College of Nursing & Research Institute of Nursing Science, Ajou University, Suwon, Republic of Korea.
Department of Nursing, Ajou University Medical Center, Suwon, Republic of Korea.
BMC Pregnancy Childbirth. 2023 Jun 20;23(1):454. doi: 10.1186/s12884-023-05770-8.
In South Korea, commercial postpartum care centres, known as Sanhujoriwons, have emerged as important institutions aiding mothers' physical recovery after childbirth. Although previous studies have measured mothers' satisfaction level with Sanhujoriwons, this study applies Bronfenbrenner's ecological model to identify the factors influencing first-time mothers' satisfaction with Sanhujoriwons.
This descriptive correlational study involved 212 first-time mothers admitted to Sanhujoriwons for two weeks with their new-borns (healthy babies weighing at least 2.5 kg) after giving birth after 37 weeks of pregnancy. Data were collected using a self-report questionnaire at five postpartum care centres in the metropolitan area of South Korea from October to December 2021, on the day of the mothers' discharge. This study considered ecological factors such as perceived health status, postpartum depression, childcare stress, maternal identity at the individual level; partnership with Sanhujoriwon staff at the microsystem level; and the Sanhujoriwons' education support system at the exo-system level. The data were analysed using descriptive statistics, t-test, one-way ANOVA, correlation analysis, and hierarchical regression analysis using the SPSS 25.0 Win program.
The mean score of satisfaction with Sanhujoriwons was 59.67 ± 10.14 out of 70, indicating a high level of satisfaction. The hierarchical regression analysis showed that satisfaction with Sanhujoriwons was significantly affected by the perceived health status (β = 0.19, p < 0.001), partnership between mothers and the caregivers (β = 0.26, p < 0.001), and education support system of the Sanhujoriwons (β = 0.47, p < 0.001). The explanatory power of the model for these variables was 62.3%.
Our results indicate that not only the mother's health status but also the educational support system of postpartum care centres and partnerships are important for improving first-time mothers' satisfaction with postpartum care centres. Thus, when developing an intervention program for postpartum care centres, practitioners should focus on developing various kinds of support and strategies to improve the physical health condition of mothers, build partnerships between mothers and care staff, and improve the quality of the educational support offered to mothers. Further studies to develop and test the effectiveness of such intervention programs are strongly suggested.
在韩国，商业产后护理中心，被称为“三呼礼院”，已经成为帮助产妇产后身体恢复的重要机构。虽然之前的研究已经衡量了母亲对三呼礼院的满意度，但本研究应用 Bronfenbrenner 的生态模型来确定影响初产妇对三呼礼院满意度的因素。
这是一项描述性相关研究，涉及 212 名在怀孕 37 周后分娩后两周内与新生儿（至少 2.5 公斤健康婴儿）一起入住三呼礼院的初产妇。数据于 2021 年 10 月至 12 月在韩国大都市的五个产后护理中心收集，在母亲出院当天使用自我报告问卷收集。本研究考虑了个体层面的感知健康状况、产后抑郁、育儿压力、母亲身份等生态因素；微观系统层面的与三呼礼院工作人员的合作关系；以及外系统层面的三呼礼院教育支持系统。使用 SPSS 25.0 Win 程序进行描述性统计、t 检验、单因素方差分析、相关分析和层次回归分析。
对三呼礼院的满意度平均得分为 70 分中的 59.67 ± 10.14，表明满意度较高。层次回归分析表明，对三呼礼院的满意度受到感知健康状况（β=0.19，p<0.001）、母亲与护理人员的合作关系（β=0.26，p<0.001）和三呼礼院教育支持系统（β=0.47，p<0.001）的显著影响。模型对这些变量的解释力为 62.3%。
我们的结果表明，不仅母亲的健康状况，而且产后护理中心的教育支持系统和合作关系对提高初产妇对产后护理中心的满意度很重要。因此，在制定产后护理中心干预计划时，从业者应注重制定各种支持和策略，以改善母亲的身体健康状况，建立母亲与护理人员之间的合作关系，并提高向母亲提供的教育支持的质量。强烈建议进一步开展研究以开发和测试此类干预计划的有效性。
