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- 학과정보 : 간호학과 Maternal Nursing (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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Background: Breast cancer is the most commonly diagnosed cancer among women worldwide. In Saudi Arabia, breast cancer is the most prevalent cancer among Saudi women, representing 29.7% of all diagnosed cancer cases. However, Saudi women demonstrated low mammography utilization. Some scholars suggested that religious beliefs impact preventive health behaviors. Purpose: This study aimed to examine the mediation effect of religious health fatalism and modesty on the association between religiosity and mammography screening behavior among Saudi women. Methods: A cross-sectional study designed to examine the association between religiosity and mammography screening behavior and the mediating effect of religious health fatalism and modesty on this association, among a homogenous convenience sample of Saudi women (N=86) aged 40 years and older working in King Khalid University. Online survey was conducted from 25 February 2022 – 17 March 2022. Religiosity was measured by the Arabic Scale of Intrinsic Religiosity, religious health fatalism was measured by the Religious Health Fatalism Questionnaire, modesty was measured by the Measure for Muslim Modesty Women, and mammography screening behavior was measured via four questions, including questions about the regularity of screening. All questionnaires were translated into Arabic. Bootstrap re-sampling method was applied for all analysis, the mediating effect analysis using Hayes’s SPSS multiple-mediator PROCESS macro. Findings: The direct positive effect of religiosity on mammography screening behavior change to negative when religious health fatalism and modesty intervened in the association. Religiosity has a positive, moderate effect on religious health, fatalism, and modesty. Whereas, religious health fatalism and modesty have a negative effect on mammography screening behavior. Primary care providers advice strongly predict mammography screening performance among Saudi women. Conclusion: This study provides valuable insights into the role of religious beliefs in inhibiting mammography screening utilization among Saudi women. Efforts to promote mammography screening among Saudi Muslim women may require a better understanding of the role of religion in shaping Saudi women’s health-seeking behaviors and involve novel ideas about the role of healthcare practitioners can improve adherence to mammography screening.
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