Smith-Hanrahan C, Deblois D
Clin Nurs Res. 1995 Feb;4(1):50-66. doi: 10.1177/105477389500400106.
The purpose of this study was to determine the impact of a postpartum early discharge program, with home follow-up by hospital nursing staff, on the maternal fatigue and functional ability of low-risk mothers with healthy neonates. A quasi-experimental design was used. Subjects were randomly assigned to one of two groups receiving the early-discharge program (hospital stay less than 60 hours plus home follow-up by hospital-based nurses; n = 35) or traditional hospital care (hospital stay more than 60 hours and no home follow-up by hospital staff; n = 17). A third group emerged from those originally assigned to traditional care but later transferred to early discharge due to bed shortages (n = 29). The Rhoten Fatigue Scale and the Inventory of Functional Status After Childbirth were used to collect the data at discharge and 1 and 6 weeks postpartum period. No significant differences between groups were found, suggesting that early discharge with adequate home follow-up does not affect the low-risk mother's fatigue and functional ability to any significantly greater extent than traditional care. It was also noted that, regardless of type of care, the proportion of subjects reporting severe fatigue was relatively large (25%, 31%, and 19% at discharge, 1 and 6 weeks postpartum period), highlighting the need for further study of maternal fatigue in the postpartum period.
本研究的目的是确定一项产后早期出院计划（由医院护理人员进行家庭随访）对有健康新生儿的低风险母亲的产妇疲劳和功能能力的影响。采用了准实验设计。受试者被随机分配到接受早期出院计划的两组之一（住院时间少于60小时并由医院护士进行家庭随访；n = 35）或传统医院护理组（住院时间超过60小时且医院工作人员不进行家庭随访；n = 17）。第三组由最初分配到传统护理但后来因床位短缺而转为早期出院的人组成（n = 29）。使用Rhoten疲劳量表和产后功能状态量表在出院时以及产后1周和6周收集数据。未发现组间有显著差异，这表明在有充分家庭随访的情况下早期出院对低风险母亲的疲劳和功能能力的影响并不比传统护理有任何显著更大的程度。还注意到，无论护理类型如何，报告严重疲劳的受试者比例相对较大（出院时、产后1周和6周分别为25%、31%和19%），这突出了对产后产妇疲劳进行进一步研究的必要性。
