• Women's Health Nursing
• /
• v.20 no.4
• /
• pp.266-276
• /
• 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.

• Korean Parent-Child Health Journal
• /
• v.21 no.1
• /
• pp.39-49
• /
• 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.

• Journal of Convergence for Information Technology
• /
• v.8 no.6
• /
• pp.1-7
• /
• 2018

The study was investigate the effect of quality of life of mothers in the postpartum period. This study was a descriptive research study of 113 women who lived in D metropolitan area within 6-8 weeks after birth, Data were analyzed using SPSS 21.0 program ANOVA, t-test, Pearson's correlation analysis and multiple random analysis. Data collection was from August 2018 to September 2018. The results were as follows. The most influential factors on quality of life were parenting stress(${\beta}=-.646$, p =.000), fatigue(${\beta}=-.329$, p =.009). It is necessary to develop a nursing intervention program related to physical and mental health because maternal quality of life leads to lower quality of life when feeling emotional mood change such as emptiness and depression.

• Journal of East-West Nursing Research
• /
• v.25 no.2
• /
• pp.91-102
• /
• 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.

• The Journal of the Korea Contents Association
• /
• v.19 no.3
• /
• pp.649-658
• /
• 2019

The purpose of this study was to investigate the current status of postpartum depression intervention program performed in Korea and to evaluate its effectiveness. Of the Korean academic journals reported until November 2018, 13 experimental studies were selected and used for final analysis. The average age of the subjects was 26.9 to 34.4 years, and subjects were puerperal women or couples. The sample size was 6~39 (mean: 20.4) in the experimental group, 5~40 in the control group (mean: 20.0), and the intervention program consisted of 0.5~12 weeks/2~14 sessions/10~120 minutes per session. The design of all the studies was a non-equivalent control group pre-post test design. The main dependent variables, postpartum depression, fatigue, and maternal role self-confidence, were all found to have a statistically significant median level of effect size in the meta-analysis. This study confirms the composition and effects of various experimental studies used to mediate postpartum depression in Korea. This could be used as specific evidence-based data to form an optimal postpartum intervention program.

• Journal of Korean Academy of Nursing
• /
• v.45 no.4
• /
• pp.587-594
• /
• 2015

Purpose: To identify the effects of foot reflexology massage on fatigue, stress and depression of postpartum women. Methods: A nonequivalent control group pre-post design was used. A total of 70 women in a postpartum care center were recruited and were assigned to the experimental group (35) or control group (35). Foot reflexology massage was provided to the experimental group once a day for three days. Data were collected before and after the intervention program which was carried out from December, 2013 to February, 2014. Data were analyzed using Chi-square test, Fisher's exact test, and t-test. Results: The level of fatigue in the experimental group was significantly lower than the control group (t= - 2.74, p=.008). The level of cortisol in the urine of women in the experimental group was significantly lower than the control group (t= - 2.19, p=.032). The level of depression in the experimental group was significantly lower than the control group (t= - 3.00, p=.004). Conclusion: The results show that the foot reflexology massage is an effective nursing intervention to relieve fatigue, stress, and depression for postpartum women.

• The Journal of the Convergence on Culture Technology
• /
• v.4 no.1
• /
• pp.111-117
• /
• 2018

This study was conducted to examine the relationship between perineal demage, a physiological element that mothers experience immediately after delivery, and postpartum depression. The postpartum depression level of women after delivery was $6.67{\pm}4.34$ points at delivery, $7.41{\pm}4.77$ after 2 weeks, and $7.77{\pm}5.27$ after 6 weeks. The degree of mild postpartum depression increased to 26% after delivery, 33% after 2 weeks, and to 41.4 after 6 weeks. At 2 weeks and 6 weeks postpartum, the feeling of discomfort during walking or sitting caused by perineal incision had a direct correlation with postpartum depression. Therefore, in order to prevent postpartum depression, management of discomfort associated with the perineal incision should be given priority.

• Journal of Korean Academy of Nursing
• /
• v.41 no.3
• /
• pp.294-301
• /
• 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.

• Korean Journal of Adult Nursing
• /
• v.19 no.4
• /
• pp.670-681
• /
• 2007

Purpose: The purpose of this study was to identify the influencing factors on postpartum fatigue in the parturient women. Methods: The data were collected from July to September, 2006 using self-report questionnaires. The sample was 143 healthy parturient women who visited the outpatient clinic at 2 hospitals for a routine follow up after childbirth. The data were analyzed by using SPSS 12.0 Win program. Results: There were significant differences in the postpartum fatigue by age, religion, sleep hour, and complaint of perceived health problem. The postpartum fatigue were significantly correlated with infant care stress(p<0.001), sleep satisfaction(p<0.001), and feeding difficulty(p=0.016). The multiple regression analysis showed that the postpartum fatigue were significantly predicted by the infant care stress, sleep satisfaction and complaint of perceived health problem. These variables explained 31.8% of the variance of postpartum fatigue. The infant care stress was the main predictor of postpartum fatigue. Conclusions: It could be concluded that the nursing intervention for reducing the infant care stress should be developed to manage the postpartum fatigue for parturient women. Prospective studies are needed to be conducted to verify the causal relationship between infant care stress and postpartum fatigue.

• Women's Health Nursing
• /
• v.28 no.2
• /
• pp.87-99
• /
• 2022

Purpose: The purpose of this systematic review was to examine aromatherapy interventions for prenatal and postnatal women, and to determine the effectiveness of these interventions on fatigue. Methods: Six national and international databases were reviewed to retrieve and collect studies published up to September 7, 2021, describing randomized controlled trials and controlled clinical trials of aromatherapy interventions for prenatal and postnatal women's fatigue. Of the 323 articles initially identified, 64 duplicates were excluded and 259 were screened. After further excluding 216 articles not related to PICO framework, 10 were selected for review. Two reviewers independently selected studies and conducted data extraction and quality appraisal using Cochran's Risk of Bias and Risk of Bias Assessment Tool for Non-randomized Studies. Results: The quality of the 10 selected studies was overall satisfactory. A meta-analysis of three studies showed that aromatherapy with lavender oil produced a 0.75-point reduction in postnatal mothers' fatigue when compared to control groups. Sleep quality was also analyzed as a secondary outcome of fatigue. A meta-analysis of four studies using lavender and/or orange peel oil found that aromatherapy produced a 0.98-point improvement in postnatal mothers' quality of sleep. Although a meta-analysis could not be conducted to synthesize the findings for fatigue in pregnant women, inhalation and massage therapy using lavender oil showed positive effects on prenatal fatigue and sleep quality. Conclusion: Aromatherapy using lavender oil and orange peel oil is effective in improving prenatal and postnatal fatigue and sleep quality.