Park Jiyun, Bang Kyung-Sook
Registered Nurse, Seoul National University Hospital, Seoul, Korea.
Professor, Center for Human-Caring Nurse Leaders for the Future by Brain Korea 21 (BK 21) Four Project, College of Nursing, Seoul National University, Seoul, Korea.
Child Health Nurs Res. 2022 Apr;28(2):103-111. doi: 10.4094/chnr.2022.28.2.103. Epub 2022 Apr 30.
This study investigated the physical and emotional health of South Korean mothers of preterm infants in the early postpartum period.
In this descriptive correlational study, the participants included 91 mothers of preterm infants who were admitted to the neonatal intensive care unit of a tertiary hospital in South Korea. Physical health status was measured using a self-reported questionnaire, postpartum depression using the Edinburgh Postnatal Depression Scale, anxiety using the State-Trait Anxiety Inventory, and guilt using a 4-item scale.
Fatigue had the highest score among mothers' physical health problems, followed by shoulder pain, nipple pain, neck pain. The average postpartum depression score was 11.02 points, and 44% of women had postpartum depression with a score of 12 or above. Postpartum depression significantly was correlated with physical health (r=.35, p=.001), anxiety (r=.84, p<.001), and guilt (r=.75, p<.001) and was significantly higher for women with multiple births, and preterm infants who required ventilator and antibiotic treatment. Anxiety also showed a significant difference according to preterm infants' condition.
The significant correlations between postpartum depression and physical health, anxiety, and guilt indicate a need for nursing interventions that provide integrated management of mothers' physical and emotional health.
本研究调查了韩国早产婴儿母亲产后早期的身心健康状况。
在这项描述性相关性研究中,参与者包括91名早产婴儿的母亲,她们入住了韩国一家三级医院的新生儿重症监护病房。使用自我报告问卷测量身体健康状况,使用爱丁堡产后抑郁量表测量产后抑郁,使用状态-特质焦虑量表测量焦虑,使用一个4项量表测量内疚感。
在母亲的身体健康问题中,疲劳得分最高,其次是肩部疼痛、乳头疼痛、颈部疼痛。产后抑郁平均得分为11.02分,44%的女性产后抑郁得分在12分及以上。产后抑郁与身体健康(r = 0.35,p = 0.001)、焦虑(r = 0.84,p < 0.001)和内疚感(r = 0.75,p < 0.001)显著相关,对于多胞胎母亲以及需要呼吸机和抗生素治疗的早产婴儿母亲,产后抑郁得分显著更高。焦虑也因早产婴儿的状况而有显著差异。
产后抑郁与身体健康、焦虑和内疚感之间的显著相关性表明,需要采取护理干预措施,对母亲的身心健康进行综合管理。