산후조리원 이용여부에 따른 산후우울, 산후스트레스, 산후불편감 및 산후활동에 대한 비교연구

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study is to compare and analyze postpartum depression, postpartum stress, postpartum discomfort and postpartum activity according to use of Sanhujori Facility, and apply them to efficient management of Sanhujori Facility and basic data of postpartum nursing intervention development.
Methods: This study is a descriptive comparison research that targeted 86 mothers who used Sanhujori Facility after delivery and went back home 3 weeks later and 87 mothers who didn’t use Sanhujori Facility after delivery and went back home 3 weeks later, all of whom were selected for matching subject standards of pregnancy and delivery related cafes of Daum and Naver.
For measurement, to measure postpartum depression, I used Edinburge Postpartum Scale(EPDS-K) that Cox, Holden and Sagovky(1987) developed and Kim(2006) translated, and to measure postpartum stress, we used 62-item HPSS(Hung postpartum stress scale) of Hung(2007). For postpartum discomfort measurement, I used postpartum discomfort developed by Park(2003), and for postpartum activity measurement, I used what Fawcett, Tulman and Myers(1988) developed, Lee, Shim and Lee(1993) remade, and Park(2003) revised, and for postpartum discomfort measurement, I used postpartum discomfort measurement developed by Park(2003).
For analysis, I conducted χ2-test, t-test, one-way ANOVA, Duncan multiple range test and Pearson correlation coefficient for each research purpose by using PASW 18.0 window program.
Results: The results of this study can be summarized as follows.
1) The postpartum depression score of Sanhujori Facility using group was 11.09±5.31 which was higher than that of Sanhujori Facility non-using mothers, 8.48±4.64, and there was a significant difference (t=4.510, p<.001). The postpartum activity score of Sanhujori Facility non-using mothers was 59.94±12.07 which was higher than that of Sanhujori Facility using mothers, 54.94±1.03, and there was a significant difference (t=-3.019, p=.003).
2) Postpartum depression of Sanhujori Facility using and non-using mothers had a strong correlation with postpartum stress (r=.555, p<.001; r=.536, p<.001), and had a middle level of correlation with postpartum discomfort (r=.361 p=.001; r=.345, p=.001). Postpartum stress Sanhujori Facility using and non-using mothers had a middle level of correlation with postpartum discomfort (r=.472, p<.001; r=.412, p<.001). Postpartum activity and postpartum discomfort had a middle level of correlation only among Sanhujori Facility non-using mothers (r=.397, p<.001).
3) The general and obstetric characteristic differences for use of Sanhujori Facility are as follows.
Postpartum depression of Sanhujori Facility using mothers had significant differences according to age (t=2.732, p=.008), delivery method (t=-3.880, p= p<.001), and Sanhujori satisfaction level (F=7.051, p=.010). Postpartum depression of Sanhujori Facility non-using group had significant differences according to education level (F=4.602, p=.035), whether baby’s gender matches with desired one (t=-3.725, p<.001), Sanhujori assistant (F=6.122, p=.015), delivery method (t=-3.587, p=.001), breastfeeding method (F=18.988, p<.001), and Sanhujori satisfaction level (F=19.113, p<.001).
Postpartum stress of Sanhujori Facility using mothers had significant differences according to age (t=2.170. p=.033), religion (t=2.121, p=.037), and delivery method (t=-2.400, p=.019). Postpartum stress of Sanhujori Facility non-using group had significant differences according to religion (t=2.274, p=.025) and whether baby’s gender matches with desired one (t=2.296, p=.024).
Postpartum discomfort of Sanhujori Facility non-using mothers had significant differences according to economic status (F=6.105, p=.016), religion (t=2.055, p=.043), and newborn baby’s gender (t=2.190, p=.031). Postpartum discomfort of Sanhujori Facility non-using mothers had significant differences according to age (t=-3.030, p=.004), whether they got pregnant as planned (t=-2.361, p=.021), Sanhujori assistant (F=4.573, p=.035), and newborn baby’s gender (t=3.420, p=.001).
The level of postpartum activity for the general and obstetric characteristic of Sanhujori Facility using mothers had no statistically significant category. Postpartum activity of Sanhujori Facility non-using mothers had significant differences according to economic status (F=12.749, p=.001), obstetric history (t=-.325, p=.004), whether they got pregnant as planned (t=-2.099, p=.040), Sanhujori assistant (F=6.261, p=.014), and newborn baby’s gender (t=2.108, p=.038).
Conclusion: As a result of comparing postpartum depression, postpartum stress, and postpartum discomfort and postpartum activity according to use of Sanhujori Facility, it was turned out that postpartum depression of Sanhujori Facility using mothers was high, and Sanhujori Facility non-using mothers were doing postpartum activity well. Therefore, in order to perform an optimal nursing intervention for mothers’ physical and phychological recovery, Sanhujori Facility management ways should be changed, and development and application of education programs for Sanhujori Facility workers should be realized

목차 (Table of Contents)

• Ⅰ. 서론 1
• 1. 연구의 필요성 1
• 2. 연구의 목적 4
• 3. 용어의 정의 4
• Ⅱ. 문헌고찰 6
• 1. 산후우울 6
• 2. 산후스트레스 10
• 3. 산후불편감 13
• 4. 산후활동 14
• Ⅲ. 연구방법 16
• 1. 연구설계 16
• 2. 연구대상 16
• 3. 연구도구 16
• 1) 산후우울 17
• 2) 산후스트레스 18
• 3) 산후불편감 18
• 4) 산후활동 18
• 4. 자료수집 절차 19
• 5. 연구의 윤리적 고려 19
• 6. 자료분석 방법 20
• Ⅳ. 연구결과 21
• 1. 산후조리원 이용 여부에 따른 일반적 및 산과적 특성 비교 21
• 2. 산후조리원 이용 여부에 따른 산후우울, 산후스트레스, 산후불편감 및 산후활동 차이 24
• 3. 산후조리원 이용 여부에 따른 산후우울, 산후스트레스, 산후불편감 및 산후활동의 상관관계 25
• 4. 산후조리원 이용 여부에 따른 일반적 및 산과적 특성별 산후우울, 산후스트레스, 산후불편감 및 산후활동의 차이비교 28
• 1) 산후조리원 이용여부에 따른 일반적 및 산과적 특성별 산후우울 비교 28
• 2) 산후조리원 이용여부에 따른 일반적 및 산과적 특성별 산후스트레스 비교 30
• 3) 산후조리원 이용여부에 따른 일반적 및 산과적 특성별 산후불편감 비교 32
• 4) 산후조리원 이용여부에 따른 일반적 및 산과적 특성별 산후활동 비교 34
• Ⅴ. 논의 36
• 1. 산후조리원 이용 여부에 따른 산후우울, 산후스트레스, 산후불편감 및 산후활동 36
• 2. 산후조리원 이용 여부에 따른 산후우울, 산후스트레스, 산후불편감 및 산후활동의 상관 관계 39
• 3. 산후조리원 이용 여부에 따른 일반적 및 산과적 특성별 산후우울, 산후스트레스, 산후불편감 및 산후활동의 차이 40
• Ⅵ. 결론 및 제언 42
• 참고문헌 46