Hunter Lauren P, Rychnovsky Jacqueline D, Yount Susan M
School of Nursing, San Diego State University, San Diego, CA 92182-4158, USA.
J Obstet Gynecol Neonatal Nurs. 2009 Jan-Feb;38(1):60-8. doi: 10.1111/j.1552-6909.2008.00309.x.
To determine the current knowledge of postpartum women's sleep patterns, sleep disturbances, consequences of sleep disturbances, and known strategies for prevention in order to provide best practice recommendations for health care providers.
A literature search from 1969 through February 2008 was conducted using the CINHL, Index of Allied Health Literature, Ovid, PsycINFO, and PubMed electronic databases in addition to reference lists from selected articles and other key references. Search terms included sleep, postpartum, sleep deprivation, and sleep disturbance.
A critical review of all relevant articles from the data sources was conducted with attention to the needs of postpartum women's sleep and implications for health care providers.
Literature was reviewed and organized into groups with similar characteristics.
An integrative review of the literature summarized the current state of research related to sleep alterations in postpartum women.
Postpartum women experience altered sleep patterns that may lead to sleep disturbances. The most common reasons for sleep disturbances are related to newborn sleep and feeding patterns. Although present, the relationships among sleep disturbance, fatigue, and depression in postpartum women lack clarity due to their ambiguous definitions and the variety of the studies conducted. Providers should encourage prenatal education that assists the couple in developing strategies for decreasing postpartum sleep deprivation. Alterations of in-hospital care and home care should be incorporated to improve the new family's sleep patterns.
确定产后女性睡眠模式、睡眠障碍、睡眠障碍后果以及已知预防策略的当前知识，以便为医疗保健提供者提供最佳实践建议。
除了所选文章和其他关键参考文献的参考文献列表外，还使用CINHL、联合健康文献索引、Ovid、PsycINFO和PubMed电子数据库对1969年至2008年2月的文献进行了检索。检索词包括睡眠、产后、睡眠剥夺和睡眠障碍。
对数据来源中所有相关文章进行了批判性综述，关注产后女性的睡眠需求及其对医疗保健提供者的影响。
对文献进行了综述，并按具有相似特征的组进行了整理。
对文献的综合综述总结了与产后女性睡眠改变相关的研究现状。
产后女性经历睡眠模式改变，这可能导致睡眠障碍。睡眠障碍最常见的原因与新生儿的睡眠和喂养模式有关。虽然产后女性睡眠障碍、疲劳和抑郁之间的关系存在，但由于定义模糊和所开展研究的多样性，这些关系尚不清楚。医疗保健提供者应鼓励进行产前教育，帮助夫妇制定减少产后睡眠剥夺的策略。应调整住院护理和家庭护理，以改善新家庭的睡眠模式。
