Childcare problems and needs of community health services in families with the handicapped multiple birth children

这项调查是对2 000名多胞胎母亲进行的，目的是研究有残疾多胞胎家庭的儿童保育问题和社区保健服务需求。得到了以下结果：残疾多胞胎的母亲比非残疾多胞胎的母亲表现出更大的疲劳和更差的睡眠质量。3岁以上非残疾多胞胎母亲的身体疲劳程度较低，睡眠质量较好，而孩子不超过2岁的母亲则相反。然而，3岁及以上残疾儿童的母亲并不比残疾多胞胎的母亲表现出更少的身体疲劳和更好的睡眠质量，不仅在婴儿2岁时，而且在更长时间内需要社区卫生和福利服务。在有残疾多胞胎的母亲中，有办法缓解压力的母亲报告说，与那些没有办法缓解压力的母亲相比，她们的疲劳程度较低。这些母亲通过与其他残疾多胞胎的母亲或朋友交谈来减轻压力。结果表明，有残疾多胞胎的母亲可以通过开展自助小组来减轻压力，改善疲劳。

This survey was conducted on a population of 2,000 mothers of multiple birth children to study childcare problems and needs of community health services in families with the handicapped multiple birth children. The following results were obtained.1. Mothers with the handicapped multiple birth children showed greater fatigue and poor sleep quality, compared to mothers with the non-handicapped multiple birth children. Mothers with non-handicapped multiple birth children aged 3 or more showed a tendency of less physical fatigue and better sleep quality, compared to those with the children aged up to two. However, mothers with the handicapped children aged 3 or more did not show less physical fatigue and better sleep quality than those with the handicapped multiple birth children needed community health and welfare services not only during infant aged up to two, but also much longer duration.2. In mothers with the handicapped multiple birth children, mothers who had ways to alleviate stress reported less fatigue, compared to those who had no way to alleviate stress. These mothers alleviated stress by talking with other mothers of the handicapped multiple birth children, or friends. It was shown that mothers with the handicapped multiple birth children were able to alleviate stress and improve fatigue by promoting self-help groups.