Course of maternal fatigue and its associated factors during the first 6 months postpartum: a prospective cohort study
Course of maternal fatigue and its associated factors during the first 6 months postpartum: a prospective cohort study
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DOI：
10.1002/nop2.130
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发表时间：
2018-04-01
期刊：
影响因子：
2.3
通讯作者：
Tamakoshi, Koji
中科院分区：
文献类型：
--
作者：
Iwata, Hiroko;Mori, Emi;Tamakoshi, Koji
目标：为了确定在产后的前6个月产妇疲劳的过程中，并确定与之相关的因素。设计：一个前瞻性队列研究。方法：妇女（N=2,697）在13家日本医院提供的纵向数据使用自我报告问卷调查在5个时间点。产妇疲劳使用产后累积疲劳量表进行评估。我们专注于产妇年龄和产次对产妇疲劳的影响，并使用了混合的受试者间/受试者内方差分析。结果：产后6个月，产妇疲劳程度以产后1个月最高，产后1-4个月明显下降。在住院期间，Primitrium的疲劳水平显著高于Multimitrium，其疲劳水平更接近1个月的峰值。在产后6个月时，多胞胎的疲劳程度明显高于年轻的多胞胎。与母亲疲劳相关的因素包括睡眠满意度、对养育子女的担忧、对社会支持的满意度、经济负担和每天的用餐时间。
Aims: To identify the course of maternal fatigue during the first 6 months postpartum and to determine factors associated with it.Design: A prospective cohort study.Methods: Women (N=2,697) in 13 Japanese hospitals provided longitudinal data using self-report questionnaires at five time points. Maternal fatigue was assessed using the Postnatal Accumulated Fatigue Scale. We focused on the effect of maternal age and parity on the course of maternal fatigue and used a mixed between/within-subjects analysis of variance. Factors associated with maternal fatigue were analysed using stepwise multiple regression.Results: In the 6-month postpartum period, the level of fatigue was highest at 1 month and significantly decreased from 1-4 months postpartum. Primiparas showed a significantly higher level of fatigue than multiparas during hospital stay and their levels of fatigue more closely approximated the 1-month peak. Multiparas showed significantly higher levels of fatigue than younger primiparas at 6-month postpartum. Factors associated with maternal fatigue included satisfaction with sleep, concerns about child-rearing, satisfaction with social support, financial burden and meal times per day.