Nakamura Yasuka, Takeishi Yoko, Ito Naoko, Ito Mizuki, Atogami Fumi, Yoshizawa Toyoko
Women's Health Nursing, Tohoku University Graduate School of Medicine.
Tohoku J Exp Med. 2015 Jan;235(1):53-9. doi: 10.1620/tjem.235.53.
Quality of life, comfort, and wellbeing during pregnancy are essential for every country in the world. Pregnancy is considered a preparation period for becoming a mother. Maternal role development, including confidence and satisfaction as a mother, is important in the transition to motherhood. Negative psychosocial affect, such as increased anxiety and distress, during pregnancy adversely influences the childbirth experience and childcare, which contributes to postpartum depression. However, the impact of positive feelings on the maternal role development remains unclear. Therefore, the study purpose was to clarify the relationship between comfort in late pregnancy and maternal role attainment and childcare during early postpartum. We designed a descriptive, longitudinal, correlational study by using the Prenatal Comfort Scale, the Postpartum Maternal Role Confidence Scale, and the Postpartum Maternal Satisfaction Scale. Among 339 participants who had received care at a university hospital located in Sendai city in Japan, 215 subjects completed the longitudinal study by answering a questionnaire for the respective Scale late in their pregnancy or during early postpartum. The subjects consisted of 114 primipara (32.0 ± 5.4 years) and 101 multipara (33.4 ± 4.9 years). In primipara, comfort with motherhood was significantly correlated with maternal confidence regarding knowledge and childcare skills and maternal satisfaction. In multipara, comfort in late pregnancy was related to maternal confidence and satisfaction. Positive affect was related to maternal confidence and maternal satisfaction in early postpartum. Therefore, a prenatal nursing intervention helps women become more comfortable with impending motherhood, thereby promoting maternal role attainment after delivery.
对世界上每个国家来说，孕期的生活质量、舒适度和幸福感都至关重要。怀孕被视为成为母亲的准备阶段。母亲角色的发展，包括作为母亲的自信和满意度，在向母亲角色的转变中很重要。孕期负面的社会心理影响，如焦虑和痛苦加剧，会对分娩体验和育儿产生不利影响，进而导致产后抑郁。然而，积极情绪对母亲角色发展的影响仍不明确。因此，本研究的目的是阐明孕晚期的舒适度与产后早期母亲角色获得及育儿之间的关系。我们使用产前舒适度量表、产后母亲角色信心量表和产后母亲满意度量表设计了一项描述性、纵向、相关性研究。在日本仙台市一家大学医院接受护理的339名参与者中，215名受试者通过在孕晚期或产后早期回答各量表的问卷完成了纵向研究。受试者包括114名初产妇（32.0±5.4岁）和101名经产妇（33.4±4.9岁）。在初产妇中，对母亲身份的舒适度与母亲在知识和育儿技能方面的信心以及母亲满意度显著相关。在经产妇中，孕晚期的舒适度与母亲信心和满意度有关。积极情绪与产后早期的母亲信心和母亲满意度有关。因此，产前护理干预有助于女性对即将成为母亲感到更舒适，从而促进产后母亲角色的获得。
