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Korean J Women Health Nurs.  2020 Mar;26(1):84-92. 10.4069/kjwhn.2020.03.17.

Effects of stress, depression, and spousal and familial support on maternal identity in pregnant women

Affiliations
  • 1Ajou University Medical Center; College of Nursing, Ajou University, Suwon, Korea
  • 2College of Nursing·Research Institute of Nursing Science, Ajou University, Suwon, Korea

Abstract

Purpose
The objective of this study was to identify the factors influencing maternal identity in pregnant women.
Methods
Using a descriptive research design, a cross-sectional survey was conducted. In total, 127 pregnant women were recruited from a tertiary hospital in Korea from January to April 2019. Measurements included maternal identity, stress, depression, spousal and familial support, and demographic and obstetric characteristics. Data were analyzed by descriptive statistics, the independent t-test, one-way ANOVA, Pearson correlation coefficients, and stepwise multiple regression using SPSS version 25.0.
Results
The mean score for maternal identity was 131.15 out of 160, and the mean scores for stress, depression, and spousal and familial support were 14.59 (out of 40), 6.82 (out of 30), and 109.04 (out of 132), respectively. Stress (r=–.38, p<.001), depression (r=–.37, p<.001), and spousal and familial support (r=.37, p<.001) were significantly correlated with maternal identity. In multiple regression analysis, stress (β=–0.27, p=.005) and spousal and familial support (β=0.23, p=.014) were found to be significant factors influencing maternal identity in pregnant women (F=14.17, p<.001).
Conclusion
It is necessary to develop effective strategies to mitigate stress and to encourage spousal and familial support in pregnant women. Such strategies could further enable pregnant women to enhance their maternal identity.

Keyword

Pregnant women; Depression; Social support; Maternal health; 임부; 우울; 사회적 지지; 모성 건강
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