Women's Health Nursing (여성건강간호학회지)

Korean Society of Women Health Nursing (한국여성건강간호학회)
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Does a nurse-led postpartum self-care program for first-time mothers in Bangladesh improve postpartum fatigue, depressive mood, and maternal functioning?: a non-synchronized quasi-experimental study

  • Khatun, Fahima (National Institute of Advanced Nursing Education and Research) ;
  • Lee, Tae Wha (College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University) ;
  • Lee, Hye Jung (College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University) ;
  • Park, Jeongok (College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University) ;
  • Song, Ju Eun (College of Nursing, Ajou University) ;
  • Kim, Sue (College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University)
  • Received : 2021.06.01
  • Accepted : 2021.09.08
  • Published : 2021.09.30
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Abstract

Purpose: This study aimed to test the efficacy of a nurse-led postpartum self-care (NLPPSC) intervention at reducing postpartum fatigue (PPF) and depressive mood and promoting maternal functioning among first-time mothers in Bangladesh. Methods: A non-synchronized quasi-experimental design was used. First-time mothers were recruited during postpartum and assigned to the experimental or control group (34 each). The experimental group received the NLPPSC in the hospital, a 1-day intervention that focused on increasing self-efficacy. The control group received usual care. Data on PPF, depressive mood, maternal functioning, self-care behaviors, postpartum self-efficacy, and self-care knowledge were collected at postpartum 2 weeks (attrition 23.5%) and 6 weeks (attrition 16.1%). Data were analyzed using descriptive statistics, bivariate statistics, and linear mixed model analysis. Results: One-third (33.3%) of new mothers experienced depressive mood (Edinburgh Postnatal Depression Scale scores of ≥13 points). The NLPPSC intervention was statistically significant in decreasing PPF (β=-6.17, SE=1.81, t=-3.39, p<.01) and increased maternal functioning at postpartum 6 weeks in the experimental group (β=13.72, t=3.73, p<.01) compared to the control. Knowledge was also statistically significant for increased maternal functioning over time (β=.37, SE=.18, t=2.03, p<.05). However, there were no statistically significant differences in depressive mood over time. Conclusion: The NLPPSC intervention was feasible and effective in improving fatigue and maternal functioning in Bangladeshi mothers by postpartum 6 weeks and thus supports implementing the NLPPSC intervention for new mothers after childbirth.

Keywords

Acknowledgement

The authors gratefully acknowledge Mr. Nurul Anowar, Mrs. Bilkis Akter, and Mrs. Ferdous Jahan for helping in the process of approval of data collection. We would also like to express our sincere appreciation to Mrs. Nelofar Farhad, director of nursing services, and the hospital directors and nursing superintendents of Dhaka Medical College Hospital for their assistance in accessing participants.

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