Investigation of changes in the rhythm of daily life and the physical and psychological health of mothers following the discharge of their low-birth-rate infants from hospital

低出生儿出院后母亲日常生活节奏及身心健康状况变化调查

• 批准号: 15592301
• 负责人: FUJIMOTO Eiko
• 金额: $ 2.24万
• 依托单位: SEIREI CHRISTOPHER UNIVERSITY
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2003
• 资助国家: 日本
• 起止时间: 2003 至 2005
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-15592301/
• 关键词: low-birth-weight infant; rhythm of daily life; postpartum health; fatigue; 産後うつ病; 極低出生体重児

In order to clarify the formation process of the rhythm of the daily life of mothers and low-birth-weight infants (LBW infant), 8 mothers of LBW infants participated in interviews conducted approximately one week before being discharged from NICU, and at 1 month of corrected age. The birth weight of the LBW infants ranged from 795 g to 1,788 g with a mean weight of 1,383 g (SD=361 g). The gestational age at birth ranged from 24 weeks and 6 days to 37 weeks and 3 days with a mean of 31 weeks and 5 days. The following results were obtained :1)Approximately half of the mothers experienced physical symptoms, such as "fatigue," "headache," "headache dull," "tinnitus," "dizziness," and "light headedness," which appeared in the early postpartum period, and lasted until approximately the time when the LBW infants were discharged from the NICU. 2)More than half of the mothers who experienced physical symptoms also experienced psychological symptoms, such as "anxiety," "nervousness," "emotional weakness," and "depression." 3)In the daily life of mothers with LBW infants at a corrected age of less than one month, they spent most of their "feeding" and "dealing with a crying infant," and other activities of mothers, such as "sleeping," "eating," and "bathing," were performed irregularly in between. All primiparous women were supported by their mothers ; thus, it was found that they performed few domestic duties. 4)Most mothers of the LBW infants who were discharged from hospital within one month had a daily life that corresponded with the sleep-wake cycle and feeding intervals of the infants. 5)The present findings suggest that the following factors affect the lifestyle of mothers : the type of feeding, feeding performance, dealing with a crying and agitated baby, recognizing the health status of the infant, recognizing their own health status, the degree of support for domestic duties, taking care of older children, and the relationship with the husband.

为了阐明母亲和低出生体重儿（LBW婴儿）的日常生活节奏的形成过程，8名LBW婴儿的母亲参加了从NICU出院前约一周进行的访谈，并在1个月的校正年龄。低出生体重婴儿的出生体重范围为795 g至1，788 g，平均体重为1，383 g（SD=361 g）。出生时胎龄24周6天~ 37周3天，平均31周5天。结果显示：1）约半数母亲在产后早期出现“疲劳”、“头痛”、“头痛迟钝”、“耳鸣”、“头晕”、“轻度头痛”等身体症状，并持续至LBW婴儿从NICU出院时。2)超过一半的母亲经历过身体症状也经历过心理症状，如“焦虑”，“紧张”，“情绪虚弱”和“抑郁”。（3）矫正月龄小于1个月的低出生体重儿母亲在日常生活中，大部分时间用于“喂养”和“处理哭闹的婴儿”，而母亲的其他活动，如“睡觉”、“吃饭”和“洗澡”，则在这两个月之间不规律地进行。所有未生育的妇女都由母亲抚养，因此，发现她们几乎不做家务。4)大多数在一个月内出院的LBW婴儿的母亲的日常生活与婴儿的睡眠-觉醒周期和喂养间隔相对应。5)目前的研究结果表明，以下因素影响母亲的生活方式：喂养的类型，喂养性能，处理哭闹和激动的婴儿，认识到婴儿的健康状况，认识到自己的健康状况，对家庭责任的支持程度，照顾较大的孩子，以及与丈夫的关系。