产后晚期的睡眠、抑郁与疲劳
Sleep, Depression, and Fatigue in Late Postpartum.
作者信息
Thomas Karen A, Spieker Susan
机构信息
Karen A. Thomas is a Ellery and Kirby Cramer Professor, Department of Family and Child Nursing, University of Washington, Seattle, WA. The author can be reached via e-mail at
出版信息
MCN Am J Matern Child Nurs. 2016 Mar-Apr;41(2):104-9. doi: 10.1097/NMC.0000000000000213.
PURPOSE
To study the relation of infant characteristics and home environment on maternal sleep, depression, and fatigue in late postpartum.
STUDY DESIGN AND METHODS
Forty-two healthy mother-infant dyads completed a home-based study at infant age 32 weeks. Maternal measures included Patient Reported Outcomes Measurement Information System (PROMIS) sleep and wake disturbance, depression, and fatigue scales. Home regularity was assessed using the Confusion, Hubbub, and Order Scale (CHAOS). Infant sleep and regulation were measured respectively by the Brief Infant Sleep Questionnaire (BISQ) and Infant-Toddler Symptom Checklist (ITSC).
RESULTS
Significant correlations among maternal sleep and wake disturbance, fatigue, and depression were detected (r = .519 to .746, p < .01), but not with infant variables. Home regularity was significantly related with maternal variables (r = .597 to .653, p < .01).
CLINICAL IMPLICATIONS
Regularity of the home environment appears to contribute to maternal sleep, depression, and fatigue. Implications for intervention include establishment of daily routines and household management to improve regularity and consequently improve maternal outcomes.
目的
研究婴儿特征和家庭环境与产后晚期母亲睡眠、抑郁及疲劳之间的关系。
研究设计与方法
42对健康母婴在婴儿32周龄时完成了一项基于家庭的研究。母亲的测量指标包括患者报告结局测量信息系统（PROMIS）的睡眠与觉醒障碍、抑郁及疲劳量表。使用混乱、嘈杂与秩序量表（CHAOS）评估家庭规律程度。分别通过简短婴儿睡眠问卷（BISQ）和婴幼儿症状清单（ITSC）测量婴儿睡眠和调节能力。
结果
检测到母亲的睡眠与觉醒障碍、疲劳及抑郁之间存在显著相关性（r = 0.519至0.746，p < 0.01），但与婴儿变量无关。家庭规律程度与母亲变量显著相关（r = 0.597至0.653，p < 0.01）。
临床意义
家庭环境的规律程度似乎会影响母亲的睡眠、抑郁及疲劳。干预措施包括建立日常作息和家庭管理，以提高规律程度，从而改善母亲的状况。
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