• 한국산학기술학회논문지
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• 제18권5호
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• pp.445-455
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• 2017

본 연구는 모자동실 유형에 따른 산모의 피로도와 모유수유율에 차이가 있는지를 확인하기 위해 시도되었다. 서울소재 일 종합병원의 모자동실제 정책이 전일모자동실제에서 부분모자동실제로 전환된 후 두 제도 간에 산모의 피로도와 모유수유율에 차이가 있는지 비교하기 위해 수행되었으며, 평가내용은 출산 후 산모의 피로도와 모유수유율을 비교분석하여 관련성을 파악하는 것이다. 전일모자동실제의 산모 64명을 대상으로 자체 평가한 2012년 10월의 분석결과와 부분모자동실제로 전환운영한 2014년 6- 7월까지의 산모 43명을 대상으로 수집한 자료를 비교분석하였다. 자료처리 및 분석방법은 SPSS 22.0을 이용하여 빈도, 백분율, $x^2-test$, t-test, 피어슨상관관계분석을 통해 4개의 가설을 검정하였다. 그 결과 '전일모자동실군이 부분모자동실군보다 하루 수유횟수가 많은 것'으로 나타났으며, '전일모자동실군과 부분모자동실군 간에 모유수유율은 차이가 없었다'. '전일모자동실군이 부분모자동실군보다 피로도가 높았으며', '산모의 피로도와 입원기간동안의 모유수유율은 관련이 없게' 나타났다. 따라서 본 연구 결과를 토대로 모자동실제 유형에 따라 모유수유율에는 차이가 없으므로 산모의 피로도가 높은 전일모자동실제로 운영하는 것 보다 산모와 신생아의 상태를 고려하여 개별화된 부분모자동실제로 운영하는 방안을 고려해 볼 수 있다.

• 융합정보논문지
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• 제8권6호
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• pp.1-7
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• 2018

본 연구는 산욕기 산모의 삶의 질 에 영향을 미치는 요인을 파악하기 위해 시도 되었다. 본 연구는 D광역시 지역에 거주하는 출산 후 6-8주 이내의 여성 113명을 대상으로 한 서술적 조사연구이며 자료는 SPSS 21.0 프로그램을 이용하여, 기술통계, ANOVA, t-test, Pearson's correlation coefficient 및 Multiple regression analysis를 실시하였다. 자료수집은 2018년 8월부터 2018년 9월까지 하였다. 본 연구결과는 다음과 같다. 삶의 질에 가장 큰 영향요인은 양육스트레스(${\beta}=-.646$, p<.001), 피로(${\beta}=-.329$, p=.009)순으로 확인되었다. 양육스트레스(r=-.647, p<.01), 산후우울(r=-.826, p<.01), 피로(r=-.760, p<.01)는 삶의 질과 유의미한 상관관계를 보였다. 출산 후 산모는 공허감, 산후우울감 등 정서적 기분변화를 느끼는 경우 삶의 질 저하로 이어지기 때문에 산욕 기간 동안 신체적, 정신적 건강관련 간호중재 프로그램을 개발하는 것이 필요할 것이다.

• 디지털융복합연구
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• 제19권9호
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• pp.393-400
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• 2021

본 연구의 목적은 초산모의 모아애착을 향상시킬 수 있는 프로그램 개발 대한 기초자료를 제공하는 것이다. 본 연구는 서술적 조사연구로서, 2021년 4월 1일부터 5월 31일까지 S 시의 초산모 148명을 대상으로 데이터를 수집했다. 통계분석에는 기술통계와 t-test, ANOVA, 상관관계, 단계적 회귀분석을 이용하였다. 본 연구 결과 모아애착은 산모 피로도(r=-.65, p<.001) 및 불안정도(r=-.62, p<.001) 와는 음의 상관관계가 있었다. 초산모의 모아애착에는 산모 피로도(β=-.52), 불안정도(β=-.48), 육아도우미 유무(β=.10)가 영향을 미치는 것으로 나타났으며, 회귀분석 결과, 설명력은 64.3%(F=89.19, p<.001)이었다. 본 연구의 결과로 나타난 초산모의 모아애착에 영향을 미치는 요소를 기반으로 산모 피로와 불안감을 줄이고 모아애착을 향상시키는 중재프로그램을 개발할 필요가 있다.

• 한국콘텐츠학회논문지
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• 제19권3호
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• pp.649-658
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• 2019

본 연구의 목적은 국내에서 수행된 산후우울 중재프로그램의 현황을 파악하고 효과를 알아보기 위함이다. 2018년 11월까지 보고된 국내 학술지 논문 중, 13편의 실험연구를 선별하여 최종 분석에 사용하였다. 연구대상자의 평균 연령은 26.9~34.4세로, 산모 또는 산모와 배우자를 대상으로 하였다. 표본크기는 실험군 6~39명 (평균 20.4), 대조군 5~40명 (평균 20.0)이었고, 중재프로그램의 구성은 0.5~12주/2~14회기/1회 당10~120분으로 이루어졌다. 모든 연구의 설계는 비동등성 대조군전후실험설계였다. 주요 종속변수인 산후우울, 피로도, 모성역할자신감은 메타분석 결과 모두 통계적으로 유의미한 중간 수준 이상의 효과크기를 가지는 것으로 확인되었다. 본 연구는 국내에서 산후우울을 중재하기 사용되는 다양한 실험연구들의 구성과 효과를 확인하였다. 이는 최적의 산후우울 중재프로그램을 구성하기 위한 구체적인 근거기반자료로 활용될 수 있을 것이다.

• 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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• 제20권4호
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• pp.266-276
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• 2014

Purpose: This study was correlation study to identify the factors influencing sleep quality, fatigue, and postnatal depression in mothers who have given birth during the past 6 months. Methods: The study was conducted using a survey with questionnaires to 329 mothers who visited E University Medical Center, or three local clinics located in D city, between August and October 2013. Collected data were analyzed using the SPSS/WIN 20.0 program. Results: Out of 329 subjects, 18.2% showed that they had mild postnatal depression whereas 24.3% had severe postnatal depression. Accordingly, 42.5% reported having postnatal depression. Postnatal depression had a significant correlation with sleep hours after childbirth (r=-.16, p=.003), spousal support (r=-.28, p<.001), sleep quality (r=-.35, p<.001), physical fatigue (r=.66, p<.001), psychological fatigue (r=.69, p<.001), and neurosensory fatigue (r=.56, p< .001). Factors influencing postnatal depression include psychological fatigue, sleep quality, number of child births, and neurosensory fatigue, and these accounted for 53% of postnatal depression. Conclusion: Results indicate that factors influencing postnatal depression involve psychological fatigue, sleep quality, number of child births, and neurosensory fatigue. Therefore for nursing intervention for postpartum mothers, it is necessary to assess the level of depression, fatigue, and sleep quality, and to provide interventions to relieve depression.

• 여성건강간호학회지
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• 제7권3호
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• pp.241-255
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• 2001

This is a cross-sectional descriptive study which compares the level of postpartum women's physical, phychological, neurosensory fatigue between rooming-in and non rooming-in groups. The data were collected by using self-report questionnaire from April 1 to May 31, 2001. Subjects were 68 mothers who opted the rooming-in choice and 98 mothers who did not choose the rooming-in at one hospital in Seoul, Korea. They all had NSVD. The research questionnaire consisted of 36 items on general chracteristics and 30 items on postpartum fatigue developed by Pugh (1993). The data were analyzed by using the SPSS 10.0 window program. The results of this study were as follow: 1. There was significant statistical difference in general characteristics between rooming-in and non rooming-in groups in prenatal class attendance ($x^2$=3.935, p=0.047), maternal fetal attachment score (t=2.130, p=0.035), husband attendance during the labor and delivery ($x^2$=9.147, p=0.002), breast feeding ($x^2$=12.503, p=0.000), and self feeding time including bottle feeding (t=4.588, p=0.000). 2. There was no significant statistical difference in the level of total fatigue score between two groups (t=0.282, p=0.780). 3. The physical and neurosensory fatigue scores were slightly higher in rooming-in group ($21.63{\pm}4.92$, $18.53{\pm}4.60$) than those ($20.71{\pm}5.78$, $18.23{\pm}5.39$) of non rooming-in group. And the phychological fatigue score was slightly higher in non rooming-in group ($17.67{\pm}4.95$) than that ($17.04{\pm}4.63$) of rooming-in group. However, there was no significant statistical difference in the level of three sub-dimension fatigue between two groups (t=1.068, p=0.287; t=-0.827, p=0.410; t=0.368, p=0.714). 4. Even after controlling characteristics showed significant differences between two groups, there was no significant statistical difference in the level of fatigue between two groups (F=0.135, p=0.714). According to this study, there was no significant statistical difference in the level of postpartum fatigue whether they were rooming-in or not. Based on this result, the common notion of rooming-in mothers will be more fatigue than non rooming-in mothers is proved to be false. However, it is necessary to develop appropriate nursing interventions to meet the need of mothers who decide to rooming-in.

• 여성건강간호학회지
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• 제6권3호
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• pp.427-438
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• 2000

The purpose of this study was to collect basic data the health care of postpartum women. Three hundred seventy five women who were 3 days postpartum were enrolled at two university hospitals. Data were collected from April 1999 to November, 1999 using a questionnaire titled 'Symptom Table on Fatigue Perception' designed by the Fatigue Research Committee of Japan. The collected data were scored by the use of mean and standard deviation according to the subjective symptoms of fatigue and each item was analyzed independent variable by the t-test and the ANOVA test. The results were as follows: 1. The average fatigue score of subjects was 1.61. Physical fatigue had the highest value with a mean of 1.82, followed by neuro-sensory fatigue with a mean score of 1.54, psychological fatigue was rated lowest with a mean of 1.45. 2. With the respect to the general characteristics of subjects, there were statistically significant differences in difficulty of labor (t=2.335. p=.020), sleeping time (t=2.340. p=.020) and desirability of pregnancy (t=2.409. p=.018).

• 대한간호학회지
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• 제41권3호
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• pp.294-301
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• 2011

Purpose: The purpose of this study was to examine the effects of laughter therapy on postpartum fatigue and stress respon-ses of postpartum women. Methods: The research design was a nonequivalent control group non-synchronized design. The participants were 67 postpartum women who agreed to participate in this study, selected by convenience sampling: (experiment group-33 and control group-34). The data were collected from August 5 to September 30, 2010. The experimental group received laughter therapy from a laughter therapy expert for 60 min, twice a week for 2 weeks, a total of 4 sessions. To evaluate the effects of laughter therapy, postpartum fatigue by self-report questionnaire and cortisol concentration in breast milk were measured. The data were analyzed using the SPSS WIN 13.0 Program. Results: The first hypothesis that "the degree of postpartum fatigue in the experimental group participating in laughter therapy would be lower than that of the control group" was accepted. These findings indicate that laughter therapy has a positive effect on decreasing postpartum fatigue. Conclusion: The finding provides evidence for use of complementary and alternative nursing in Sanhujori facilities and obstetric units to reduce postpartum women's fatigue.