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- 지도교수 : 장해나 (검색결과 2 건)
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NGUYEN THI PHUONG THAO Garduate school, Inje university, Korea 2021 국내박사
Postpartum depression is a significant public health issue which has not only negative effects on maternal postpartum health but also on family relationship and infant growth and development. In Vietnam, postpartum depression is not usually cared in the community as well as in the health care system because it is insufficiently screened or diagnosed and followed up during the postpartum period. Moreover, there is very little research analyzing, predicting factors of postpartum depression. Especially there is less study of the mediating effects of maternal role strain among self-efficacy, social support, infant temperament, and postpartum depression in Vietnam. Moreover, the support of the theoretical model in which self-efficacy, social support, and infant temperament were linked to postpartum depression symptoms through their effects on maternal role strain is important both contribute to conceptual understanding of these processes and to seek effective interventions for postpartum depression in Vietnamese women. Thus, the purposes of this study are to identify the predictors for postpartum depression and determine the mediating effects of the maternal role strain on the relationship among the degree of self-efficacy, infant temperament, social support, and postpartum depression. Methods: The focus of correlational descriptive research design was performed on 190 mothers who were the first birth from four weeks to six months and be enrolled to give vaccination in 12 community health centers of Hue city in Vietnam. Data gathering tools included the “Perceived Self-Efficacy Scale”, “Maternal Social Support Scale”, “Difficult Infant Temperament Scale”, “Maternal Role Strain Scale”, and “Edinburgh Postnatal Depression Scale (EPDS)”. Data analysis was done by using the SPSS software, which was based on descriptive statistics and statistical independent t-test or one-way ANOVA test, mediation. These were tested by a series of multiple regressions by using Baron and Kenny methods. The Sobel test was used to test the significance of the mediating effects. Results: The prevalence of probable postpartum depression which had the EPDS score at or greater cut-off of 13 points was 18.9%. There were a significant differences between postpartum depression and mother’s occupation (t=-2.86, p=.005), relationship with her husband (F=5.91, p=.003), stressful life events (t=2.94, p=.004), paid maternity leave (F=6.83, p=.001), and gestational age (t=3.32, p=.001), history of mental health (t=3.86, p<.001), self-efficacy (r=-.15, p=.030), and social support (r=-.38, p<.001), infant temperament (r=.40, p<.001), and maternal role strain (r=.59, p<.001). Furthermore, there was identified paid maternity leave (β=-.16, p=.004), gestational age (β=.15, p=.005), history of mental health (β=-.19, p=.002), self-efficacy (β=.12, p=.031), and the maternal role strain (β=.47, p<.001) as the prediction of postpartum depression. The regression model with significant predictors explains 46% of the variance. As the mediating effects, maternal role strain had a full mediating effect on the relationship between self-efficacy and postpartum depression. Besides, maternal role strain was also a partial mediating effect on the relationship between maternal social support, infant temperament and postpartum depression among postpartum women. Conclusion: The findings of this study contribute to nursing science by identifying the mediating effects of maternal role strain on postpartum depression in Vietnam. Future research suggests solutions for professional experts of community mental health to develop effective intervention strategies which aims at the reduction of maternal role strain to decrease the impact of self-efficacy, social support, infant temperament on postpartum depression.
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본 논문은 중환자실 간호사의 임상추론역량, 긍정심리자본, 간호근무환경, 간호업무성과 정도를 파악하고, 임상추론역량, 긍정심리자본, 간호근무환경이 간호업무성과에 미치는 영향을 알아보고자 수행되었다. 연구대상은 부산 소재에 있는 상급종합병원 3개 기관의 중환자실에서 근무하며 근무경력이 최소 6개월 이상인 간호사 중 연구 참여를 동의한 자로, 설문지 169부를 배부 및 회수하여 이 중 응답이 불충분한 설문지 12부를 제외한 최종 157부를 자료분석에 이용하였다. 자료 수집은 2023년 7월 27일부터 8월 15일까지 시행하였고, 수집된 자료는 SPSS Statistics 27.0 프로그램을 이용하여, 빈도와 백분율, 평균과 표준편차, 최소값, 최대값, Independent t-test, One-way ANOVA, Pearson’s correlation coefficient, Stepwise multiple regression analysis를 사용하여 분석하였다. 본 연구에서 간호업무성과에 영향을 미치는 요인으로 임상추론역량(β=.51, p<.001), 긍정심리자본 중 희망(β=.31, p<.001), 간호근무환경 중 양질의 간호를 위한 기반(β=.21, p<.001)이 확인되었고, 회귀모형의 설명력은 62.4%이었다(F=87.41, p<.001). 본 연구는 임상추론역량과 긍정심리자본 하위요인 중 희망, 간호근무환경 하위요인 중 양질의 간호를 위한 기반이 간호업무성과의 영향요인임을 파악하였다. 따라서 중환자실 간호사는 간호업무성과 향상을 위해 중환자실 간호사로서 임상추론역량을 향상하기 위한 노력을 지속해야 한다. 또한 임상현장에서 경험하는 위기 상황에 대처하는 희망적인 자세를 유지할 수 있도록 일상과 직업 생활에서의 경험을 주기적으로 성찰하며 성장해야 할 것이다. 조직적 차원에서는 중환자실 간호사의 임상추론역량을 향상하기 위한 교육 프로그램과 희망을 개발하기 위한 심리적 지원 프로그램을 제공하는 등 교육적 지원이 도움이 될 수 있다. 또한 조직의 환경적 측면에서 양질의 간호를 위한 기반이 갖춰진 간호근무환경을 조성하여 중환자실 간호사의 간호업무성과 향상을 위한 다각적인 노력이 필요할 것이다.
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