Adaptive Factors Influencing Mental Health of Postpartum Mothers

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สุพรรณิกา ปานศรี

Abstract

Abstract


This descriptive study aimed to investigate the influences of age, postpartum fatigue, self-esteem, functional status after childbirth, and social support on mental health of postpartum mothers. The sample consisted of 129 postpartum mothers, attending postpartum follow-up for 4-6 weeks at Phramongkutklao Hospital. The research instruments included a personal data interview, Thai Mental Health Indicator, the Rosenberg’s Self-Esteem Scale, the Inventory of Functional Status After Childbirth, the Modified Fatigue Symptom Checklist, and the Multidimensional Scale of Perceived Social Support. Data were analyzed using descriptive statistics, Pearson correlation, and Multiple Linear Regression. The results revealed that 27.9% postpartum mothers had better mental health than general people, while mental health of 59.7% of them was equal to general people. Furthermore, age, postpartum fatigue, self-esteem, functional status after childbirth, and social support together could statistically  significantly predict mental health of postpartum mothers by 49.5% (R2 = .495, F = 24.093, p < .001). However, only postpartum fatigue (β = -.205, p < .01), self-esteem (β = .466, p < .001), and social support (β = .257, p < .001) are the key factors that could statistically significantly predict mental health of postpartum mothers. The results suggest that nurse midwives should organize program to promote adaptive responses, self-esteem, and reduce postpartum fatigue by encouraging husbands and relatives for good mental health of postpartum mothers.
 

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1.
ปานศรีส. Adaptive Factors Influencing Mental Health of Postpartum Mothers. Journal of The Royal Thai Army Nurses [Internet]. 21Aug.2019 [cited 18Nov.2019];20(2):160-9. Available from: https://www.tci-thaijo.org/index.php/JRTAN/article/view/183803
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Research Articles

References

1. World Health Organization. Maternal mental health and child health and development in resource-constrained settings. Report of a UNFPA/WHO international expert meeting: the interface between reproductive health and mental health. Hanoi.2009; WHO/RHR/09.24.

2. Bessi M, Fave A.D, Cetin I, Melchiorri E, Pozzo M, Vescovelli F & Ruini C. Psychological well-being and depression from pregnancy to postpartum among primiparous and multiparous women. Journal of Reproductive and Infant Psychology. 2017; 35(2):183-195.

3. Thurgood S, Avery D.M & Williamson L. Postpartum depression (PPD). American Journal of Clinical Medicine. 2009; 6(2):17-22.

4. Beck C. Predictors of postpartum depression. Nursing Research. 2001; 50(5):275-285.

5. World Health Organization. Comprehensive mental health action plan 2013–2020: Maternal mental health, from WHO/Maternal Mental Health Web site. 2013.

6. Kongsuriyanavin W, Kunrattanaporn B & Techatraisak K. Factors Affecting Postpartum Women’s Mental Health. Thai Journal of Nursing Council. 2010; 25(1):88-99. (In Thai)

7. Romero A.M.O, Munoz de Rodriguez L & Ruiz de Cardenas C.H. Coping and adaptation process during puerperium. Colombia Medica. 2012; 43(2):167–174.

8. Roy C & Andrews H.A. The Roy adaptation model (2nd Ed.). Stamford, CT: Appleton & Lange. 1999.

9. Emmanuel E, Creedy D, St.John W, Gamble J & Brown C. Maternal role development following childbirth among Australian women. J Adv Nurs. 2008; 64:18-26.

10. Sunanta S., Yusamran Ch., Phahuwatanakorn W. Effect of Providing Knowledge and Support Primiparous Adolescent Mother and Grandmother on Maternal Role Attainment. Journal of the Royal Thai Army Nurses. 2019; 17(2):125-34 (In Thai)

11. Chaisawan K, Serisathein Y, Yusamran Ch & Vongsirimas N. Factors Predicting Postpartum Depression in Adolescent Mothers. Journal of Nursing Science. 2011; 29(4):61-69. (In Thai)

12. Secco M.L, Profit S, Kennedy E, Walsh A, Letourneau N & Stewart M. Factors affecting postpartum depressive symptoms of adolescent mothers. JOGNN. 2007; 36(1):47-54.

13. Junsri S, Nitipong V, Rueangrong B. The Factors related to Postpartum Depression in Teenage Mothers. Journal of the Royal Thai Army Nurses. 2017; 8(3):236-243. (In Thai)

14. Sirilukkananan K, Chaleoykitti S, Wongsaree Ch. Nurse’s Role in Holistic Caring for Maternal with Postpartum Depression. Journal of the Royal Thai Army Nurses. 2019; 9:25-32. (In Thai)

15. McBean A.L & Montgomery-Downs H.E. Diurnal fatigue patterns, sleep timing, and mental health outcomes among healthy postpartum women. Biol Res Nurs. 2015; 17(1):29-39.

16. Polit D.F & Beck C.T. Nursing research: general and assessing evidence for nursing practice. Philadelphia. Wolters Kluwer Lippincott Williams & Wilkins. 2008.

17. Mongkol A, Tangseree T, Huttapanom W, Chutha W & others. The Development and Testing of Thai Mental Health Indicator Version 2007. Department of Mental Health, Ministry of Public Health, Thailand. 2007 (In Thai)

18. Wongpakaran T & Wongpakaran N. Confirmatory factor analysis of Rosenberh self-esteem scale: A study of Thai student sample. J Psychiatr Assoc Thailand. 2011; 56(1):59-70. (In Thai)

19. Fawcett J, Tulman L & Myers S. Development of the inventory of functional status after childbirth. Journal of Nurse Midwifery. 1988; 33:252-258.

20. Theerakulchai J. Factor related to fatigue and fatigue management among Thai postpartum women. Thai Journal of Nursing Research. 2004; 8(3):223-234.

21. Boonyamalik P. Epidemiology of adolescent suicidal ideation: Roles of perceived life stress, depressive symptoms, and substance use. Unpublished Dissertation, Johns Hopkins University, USA. 2005.

22. Corwin E.J, Brownstead J, Barton N, Heckard S & Morin K.The impact of fatigue on the development of postpartum depression. Journal of Obstetric, Gynecologic, & Neonatal Nursing. 2004; 34(5):577-586.

23. Bozoky I & Corwin E.J. Fatigue as a predictor of postpartum depression. J Obstet Gynecol Neonatal Nurs. 2002; 31(4):436-443.

24. Rosenberg M. Society and the adolescent self- image. Revised edition. Middletown, CT: Wesleyan University Press. 1989.

25. Inta P, Thananowan N , Phahuwatanakorn W & Kaesornsamut P. Influence of Stress, Social Support, Self-Esteem, and Intimate Partner Violence on Postpartum Depression in Adolescent Mothers. Journal of Nursing and Health Sciences. 2014; 9(1):95-104. (In Thai)

26. Patisang W. EFFECT OF EDUCATION AND FAMILY SUPPORT PROGRAM ON MATERNITY BLUES. Thai Pharmaceutical and Health Science Journal. 2017; 12(2):68-74.

27. Leenatham K & Julvanichpong J. THE EFFECT OF HEALTH EDUCATION PROGRAM AND SOCIAL SUPPORT ON STRESS OF PUERPERIUM. UMT-POLY Journal. 2013 11(1): 1-11. (In Thai)

28. Nichols M & Roux G. Maternal perspectives on postpartum return to the workplace, J Obstet Gynecol eonatal Nurs. 2004; 33:63-71.