Iwata Hiroko, Mori Emi, Maehara Kunie, Sakajo Akiko, Aoki Kyoko, Tamakoshi Koji
Graduate School of Nursing, Chiba University, Chiba, Japan.
Graduate School of Medicine, Nagoya University, Chiba, Japan.
Int J Nurs Pract. 2018 Apr;24 Suppl 1:e12654. doi: 10.1111/ijn.12654.
To describe changes in prevalence of shoulder stiffness, back pain, and wrist pain during the first 6 months postpartum, and to examine the association of these symptoms with maternal age and parity.
Participants were recruited from 13 Japanese hospitals between 2012 and 2013. A total of 2709 (response rate 71.9%) women provided longitudinal data, using self-report questionnaires at 5 time points: during their hospital stay, and at 1, 2, 4, and 6 months postpartum. Shoulder stiffness, back pain, and wrist pain were measured, using checklists with yes-no responses. The effects of age and parity were assessed in 4 groups of younger (<35 years) and older (≥35 years) mothers: 983 younger primiparas, 481 older primiparas, 649 younger multiparas, and 596 older multiparas. Chi-square tests and Cochran's Q tests were used to assess effects of group and time.
Prevalence of shoulder stiffness, back pain, and wrist pain during the hospital stay significantly increased up to 1 month postpartum for older primiparas, who were also the most vulnerable to back pain and wrist pain at 1 month postpartum.
Special attention should be given to older primiparas in assessing and providing nursing care for physical symptoms, especially during the first month postpartum.
描述产后头6个月肩部僵硬、背痛和手腕疼痛的患病率变化，并研究这些症状与产妇年龄和胎次的关联。
2012年至2013年期间，从13家日本医院招募参与者。共有2709名女性（应答率71.9%）提供了纵向数据，她们在5个时间点使用自我报告问卷：住院期间以及产后1个月、2个月、4个月和6个月。使用是/否应答清单来测量肩部僵硬、背痛和手腕疼痛。在4组较年轻（<35岁）和较年长（≥35岁）的母亲中评估年龄和胎次的影响：983名较年轻的初产妇、481名较年长的初产妇、649名较年轻的经产妇和596名较年长的经产妇。使用卡方检验和 Cochr an Q检验来评估组和时间的影响。
较年长的初产妇在住院期间肩部僵硬、背痛和手腕疼痛的患病率在产后1个月时显著增加，她们在产后1个月时也是最易患背痛和手腕疼痛的人群。
在评估和提供身体症状的护理时，应特别关注较年长的初产妇，尤其是在产后第一个月。
