Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, Seoul 03722, Korea.
Department of Population Health Nursing Science, College of Nursing, University of Illinois, Chicago, IL 60607, USA.
Int J Environ Res Public Health. 2021 Dec 25;19(1):215. doi: 10.3390/ijerph19010215.
The aim of this cross-sectional study was to identify the factors associated with different percentiles of first-time maternal fatigue. A total of 123 first-time healthy mothers aged 18 years or older participated through an online survey. The fatigue was measured by the Korean version of the fatigue severity scale. Main variables were constructed based on the integrated fatigue model, which included mothers' sleep quality, parenting stress, the amount of free time mothers have, the number of the child's night wakings, general characteristics including socioeconomic status, and working status. Quantile regression was used to analyze the associated factors according to the fatigue level of first-time mothers with a young child. The mean age of the mothers and children were 32.11 years and 20.81 months, respectively. Mean fatigue score was 6.16 among the 75% quantile with high fatigue score. Lack of adequate free time in mothers, advanced maternal age, being a housewife, having a moderate income, and frequent night wakings of their child significantly increased fatigue among mothers in the third quantile of fatigue. To reduce fatigue, healthcare providers should focus on exploring ways to reduce maternal sleep disturbance and improve maternal sleep quality.
本横断面研究旨在确定与首次出现的母亲疲劳不同百分位相关的因素。共有 123 名年龄在 18 岁及以上的首次健康母亲通过在线调查参与了研究。疲劳通过韩国版疲劳严重程度量表进行测量。主要变量基于综合疲劳模型构建，包括母亲的睡眠质量、育儿压力、母亲有多少空闲时间、孩子夜间醒来的次数、包括社会经济地位和工作状况在内的一般特征。根据有年幼孩子的首次母亲的疲劳水平，使用分位数回归分析相关因素。母亲和孩子的平均年龄分别为 32.11 岁和 20.81 个月。在高疲劳得分的 75%分位数中，平均疲劳得分为 6.16。母亲缺乏足够的空闲时间、母亲年龄较大、是家庭主妇、收入中等以及孩子经常夜间醒来，这些因素显著增加了处于疲劳第三分位数的母亲的疲劳感。为了减轻疲劳，医疗保健提供者应关注探索减少母亲睡眠障碍和改善母亲睡眠质量的方法。
