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Relationships among the situational ...

Oweis, Arwa Issa.

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Relationships among the situational variables of perceived stress of the childbirth experience, perceived length and perceived difficulty of labor, selected personal variables, perceived nursing support and postpartum depression in primiparous Jordanian women living in Jordan.

紀錄類型:	書目-語言資料,印刷品 : Monograph/item
正題名/作者:	Relationships among the situational variables of perceived stress of the childbirth experience, perceived length and perceived difficulty of labor, selected personal variables, perceived nursing support and postpartum depression in primiparous Jordanian women living in Jordan./
作者:	Oweis, Arwa Issa.
面頁冊數:	181 p.
附註:	Adviser: Mary B. Walker.
Contained By:	Dissertation Abstracts International62-02B.
標題:	Health Sciences, Mental Health. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3005880
ISBN:	0493153454

Relationships among the situational variables of perceived stress of the childbirth experience, perceived length and perceived difficulty of labor, selected personal variables, perceived nursing support and postpartum depression in primiparous Jordanian women living in Jordan.
Oweis, Arwa Issa.

Relationships among the situational variables of perceived stress of the childbirth experience, perceived length and perceived difficulty of labor, selected personal variables, perceived nursing support and postpartum depression in primiparous Jordanian women living in Jordan. - 181 p.

Adviser: Mary B. Walker.

Thesis (D.N.Sc.)--Widener University School of Nursing, 2001.

The purpose of this study was to explore the relationships among the situational variables of perceived stress of the childbirth experience, perceived length and perceived difficulty of labor, selected personal variables, perceived nursing support, and postpartum depression in primiparous Jordanian women living in Jordan. Lazarus and Folkman's transactional theory of stress and coping (1984) provided the theoretical framework. The convenience sample of 278 women was recruited from the three largest maternal and child health care centers (MCHC) in the city of Irbid. Overall sample criteria included: primiparous married Jordanian women 18 to 35 years of age who had an uncomplicated pregnancy, a full term normal vaginal delivery in a hospital, given birth to a healthy newborn, were able to speak and understand Arabic, and reported having no past history of diagnosed psychological problems such as depression. Data collection instruments included: The Bryanton Adaptation of the Nursing Support in Labor Questionnaire (BANSILQ), the Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ), the Edinburgh Postnatal Depression Scale (EPDS), and a demographic data form. The Cronbach's alpha-reliability coefficient for internal consistency was .92 for the W-DEQ, .92 for the BANSILQ, and .87 for the EPDS. Data were analyzed by means of frequency distributions, measures of central tendency, multiple regression, and discriminant analysis. Perceived stress of childbirth was found to be the major predictor of postpartum depression and it also discriminated between high and low mean scores of Postpartum depression in this sample. Another finding was that women who gave birth to males had significantly lower mean scores of postpartum depression than those who gave birth to females. Conclusions were: the incidence of postpartum depression in Jordanian women is higher than the incidence reported in the literature, Jordanian women experience a moderately stressful childbirth event, Jordanian women who gave birth in public and military hospitals rated their labor and birth nurses less helpful than those who gave birth in private hospitals, perceived stress of childbirth is a predictor of postpartum depression, perceived stress of childbirth is a discriminating variable of postpartum depression, sex of the baby contributes to postpartum depression, postpartum depression is related to years of education and income, and Jordanian women who gave birth in private hospitals perceived their labor less stressful.

ISBN: 0493153454Subjects--Topical Terms:

1017693
Health Sciences, Mental Health.

Relationships among the situational variables of perceived stress of the childbirth experience, perceived length and perceived difficulty of labor, selected personal variables, perceived nursing support and postpartum depression in primiparous Jordanian women living in Jordan.
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245 1 0 $a Relationships among the situational variables of perceived stress of the childbirth experience, perceived length and perceived difficulty of labor, selected personal variables, perceived nursing support and postpartum depression in primiparous Jordanian women living in Jordan.
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500 $a Adviser: Mary B. Walker.
500 $a Source: Dissertation Abstracts International, Volume: 62-02, Section: B, page: 0783.
502 $a Thesis (D.N.Sc.)--Widener University School of Nursing, 2001.
520 $a The purpose of this study was to explore the relationships among the situational variables of perceived stress of the childbirth experience, perceived length and perceived difficulty of labor, selected personal variables, perceived nursing support, and postpartum depression in primiparous Jordanian women living in Jordan. Lazarus and Folkman's transactional theory of stress and coping (1984) provided the theoretical framework. The convenience sample of 278 women was recruited from the three largest maternal and child health care centers (MCHC) in the city of Irbid. Overall sample criteria included: primiparous married Jordanian women 18 to 35 years of age who had an uncomplicated pregnancy, a full term normal vaginal delivery in a hospital, given birth to a healthy newborn, were able to speak and understand Arabic, and reported having no past history of diagnosed psychological problems such as depression. Data collection instruments included: The Bryanton Adaptation of the Nursing Support in Labor Questionnaire (BANSILQ), the Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ), the Edinburgh Postnatal Depression Scale (EPDS), and a demographic data form. The Cronbach's alpha-reliability coefficient for internal consistency was .92 for the W-DEQ, .92 for the BANSILQ, and .87 for the EPDS. Data were analyzed by means of frequency distributions, measures of central tendency, multiple regression, and discriminant analysis. Perceived stress of childbirth was found to be the major predictor of postpartum depression and it also discriminated between high and low mean scores of Postpartum depression in this sample. Another finding was that women who gave birth to males had significantly lower mean scores of postpartum depression than those who gave birth to females. Conclusions were: the incidence of postpartum depression in Jordanian women is higher than the incidence reported in the literature, Jordanian women experience a moderately stressful childbirth event, Jordanian women who gave birth in public and military hospitals rated their labor and birth nurses less helpful than those who gave birth in private hospitals, perceived stress of childbirth is a predictor of postpartum depression, perceived stress of childbirth is a discriminating variable of postpartum depression, sex of the baby contributes to postpartum depression, postpartum depression is related to years of education and income, and Jordanian women who gave birth in private hospitals perceived their labor less stressful.
520 $a Recommendations included replicate the study using a random sample from randomly selected maternal and child health centers at the national level in Jordan, replicate the study with different population such as multiparous women who gave birth by cesarean section, multiple pregnancy, and pre-term labor, replicate the study using more than one instrument to measure postpartum depression, examine other variables that may contribute to the development of postpartum depression in Jordanian women, investigate the influence of continuous nursing presence on the level of the stress of childbirth and the development of postpartum depression, investigate knowledge, attitudes, and practices of health professionals toward postpartum depression, investigate Jordanian women's and men's preference for the sex of the baby, initiate childbirth education classes, investigate antenatal depression in Jordanian women, investigate the relationship between sex of the baby and depression in new Jordanian fathers, test the social well-being and the physiological adaptational outcomes of the conceptual framework in the context of childbirth, and investigate the influence of the social well-being and the physiological variables on the development postpartum depression in Jordanian women.
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