Child Health Nursing Research

Korean Academy of Child Health Nursing (한국아동간호학회)
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Parenting Stress in Mothers of Premature Infants

미숙아를 출산한 어머니의 양육스트레스

  • Hwang, Hyun-Sook (College of Nursing, Yonsei University) ;
  • Kim, Hee-Soon (The Nursing Policy Research Institute, College of Nursing, Yonsei University) ;
  • Yoo, Il-Young (The Nursing Policy Research Institute, College of Nursing, Yonsei University) ;
  • Shin, Hyun-Sook (College of Nursing, Kyunghee University)
  • 황현숙 (연세대학교 대학원 간호학과) ;
  • 김희순 (연세대학교 간호대학, 간호정책연구소) ;
  • 유일영 (연세대학교 간호대학, 간호정책연구소) ;
  • 신현숙 (경희대학교 간호대학)
  • Received : 2013.01.18
  • Accepted : 2013.01.22
  • Published : 2013.01.31
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Abstract

Purpose: The purposes of this study were to assess the parenting stress in mothers of premature infants and stress related characteristics of mothers and infants. Methods: The methodology was a cross sectional survey study using self-report questionnaires. Participants in this study were 36 mothers of infants with corrected ages of 4 months to 12 months who were born prematurely. Data were analyzed using t-test, ANOVA, and Pearson correlation with the SPSS WIN 19.0 program. Results: The mean score for parenting stress in mothers of premature infants was $74.639{\pm}17.570$, indicating that the mothers actually experienced stress. When mothers were able to have some private time, parenting stress was statistically significantly lower. When the residential status was having one's own house and the local community provided informational support regarding child nurturing, there was a statistically significant decrease in the sub-category of particular infant temperament. There was a statistically significant positive correlation between mothers' depression and parenting stress. Conclusion: These results indicate that there is a need for nursing interventions to increase mothers' private time and to include informational support regarding health management of children including developmental status assessment from local communities.

목적 본 연구는 미숙아를 출산한 어머니의 양육스트레스를 파악하고 어머니와 아동 특성에 따른 양육스트레스 관련성 확인을 위해 시도되었다. 방법 서울소재 Y대학병원에서 미숙아로 태어나 신생아집중치료실 치료를 받고 퇴원한 교정연령 4개월 이상 12개월 이하 영아 어머니 36명을 대상으로 어머니와 아동의 일반적 특성, 아동의 발달 상태를 평가하기 위한 K-ASQ, 어머니 양육스트레스 측정을 위해 Abdin (1990)이 개발한 PSI와 우울정도 측정을 위해 Beck (1967)의 우울척도 BDI를 사용하였다. 수집된 자료는 SPSS WIN 19.0 프로그램을 이용하여 기술통계, t-test, ANOVA, 피어슨 상관관계 방법으로 분석하였다. 결과 미숙아 어머니 양육스트레스 최고 175점 중 평균 $74.639{\pm}17.570$으로 양육스트레스가 있는 수준이었다. 어머니에게 사생활 여유(t=2.684, p<.05)가 있을 경우 총 양육스트레스가 통계적으로 유의하게 낮았으며, 주거상태가 자택(t=-2.228, p<.05)일 경우와 지역사회로부터 자녀양육에 대한 정보지원을 받은 경우(t=2.855, p<.05) 양육스트레스 하부 영역 중 아동의 까다로운 기질로 인한 양육스트레스가 통계적으로 유의하게 낮았다. 어머니 우울정도가 높을수록 총 양육스트레스가 높았으며(r=.569, p<.01), 양육스트레스 하부 영역 중 부모자녀의 역기능적 상호작용과 부모 스트레스(r=.590, p<.01), 아동의 까다로운 기질로 인한 양육스트레스(r=.442, p<.01) 사이에 각각 높은상관성을 보였다. 결론 미숙아 어머니 양육스트레스 중재를 위해 어머니 사생활 여유를 마련하고 지역사회로 부터 정보지원을 받을 수 있는 사회적 지지체계가 요구되며, 어머니 우울감소를 위한 프로그램 개발 및 부모자녀 상호작용과 발달상태 평가에 대한 부모 교육 방안을 마련해야 할 것이다.

Keywords

References

  1. Abidin, R. R. (1990). Parenting stress index-short form. Charlotteville, VA: Pediatric Psychology Press.
  2. Ahn, Y. M. (2004). The Effects of the systemic follow up health care program on the health promotion and the risk reduction in premature infants and their mothers. Journal of Korean Academy of Nursing, 34, 1129-1142.
  3. Beck, A. T. (1967). Depression: Clinical, experimental, and theoretical aspects. New York, NY: Harper & Row Publisher INC.
  4. Chon, K. K., & Kim, K. H. (2003). Life stress and coping styles of korean housewives. Journal of Korean Psychological Association Health, 8, 1-39.
  5. Crnic, K. A., Greenberg, M. T., Ragozin, A. S., Robinson, N. M., & Basham, R. B. (1983). Effects of stress and social support on mothers and preterm and fullterm infants. Child Development, 54, 209-217. https://doi.org/10.2307/1129878
  6. Han, H. M., Yum, T. H., Shin, Y. W., Kim, K. H., Yoon, D. H., and Chung, K. J. (1986). A standardization study of Beck depression inventory in Korea. Journal of Korean Neuropsychiatric Association, 25, 487-502.
  7. Hopper, A. (2000). Sources of stress for parents of a sick neonate: A literature review. Pediatric Nursing, 12(4), 29-32.
  8. Kim, J. S., & Shin, H. S. (2010). Effects of a discharge education program using on-line community for parents of premature infants. Journal of Korean Academy of Child Health Nursing, 16, 344-351. http://dx.doi. org/10.4094/jkachn.2010.16.4.344
  9. Kim, M. Y., & Park, D. Y. (2009). Parenting stress, depression and verbal abuse of infant's mothers. Journal of Korean Academy of Child Health Nursing, 15, 375-382. http://dx.doi.org/10.4094/jkachn.2009.15.4.375
  10. Kim, S. J., & Jeong, G. H. (1995). Mothers' perception of their normal and high-risk newborn during the early postpartum period. Korean Journal of Child Health Nursing, 1, 5-15.
  11. Kim, S. Y., and Kwon, M. K. (2005). A comparative study on infant's temperament & parenting stress by premature & full-term infant's mother. Joural of Academic Society of Parent-Child Health, 8, 123-136.
  12. Korean Society of Neonatology. (2008). Manual of Neonatal Care (2nd ed). Seoul: Kwangmun.
  13. Lederman, R. P., Weigarten, C. G. & Lederman, E. (1981). Postpartum self-evaluation questionnaire, Measures of maternal adaptation. Birth Defect, 12, 201-231.
  14. Lee, E. S. (1992). Maternal role attainment of primiparous during the postpartum period. Journal of Korean Society of Women Health Nursing, 2, 5-20.
  15. Lee, K. H. (1982). The study of mother's nursing need and perceived her role during puerperium period. Journal of Korean Academy of Nursing, 12, 67-79.
  16. Mercer, R. T. (1981). Theoretical framework for study factors that impact on the maternal role. Nursing Research, 30, 73-77.
  17. Peter, H. G., Dawn, M. E., Michael, J. O., and Monica, C. (2012). Parenting stress in mothers of preterm infants during early infancy. Early Human Development, 88, 45-49. https://doi.org/10.1016/j.earlhumdev.2011.06.014
  18. Quitter, A. I., Giueckauf, R. I., & Jackson, D. N. (1990). Chronic parenting stress: Moderating versus mediating eorts of social supports. Journal of Personality and Social Psychology, 19, 329-336.
  19. Statistics of birth data. (2011, Feburuary 27). Statistic Korea. Retrieved August 23, 2012, from http://www.kostat.go.kr#National.
  20. Walker, L. O., Crain, H., & ompson, E. (1986). Maternal role attainment and identity in the postpartum period: stability and change. Nursing Research, 35, 68-71.