Ko Yi-Li, Yang Chi-Li, Chiang Li-Chi
Department of Nursing, Fu-Jen Catholic University.
J Nurs Res. 2008 Sep;16(3):177-86. doi: 10.1097/01.jnr.0000387304.88998.0b.
This study explored the effectiveness of an exercise program on reducing levels of fatigue and depression among postpartum women who were "doing-the-month" in a maternity center in Taiwan. Previous studies related to postpartum have focused on depression rather than women's feelings of fatigue, and no study related to exercise has previously been conducted in a Taiwan maternity center. A low-intensity exercise program was specifically designed and administered to 31 subjects in the study's intervention group. Another 30 subjects (the control group) followed a traditional, non-physically active postpartum care regimen. Those in the intervention group were required to participate in at least 6 exercise program sessions during their one month postpartum stay. All subjects were asked to fill out a fatigue and depression questionnaire before and after the program. A Fatigue Symptom Checklist (FSC) was used to measure fatigue, and the Center for Epidemiological Studies Depression (CESD) was used to confirm the development of depression. Results showed statistically significant differences between the two groups in terms of fatigue levels, with statistical improvements (p < .05) registered by the intervention group in terms of levels of physical and psychological fatigue and fatigue symptoms. However, no significant changes in depression between the two groups were found. Study results demonstrate that a low-intensity exercise program can offer a good platform for clinicians and researchers to help reduce fatigue in postpartum women.
本研究探讨了一项运动计划对台湾一家妇产中心正在“坐月子”的产后女性减轻疲劳和抑郁水平的有效性。先前与产后相关的研究主要关注抑郁,而非女性的疲劳感,且此前尚未在台湾的妇产中心开展过与运动相关的研究。本研究为干预组的31名受试者专门设计并实施了一项低强度运动计划。另外30名受试者(对照组)遵循传统的、不涉及身体活动的产后护理方案。干预组的受试者在产后一个月的住院期间需要参加至少6次运动计划课程。所有受试者在该计划前后都被要求填写一份疲劳和抑郁问卷。使用疲劳症状清单(FSC)来测量疲劳程度,并使用流行病学研究中心抑郁量表(CESD)来确认抑郁的发生情况。结果显示,两组在疲劳水平方面存在统计学上的显著差异,干预组在身体和心理疲劳程度以及疲劳症状方面有统计学上的改善(p < .05)。然而,两组之间在抑郁方面未发现显著变化。研究结果表明,低强度运动计划可以为临床医生和研究人员提供一个良好的平台,以帮助减轻产后女性的疲劳。