J Korean Acad Nurs.  2010 Aug;40(4):503-514. 10.4040/jkan.2010.40.4.503.

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

• Song JE
• Park BL

• KMID: 1073072
• DOI: http://doi.org/10.4040/jkan.2010.40.4.503

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.

Keyword

Sanhujori facility; Fatigue; Depression; Psychological stress; Primiparity

MeSH Terms

Adaptation, Psychological
Adult
Depression, Postpartum
Fatigue
Female
*Health Status
Humans
Longitudinal Studies
Mother-Child Relations
Mothers/*psychology
Parenting/psychology
Postnatal Care/*methods
Postpartum Period
Pregnancy
Questionnaires
Stress, Psychological

Figure

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  Figure 1 Research framework.

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