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影响产后早期妇女生活质量的因素。

Factors Influencing Quality of Life in Early Postpartum Women.

机构信息

Department of Nursing, Presbyterian Medical Center, 365 Seowon-ro, Wansan-gu, Jeonju, Jeollabuk do 54987, Korea.

College of Nursing, Jeonbuk National University, 567 Baekje-daero, Deokjin-gu, Jeonju, Jeollabuk do 54896, Korea.

出版信息

Int J Environ Res Public Health. 2021 Mar 14;18(6):2988. doi: 10.3390/ijerph18062988.

Abstract

Postpartum women experience various changes in their physical and psychological health and in their relationships with their spouse and newborn. This study aimed to identify and evaluate the factors that affect the quality of life (QoL) of women within six weeks after childbirth. A prospective, cross-sectional correlational study was used. A convenience sample of 179 postpartum women was recruited from four postpartum care centers in South Korea. Participants completed structured questionnaires on postpartum fatigue, postpartum depression, marital intimacy, breastfeeding adaptation, and quality of life. Marital intimacy (β = 0.466, < 0.001) was the most influencing factor on the QoL of women during the postpartum period. In descending order, postpartum fatigue (β = -0.192, = 0.001), postpartum depression (β = -0.190, = 0.001), breastfeeding adaptation (β = 0.163, = 0.002), and occupation (β = 0.163, = 0.004) all had a significant influence on QoL (F = 32.09, < 0.001), and the overall explanatory power was 63.6%. It is necessary to assess and consider the physical, psychological, relational, and demographic factors of women during the early postpartum period. Comprehensive interventions need to be developed to improve the QoL of women during the postpartum period.

摘要

产后妇女在生理和心理健康以及与配偶和新生儿的关系方面会经历各种变化。本研究旨在确定和评估影响产后六周内妇女生活质量(QoL)的因素。采用前瞻性、横断面相关性研究。在韩国的四个产后护理中心,采用便利抽样法招募了 179 名产后妇女。参与者完成了关于产后疲劳、产后抑郁、婚姻亲密、母乳喂养适应和生活质量的结构化问卷。婚姻亲密(β=0.466,<0.001)是影响女性产后生活质量的最主要因素。按降序排列,产后疲劳(β=-0.192,=0.001)、产后抑郁(β=-0.190,=0.001)、母乳喂养适应(β=0.163,=0.002)和职业(β=0.163,=0.004)对 QoL 均有显著影响(F=32.09,<0.001),整体解释力为 63.6%。有必要在产后早期评估和考虑妇女的身体、心理、关系和人口统计学因素。需要制定综合干预措施来提高女性产后的生活质量。

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