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产后睡眠障碍女性行走运动干预的结果。

Outcomes of a walking exercise intervention in postpartum women with disordered sleep.

机构信息

Department of Nursing, Fooyin University, Kaohsiung, Taiwan, ROC.

Department of Nursing, HungKuang University, Taichung, Taiwan, ROC.

出版信息

J Obstet Gynaecol Res. 2021 Apr;47(4):1380-1387. doi: 10.1111/jog.14672. Epub 2021 Jan 25.

Abstract

AIM

Good sleep quality is essential to physical and mental-health-related quality of life. The purpose of this study was to evaluate the effects of a walking exercise in relieving sleep quality, fatigue, and depression in new mothers during the postpartum period.

METHODS

This quasi-experimental study was conducted at a teaching hospital in southern Taiwan. One hundred and four eligible postpartum women with poor sleep quality (Postpartum Sleep Quality Scale; PSQS score ≧16) were assigned to either the experimental group (n = 50) or the control group (n = 54) according to their individual preferences. The participants in the experimental group participated in a 12-week stride walking exercise intervention. The control group did not receive any exercise intervention. The PSQS, Postpartum Fatigue Scale, and Edinburgh Postnatal Depression Scale were used to assess outcomes.

RESULTS

Repeated measures ANOVA demonstrated that the experimental group participants perceived milder physical symptoms associated with sleep inefficiency at 4-week posttest (F = 7.25, p < 0.01) than their control group peers. However, no significant differences were found between two groups in terms of either fatigue or depression at 4-week and 12-week posttest.

CONCLUSION

Significant improvement in the physical symptoms associated with sleep inefficiency was observed. The findings may be used to encourage postpartum women with disordered sleep to incorporate 20-30 min of stride walking into their regular routine to improve sleep quality.

摘要

目的

良好的睡眠质量对于身心健康相关的生活质量至关重要。本研究旨在评估步行运动对缓解产后母亲睡眠质量、疲劳和抑郁的影响。

方法

这是一项在台湾南部一所教学医院进行的准实验研究。根据个人意愿,将 104 名睡眠质量差(产后睡眠质量量表 [PSQS] 评分≧16)的合格产后妇女分为实验组(n=50)和对照组(n=54)。实验组的参与者参加了为期 12 周的步幅行走运动干预。对照组未接受任何运动干预。使用产后睡眠质量量表、产后疲劳量表和爱丁堡产后抑郁量表评估结果。

结果

重复测量方差分析表明,实验组参与者在 4 周后测时感知到与睡眠效率低下相关的身体症状较轻(F=7.25,p<0.01),而对照组则没有。然而,在 4 周和 12 周后测时,两组在疲劳或抑郁方面均无显著差异。

结论

与睡眠效率低下相关的身体症状显著改善。研究结果可用于鼓励睡眠紊乱的产后妇女将 20-30 分钟的步幅行走纳入常规活动中,以改善睡眠质量。

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