产后疲乏与母婴依恋状况及影响因素研究  

Survey on postpartum fatigue and mother-infant attachment among postpartum women: the influencing factors

作　　者：钱璇 徐旭娟[1] 张凤 高倩[1] 许旸晖[1] Qian Xuan;Xu Xujuan;Zhang Feng;Gao Qian;Xu Yanghui(Department of Nursing,Affiliated Hospital of Nantong University,Nantong 226000,China)

机构地区：[1]南通大学附属医院护理部,江苏南通226000 [2]南通大学医学院

出　　处：《护理学杂志》2022年第6期29-33,共5页Journal of Nursing Science

基　　金：国家自然科学基金项目(81701425);南通市科技局基础科学研究项目(JC2018007)。

摘　　要：目的 了解产后疲乏与母婴依恋的影响因素及其相关性,为制订针对性的护理干预措施提供参考。方法 采用产后疲乏量表、母婴依恋量表、产后抑郁量表、领悟社会支持量表和匹兹堡睡眠质量指数量表对210例产后6周复查的产妇进行调查。结果 产后疲乏总分为(15.70±2.98)分;母婴依恋总分为(74.82±6.43)分;产后疲乏总分与母婴依恋总分呈负相关(P<0.01)。多元回归分析结果显示:睡眠质量、抑郁、产次、年龄和家庭人均月收入是产后疲乏的影响因素(P<0.05,P<0.01);产后疲乏、婴儿哭闹频率、社会支持和抑郁是母婴依恋的影响因素(P<0.05,P<0.01)。结论 产后6周的产妇处于中等疲乏水平,产后疲乏及母婴依恋受诸多因素影响,疲乏对母婴依恋产生负面影响。应针对产妇疲乏水平采取干预措施,缓解产后疲乏。Objective To understand the current status of postpartum fatigue and mother-infant attachment, the relationship between the 2 variables, and to provide references for targeted nursing interventions. Methods A sample of 210 postpartum women were selected and surveyed with a general data questionnaire, the Postpartum Fatigue Scale(PFS), the Maternal Postnatal Attachment Scale(MPAS), the Edinburgh Postpartum Depression Scale(EPDS), the Perceived Social Support Scale(PSSS) and the Pittsburgh Sleep Quality Index(PSQI). Results The women scored(15.70±2.98) points in postpartum fatigue, and(74.82±6.43) points in mother-infant attachment, with the 2 variables negatively correlated(P<0.01). Multiple linear regression analysis showed that, sleep quality, depression, parity, age, family per capita monthly income significantly weighed on postpartum fatigue(P<0.05,P<0.01);postpartum fatigue, infant crying frequency, social support and depression took significant weight on mother-infant attachment(P<0.05,P<0.01). Conclusion Women experienced moderate level of fatigue 6 weeks post partum. Postpartum fatigue and mother-infant attachment are influenced by many factors. Postpartum fatigue has damaging effect on mother-infant attachment. Interventions targeting postpartum fatigue should be taken to mitigate postpartal women′s fatigue levels.

关 键 词：产妇 产后疲乏 母婴依恋 睡眠质量 婴儿哭闹 社会支持 抑郁 影响因素 

分 类 号：R473.71[医药卫生—护理学]