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Korean J Women Health Nurs > Volume 24(1); 2018 > Article
Korean Journal of Women Health Nursing 2018;24(1):49-57.
DOI: https://doi.org/10.4069/kjwhn.2018.24.1.49    Published online March 20, 2018.
The Relationships among Postpartum Fatigue, Depressive Mood, Self-care Agency, and Self-care Action of First-time Mothers in Bangladesh
Fahima Khatun, Tae Wha Lee, Ela Rani, Gulshanara Biswash, Pronita Raha, Sue Kim
1College of Nursing, Yonsei University, Seoul, Korea.
2College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, Korea. suekim@yuhs.ac
3Nursing Institute, Mitford, Dhaka, Bangladesh.
4Dhaka Nursing College, Dhaka, Bangladesh.
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.
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.
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).
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.
Key Words: Postpartum depression; Fatigue; Postpartum period; Self-care

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