生產疲憊：一個重要卻常被忽略的症狀

Childbirth-Related Fatigue during Labor: An Important but Overlooked Symptom

曾雅玲(Ya-Ling Tzeng) ； 郭淑瑜(Shu-Yu Kuo) ； 蔡素華(Su-Hua Tsai)

《護理雜誌》 60卷6期 (2013/12) Pp. 16-21

https://doi.org/10.6224/JN.60.6.16

摘要

疲憊不僅是常見於生產過程的不適症，亦為干擾產婦調適產痛、第二產程用力、產後復舊以及承擔母性任務等能力的重要因素。是已知易影響其身心舒適，甚至是提高器械及剖腹產機率的產時健康問題。雖然如此，卻常被視為待產必然的經歷，而未受到應有的重視。基於此，本文首先闡釋生產疲憊的定義與特性、分析影響生產疲憊的因素，並綜整生產疲憊的照護要點，以增加護理人員對生產過程疲憊的認識，進而能及早採取適當的預防和處理措施，減輕疲憊的不良影響，提昇產時照護品質。

關鍵字

生產 ； 疲憊 ； 症狀 ； 評估 ； 處置

並列摘要

Fatigue is not only a distressful symptom that is prevalent during labor; it may also interfere with the ability of laboring women to adjust to pain and bear down in the second labor stage as well as hinder maternal recovery and impair postpartum maternal-role performance. Childbirth-related fatigue is a frequent cause of physical and mental discomfort during labor and increases the likelihood of medical interventions such as instrumental delivery and cesarean section. Even so, as this fatigue is widely regarded as an inevitable part of the labor experience, little attention has been given to mediative interventions. In light of the above, this paper illustrates the definition and characteristics of childbirthrelated fatigue during labor, analyzes the factors that affect this fatigue, and summarizes relevant nursing-care principles. It is hoped this paper increases nurse awareness of childbirth-related fatigue during labor and helps nurses take appropriate early prevention and intervention measures to reduce the adverse effects of fatigue and improve intrapartum care quality.

並列關鍵字

labor ； fatigue ； symptom ； assessment ； intervention

參考文獻

李秋珊（2010）．耳穴按壓對初產婦第一產程產痛、焦慮及 疲憊之成效（未發表的碩士論文）．台中市：中國醫藥 大學護理學研究所。[Lee, C. S. (2010). Effects of auricular acupressure on the degree of pain, anxiety and fatigue among primiparous women in labor (Unpublished master’s thesis). China Medical University, Taichung City, Taiwan, ROC.]

Doering Runquist, J. J., Morin, K., & Stetzer, F. C. (2009). Severe fatigue and depressive symptoms in 393 lower-income urban postpartum women. Western Journal of Nursing Research, 31(5), 599－612. doi:10.1177/0193945909333890

Gallo, R. B. S., Santana, L. S., Ferreira, C. H. J., Marcolin, A. C., PoliNeto, O. B., Duarte, G., & Quintana, S. M. (2013). Massage reduced severity of pain during labour: A randomised trial. Journal of Physiotherapy, 59(2), 109－116. doi:10.1016/S1836-9553(13)70163-2

Kuo, S. Y., Yang, Y. L., Kuo, P. C., Tseng, C. M., & Tzeng, Y. L. (2012). Trajectories of depressive symptoms and fatigue among postpartum women. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 41(2), 216－226. doi:10.1111/ j.1552-6909.2011.01331.x

Lee, K. A., Hicks, G., & Nino-Murcia, G. (1991). Validity and reliability of a scale to assess fatigue. Psychiatry Research, 36(3), 291－298. doi:10.1016/0165-1781(91)90027-M