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The Relationships among Postpartum Fatigue, Depressive Mood, Self-care Agency, and Self-care Action of First-time Mothers in Bangladesh

Authors
 Fahima Khatun  ;  Lee, Tae Wha  ;  Ela Rani  ;  Gulshanara Biswash  ;  Pronita Raha  ;  Kim, Sue 
Citation
 Korean Journal of Women Health Nursing (여성건강간호학회지), Vol.24(1) : 49-57, 2018 
Journal Title
 Korean Journal of Women Health Nursing (여성건강간호학회지) 
ISSN
 1225-9543 
Issue Date
2018
Keywords
Postpartum depression ; Fatigue ; Postpartum period ; Self-care
Abstract
Purpose: Postpartum fatigue can impact maternal well-being and has been associated with levels of perceived self-care. This study aimed to examine the relationship among fatigue, depressive mood, self-care agency, and self-care action among postpartum women in Bangladesh. Methods: A descriptive cross sectional survey was done with 124 first-time mothers from two tertiary hospitals in Dhaka, Bangladesh. The Modified Fatigue Symptoms checklist, Denyes’ Self Care Instrument, the Edinburgh Postnatal Depression Scale, and items on sociodemographic and delivery-related characteristics, were used in Bengali via translation and back-translation process. Results: High fatigue levels were found in 18.5%(n=23) and 73.4% had possible depression (n=91). There was a significant negative relationship between fatigue and self-care agency (r=-.31, p<.001), and self-care action (r=-.21, p<.05). Fatigue differed by level of self-care agency (t=4.06, p<.001), self-care action (t=2.36, p=.023), newborn’s APGAR score (t=-2.93, p=.004), parental preparation class participation (F=15.53, p<.001), and postpartum depressive mood (t=-4.64, p<.001). Conclusion: Findings suggest that high level of self-care efficacy and behaviors can contribute to fatigue management, and highlight the need for practical interventions to better prepare mothers for postpartum self-care, which may, in turn, alleviate postpartum fatigue.
Files in This Item:
T201804534.pdf.pdf Download
DOI
10.4069/kjwhn.2018.24.1.49
Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
김수(Kim, Sue) ORCID logo https://orcid.org/0000-0003-3785-2445
이태화(Lee, Tae Wha) ORCID logo https://orcid.org/0000-0003-2568-3074
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/166717
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