산후조리원 이용여부에 따른 초산모의 신체적, 심리적 건강상태 및 모성역할적응의 변화양상에 관한 연구 = The Changing Pattern of Physical and Psychological Health, and Maternal Adjustment Between Primiparas Who Used and Those Who did Not Use Sanhujori Facilities

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study was to compare levels of postpartum fatigue, depression, childcare stress, and maternal identity according to postpartum period between primiparas who used Sanhujori facilities and those who did not.
Methods: The research design was a longitudinal descriptive study using self-report questionnaires. Participants were 55healthy primiparas who delivered at one of 3 hospitals in Chungnam, 21 using Sanhujori facilities and 34 not using these facilities during the first three weeks after childbirth. Data were collected from October 2008 to April 2009 at three measurement points, 2-4 days after childbirth (T1), 4-6 weeks (T2), and 12-14 weeks (T3). Data were analyzed using the SPSS 17.0 WIN program. Results: There was a significant difference in childcare stress between the two groups at 4-6 weeks after childbirth. Postpartum depression and childcare stress at 4-6 weeks were significantly higher than those of the other postpartum periods, while maternal identity was significantly lower. Conclusion: Child care stress is the most important issue among women who use Sanhujori facilities and the 4-6 week period after childbirth is very difficult to primiparas. These results indicate that nursing interventions for primiparas in Sanhujori facilities should focus on reducing childcare stress.
Furthermore proper follow-up programs at 4-6 weeks are needed to decrease the difficulties in adjustment by new mothers.

참고문헌 (Reference)

1 서영숙, "산후조리원의 산모 및 아동관리에 관한 연구" 한국영유아보육학회 29 (29): 23-44, 2002

2 송주은, "산후 조리원 이용여부에 따른 산모의 양육스트레스, 산후우울, 산후피로 차이" 한국모자보건학회 12 (12): 33-46, 2008

3 김지양, "산후 우울감을 예측하는 심리적 요인 연구:사회적지지, 자아존중감, 스트레스를 중심으로" 한국건강심리학회 13 (13): 111-140, 2008

4 김재원, "산후 4주의 우울 증상에 대한 심리사회적 및 산과적예측변인에 대한 연구" 대한산부인과학회 48 (48): 901-909, 2005

5 김증임, "산욕기 산모의 임신시 정서상태, 분만준비도, 산후 사회적 지지도 및 산후 우울감과의 관계연구" 여성건강간호학회 11 (11): 38-45, 2005

6 장영숙, "모성역할 증진 프로그램이 미숙아어머니의 모성역할 긴장, 양육 자신감, 모성 정체감에 미치는 효과" 아동간호학회 11 (11): 472-480, 2005

7 Park, Y. S, "Transition to motherhood of primipara in postpartum period" Seoul National University 1991

8 Koh, H. J, "The relationship between role strain and identity in first-time mothers with regard to employment status" Ewha Womans University 1996

9 Cheon, J. A, "The effect of postpartum stress and social network on the postpartum depression" Korea University 1990

10 Radloff, L. S, "The CES-D scale: A self report depression scale for research in the general population" 1 : 385-401, 1977

11 Lee, E. H, "Statistical methods for health care research (2nd ed.)" Koonja 2008

12 Cutrona, C. E, "Social support and stress in the transition to parenthood" 93 : 378-390, 1984

13 Chon, K. K, "Preliminary development of Korean version of CES-D" 11 : 65-76, 1992

14 Ahn, S. H, "Postpartum health: A comparison of mothers with preterm infants and mothers with full-term infants" 8 : 7-19, 2002

15 Leung, S, "Postpartum depression and related psychosocial variables in Hong Kong Chinese women: Finding from a prospective study" 28 : 27-38, 2005

16 Mercer, R. T, "Nursing support of the process of becoming a mother" 35 : 649-651, 2006

17 Kim, S. O, "Nursing care needs and satisfaction of the mothers in the postpartum care center" Kosin University 2007

18 Reeder, S. J, "Maternity nursing (18th ed.)" Lippincott 1997

19 Wambach, K. A, "Maternal fatigue in breastfeeding primiparae during the first nine weeks postpartum" 14 : 219-229, 1998

20 Lee, K. A, "Longitudinal changes in fatigue and energy during pregnancy and the postpartum period" 28 : 183-191, 1998

21 Yoo, E. K, "Health promoting behavior for women’s health: An analysis on meaning of Sanhujori, Korean postpartum care" 2 (2): 37-65, 1993

22 Water, M. A, "Differences between primigravidas and multigravidas mothers in sleep disturbances, fatigue, and functional status" 41 : 364-367, 1996

23 Pugh, L. C, "Childbirth and the measurement of fatigue" 1 : 57-66, 1993

24 Jung, H, "A study on the nursing needs and service satisfactory of users in the postpartum care center" 5 : 193-199, 1999

25 Jung, E. S, "A study for the development of standardized management manuel in Sanhujoriwon: Centered on the management of women & newborn" 8 : 301-313, 2002

26 Song, J. E, "A structural model of postpartum fatigue of the primipara in Korea" Yonsei University 2006

27 Yoo, E. K, "A model for community based mother infant care center-TMIC (transitional mother infant care center) using a Sanhujoriwon-" 31 : 932-947, 2001

28 Troy, N. W, "A comparison of fatigue and energy levels at 6 weeks and 14 to 19 weeks postpartum" 8 : 135-152, 1999

29 Song, J. E, "A comparative study on the level of postpartum women’s fatigue between rooming-in and non rooming-in groups" 7 : 241-255, 2001