Women's Health Nursing (여성건강간호학회지)

Korean Society of Women Health Nursing (한국여성건강간호학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of Fatigue and Postpartum Depression on Maternal Perceived Quality of Life (MAPP-QOL) in Early Postpartum Mothers

초기 산욕기 산모의 피로와 산후우울이 지각된 삶의 질에 미치는 영향

  • Choi, So-Young (College of Nursing, Gyeongsang National University) ;
  • Gu, Hye-Ja (Department of Nursing, Cheongam University) ;
  • Ryu, Eun-Jeong (Department of Nursing, Chung-Ang University)
  • 최소영 (경상대학교 간호대학, 건강과학연구원) ;
  • 구혜자 (청암대학 간호과) ;
  • 류은정 (중앙대학교 간호학과)
  • Received : 2011.03.02
  • Accepted : 2011.05.31
  • Published : 2011.06.20
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study was done to identify effects of fatigue and postpartum depression on quality of life in early postpartum mothers. Methods: The data were collected from 130 mothers at four general hospitals in J and M metropolitan cities. Instruments used to collect the data for the study were the Fatigue Scale developed by Pugh (1993); Postpartum Depression Scale developed by Cox, Holden & Sagovsky (1987), and the Quality of Life Scale developed by Hill, Aldag, Hekel, Riner, G., & Bloomfield (2006). Results: Results showed that the mean for fatigue was 56.74, the mean for postpartum depression was $8.00{\pm}4.37$ and mean for quality of life was 19.78. The quality of life variable showed statistically significant differences for the variable: age (F=3.20, p=.026). The relationship between fatigue and quality of life showed a significant negative correlation (r=-.44, p<.001). The relationship between postpartum depression and quality of life also showed a negative correlation (r=-.42, p<.001). The relationship between postpartum depression and fatigue showed a positive correlation (r=.59, p<.001). These factors explained 23% of the variance in quality of life. Conclusion: The results indicate that it is necessary to develop nursing intervention programs to improve quality of life in for early postpartum mothers.

Keywords

References

  1. Bozoky, I., & Corwin, E. J. (2002). Fatigue as a predictor of postpartum depression. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 31 , 436-443. https://doi.org/10.1111/j.1552-6909.2002.tb00066.x
  2. Choe, M. A., Padilla, G. V., Chae, Y. R., & Kim, S. (2001). The meaning of health-realated quality of life in a Korean sample. International Journal of Nursing Studies, 38 , 557-566. https://doi.org/10.1016/S0020-7489(00)00102-4
  3. Cohen, J. (1992). A power primer. Psychological Bulletin, 112 , 155-159. https://doi.org/10.1037/0033-2909.112.1.155
  4. Corwin, E. J., Brownstead, J., Barton, N., Heckard, S., & Morin, K. (2005). The impact of fatigue on the development of postpartum depression. Journal of Obstetric Gynecologic and Neonatal Nursing, 34 (5), 577-586. https://doi.org/10.1177/0884217505279997
  5. Cox, J. L., Holden, J. M., & Sagovsky, R. (1987). Detection of postnatal depression: Development of the 10-item Edinburgh postnatal depression scale. British Journal of Psychiatry, 150 , 782-786. https://doi.org/10.1192/bjp.150.6.782
  6. Da Costa, D., Dritsa, M., Rippen, N., Lowensteyn, I., & Khalife, S. (2006). Health related quality of life in postpartum depressed women. Archives Women's Mental Health, 9, 95-102. https://doi.org/10.1007/s00737-005-0108-6
  7. Dennis, C. L. (2004). Can we identify mothers at risk for postpartum depression in the immediate postpartum in the immediate postpartum period using the Edinburgh Postnatal Depression Scale?. Journal of Affective Disorder, 78 , 163-169. https://doi.org/10.1016/S0165-0327(02)00299-9
  8. Ferrans, C., & Powers, M. (1985). Quality of life index: Development and psychometric properties. Advances in Nursing Science, 8 (1), 15-24. https://doi.org/10.1097/00012272-198510000-00005
  9. Hill, P. D., & Aldag, J. C. (2007). Maternal perceived quality of life following childbirth. Journal of Obstetric Gynecologic and Neonatal Nursing, 36 , 328-334. https://doi.org/10.1111/j.1552-6909.2007.00164.x
  10. Hill, P. L., Aldag, J. C., Hekel, B., Riner, G., & Bloomfield, P. (2006). Maternal postpartum quality of life questionnaire. Journal of Nursing Measurement, 14 (3), 205-220. https://doi.org/10.1891/jnm-v14i3a005
  11. Jansen, A. J., Duvekot, J. J., Hop, W. C., Essonk-Bot, M. L., Beckers, E. A., Karsdorp, V. H., et al. (2007). New insights into fatigue and health-related quality of life after delivery. Acta Obstetricia et Gynecologica, 86 , 579-584. https://doi.org/10.1080/00016340701275424
  12. Kim, J. I. (2006). A validation study on the translated Korean version of the Edinburgh postnatal depression scale. Korean Journal of Women Health Nursing, 12 (3), 204-209.
  13. Kim, J. W., Kim, J. H., Eun, D. S., & Kim, H. (2005). Psychosocial and obstetric predictors of depressive symptomatology at postpartum 4 weeks. Korean Journal of Obstetrics and Gynecology, 48 (4), 901-909.
  14. Lee, J. Y. (2006). Fatigue, parenting stress and sleep patterns of women according to period of postpartum. Unpublished master's thesis, Keimyung University, Daegu.
  15. Lee, S. O., Yeo, J. H., Ahn, S. H., Lee, H. S., Yang, H. J., & Han, M. J. (2010). Postpartum depressive score and related factors pre- and post-delivery. Korean Journal of Women Health Nursing, 16 (1), 29-36. https://doi.org/10.4069/kjwhn.2010.16.1.29
  16. McGovern, P., Dowd, B., Gjerdinben, D., Gross, C. R., Kenney, S., & Ukestad, L., et al. (2006). Postpartum health of employed mothers 5 weeks after childbirth. Annals Family of Medicine, 4, 159-167. https://doi.org/10.1370/afm.519
  17. Milligan, R. L., Lenz, E. R., Parks, P. L., Pugh, L. D., & Kitzman, H. (1997). Postpartum fatigue: Clarifying concepts in nursing research (pp, 97-109). New York: Springer.
  18. Moon, J. M. (2009). Menopause symptoms, fatigue, and quality of life in post-chemotherapy breast cancer survivors. Unpublished master's thesis, Yonsei University, Seoul.
  19. Park, Y. J., Shin, H. J., Ryu, H., Cheon, S. H., & Moon, S. H. (2004). The predictors of postpartum depression. Journal of Korean Academy of Nursing, 34 (5), 729-738. https://doi.org/10.4040/jkan.2004.34.5.729
  20. Pugh, L. C. (1993). Childbirth and measurement of fatigue. Journal of Nursing Measurement, 1 (1), 57-66.
  21. Pugh, L. C., Milligan, R., Parks, P. L., Lenz, E. R., & Kitzman, H. (1999). Clinical approaches in the assessment of childbearing fatigue. Journal of Obstetric Gynecologic and Neonatal Nursing, 28 (1), 74-80. https://doi.org/10.1111/j.1552-6909.1999.tb01967.x
  22. Rychnovsky, J., & Hunter, L. P. (2009). The relationship between sleep characteristics and fatigue in healthy postpartum women. Women's Health Issues, 19 , 38-44. https://doi.org/10.1016/j.whi.2008.07.015
  23. Song, J. E. (2006). (A) structural model of postpartum fatigue of the primipara in Korea. Unpublished doctoral dissertation, Yonsei University, Seoul.
  24. Song, J. E. (2007). Predictors of postpartum fatigue between early and late postpartum period in parturient women -divided by 3/4 weeks of postpartum period-. Korean Journal of Women Health Nursing, 13 (4), 299-309.
  25. Women's Health Nursing Curriculum Inquiry Group (2010). Women's health nursing care. Seoul: Soomoonsa.
  26. Yang, Y. H. (2002). The relationship of symptoms of side effects, fatigue and quality of life in stomach cancer patients receiving chemotherapy. The Journal of Korean Academic Society of Adult Nursing, 14 (2), 205-212.

Cited by

  1. 한방병원 부속 산후조리원을 이용한 산모의 산후 오로 기간과 특징에 관한 고찰 vol.26, pp.3, 2011, https://doi.org/10.15204/jkobgy.2013.26.3.059
  2. 산후우울의 영향요인과 모성 정체성과의 관련성 vol.20, pp.1, 2011, https://doi.org/10.4069/kjwhn.2014.20.1.29
  3. 산후 6개월 이내 산모의 수면의 질, 산후 피로도 및 산후 우울 vol.20, pp.4, 2011, https://doi.org/10.4069/kjwhn.2014.20.4.266
  4. 발 반사마사지가 산욕기 산모의 피로, 스트레스, 산후 우울에 미치는 효과 vol.45, pp.4, 2011, https://doi.org/10.4040/jkan.2015.45.4.587
  5. Experiencias de las mujeres durante el trabajo de parto y parto vol.33, pp.2, 2011, https://doi.org/10.15446/av.enferm.v33n2.42279
  6. 조기진통 임부의 피로, 우울과 불안이 삶의 질에 미치는 영향 vol.22, pp.4, 2016, https://doi.org/10.4069/kjwhn.2016.22.4.254
  7. Effects of Meridian Acupressure Massage on Body Composition, Edema, Stress, and Fatigue in Postpartum Women vol.23, pp.10, 2011, https://doi.org/10.1089/acm.2016.0362
  8. 산욕기 산모의 양육스트레스, 산후우울, 피로가 삶의 질에 미치는 영향 vol.8, pp.6, 2018, https://doi.org/10.22156/cs4smb.2018.8.6.001
  9. Relationships of Perfectionism Dimensions with Postpartum Depression vol.28, pp.1, 2019, https://doi.org/10.12934/jkpmhn.2019.28.1.1
  10. 고위험산모와 일반산모의 산후 6주간 증상에 대한 전향적 관찰 연구 - 일개 한방병원 산후조리원을 이용한 산모를 중심으로 vol.32, pp.4, 2011, https://doi.org/10.15204/jkobgy.2019.32.4.116
  11. 이압요법을 활용한 간호중재 프로그램이 초기 산욕기 산모의 산후우울과 산후피로에 미치는 효과 vol.25, pp.2, 2011, https://doi.org/10.14370/jewnr.2019.25.2.91
  12. Factors Influencing Quality of Life in Early Postpartum Women vol.18, pp.6, 2021, https://doi.org/10.3390/ijerph18062988
  13. Effects of Postpartum Fatigue and Depressive Cognitions on Life Satisfaction and Quality of Life in Arab Postpartum Women: The Intervening Role of Resourcefulness vol.11, pp.1, 2011, https://doi.org/10.3390/nursrep11010009
  14. The relationship between mother‐infant contact time and changes in postpartum depression and mother‐infant attachment among mothers staying at postpartum care centers: An observational stu vol.23, pp.2, 2011, https://doi.org/10.1111/nhs.12847
  15. 임신성 당뇨병 임부와 정상 임부의 스트레스, 우울, 피로 및 수면의 질에 관한 서술적 조사연구 vol.12, pp.8, 2011, https://doi.org/10.15207/jkcs.2021.12.8.369