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배정이 ( ) - 인제대학교 의과대학 간호학과
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Abstract
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Purpose: This study has been designed to develop and test the theoretical model to explain postpartum depression. A hypothetical model was constructed on the basis of Neuman"s system model and review of literature.
Method: Data were collected through a survey over a period of 5 months. Subjects who participated in the study consisted of 265 Korean mothers in their postpartum periods. A total of 19 instruments were used in this model. The analysis of the data was done with SPSS PC+ for descriptive statistics and LISREL 7.16 for covariance structure analysis.
Results: 1. The :hypothetical model showed a good fit to the empirical data, Chi-square= 265.1(P=0.00), df=106, x2 /df=2.5, GFI=0.90, AGFI=0.82, RMR=0.036, NNFI=0.89, NFI=0.93 and CN=117. 2 For constructing the parsimonious best fit model, the exogenous variable (preparation for delivery) was excluded from the theoretical model because it did not significantly influence postpartum depression. 5 paths were deleted between the following: relationship to parents and postpartum depression, maternal role strain and stressful life event, postpartum depression and satisfaction to
baby, postpartum depression and baby´s character, postpartum depression and stressful life event. 11 paths were added between satisfaction to baby and support from others and between maternal role strain and personality trait et al. 3. The final modified model yielded Chi-square =131.59(P=0.02), df=101, X2
/df=1.30. GFI=0.94, AGFI=0.90, RMR=0.025. NNFI=0.94, NFI=0.97, CN=225 and exhibited definite improved levels of fit indices.
Conclusion: Results of this study show that personality trait, maternal role attainment, marital adjustment, maternal role strain and self-esteem influence postpartum depression. Thus, the most effective prevention strategy against postpartum depression must focus onimproving maternal role attainment, marital adjustment and self-esteem, modifying emotional state, and reducing the maternal role strain. By comprehensively addressing the factors related to postpartum depression, and comparing each influence, this study can contribute to designing an appropriate postpartum depression prevention strategy in tune with the particular characteristics and problems of a mother. Finally, the author suggests that this model could be adequately applied to mothers during the postpartum period.
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KeyWords
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산후 우울, 모성역할긴장, 자아존중감, Postpartum depression, Self-esteem, Maternal role strain
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원문 및 링크아웃 정보
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등재저널 정보
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