产妇产后疲乏发生率及其影响因素的系统评价  

A systematic review of the incidence and influencing factors of postpartum fatigue

作　　者：刘敏[1] 胡珊珊[1] 吴蕾[1] 刘君[1] 蒋盘华[1] LIU Min;HU Shanshan;WU Lei;LIU Jun;JIANG Panhua(Wuxi Maternity and Child Health Care Hospital,Jiangsu 214002 China)

机构地区：[1]无锡市妇幼保健院,江苏214002

出　　处：《循证护理》2022年第8期995-1001,共7页Chinese Evidence-Based Nursing

基　　金：无锡市首届“双百”中青年医疗卫生拔尖人才项目,编号:BJ2020073;无锡市卫生健康委妇幼健康科研项目,编号:FYKY201910。

摘　　要：目的:系统评价产妇产后疲乏发生率及影响因素,为评估产后疲乏风险和制定相关干预措施提供科学依据。方法:计算机检索Web of Science、PubMed、EMbase、the Cochrane Library、维普网数据库(VIP)、中国知网(CNKI)、万方数据库(WanFang Data)和中国生物医学文献数据库(CBM)中产妇产后疲乏发生率及相关因素的相关文献,同时筛检纳入研究的参考文献。由2名研究者对文献进行质量评价和资料提取,进行系统评价,采用Stata 12.0软件对定量数据进行Meta分析。结果:共有23篇文献符合系统评价的纳入标准,报道了产妇产后疲乏发生率或相关因素;基于7项研究的产后4~6周疲乏发生率为58%[95%CI(35%,80%)],产后疲乏的相关因素主要包括年龄、教育程度、经济状况、产次、孕期疲乏、铁蛋白和血红蛋白水平、分娩失血量、第二产程时间、会阴疼痛、睡眠问题、母乳喂养问题、育儿问题、负性情绪、社会支持、应对方式、从事健康行为的自我效能及个人气质等。结论:现有证据表明,产妇产后疲乏发生率较高,相关影响因素较多,应增加相关医务人员产后疲乏的知识,提供适当的干预和支持,预防或减少产后疲乏。Objective:To systematically evaluate the incidence and influencing factors of postpartum fatigue,and to provide a scientific basis for assessing the risk of postpartum fatigue and formulating intervention measures.Methods:Articles on the incidence and influencing factors of postpartum fatigue were searched from Web of Science,PubMed,EMbase,the Cochrane Library,CNKI,VIP,WanFang Data and CBM.At the same time,the references included in the study were screened.The quality evaluation and data extraction of the literature were carried out by two researchers,and Meta-analysis of quantitative data was conducted by using Stata 12.0.Results:A total of 23 literature met the inclusion criteria of systematic evaluation and reported the incidence of postpartum fatigue or related factors.The incidence of postpartum fatigue in 4~6 weeks was 58%[95%CI(35%,80%)] based on 7 studies.The related factors of postpartum fatigue mainly included age,education level,economic status,number of births,fatigue during pregnancy,ferritin and hemoglobin levels,blood loss during delivery,time of second stage of labor,perineal pain,sleep problems,breastfeeding problems,parenting problems,negative emotions,social support,coping style,self-efficacy engaged in healthy behavior and personal temperament.Conclusions:Current evidence shows that the incidence of postpartum fatigue is high and there are many related factors.It is necessary to increase the knowledge of postpartum fatigue of relevant medical personnel and provide appropriate intervention and support to prevent or reduce postpartum fatigue.

关 键 词：产后疲乏 影响因素 护理 META分析 系统评价 

分 类 号：R473.71[医药卫生—护理学]