drugs that cause weight gain. Obesity research, 1995, 3.S4: 435S-439S. https://doi.org/10.1002/j.1550-8528.1995.tb00210.x
  9. Halford JC, Harrold JA, Boyland EJ, Lawton CL, Blundell JE. Serotonergic drugs : effects on appetite expression and use for the treatment of obesity. Drugs 2007;67:27-55. https://doi.org/10.2165/00003495-200767010-00004
  10. Davis EM, Stephen JZ, Christine MO, KurtCS(2009). Racial, ethnic, and socioeconomic differencesinthe in cidence of obesity related to childbirth. American Journal of Public Health, 99(2), 294-299. https://doi.org/10.2105/AJPH.2007.132373
  11. Ahn, O. S., & Oh, W. O. (2006). Relationship among postpartum depression, parenting stress and self-esteem in mothers during puerperium. Journal of the Korean Society of Maternal and Child Health, 10(1), 58-68.
  12. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders, fourth edition, text revision (DSM-IV-TR®). Washington, DC: Author
  13. LEE, Boram; PARK, Hye Jun. Differences in infant development by trajectories of maternal perinatal depression: based on Malawi mothers and children. Early Child Development and Care, 2020, 190.9: 1441-1454. https://doi.org/10.1080/03004430.2018.1538978
  14. YOUN, Ji Hyang; JEONG, Ihn Sook. Predictors of Postpartum Depression: Prospective Cohort Study. Journal of Korean Academy of Nursing, 2013, 43.2.
  15. Corwin, E. J., Kohen, R., Jarrett, M., & Stafford, B. (2010). The heritability of postpartum depression. Biological Research for Nursing, 12(1), 73-83. https://doi.org/10.1177/1099800410362112
  16. Choi & Woo, Relational Structural Model between Variables Related to Postpartum Depression. Publish: Korean Journal Of Counseling And Psychotherapy Volume 25, Issue3, p549~573, Aug 2013
  17. Bae, J. I. (2002). Construction of a postpartum depression model. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 11(4), 572-587.
  18. Beck, C. T. (2001). Predictors of postpartum depression: An update. Nursing Research, 50(5), 275-285 https://doi.org/10.1097/00006199-200109000-00004
  19. Moon. (2017). Literature Review on Psychological and physiological Effects of Exercise in Pregnant Women, 31(3), 181-197. https://doi.org/10.16915/jkapesgw.2017.09.31.3.181
  20. KIM, Dong-Hwan; LEE, In-Ho; LEE, Jong-Hoon. A Case Study on an Abdominally Obese Patient with Postpartum Disease. Journal of Korean Medicine for Obesity Research, 2006, 6.2: 105-112.
  21. Park, Sung-Yong, et al. Association between maternal adult attachment style and postpartum depression and parenting stress. J Korean Neuropsychiatr Assoc, 2015, 54.4: 515-522. https://doi.org/10.4306/jknpa.2015.54.4.515
  22. Blackmore ER, Carroll J, Reid A, Biringer A, Glazier RH, Midmer D, et al. The use of the Antenatal Psychosocial Health Assessment (ALPHA) tool in the detection of psychosocial risk factors for postpartumdepression: a randomized controlled trial. J Obstet Gynaecol Can2006;28:873-878 https://doi.org/10.1016/s1701-2163(16)32268-x
  23. KOPELMAN, Peter G. Obesity is a medical problem. Nature , 2000, 404.6778 : 635-643. https://doi.org/10.1038/35007508