Sleep Quality in Postpartum Women: Exploring Correlation with Childbirth Experience and Household Work

生產經驗和操持家務是產後婦女睡眠品質的相關因子

洪瑄曼(Hsuan-Man Hung) ； 陳彰惠(Chung-Hey Chen)

《The Journal of Nursing Research》 22卷1期 (2014/03) Pp. 20-27

https://doi.org/10.1097/jnr.0000000000000015

摘要

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。

關鍵字

睡眠品質 ； 生產經驗 ； 產後

並列摘要

Background: New mothers commonly report sleep deprivation and sleep disturbances during the first 3 postpartum months. 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: We used a cross-sectional, correlational study design. A convenience sample of 202 women in their fourth to sixth postpartum week was recruited from two 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 fear were the main dimensions associated with 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.

並列關鍵字

sleep quality ； childbirth experience ； postpartum

參考文獻

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