產後護理機構婦女產後憂鬱與睡眠品質之相關性研究

Relationship of Postpartum Depression and Sleep Quality in Postpartum Care Facilities Women

陳珏如(Chueh-Ru Chen)

指導教授 ： 李碧霞

共同指導教授 ： 李建南 ； 郭淑瑜

臺北醫學大學/護理學院/護理學研究所/碩士(2014年)

https://doi.org/10.6831/TMU.2014.00109

摘要

背景：產後憂鬱症是產後婦女常見的問題，在臺灣具有極高的盛行率及影響性，值得關注。產後婦女比孕婦或其他階段的女性，更容易有睡眠障礙的情形，但此議題在國內極少被研究探討。目的：本研究旨在探討產後憂鬱與睡眠品質的相關性。方法：本研究為橫斷性研究設計，採方便取樣，於2013年7月，以新、北二市11家產後護理機構婦女，共187人為研究對象，以中文版愛丁堡產後憂鬱量表，以及產後睡眠品質量表進行資料收集。結果：年齡（r = -.16；p = .03）及胎次（rho = -.32；p ＜ .001）和產後憂鬱呈現負相關，身體症狀和產後憂鬱呈正相關（rho = .19；p = .01），生產經驗好、直接母乳哺餵，以及坐月子感受好的產後婦女，產後憂鬱顯著較低。身體症狀和產後睡眠品質分數呈正相關（rho = .34；p ＜ .001），生產經驗好、夜晚不用照顧嬰兒，以及坐月子感受好的，在產後睡眠品質上顯著較好。產後憂鬱及睡眠品質分數呈正相關（r = .41；p ＜ .001）。結論：產後憂鬱越高，睡眠品質越差，影響產後婦女產後憂鬱及睡眠品質的因素，包括身體症狀、生產經驗，以及坐月子感受，宜提升產後婦女生產經驗及坐月子的滿意度，並減少產後身體症狀，以降低產後婦女產後憂鬱的發生，進而提昇睡眠品質。

關鍵字

產後護理機構 ； 產後憂鬱 ； 產後睡眠品質

並列摘要

Background: Postpartum depression is a common problem of postpartum women in Taiwan with high prevalence and impact.Postpartum women than pregnant or women of other phases, more likely to have sleep disorders, but this issue has not research in Taiwan.
Objective: This study aimed to investigate relationship of postpartum depression and sleep quality.
Methods: The study was cross-sectional study design, convenience sampling, in July 2014, in New Taipei city and Taipei, a total of 11 women Postpartum Care Facilities, a total of 187 subjects, use the Chinese version of the Edinburgh Postnatal Depression Scale, and Postpartum Sleep Quality Scale study.
Results: Age(r=-.16；p=.03) and parity(rho=-.32；p＜.001) are negatively correlated postpartum depression and physical symptoms positive correlation postpartum depression(rho=.19；p=.01), good postpartum experience, breastfeeding, and postpartum women confinement feel good, significantly lower postpartum depression . Physical symptoms positive correlation postpartum sleep quality scale(rho=.34；p＜.001), postpartum experience is good, do not take care of the baby at night, and feel good confinement in the postpartum sleep quality significantly better. Postpartum depression and sleep quality scale was positive correlated(r = .41；p＜.001).
Conclusion: Postpartum depression is higher, the worse the quality of sleep, postpartum depression and postpartum women sleep quality factors, including physical symptoms, postpartum experience, as well as feelings of confinement, should enhance the experience postpartum women and confinement satisfaction and reduce postpartum physical symptoms in order to reduce the incidence of postpartum depression postpartum women, and thus enhance the quality of sleep.

並列關鍵字

postpartum care facilities ； postpartum depression ； postpartum sleep quality

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