| 王莲萍,丁万红.产妇产褥期产后疲乏的变化及影响因素研究[J].上海护理,2022,22(5): |
| 产妇产褥期产后疲乏的变化及影响因素研究 |
| Study on the changes and influencing factors of postpartum fatigue in puerperal period |
| DOI： |
| 中文关键词: 产妇 产后疲乏 产褥期 影响因素 |
| 英文关键词:Maternal Postpartum fatigue Puerperal period Analysis of influencing factors |
| 基金项目:上海市青浦区科委课题(QKY2019-19)、上海市青浦区卫健委医苑新星项目(WY2019-13) |
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| 中文摘要: |
| 目的 探讨产妇产褥期产后疲乏的变化及其影响因素，为管理产后疲乏提供参考。方法 采用方便抽样法，选取2020年4—12月在上海市某三级乙等医院住院分娩后的产妇作为调查对象，采用一般资料调查表、疲乏量表在产褥期始末两个时间点对产妇进行调查。结果 共调查产妇157例，产妇产褥期末产后疲乏总分均值（7.85±1.58）高于产褥期始产后疲乏总分均值(7.13±1.72)分（P＜0.05）。多元线性回归结果显示，家庭经济负担、产后出血、分娩方式均为影响产妇产褥期始产后疲乏的主要因素（P＜0.05）；生育史、近一周夜间醒来平均次数、分娩方式、年龄均为影响产妇产褥期末产后疲乏的主要因素（P＜0.05）。结论 产妇在产褥期阶段产后疲乏程度随着时间推移在加重，医护人员应结合产褥期始末产后疲乏的相关因素，在产妇住院期间及随后的出院随访中采取针对性干预措施，从而预防、改善产后疲乏。 |
| 英文摘要: |
| Objective To explore the changes of postpartum fatigue in puerperal period and analyze the influencing factors, providing a reference for managing postpartum fatigue. Methods Convenient sampling method was adopted, and the parturients who were hospitalized and delivered in a third-class B hospital in Shanghai from April to December 2020 were selected as the investigation objects. The general data questionnaire and fatigue scale were used to investigate the parturients at the beginning and end of puerperium. Results A total of 157 parturients were investigated. The average total score of postpartum fatigue at the end of puerperium (7.85±1.58) was higher than that at the beginning of puerperium (7.13±1.72) （P＜0.05）.
The results of multiple linear regression analysis showed that the postpartum fatigue at the beginning of puerperium was influenced by family financial burden, postpartum hemorrhage and delivery mode（P＜0.05）. The postpartum fatigue at the end of puerperium was influenced by birth history, average times of waking up at night in the past week, delivery mode and age（P＜0.05）. Conclusion The degree of postpartum fatigue in puerperal period is increasing with time. Medical staff should combine the related factors of postpartum fatigue from the beginning to the end of puerperium, and take targeted intervention measures during the period of hospitalization and subsequent follow-up after discharge, so as to prevent and improve postpartum fatigue. |
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