ความเครียด ความเหนื่อยล้าและการดำรงบทบาทมารดาของมารดาหลังคลอดที่มี ภาวะความดันโลหิตสูงขณะตั้งครรภ์ชนิดรุนแรง: การเปลี่ยนผ่านจากระยะตั้งครรภ์สู่หลังคลอด

Phenphitcha Chantharason; Boonmee Phoodaangau; Kochaporn Singhala

Authors

Phenphitcha Chantharason Mahasarakham Hospital
Boonmee Phoodaangau Faculty of Nursing, Mahasarakham University, Mahasarakham
Kochaporn Singhala Faculty of Nursing, Mahasarakham University

Keywords:

stress, fatigue, maternal role attainment, severe preeclampsia

Abstract

Introduction: Severe preeclampsia in pregnant women leads to stress and fatigue in postpartum mothers. This may affect their ability to achievement of maternal role.

Research objectives: To examine the relationship between stress, fatigue, and maternal role attainment among postpartum mothers who experienced severe preeclampsia from pregnancy through postpartum period.

Research methodology: This study employed a descriptive correlational research design. Data were collected between June and September 2024 at a tertiary hospital in Mahasarakham. The sample comprised 53 postpartum mothers who had experienced severe preeclampsia during pregnancy and continued into the postpartum period. The research instruments consisted of the Thai versions of the Postpartum Stress Assessment, the Fatigue Assessment, and the Maternal Role Attainment Assessment, with reported Cronbach’s alpha coefficients of .85, .92, and .94, respectively. Data were analyzed using descriptive statistics and the Spearman correlation coefficient.

Results: Among postpartum mothers who experienced severe preeclampsia during pregnancy through the postpartum period, 69.80% reported low levels of stress and 86.80% reported low levels of fatigue. Additionally, 60.40% reported high levels of maternal role attainment. A significant negative correlation was found between stress and maternal role attainment (r = -.296, p <.05). In contrast, fatigue was not significantly correlated with maternal role attainment.

Conclusion: Higher stress was associated with lower maternal role attainment

Implications: Midwifes should assess, plan and deliver nursing care that emphasizes family involvement, promoting comfort, rest and relaxation to support postpartum mothers with severe preeclampsia in successfully maintaining maternal role attainment.

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