Does a nurse-led postpartum self-care program for first-time mothers in Bangladesh improve postpartum fatigue, depressive mood, and maternal functioning?: a non-synchronized quasi-experimental study
Purpose This study aimed to test the efficacy of a nurse-led postpartum self-care (NLPPSC) intervention at reducing postpartum fatigue (PPF) and depressive mood and promoting maternal functioning among first-time mothers in Bangladesh. Methods A non-synchronized quasi-experimental design was used. F...
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| Format: | Article |
| Language: | English |
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Korean Society of Women Health Nursing
2021-09-01
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| Series: | Korean Journal of Women Health Nursing |
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| Online Access: | http://www.kjwhn.org/upload/pdf/kjwhn-2021-09-08.pdf |
| _version_ | 1828396657507565568 |
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| author | Fahima Khatun Tae Wha Lee Hye Jung Lee Jeongok Park Ju Eun Song Sue Kim |
| author_facet | Fahima Khatun Tae Wha Lee Hye Jung Lee Jeongok Park Ju Eun Song Sue Kim |
| author_sort | Fahima Khatun |
| collection | DOAJ |
| description | Purpose This study aimed to test the efficacy of a nurse-led postpartum self-care (NLPPSC) intervention at reducing postpartum fatigue (PPF) and depressive mood and promoting maternal functioning among first-time mothers in Bangladesh. Methods A non-synchronized quasi-experimental design was used. First-time mothers were recruited during postpartum and assigned to the experimental or control group (34 each). The experimental group received the NLPPSC in the hospital, a 1-day intervention that focused on increasing self-efficacy. The control group received usual care. Data on PPF, depressive mood, maternal functioning, self-care behaviors, postpartum self-efficacy, and self-care knowledge were collected at postpartum 2 weeks (attrition 23.5%) and 6 weeks (attrition 16.1%). Data were analyzed using descriptive statistics, bivariate statistics, and linear mixed model analysis. Results One-third (33.3%) of new mothers experienced depressive mood (Edinburgh Postnatal Depression Scale scores of ≥13 points). The NLPPSC intervention was statistically significant in decreasing PPF (β=–6.17, SE=1.81, t=–3.39, p<.01) and increased maternal functioning at postpartum 6 weeks in the experimental group (β=13.72, t=3.73, p<.01) compared to the control. Knowledge was also statistically significant for increased maternal functioning over time (β=.37, SE=.18, t=2.03, p<.05). However, there were no statistically significant differences in depressive mood over time. Conclusion The NLPPSC intervention was feasible and effective in improving fatigue and maternal functioning in Bangladeshi mothers by postpartum 6 weeks. Postpartum care knowledge was effective in improved maternal functioning and thus supports implementing the NLPPSC intervention for new mothers after childbirth. |
| first_indexed | 2024-12-10T08:33:52Z |
| format | Article |
| id | doaj.art-a24856b74fb44ffaacfb723efcc04650 |
| institution | Directory Open Access Journal |
| issn | 2287-1640 2093-7695 |
| language | English |
| last_indexed | 2024-12-10T08:33:52Z |
| publishDate | 2021-09-01 |
| publisher | Korean Society of Women Health Nursing |
| record_format | Article |
| series | Korean Journal of Women Health Nursing |
| spelling | doaj.art-a24856b74fb44ffaacfb723efcc046502022-12-22T01:56:01ZengKorean Society of Women Health NursingKorean Journal of Women Health Nursing2287-16402093-76952021-09-0127319620810.4069/kjwhn.2021.09.08924Does a nurse-led postpartum self-care program for first-time mothers in Bangladesh improve postpartum fatigue, depressive mood, and maternal functioning?: a non-synchronized quasi-experimental studyFahima Khatun0Tae Wha Lee1Hye Jung Lee2Jeongok Park3Ju Eun Song4Sue Kim5 National Institute of Advanced Nursing Education and Research, Dhaka, Bangladesh College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, Korea College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, Korea College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, Korea College of Nursing, Ajou University, Seoul, Korea College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, KoreaPurpose This study aimed to test the efficacy of a nurse-led postpartum self-care (NLPPSC) intervention at reducing postpartum fatigue (PPF) and depressive mood and promoting maternal functioning among first-time mothers in Bangladesh. Methods A non-synchronized quasi-experimental design was used. First-time mothers were recruited during postpartum and assigned to the experimental or control group (34 each). The experimental group received the NLPPSC in the hospital, a 1-day intervention that focused on increasing self-efficacy. The control group received usual care. Data on PPF, depressive mood, maternal functioning, self-care behaviors, postpartum self-efficacy, and self-care knowledge were collected at postpartum 2 weeks (attrition 23.5%) and 6 weeks (attrition 16.1%). Data were analyzed using descriptive statistics, bivariate statistics, and linear mixed model analysis. Results One-third (33.3%) of new mothers experienced depressive mood (Edinburgh Postnatal Depression Scale scores of ≥13 points). The NLPPSC intervention was statistically significant in decreasing PPF (β=–6.17, SE=1.81, t=–3.39, p<.01) and increased maternal functioning at postpartum 6 weeks in the experimental group (β=13.72, t=3.73, p<.01) compared to the control. Knowledge was also statistically significant for increased maternal functioning over time (β=.37, SE=.18, t=2.03, p<.05). However, there were no statistically significant differences in depressive mood over time. Conclusion The NLPPSC intervention was feasible and effective in improving fatigue and maternal functioning in Bangladeshi mothers by postpartum 6 weeks. Postpartum care knowledge was effective in improved maternal functioning and thus supports implementing the NLPPSC intervention for new mothers after childbirth.http://www.kjwhn.org/upload/pdf/kjwhn-2021-09-08.pdffatigueinterventionpostpartum depressionpostpartum periodself-care |
| spellingShingle | Fahima Khatun Tae Wha Lee Hye Jung Lee Jeongok Park Ju Eun Song Sue Kim Does a nurse-led postpartum self-care program for first-time mothers in Bangladesh improve postpartum fatigue, depressive mood, and maternal functioning?: a non-synchronized quasi-experimental study Korean Journal of Women Health Nursing fatigue intervention postpartum depression postpartum period self-care |
| title | Does a nurse-led postpartum self-care program for first-time mothers in Bangladesh improve postpartum fatigue, depressive mood, and maternal functioning?: a non-synchronized quasi-experimental study |
| title_full | Does a nurse-led postpartum self-care program for first-time mothers in Bangladesh improve postpartum fatigue, depressive mood, and maternal functioning?: a non-synchronized quasi-experimental study |
| title_fullStr | Does a nurse-led postpartum self-care program for first-time mothers in Bangladesh improve postpartum fatigue, depressive mood, and maternal functioning?: a non-synchronized quasi-experimental study |
| title_full_unstemmed | Does a nurse-led postpartum self-care program for first-time mothers in Bangladesh improve postpartum fatigue, depressive mood, and maternal functioning?: a non-synchronized quasi-experimental study |
| title_short | Does a nurse-led postpartum self-care program for first-time mothers in Bangladesh improve postpartum fatigue, depressive mood, and maternal functioning?: a non-synchronized quasi-experimental study |
| title_sort | does a nurse led postpartum self care program for first time mothers in bangladesh improve postpartum fatigue depressive mood and maternal functioning a non synchronized quasi experimental study |
| topic | fatigue intervention postpartum depression postpartum period self-care |
| url | http://www.kjwhn.org/upload/pdf/kjwhn-2021-09-08.pdf |
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