A Maternal Concerns Questionnaire as a Screening Tool during Postpartum Period

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  • Maruyama Tomoko
    Department of Nursing, School of Health Sciences, Sapporo Medical University

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  • 産褥期女性の心理・社会的リスクを把握するためのスクリーニング用質問紙の開発
  • サンジョクキ ジョセイ ノ シンリ シャカイテキ リスク オ ハアク スル タメ ノ スクリーニングヨウ シツモンシ ノ カイハツ

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The aim of this study is to describe a new measure for screening to find a risk from the psycho-social aspects in postpartum women and to examine the reliability, validity and usefulness of this measure. A 48-item scale was constructed consisting of 7 types of items measured along a 5-point scale of intensity from 'Not at all' to 'Very much so'. A high score on the scale is indicative of a high level of concern. Data was collected from 804 postpartum women of the 3rd day after birth who delivered from October to December in 1995. Sixty eight subjects were excluded from the analysis due to missing data leaving a total of 736 subjects. The internal consistency of the questionnaire was evaluated using Cronbach's alpha and item statistics were ascertained. The range was from 0.730 to 0.847. The 48-item questionnaire was factor analysis using a principal components method with varimax rotation. Out of 13 factors with an eigenvalue > 1.0,7 high score factors emerged acounting for 47.7% of the variance were used. They were 'concern about household matters and childcare', 'psychosomatic fatigue', 'depressive tendency or emotional unstability', 'partner support' 'body Image' 'mental tensron' and 'anxiety for baby'. Factor scores of primiparas were significantly higher than those of multiparas in 'concern about household matters and childcare', 'depressive tendency', 'partner support', 'body image' (p<0.01) and in 'psychosomatic fatigue' (p<0.05). Also, factor scores of non-planned pregnancy were significantly higher than those of planned pregnancy in 'depressive tendency' and 'body image' (p<0.01). Results suggest that this questionnaire is a useful measure for screening in order to investigate maternal concern in postpartum from the psycho-social aspects.

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