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Empirical test of an explanatory theory of postpartum fatigue in Korea

 Ju-Eun Song  ;  Soon-Bok Chang  ;  So-Mi Park  ;  Sue Kim andChung-Mo Nam 
 JOURNAL OF ADVANCED NURSING, Vol.66(12) : 2627-2639, 2010 
Journal Title
Issue Date
Adult ; Depression, Postpartum/epidemiology ; Depression, Postpartum/psychology ; Epidemiologic Methods ; Fatigue/epidemiology ; Fatigue/etiology* ; Female ; Humans ; Infant ; Infant Care/psychology ; Infant, Newborn ; Korea/epidemiology ; Male ; Mothers/psychology ; Nursing Theory* ; Patient Satisfaction ; Postnatal Care/methods ; Postnatal Care/psychology ; Psychiatric Status Rating Scales ; Puerperal Disorders/epidemiology ; Puerperal Disorders/ethnology ; Puerperal Disorders/etiology* ; Sleep Wake Disorders/epidemiology ; Sleep Wake Disorders/psychology ; Social Support* ; Stress, Psychological/epidemiology ; Stress, Psychological/psychology ; Urban Population
empirical test ; explanatory theory ; Korea ; midwifery ; nursing ; postpartum fatigue ; structural equation modelling
AIM: This paper is a report of a study designed to test an explanatory theory of postpartum fatigue. BACKGROUND: Postpartum fatigue is influenced by various factors and affects a mother's performance. A full understanding of postpartum fatigue is very important for developing effective nursing strategies to reduce postpartum fatigue and enhance mothers' performance. METHODS: Healthy postpartum women were recruited from five medical centers and one midwifery office in urban area in Korea (n = 291) by convenience sampling. Data were collected at 4- to 8-week follow-up visits after childbirth in 2006, using a self-report questionnaire. The proposed fatigue theory incorporated postpartum fatigue, postpartum depression, sleep quality, childcare stress, unsatisfactory feeding, social support, infant difficulty and satisfaction with Sanhujori, the Korean traditional postpartum care provided for 3 weeks following delivery by non-professional caregivers. Structural equation modelling was used to test the explanatory theory of postpartum fatigue. RESULTS: The modified fatigue theory showed good fit and high compatibility with the empirical data. In the final explanatory theory, postpartum depression and sleep quality directly affected postpartum fatigue, while childcare stress and the cultural phenomenon of Sanhujori had indirect effects on postpartum fatigue, via postpartum depression and sleep quality respectively. CONCLUSION: These findings suggest the potential role of comprehensive nursing focused on decreasing postpartum depression and improving sleep quality as a way to decrease postpartum fatigue. Also, nursing strategies for decreasing childcare stress and enhancing Sanhujori satisfaction may be helpful in reducing postpartum fatigue in Korean mothers.
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Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Sue(김수) ORCID logo https://orcid.org/0000-0003-3785-2445
Nam, Chung Mo(남정모) ORCID logo https://orcid.org/0000-0003-0985-0928
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