| 徐丹花,王莲萍,仲惠琴,陈丽芳,蒋连英,顾斯仪.以家庭为中心的韧性育儿护理在产后疲乏中的应用研究[J].上海护理,2026,26(5): |
| 以家庭为中心的韧性育儿护理在产后疲乏中的应用研究 |
| Research on the Application of Family-Centered Resilient Parenting Care in Postpartum Fatigue |
| DOI： |
| 中文关键词: 产后疲乏 韧性育儿 产科护理 |
| 英文关键词:Postpartum fatigue Resilient parenting Obstetric care |
| 基金项目:上海市护理学会科研课题（2022MS-B14），上海市青浦区卫生健康系统第五轮人才培养项目（YY2023-13） |
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| 中文摘要: |
| 目的 探讨以家庭为中心的韧性育儿护理对缓解产后疲乏的效果，为产后疲乏的管理提供理论和实践依据。方法 采用便利抽样法，选取2023年10月至2024年9月在上海市某三级乙等医院产科门诊接受产检的初产孕妇98例为研究对象，按就诊时间分为对照组（n=48）和观察组（n=50）。对照组接受常规产科护理，观察组在妊娠28周开始接受以家庭为中心的韧性育儿护理干预。采用产后疲乏量表（PFS）和视觉模拟疲乏量表（VAFS）评估产妇在产后2 d、2周、4周及6周的疲乏水平。结果 干预前两组一般资料比较差异无统计学意义（P>0.05）。产后2 d，两组疲乏评分差异无统计学意义（P>0.05）；产后2周，观察组躯体疲乏、PFS总分及VAFS评分显著低于对照组（P<0.05）；产后4周，观察组精神疲乏及PFS总分显著低于对照组（P<0.05）；产后6周，观察组躯体疲乏、精神疲乏、PFS总分及VAFS评分均显著低于对照组（P<0.05）。结论 以家庭为中心的韧性育儿护理能有效缓解产妇的产后疲乏，随着干预时间延长效果逐渐显著，为临床管理产后疲乏提供了有效干预方案。 |
| 英文摘要: |
| Objective To explore the effectiveness of family-centered resilient parenting care? in alleviating postpartum fatigue (PPF) and to provide theoretical and practical guidance for postpartum fatigue management. Methods A total of 106 primiparous women who underwent prenatal examinations at a tertiary hospital in Shanghai from October 2023 to September 2024 were enrolled in the study. Participants were divided into a control group (53 cases) and an experimental group (53 cases) according to their consultation time. The experimental group received family-centered resilient parenting care starting at 28–30 weeks of gestation, while the control group received routine obstetric care. A total of 98 participants completed the study (48 in the control group and 50 in the experimental group). Postpartum fatigue levels were assessed using the Postpartum Fatigue Scale (PFS) and the Visual Analog Fatigue Scale (VAFS) at 2 days, 2 weeks, 4 weeks, and 6 weeks postpartum. Results There were no statistically significant differences in baseline characteristics between the two groups before the intervention (P > 0.05). At 2 days postpartum, there were no significant differences in fatigue scores between the two groups (P > 0.05). At 2 weeks postpartum, the experimental group showed significantly lower physical fatigue, PFS total scores, and VAFS scores compared to the control group (P < 0.05). At 4 weeks postpartum, the experimental group demonstrated significantly lower mental fatigue and PFS total scores (P < 0.05). At 6 weeks postpartum, the experimental group had significantly lower physical fatigue, mental fatigue, PFS total scores, and VAFS scores compared to the control group (P < 0.05). Conclusion Family-centered resilient parenting care during the perinatal period effectively alleviates postpartum fatigue in mothers. The effect becomes more significant with prolonged intervention, providing an effective strategy for the clinical management of postpartum fatigue. |
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