Nishida Tomoko, Tanaka Yoko, Sakakibara Hisataka
Department of Nursing, Sugiyama Jogakuen University, 17-3 Hoshigaoka-motomachi, Chikusa-ku, Nagoya, 464-8662, Japan.
Health Promotion Division, Department of Health and Welfare, 36 Higashihata, Inuyama, Aichi Prefecture, 484-8501, Japan.
Matern Child Health J. 2018 Aug;22(8):1217-1225. doi: 10.1007/s10995-018-2493-2.
Objective The purpose of the present study was to investigate factors associated with quality of life (QOL) among mothers raising 4 and 18-month-old infants. Methods A cross-sectional study was conducted using self-report questionnaires. Participants included 400 women who took their infants for health checkups at a city in Aichi Prefecture, Japan (4-month-olds: n = 197, 18-month-olds: n = 203). Study variables included the World Health Organization Quality of Life-BREF (WHOQOL-BREF) scale, mother's lifestyle, support from family, and other factors potentially related to QOL. Results For mothers of 4-month-old infants, total QOL was associated with emotional support from families (OR 6.09, 95% CI 2.13-17.43) and having enough sleep (7 h or more; OR 4.18, 95% CI 1.86-9.36). These mothers had shorter sleeping hours than mothers of 18-month-old infants. QOL of mothers of 18-month-old infants was associated with emotional support from families (OR 3.06, 95% CI 1.14-8.22) and using childrearing support facilities (OR 2.02, 95% CI 1.01-4.01). Conclusion Different factors contributed to mothers' QOL as a function of infant age. Emotional support from families was associated with better QOL in both mother groups. Differences were that for mothers of 4-month-old infants, enough sleep was relevant to QOL, while in mothers of 18-month-old infants, childcare services helped improving their QOL.
目的 本研究旨在调查抚养4个月和18个月大婴儿的母亲的生活质量（QOL）相关因素。方法 采用自填式问卷进行横断面研究。参与者包括400名在日本爱知县某城市带婴儿进行健康检查的女性（4个月大婴儿组：n = 197，18个月大婴儿组：n = 203）。研究变量包括世界卫生组织生活质量简表（WHOQOL - BREF）、母亲的生活方式、家庭支持以及其他可能与生活质量相关的因素。结果 对于4个月大婴儿的母亲，总体生活质量与家庭情感支持（OR 6.09，95% CI 2.13 - 17.43）和充足睡眠（7小时或以上；OR 4.18，95% CI 1.86 - 9.36）相关。这些母亲的睡眠时间比18个月大婴儿的母亲短。18个月大婴儿的母亲的生活质量与家庭情感支持（OR 3.06，95% CI 1.14 - 8.22）和使用育儿支持设施（OR 2.02，95% CI 1.01 - 4.01）相关。结论 不同因素因婴儿年龄而异，对母亲的生活质量产生影响。家庭情感支持在两组母亲中均与更好的生活质量相关。差异在于，对于4个月大婴儿的母亲，充足睡眠与生活质量相关，而对于18个月大婴儿的母亲，育儿服务有助于提高她们的生活质量。
