Effects of a Reinforcement Program for Postpartum Care Behavioral Skills of Couples with Their First Baby

Meera Park; Kyung Min Park

doi:10.4040/jkan.2019.49.2.137

Journal List > J Korean Acad Nurs > v.49(2) > 1122007

Go to TopGo to Top Go to BottomGo to Bottom

TOOLS

Park and Park: Effects of a Reinforcement Program for Postpartum Care Behavioral Skills of Couples with Their First Baby

Original Article

Journal of Korean Academy of Nursing 2019; 49(2): 137-148.

Published online: 30 April 2019

DOI: https://doi.org/10.4040/jkan.2019.49.2.137

Effects of a Reinforcement Program for Postpartum Care Behavioral Skills of Couples with Their First Baby

Meera Park¹

, Kyung Min Park²

¹Department of Nursing, Changshin University, Changwon, Korea.

²College of Nursing, Keimyung University, Daegu, Korea.

Address reprint requests to: Park, Kyung Min. College of Nursing, Keimyung University, 1095 Dalgubeol-daero, Dalseo-gu, Daegu 42601, Korea. Tel: +82-53-580-3925, Fax: +82-53-580-3916, kmp@gw.kmu.ac.kr

Received 11 September 2018 Revised 31 January 2019 Accepted 1 February 2019

Korean Society of Nursing Science

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

Abstract

Purpose

This study aimed to investigate the effects of a reinforcement program for behavioral skills in postpartum care for couples with their first baby.

Methods

The study used a non-equivalent control group and pretest-posttest design. It was conducted from January 14 to April 10, 2016 at a postpartum care center in D city. It analyzed 43 couples (22 in the experimental group and 21 in the control group.) For data analysis, descriptive statistics, test of homogeneity in pretest, independent t-tests, and repeated measures ANOVA were used.

Results

For maternal fulfillment of postpartum care and postpartum fatigue, there was no significant difference in the interaction between group and time. In terms of parent-newborns attachment, the interaction between group and time showed a significant difference for mothers (F=13.63, p=.001) and fathers (F=6.51, p=.001). In marital intimacy, the interaction between group and time showed a significant difference for mothers (F=14.40, p<.001) and fathers (F=9.46, p=.004). In parenting stress, the interaction between group and time showed a significant difference for mothers (F=31.8, p<.001) and fathers (F=11.69, p=.001). A significant difference was found for the mothers' postpartum sleeping hours (F=0.14 p=.004).

Conclusion

This program for behavioral skills in postpartum care, which is based on the information-motivation-behavioral skills model, improves postpartum care, parent-newborn attachment, marital intimacy, parenting stress, and maternal postpartum sleeping, by reinforcing behavioral skills required for postpartum care.

Keywords: Behavior, Child Care, Parturition, Postnatal Care, Reinforcement

Figures and Tables

Figure 1

Study design.

Table 1

Reinforcement Program for Postpartum Care Behavioral Skills

Table 2

Homogeneity Test of General Characteristics (N=43)

M=Mean; SD=Standard deviation; Exp.=Experimental group; Cont.=Control group.

Table 3

Homogeneity Test and Normality Test of Variables (N=43)

M=Mean; SD=Standard deviation; Exp.=Experimental group; Cont.=Control group.

Table 4

Performance of Postpartum Care, Postpartum Fatigue, Postpartum Sleep Time according to Application of Reinforce Program of Postpartum Management Behavior Skill of Couple with Their First Baby (N=43)

M=Mean; SD=Standard deviation; Exp.=Experimental group; Cont.=Control group.

Group^*Time: Interaction between group and time.

Table 5

Neonatal Attachment (Maternal Attachment, Paternal Attachment), Marital Intimacy, Parenting Stress according to Application of Reinforcement Program of Postpartum Management Behavior Skill of Couple with Their First Baby (N=43)

M=Mean; SD=Standard deviation; Exp.=Experimental group; Cont.=Control group.

Group^*Time: Interaction between group and time.

Notes

This manuscript is based on a condensed form of the first author's doctoral dissertation from Keimyung University. Year of approval 2016.

^{CONFLICTS OF INTEREST} The authors declared no conflict of interest.

References

1. Caplan G, Mason EA, Kaplan DM. Four studies of crisis in parents of prematures. 1965. Community Mental Health Journal. 2000; 36(1):25–45.

2. Fahey JO, Shenassa E. Understanding and meeting the needs of women in the postpartum period: The perinatal maternal health promotion model. Journal of Midwifery & Women's Health. 2013; 58(6):613–621. DOI: 10.1111/jmwh.12139.

3. Menard MK, Kilpatrick S, Saade G, Hollier LM, Joseph GF Jr, Barfield W, et al. Levels of maternal care. American Journal of Obstetrics & Gynecology. 2015; 212(3):259–271. DOI: 10.1016/j.ajog.2014.12.030.

4. Chalmers B, Mangiaterra V, Porter R. WHO principles of perinatal care: The essential antenatal, perinatal, and postpartum care course. Birth. 2001; 28(3):202–207. DOI: 10.1046/j.1523-536x.2001.00202.x.

5. Sink KK. Seeking newborn information as a resource for maternal support. Journal of Perinatal Education. 2009; 18(3):30–38. DOI: 10.1624/105812409X461207.

6. Askelsdottir B, Lam-de Jonge W, Edman G, Wiklund I. Home care after early discharge: Impact on healthy mothers and newborns. Midwifery. 2013; 29(8):927–934. DOI: 10.1016/j.midw.2012.11.001.

7. Ministry of Employment and Labor. Status of maternity and parental leave (2001~2015) [Internet]. Daejeon: Statistics Korea;c2015. cited 2016 May 15. Available from: http://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=1504.

8. Na SE. The possibility of caring masculinities in the practice of fatherhood: Focusing on fathers in the middle class. Journal of Korean Cultural Research Institute. 2015; 28:173–212.

9. Fisher JD, Fisher WA, Amico KR, Harman JJ. An information-motivation-behavioral skills model of adherence to antiretroviral therapy. Health Psychology. 2006; 25(4):462–473. DOI: 10.1037/0278-6133.25.4.462.

10. Kim TK, Yoo EK. A correlational study on the level of importance & performance of postpartal care and its relationship with women's health status. Journal of Korean Academy of Women's Health Nursing. 1998; 4(2):145–161.

11. Choi JS, Choi SE, Yeum AR, Yoon JY, Jeong HR, Seo NK, et al. A report on the Korea health panel survey of 2011 [Internet]. Sejong: Korea Institute for Health and Social Affairs;c2013. cited 2016 Mar 9. Available from: http://repository.kihasa.re.kr:8080/handle/201002/11320.

12. Kim JY. The degree of paternal attachment to neonate. The Journal of Nurses Academic Society. 1995; 25(2):330–340. DOI: 10.4040/jnas.1995.25.2.330.

13. Barimani M, Vikström A. Successful early postpartum support linked to management, informational, and relational continuity. Midwifery. 2015; 31(8):811–817. DOI: 10.1016/j.midw.2015.04.009.

14. Jeong GH, Koh HJ, Kim KS, Kim SH, Kim JH, Park HS, et al. A survey on health management of during pregnancy, childbirth, and the postpartum of immigrant women in a multi-cultural family. Korean Journal of Women Health Nursing. 2009; 15(4):261–269. DOI: 10.4069/kjwhn.2009.15.4.261.

15. Pugh LC, Milligan R, Parks PL, Lenz ER, Kitzman H. Clinical approaches in the assessment of childbearing fatigue. Journal of Obstetric, Gynecologic & Neonatal Nursing. 1999; 28(1):74–80.

16. Song JE, Chang SB, Son YJ. The influencing factors on postpartum fatigue in parturient women. Journal of Korean Academy of Adult Nursing. 2007; 19(4):670–681.

17. Abidin RR. Parenting stress index: Manual (PSI). 3rd ed. Charlottesville (VA): Pediatric Psychology Press;1990. p. 53.

18. Kim MN, Choi SY. A comparative study of postpartum stress, postpartum depression, postpartum discomfort and postpartum activity, between women who used and those women did not used Sanhujori facilities. Journal of the Korean Society of Maternal and Child Health. 2013; 17(2):184–195. DOI: 10.21896/jksmch.2013.17.2.184.

19. Kim DH. Comparative study of parenting stress between mothers of normal neonate and low birth weight neonate [master's thesis]. Seoul: Yonsei University;1998. 1–73.

20. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods. 2007; 39(2):175–191. DOI: 10.3758/bf03193146.

21. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale (NJ): Lawrence Erlbaum Associates;1988. p. 52.

22. Park MK. Effects of postpartum care program for primiparous women and care-givers on the knowledge and behavior of postpartum care and postpartum recovery in primiparous women [dissertation]. Gwangju: Chonman National University;2003. 1–112.

23. Müller ME. A questionnaire to measure mother-to-infant attachment. Journal of Nursing Measurement. 1994; 2(2):129–141. DOI: 10.1891/1061-3749.2.2.129.

24. Han KE. The relationship of maternal self-esteem and maternal sensitivity with mother-to-infant attachment [master's thesis]. Seoul: Hanyang University;2002. 1–75.

25. Park HR. Effects of postbirth integrated contact on father-infant attachment [master's thesis]. Seoul: Yonsei University;2008. 1–64.

26. Sternberg RJ. Construct validation of a triangular love scale. European Journal of Social Psychology. 1997; 27(3):313–335. DOI: 10.1002/(SICI)1099-0992(199705)27:3<313::AID-EJSP824>3.0.CO;2-4.

27. Kwon SM. Psychology of Human Relationships. 3rd ed. Seoul: Hakjisa;2012. p. 258–268.

28. Rodrigues DP, Dodou HD, do Lago PN, Mesquita NS, de Melo LPT, de Sousa AAS. Care for both mother and child immediately after childbirth: A descriptive study. Online Brazilian Journal of Nursing. 2014; 13(2):227–238. DOI: 10.5935/1676-4285.20144231.

29. Joo EK. A study on the husband's level of importance of Sanhujori, Korean traditional postpartum care, needs of education, and family strength [master's thesis]. Seoul: Hanyang University;2014. 1–67.

30. Kim ME, Hur MH. Sleep quality, fatigue, and postpartum depression of mother at six months after delivery. Korean Journal of Women Health Nursing. 2014; 20(4):266–276. DOI: 10.4069/kjwhn.2014.20.4.266.

TOOLS

ORCID iDs

Meera Park
https://orcid.org/0000-0002-8165-1731

Kyung Min Park
https://orcid.org/0000-0002-7720-5595

Similar articles