1PhD, RN, Assistant Professor, Department of Nursing, Shu-Zen Junior College of Medicine and Management 2PhD, RN, Professor, Institute of Allied Health Sciences and Department of Nursing, National Cheng Kung University.
J Nurs Res. 2014 Mar;22(1):20-7. doi: 10.1097/jnr.0000000000000015.
New mothers commonly report sleep deprivation and sleep disturbances during the first 3 postpartum months. A better understanding of factors related to postpartum sleep quality is necessary to develop interventions to improve sleep quality in postpartum women.
This study explored the impact of specific demographic and obstetric factors on the subjective sleep quality of postpartum women.
We used a cross-sectional, correlational study design. A convenience sample of 202 women in their fourth to sixth postpartum week was recruited from two hospitals in southern Taiwan. A demographic data form and the Postpartum Sleep Quality Scale were used to collect data.
The mean Postpartum Sleep Quality Scale score of participants was 22.82 (SD = 8.16), indicating a mild level of sleep disturbance. We found that better sleep quality correlated positively with a satisfactory childbirth experience and correlated negatively with daily time spent on household work. Pain, discomfort, and fear were the main dimensions associated with unsatisfactory childbirth experiences.
CONCLUSIONS/IMPLICATIONS FOR PRACTICE: Study results recommend that health professionals should improve current protocols to help women better confront and manage childbirth-related pain, discomfort, and fear. Evidence-based postnatal education for parents should highlight the positive relationship between reduced daily household workloads and sleep quality for new mothers.
新妈妈在产后头 3 个月常报告睡眠不足和睡眠障碍。为了制定改善产后妇女睡眠质量的干预措施，有必要更好地了解与产后睡眠质量相关的因素。
本研究探讨了特定人口统计学和产科因素对产后妇女主观睡眠质量的影响。
我们采用了横断面相关性研究设计。从台湾南部的两家医院招募了 202 名处于产后第 4-6 周的方便样本。使用人口统计学数据表格和产后睡眠质量量表收集数据。
参与者的产后睡眠质量量表平均得分为 22.82（标准差=8.16），表明存在轻度睡眠障碍。我们发现，睡眠质量越好与分娩体验满意度呈正相关，与每天花在家务上的时间呈负相关。疼痛、不适和恐惧是与不满意分娩体验相关的主要维度。
结论/对实践的启示：研究结果表明，卫生专业人员应改进当前的方案，帮助女性更好地应对和管理与分娩相关的疼痛、不适和恐惧。为父母提供基于证据的产后教育应强调减少日常家务工作量与新妈妈睡眠质量之间的积极关系。
