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

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 cros...

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Main Authors: Fahima Khatun, Tae Wha Lee, Ela Rani, Gulshanara Biswash, Pronita Raha, Sue Kim
Format: Article
Language:English
Published: Korean Society of Women Health Nursing 2018-03-01
Series:Korean Journal of Women Health Nursing
Subjects:
Online Access:http://www.kjwhn.org/upload/pdf/kjwhn-24-49.pdf
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author Fahima Khatun
Tae Wha Lee
Ela Rani
Gulshanara Biswash
Pronita Raha
Sue Kim
author_facet Fahima Khatun
Tae Wha Lee
Ela Rani
Gulshanara Biswash
Pronita Raha
Sue Kim
author_sort Fahima Khatun
collection DOAJ
description 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.
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spelling doaj.art-40fd0b4a3b1242bd8d04bfbd6c0134e02022-12-21T22:55:07ZengKorean Society of Women Health NursingKorean Journal of Women Health Nursing2287-16402018-03-01241495710.4069/kjwhn.2018.24.1.49560The Relationships among Postpartum Fatigue, Depressive Mood, Self-care Agency, and Self-care Action of First-time Mothers in BangladeshFahima KhatunTae Wha LeeEla RaniGulshanara BiswashPronita RahaSue KimPURPOSE: 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.http://www.kjwhn.org/upload/pdf/kjwhn-24-49.pdfpostpartum depressionfatiguepostpartum periodself-care
spellingShingle Fahima Khatun
Tae Wha Lee
Ela Rani
Gulshanara Biswash
Pronita Raha
Sue Kim
The Relationships among Postpartum Fatigue, Depressive Mood, Self-care Agency, and Self-care Action of First-time Mothers in Bangladesh
Korean Journal of Women Health Nursing
postpartum depression
fatigue
postpartum period
self-care
title The Relationships among Postpartum Fatigue, Depressive Mood, Self-care Agency, and Self-care Action of First-time Mothers in Bangladesh
title_full The Relationships among Postpartum Fatigue, Depressive Mood, Self-care Agency, and Self-care Action of First-time Mothers in Bangladesh
title_fullStr The Relationships among Postpartum Fatigue, Depressive Mood, Self-care Agency, and Self-care Action of First-time Mothers in Bangladesh
title_full_unstemmed The Relationships among Postpartum Fatigue, Depressive Mood, Self-care Agency, and Self-care Action of First-time Mothers in Bangladesh
title_short The Relationships among Postpartum Fatigue, Depressive Mood, Self-care Agency, and Self-care Action of First-time Mothers in Bangladesh
title_sort relationships among postpartum fatigue depressive mood self care agency and self care action of first time mothers in bangladesh
topic postpartum depression
fatigue
postpartum period
self-care
url http://www.kjwhn.org/upload/pdf/kjwhn-24-49.pdf
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