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Song and Park: The Changing Pattern of Physical and Psychological Health, and Maternal Adjustment Between Primiparas Who Used and Those Who did Not Use Sanhujori Facilities
Original Article
Journal of Korean Academy of Nursing

Journal of Korean Academy of Nursing 2010; 40(4): 503-514.

Published online: 31 August 2010

DOI: https://doi.org/10.4040/jkan.2010.40.4.503

The Changing Pattern of Physical and Psychological Health, and Maternal Adjustment Between Primiparas Who Used and Those Who did Not Use Sanhujori Facilities

Ju-Eun Song1, Bo-Lim Park2

1Assistant Professor, Department of Nursing, Dankook University, Cheonan, Korea.

2Director, Park Bo Lim International Board of Lactation Consultant's Clinic, Cheonan, Korea

Address reprint requests to: Song, Ju-Eun. Department of Nursing, Dankook University, Anseo-dong, Cheonan 330-714, Korea. Tel: 82-41-550-3987, Fax: 82-41-550-3888, songje@dankook.ac.kr

Received 7 May 2010       Accepted 9 August 2010

Copyright © 2010 Korean Society of Nursing Science

Abstract

Purpose

The purpose of this study was to compare levels of postpartum fatigue, depression, childcare stress, and maternal identity according to postpartum period between primiparas who used Sanhujori facilities and those who did not.

Methods

The research design was a longitudinal descriptive study using self-report questionnaires. Participants were 55 healthy primiparas who delivered at one of 3 hospitals in Chungnam, 21 using Sanhujori facilities and 34 not using these facilities during the first three weeks after childbirth. Data were collected from October 2008 to April 2009 at three measurement points, 2-4 days after childbirth (T1), 4-6 weeks (T2), and 12-14 weeks (T3). Data were analyzed using the SPSS 17.0 WIN program.

Results

There was a significant difference in childcare stress between the two groups at 4-6 weeks after childbirth. Postpartum depression and childcare stress at 4-6 weeks were significantly higher than those of the other postpartum periods, while maternal identity was significantly lower.

Conclusion

Child care stress is the most important issue among women who use Sanhujori facilities and the 4-6 week period after childbirth is very difficult to primiparas. These results indicate that nursing interventions for primiparas in Sanhujori facilities should focus on reducing childcare stress. Furthermore proper follow-up programs at 4-6 weeks are needed to decrease the difficulties in adjustment by new mothers.

Keywords: Sanhujori facility, Fatigue, Depression, Psychological stress, Primiparity

Figures and Tables

Figure 1
Research framework.
jkan-40-503-g001
Table 1
Homogeneity Test of General Characteristics and Study Variables Between Two Groups
jkan-40-503-i001

NSVD=Normal Spontaneous Vaginal Delivery.

Table 2
Changing Pattern of Postpartum Fatigue Between Two Groups
jkan-40-503-i002

T1: 2-4 days after childbirth, T2: 4-6 weeks after childbirth, T3: 12-14 weeks after childbirth.

*Greenhouse-Geisser adjusted p.

Table 3
Changing Pattern of Postpartum Depression Between Two Groups
jkan-40-503-i003

T1: 2-4 days after childbirth, T2: 4-6 weeks after childbirth, T3: 12-14 weeks after childbirth.

Time contrast paired t-test : T1<T3<T2 (Bonferroni adjusted p<.017).

Table 4
Changing Pattern of Childcare Stress Between Two Groups
jkan-40-503-i004

T1: 2-4 days after childbirth, T2: 4-6 weeks after childbirth, T3: 12-14 weeks after childbirth.

*Greenhouse-Geisser adjusted p.

Time contrast paired t-test : T1, T3<T2 (Bonferroni adjusted p<.017).

Table 5
Changing Pattern of Maternal Identity Between Two Groups
jkan-40-503-i005

T1: 2-4 days after childbirth, T2: 4-6 weeks after childbirth, T3: 12-14 weeks after childbirth.

Time contrast paired t-test : T1, T2<T3 (Bonferroni adjusted p<.017).

Notes

This work was supported by the Korea Research Foundation Grant funded by the Korean Government (KRF-2008-331-E00399).

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