Objectives: This study was performed to examine the influence of self-efficacy, social support, postpartum fatigue and parenting stress on postpartum depression in mothers. Methods: The authors conducted a survey using a self-administered questionnaire, conducted during May, 2011. The study subjects were 313 parturient mothers in 1 week after delivery. Results: To investigate the overall relationship between the variables, the authors conducted a path analysis using a linear structural equation model analysis. The equation was statistically appropriate and had a good fitness. The postpartum fatigue, and parenting stress factors, respectively influenced postpartum depression positively (p<0.01). The social support factor influenced postpartum fatigue and depression negatively (p<0.01) The self-efficacy factor influenced parenting stress negatively (p<0.01). The age of mother ( =0.11), mood change during pregnancy ( =-0.12), order γ γ of baby =0.43) and health status of mother ( =0.14) influenced self-efficacy (p<0.05). The γ γ variable affecting social support was cooperation degree of husband ( =0.36, p<0.01). The mood γ change during pregnancy ( =0.21), nursing type ( =0.11,), and health status of mother ( =-0.26) γ γ γ influenced postpartum fatigue (p<0.05). And the variables affecting parenting stress were mood change during pregnancy ( =0.12, p<0.05) and cooperation degree of husband ( =-0.20, p<0.01). γ γ Conclusions: The self-efficacy, social support, fatigue, and parenting stress of parturient mother influenced to the postpartum depression. It would be necessary to develop programs to increase self-efficacy and social support and to decrease the postpartum fatigue and parenting stress.
Objectives: Type 1 diabetes mellitus (T1DM) in childhood has impacts on patients' daily lives. The Pediatric Quality of Life Inventory (PedsQL TM) 3.0 Diabetes Module is a questionnaire of health-related quality of life (HRQOL) specified for T1DM. This study was aimed to assess the reliability and validity of the Korean-translated version of the PedsQL TM 3.0 Diabetes Module in children and adolescents with T1DM. Methods: One hundred and two patients (aged 8~18 years) with T1DM and their parents, who were outpatients from 5 teaching and university hospitals in Daegu, Korea, participated in this study. Child self-reports and parent-proxy reports of the Korean version of the PedsQL TM 3.0 Diabetes Module were completed. As a health index, hemoglobin A1c and self-health status were collected. Results: More than 90% of the items were answered and the missing rate was minimized, which supported a good face validity and feasibility. The internal consistency of the PedsQL TM 3.0 Diabetes Module, Korean version, reached or exceeded Cronbach's alpha values of 0.70 for both child self
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