Iwata Hiroko, Mori Emi, Sakajo Akiko, Aoki Kyoko, Maehara Kunie, Tamakoshi Koji
Graduate School of Nursing Chiba University Chiba Japan.
Graduate School of Medicine Nagoya University Aichi Japan.
Nurs Open. 2018 Feb 21;5(2):186-196. doi: 10.1002/nop2.130. eCollection 2018 Apr.
To identify the course of maternal fatigue during the first 6 months postpartum and to determine factors associated with it.
A prospective cohort study.
Women (=2,697) in 13 Japanese hospitals provided longitudinal data using self-report questionnaires at five time points. Maternal fatigue was assessed using the Postnatal Accumulated Fatigue Scale. We focused on the effect of maternal age and parity on the course of maternal fatigue and used a mixed between/within-subjects analysis of variance. Factors associated with maternal fatigue were analysed using stepwise multiple regression.
In the 6-month postpartum period, the level of fatigue was highest at 1 month and significantly decreased from 1-4 months postpartum. Primiparas showed a significantly higher level of fatigue than multiparas during hospital stay and their levels of fatigue more closely approximated the 1-month peak. Multiparas showed significantly higher levels of fatigue than younger primiparas at 6-month postpartum. Factors associated with maternal fatigue included satisfaction with sleep, concerns about child-rearing, satisfaction with social support, financial burden and meal times per day.
确定产后6个月内产妇疲劳的发展过程，并确定与之相关的因素。
一项前瞻性队列研究。
日本13家医院的2697名女性在五个时间点通过自我报告问卷提供纵向数据。使用产后累积疲劳量表评估产妇疲劳程度。我们重点关注产妇年龄和胎次对产妇疲劳发展过程的影响，并采用混合的组间/组内方差分析。使用逐步多元回归分析与产妇疲劳相关的因素。
在产后6个月期间，疲劳程度在1个月时最高，产后1至4个月显著下降。初产妇在住院期间的疲劳程度显著高于经产妇，且她们的疲劳程度更接近1个月时的峰值。经产妇在产后6个月时的疲劳程度显著高于年轻初产妇。与产妇疲劳相关的因素包括睡眠满意度、育儿担忧、社会支持满意度、经济负担和每日用餐次数。
