J Korean Acad Nurs. 2010 Aug;40(4):503-514. Korean.
Published online Aug 31, 2010.
Copyright © 2010 Korean Society of Nursing Science
Original Article

The Changing Pattern of Physical and Psychological Health, and Maternal Adjustment Between Primiparas Who Used and Those Who did Not Use Sanhujori Facilities

Ju-Eun Song,1 and Bo-Lim Park2
    • 1Assistant Professor, Department of Nursing, Dankook University, Cheonan, Korea.
    • 2Director, Park Bo Lim International Board of Lactation Consultant's Clinic, Cheonan, Korea
Received May 07, 2010; Accepted August 09, 2010.

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 55 healthy 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.

Keywords
Sanhujori facility; Fatigue; Depression; Psychological stress; Primiparity

Figures

Figure 1
Research framework.

Tables

Table 1
Homogeneity Test of General Characteristics and Study Variables Between Two Groups

Table 2
Changing Pattern of Postpartum Fatigue Between Two Groups

Table 3
Changing Pattern of Postpartum Depression Between Two Groups

Table 4
Changing Pattern of Childcare Stress Between Two Groups

Table 5
Changing Pattern of Maternal Identity Between Two Groups

Notes

This work was supported by the Korea Research Foundation Grant funded by the Korean Government (KRF-2008-331-E00399).

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