Effectiveness
of Structured
Stress Management, Module on Stress of Primi Mothers
During, Early Postnatal period in a selected Private Hospital,
Salem,
Tamil Nadu
Prof. (Mrs.) R. Naganandini,
Principal, Dhanalakshmi Srinivasan College
of Nursing, 274/C, Thuraiyur Road, Perambalur-621
212, Tamil Nadu.
*Corresponding Authors E-mail:
nandinivadivel@gmail.com
ABSTRACT:
Background:
The postpartum period is a time for mothers
to adjust to the new role of motherhood as the attachment process continues.
During this period, the mothers experiences many
psychological and physiological changes (Rubin Reva,
1984). Ayers and Pickering (2001) reported that prevalence of post traumatic
stress disorder after child birth ranges from 1.5% to 5.6%. Hung and Chung
(2001) stated that three factors associated with postpartum stress are
maternity role attainment, lack of social support and body changes. Romito. P
(1999) stated that the factors associated with new mothers psychological
distress are, an unsatisfactory couple relationship, lack of confidence and
financial worries. Postpartum psychological distress leads to maternal
disability and disturbed mother infant relationship. Approximately 10-15% of
all new mothers get postpartum depression, which most frequently occurs, in the
first year after the birth of a child (Infan Naveed and Badar Ahmed, 2002).
Lyon Ruth, et. al., (2000) and Murray (1977) stated
that postnatally distressed mothers are more likely
to engage in negative parenting behaviours and their
children are at risk for behavioral and cognitive deficits from infancy to
early child hood. Stress management is highly recommended and help mothers who want to lead a healthier life. Teaching
module in stress management was very effective to identify sources of stress,
change the mother’s response to stress, reduce the level of stress and improve
positive thinking on the child’s behaviour.(Leverton, 1989)
KEY WORDS: Effectiveness, Structured Stress Management Module, Stress, Primi Mothers, Early Postnatal period
OBJECTIVE:
To assess effectiveness of
structured stress management module on stress of primi
mothers during early postnatal period
METHODS:
Quasi experimental design where pre and
post test with control group approach was used. Data were collected among 60 primi mothers during early postnatal period by using close
ended questionnaire.
Pretest was done before delivery of the
mothers. Module was given after the pretest and before the delivery of the
mother. Evaluation was done by conducting post test on 3rd day of
childbirth (delivery).
RESULTS AND DISCUSSION:
Data were analysed by descriptive and inferential statistics.
Seventy-four percentage and 97% of mothers in control and experimental group
had moderate stress in relation to all the factors before teaching
respectively (Fig:1). Eighty percentage of mothers in
experimental group had mild stress and none of them had moderate stress whereas
23% of mothers in control group had mild stress and 63% of them shad moderate
stress in relation to all the factors
after teaching(Fig:2).
Fig:1 Comparison
of level of stress among mothers in control and experimental group during pretest
Fig: 2 Comparison of level of
stress among mothers control and experimental group during post test
Scoring
|
No stress |
0 – 25% |
|
Mild stress |
26 –
50% |
|
Moderate
stress |
51 –75% |
|
Severe
stress |
76 – 100% |
Significant difference was found between level of stress among mothers in control and experimental
group during post test (P< 0. 05) in relation to physical, psychosocial,
financial and new born related factors and also overall factors.No
significant association was observed between level of stress among mothers in
experimental group during post test when
compared to their age, educational status, occupation of mother, percapita family income, religion, type of family,
residential area and sex of the child (P> 0.05).
CONCLUSION:
Overall percentage of level of stress was similar in mothers in
control and experimental group during pre test whereas overall percentage of
level of stress was mild in experimental and moderate in control group during
post test. Mild stress was found higher in experimental group and moderate
stress was higher in control group with regarding to all the demographic
variables. Based on pre test assessment and post test assessment it was found
that module was effective in relation to various factors.
REFERENCES:
§ Hung C.H., “Women’s Postpartum stress,
Social support and health status”, Western journal of nursing research,
2005, 27(2); 148 –159.
§ Hung C.H, “The construct of postpartum
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Association of Republic of China, 2001, Vo; 48 Pp; 69
– 76.
§ Irfan Naveen and Badar
Ahmed, “Determinants and pattern of postpartum Psychological disorders in Hazata decision of Pakistan”, 2002, 6(7)
; 7.
§ Levine Murray et.al.,
“Principles of community psychology, perspective and applications”, 3rd
edition, Oxford University press, New York, 2005, 46 – 49.
§ Murray .et.al., “Foundations of
Maternal and New born Nursing”, 3rd edition, W.B. Saunders company,
Philadelphia, 2002, Pp 547 - 562.
§ Rubin Reva,
“Maternal behaviour”, Nurse outlook’, 1984, 9 (682); 1961.
§ Walker et. al., “Relationship between body image and distress symptoms during
postpartum in ethnically diverse, low income women”, Women Health, 2002, 36(3),
101 – 21.
§ Walker L.O, “Weight related distress in the
early months after child birth”, Western Journal of Nursing Research’, 1998,
Feb, Vol; 20, No;1, Pp; 30 – 44.
Received on 05.11.2012 Modified on 30.11.2012
Accepted on 11.12.2012 ©
A&V Publication all right reserved
Asian J. Nur. Edu. and Research 2(4): Oct-Dec. 2012;
Page 220-221