Effectiveness of aerobic gymnastic exercise on stress, fatigue, and sleep quality during postpartum: A pilot randomized controlled trial
Effectiveness of aerobic gymnastic exercise on stress, fatigue, and sleep quality during postpartum: A pilot randomized controlled trial
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DOI：
10.1016/j.ijnurstu.2017.09.009
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发表时间：
2018-01-01
影响因子：
8.1
通讯作者：
Chen, Chung-Hey
中科院分区：
文献类型：
--
作者：
Yang, Chiu-Ling;Chen, Chung-Hey
背景：体操是产后妇女经常进行的一项较好的安全运动。目的：本试验旨在确定有氧体操运动是否能改善产后妇女的压力、疲劳、睡眠质量和抑郁。设计：2014年12月至2015年9月进行单盲、随机对照试验。地点：台湾南部某医疗中心产后诊所。参与者：系统地分配了140名符合条件的产后妇女，随机开始实验组（n = 70）或对照组（n = 70）。干预措施：每周至少进行三次有氧体操运动（每节15分钟），连续三个月在家中使用光盘进行。结果测量：感知压力量表、产后疲劳量表、产后睡眠质量量表和爱丁堡产后抑郁量表。结果：在重复测量的双向方差分析中，有氧体操运动组在进行运动4周后疲劳明显减少，并且积极效果持续到12周后测试。配对t检验显示，有氧体操运动4周后，参与者在感知压力和疲劳方面有显著改善；这些积极的影响延续到12周后的测试。此外，与对照组相比，经过12周的体操运动后，实验组与睡眠效率低下相关的身体症状的变化明显降低。与临床实践的相关性：研究结果可用于鼓励产后妇女在日常生活中进行中等强度的体操运动，以减轻她们的压力、疲劳和改善睡眠质量。
Background: Gymnastics is a preferable safe exercise for postnatal women performing regularly.Objective: The aim of this pilot randomized controlled trial was to determine whether the aerobic gymnastic exercise improves stress, fatigue, sleep quality and depression in postpartum women.Design: Single-blinded, randomized controlled trial held from December 2014 until September 2015. Setting: Postnatal clinic of a medical center in southern Taiwan.Participants: 140 eligible postnatal women were systematically assigned, with a random start to experimental (n = 70) or a control (n = 70) group.Interventions: Engage in aerobic gymnastic exercise at least three times (15 min per section) a week for three months using compact disc in the home.Outcome measures: Perceived Stress Scale, Postpartum Fatigue Scale, Postpartum Sleep Quality Scale, and Edinburgh Postnatal Depression Scale.Results: In a two-way ANOVA with repeated measures, the aerobic gymnastic exercise group showed significant decrease in fatigue after practicing exercise 4 weeks and the positive effects extended to the 12-week posttests. Paired t-tests revealed that aerobic gymnastic exercise participants had improved significantly in perceived stress and fatigue after 4 weeks gymnastic exercise; these positive effects extended to the 12-week posttests. In addition, the changes in physical symptoms-related sleep inefficiency after 12 weeks gymnastic exercise were significantly decreased in the experimental group compared with the control group.Relevance to clinical practice: The findings can be used to encourage postnatal women to perform moderate intensity gymnastic exercise in their daily life to reduce their stress, fatigue and improve sleep quality.