Predictors of Quality of Life in Mothers of Premature Infant

Hyosin Choi; Yeonghee Shin

doi:10.4069/kjwhn.2017.23.3.191

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Choi and Shin: Predictors of Quality of Life in Mothers of Premature Infant

Original Article

Korean J Women Health Nurs 2017;23(3):191-200.

Published online: 17 September 2017

DOI: https://doi.org/10.4069/kjwhn.2017.23.3.191

Predictors of Quality of Life in Mothers of Premature Infant

Hyosin Choi¹, Yeonghee Shin^2,

¹Department of Nursing, Daegu Health College, Daegu, Korea

²College of Nursing, Keimyung University, Daegu, Korea

Corresponding author: Shin, Yeonghee College of Nursing, Keimyung University, 1095 Dalgubeol-daero, Dalseo-gu, Daegu 42601, Korea. Tel: +82-53-580-3926, Fax: +82-53-580-3916, E-mail: yshin@kmu.ac.kr

Received 28 April 201729 June 2017 Accepted 10 July 2017

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The purpose of this study was to determine the factors that may affect quality of life of mothers who delivered premature infants.

Methods

With survey design, data were collected from 145 mothers of premature infants with corrected age of 2 months to 12 months from January 9 to February 2, 2017. Quality of life was assessed with two measures of direct survey in the selected hospital and online survey. A self-report questionnaire was administered regarding personality of the mothers and the infants, postpartum depression, parenting stress, social support, and the quality of life. Data were analyzed using t-test, ANOVA, Pearson correlation coefficients, and multiple regression.

Results

The quality of life of the mothers of the premature infants was influenced by postpartum depression, parenting stress, parents-infant dysfunctional interactions, and social support accounted for 65% of the variance.

Conclusion

These results indicate that early screening and continuous management of postpartum depression during postpartum period are important to improve the quality of life of the mothers of the premature infants. Education program and information and social support systems need to be developed to monitor mother-infant interaction and their role development.

Keywords: Premature infant, Mothers, Quality of life

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Table 1.

Maternal Quality of Life according to General Characteristics of Subjects (N=145)

Variables	Characteristics	Categories	n (%) or M±SD	Maternal quality of life
Variables	Characteristics	Categories	n (%) or M±SD	M±SD	t or F (p)
Mother	Age (year)	＜35	109 (75.2)	75.99±14.64	1.01 (.029)
		≥35	36 (24.8)	73.30±10.55
			32.58±3.77
	Education	High school	23 (15.9)	67.17±10.49	6.44 (.002)
		Junior college or college	108 (74.5)	76.16±14.04
		≥Graduate school	14 (9.6)	82.21±10.61
	Parity	Primipara	97 (66.9)	75.56±13.24	0.30 (.764)
		Multipara	48 (33.1)	74.83±14.88
	Monthly income	＜200	11 (7.6)	74.00±12.98	0.24 (.783)
	(10,000 won)	200~400	83 (57.2)	74.85±13.62
		＞400	51 (35.2)	76.37±14.33
	Postpartum helper	Yes	95 (65.5)	76.22±13.93	1.08 (.281)
		No	50 (34.5)	73.62±13.38
	Pregnancy intention	Yes	98 (67.6)	77.09±12.70	2.26 (.025)
		No	47 (32.4)	71.63±15.21
	Mode of delivery	Vaginal	46 (31.7)	78.26±14.20	1.76 (.080)
		Cesarean	99 (68.3)	73.95±13.40
	Type of feeding	Breast milk	36 (24.8)	77.02±11.72	3.90 (.022)
		Formula	42 (29.0)	70.42±13.09
		Mixed	67 (46.2)	77.47±14.56
Infant	Gender	Male	74 (51.0)	76.45±12.59	1.01 (.312)
		Female	71 (49.0)	74.14±14.87
	Multiple birth	Twin	27 (18.6)	74.25±10.98	-0.44 (.657)
		Single	118 (81.4)	75.56±14.35
	Gestational age	≤27	17 (11.7)	81.52±13.56	2.02 (.135)
	(week)	28~32	59 (40.7)	74.11±12.41
		≥33	69 (47.6)	74.82±14.66
	Infant temperament	Difficult	59 (40.7)	78.59±14.41	2.40 (.017)
		Not difficult	86 (59.3)	73.08±12.90

Table 2.

Levels of Maternal Quality of Life, Postpartum Depression, Parenting Stress, and Social Support (N=145)

Variables	M±SD	Min	Max	Range
Maternal quality of life	75.32±13.76	37	112	23~115
Postpartum depression	10.93±6.08	0	27	0~30
Parenting stress	80.35±18.66	27	80	35~175
Agony of parents	35.46±9.53	12	56
Dysfunction interaction between parents and children	22.99±6.79	14	41
Difficult temperament of children	21.89±7.30	10	42
Social support	59.31±12.65	27	80	16~80
Family support	32.40±6.80	8	40
Friend support	26.91±8.17	8	40

Table 3.

Relationships of Maternal Quality of Life with Post partum Depression, Parenting Stress, and Social Support (N=145

Variables	Maternal quality of life
Variables	r (p)
Postpartum depression	-.75 (＜.001)
Parenting stress	-.68 (＜.001)
Agony of parents	-.64 (＜.001)
Dysfunction interaction between	-.50 (＜.001)
parents and children
Difficult temperament of children	-.43 (＜.001)
Social Support	.56 (＜.001)

Table 4.

Predictors of Maternal Quality of Life (N=145)

Variable	B	SE	β	t	p
(Constant)	97.18	6.32		15.37	＜.001
Postpartum depression	-1.05	0.15	-.46	-6.72	＜.001
Parenting stress
Agony of parents	-0.33	0.09	-.23	-3.57	＜.001
Dysfunction interaction between parents and children	-0.32	0.11	-.15	-2.82	.005
Social support	0.15	0.06	.13	2.28	.024
		Adjusted R²=0.651, F=68.234, p＜.001

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