篇名 | 生產經驗和操持家務是產後婦女睡眠品質的相關因子 |
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卷期 | 22:1 |
並列篇名 | Sleep Quality in Postpartum Women: Exploring Correlation With Childbirth Experience and Household Work |
作者 | 洪瑄曼 、 陳彰惠 |
頁次 | 020-027 |
關鍵字 | sleep quality 、 childbirth experience 、 postpartum 、 睡眠品質 、 生產經驗 、 產後 、 MEDLINE 、 Scopus 、 SSCI 、 TSCI 、 TSSCI 、 SCIE |
出刊日期 | 201403 |
背景:婦女在產後三個月內常經歷睡眠剝奪與睡眠困擾。瞭解影響產後睡眠的相關因素,可以提供更多的訊息以利研擬促進產後睡眠品質的相關措施。
目的:本研究旨在探討人口學、產科學等因素與產後婦女主觀睡眠品質的相關性。
方法:本研究採橫斷面、相關性研究設計,以方便取樣在台灣南部兩家醫院進行收案,共有202位產後四至六週之婦女參與本研究。資料收集採結構性問卷,包含人口學、產科學基本資料表和產後睡眠品質量表。
結果:產後睡眠品質量表的平均得分為22.82(SD = 8.16),顯示產後婦女有中等程度的睡眠困擾。生產經驗不愉快的婦女比生產經驗愉快者其產後睡眠品質較差,產後睡眠障礙的程度與每日操持家務時數呈正相關。分娩及生產過程之疼痛、不適、與恐懼害怕是構成不愉快生產經驗的主要層面。
結論/實務應用:依據研究結果,建議健康專業照護人員宜採人性化產科照護,減少婦女生產時的疼痛、不適與害怕。以實證為基礎的產後教育內容,可包括減輕產後婦女操持家務之負荷程度,將有助於她們的睡眠品質。
Background: Newmothers commonly report sleep deprivation and sleep disturbances during the first 3 postpartummonths. A better understanding of factors related to postpartum sleep quality is necessary to develop interventions to improve sleep quality in postpartum women.
Purpose: This study explored the impact of specific demographic and obstetric factors on the subjective sleep quality of postpartum women.
Methods: Weused a cross-sectional, correlational study design. A convenience sample of 202 women in their fourth to sixth postpartum week was recruited fromtwo hospitals in southern Taiwan. A demographic data form and the Postpartum Sleep Quality Scale were used to collect data.
Results: The mean Postpartum Sleep Quality Scale score of participants was 22.82 (SD = 8.16), indicating a mild level of sleep disturbance.We found that better sleep quality correlated positively with a satisfactory childbirth experience and correlated negatively with daily time spent on household work. Pain, discomfort, and fearwere the main dimensions associatedwith unsatisfactory childbirth experiences.
Conclusions/Implications for Practice: Study results recommend that health professionals should improve current protocols to help women better confront and manage childbirth-related pain, discomfort, and fear. Evidence-based postnatal education for parents should highlight the positive relationship between reduced daily household workloads and
sleep quality for new mothers.