The Relationships among Postpartum Fatigue, Depressive Mood, Self-care Agency, and Self-care Action of First-time Mothers in Bangladesh.
10.4069/kjwhn.2018.24.1.49
- Author:
Fahima KHATUN
1
;
Tae Wha LEE
;
Ela RANI
;
Gulshanara BISWASH
;
Pronita RAHA
;
Sue KIM
Author Information
1. College of Nursing, Yonsei University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Postpartum depression;
Fatigue;
Postpartum period;
Self-care
- MeSH:
Apgar Score;
Bangladesh*;
Checklist;
Cross-Sectional Studies;
Depression;
Depression, Postpartum;
Fatigue*;
Female;
Humans;
Mothers*;
Parents;
Postpartum Period*;
Self Care*;
Tertiary Care Centers
- From:Korean Journal of Women Health Nursing
2018;24(1):49-57
- CountryRepublic of Korea
- Language:English
-
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.
