Bakker Marloes, van der Beek Allard J, Hendriksen Ingrid J M, Bruinvels David J, van Poppel Mireille N M
Department of Public and Occupational Health and EMGO Institute for Health and Care Research, VU University Medical Centre, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands.
Department of Public and Occupational Health and EMGO Institute for Health and Care Research, VU University Medical Centre, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands; Body@Work, Research Centre Physical Activity, Work and Health, TNO-VUmc, VU University Medical Centre, Van der Boechorststraat 7, 1081 BT Amsterdam, The Netherlands.
J Psychosom Res. 2014 Nov;77(5):385-90. doi: 10.1016/j.jpsychores.2014.08.013. Epub 2014 Aug 30.
The aim of this study was to investigate which prepartum determinants contribute to the development of postpartum (PP) fatigue among working women in the Netherlands.
A prospective cohort study in 15 Dutch companies was conducted to measure different potential predictors using self-administrated questionnaires at baseline and at 30 weeks of pregnancy. Fatigue was measured at 12 (N=523) and 52 weeks (N=436) PP using the Checklist Individual Strength (CIS). A CIS score>76 was defined as fatigue.
The prevalence of fatigue at 12 and 52 weeks PP was 24.5% and 18.1%, respectively. Fourteen predictive factors were found for fatigue (R(2)=0.37) at 12 weeks PP. Ten predictive factors were found for fatigue at 52 weeks PP (R(2)=0.36). In general, less favourable work relationships and characteristics, poorer mental health, more passive coping styles, more sleeping problems, more fatigue during pregnancy, and beliefs about child care arrangements were related to PP fatigue. At 30 weeks of pregnancy, only more fatigue (OR=3.69, p<0.001; OR=2.68, p=0.02) and poorer mental health (OR=0.50, p=0.02; OR=0.90, p=0.78) predicted fatigue both at 12 and 52 weeks PP.
A large number of predictive factors for PP fatigue were found. These findings indicate that different aspects can contribute to being fatigued after pregnancy. Further research is needed to investigate the effect of possible interventions by employers and/or occupational physicians.
本研究旨在调查荷兰职业女性产后疲劳的发生与哪些产前因素有关。
对15家荷兰公司进行了一项前瞻性队列研究，在基线和妊娠30周时使用自填式问卷测量不同的潜在预测因素。产后12周（N = 523）和52周（N = 436）时，使用个体力量检查表（CIS）测量疲劳程度。CIS得分> 76被定义为疲劳。
产后12周和52周疲劳的患病率分别为24.5%和18.1%。发现了14个产后12周疲劳的预测因素（R² = 0.37）。发现了10个产后52周疲劳的预测因素（R² = 0.36）。一般来说，不太良好的工作关系和特征、较差的心理健康状况、更消极的应对方式、更多的睡眠问题、孕期更多的疲劳以及对 childcare安排的看法与产后疲劳有关。在妊娠30周时，只有更多的疲劳（OR = 3.69，p < 0.001；OR = 2.68，p = 0.02）和较差的心理健康状况（OR = 0.50，p = 0.02；OR = 0.90，p = 0.78）可预测产后12周和52周的疲劳。
发现了大量产后疲劳的预测因素。这些发现表明，怀孕后的疲劳可能由多个方面导致。需要进一步研究雇主和/或职业医生可能采取的干预措施的效果。
