母親產後憂鬱與母育信心、睡眠品質及嬰兒睡眠品質之相關性

The Relationship Between Postpartum Depression and Maternal Confidence, Sleep Quality and Infants' Sleep Quality

柳美如(Mei-Ju Liu) ； 林碧珠(Pi-Chu Lin) ； 李碧霞(Pi-Hsia Lee) ； 陳昱廷(Yu-Ting Chen) ； 陳淑如(Su-Ru Chen)

《新臺北護理期刊》 23卷2期 (2021/09) Pp. 13-23

https://doi.org/10.6540/NTJN.202109_23(2).0002

摘要

背景：產後憂鬱不僅影響母親的身心健康，也影響新生兒睡眠與成長，然國內鮮少有關產後憂鬱對母育信心、睡眠品質與嬰兒睡眠品質之相關研究。目的：本研究旨在探討母親產後憂鬱與母育信心、睡眠品質及嬰兒睡眠品質之相關性。方法：採橫斷式相關性研究設計，以方便取樣，針對北部某區域醫院兒科門診個案進行收案，研究工具包括愛丁堡產後憂鬱量表、匹茲堡睡眠品質量表、母育信心量表、簡易嬰幼兒睡眠品質量表，以卡方檢定及獨立樣本t檢定檢測產後母親憂鬱對母育信心、睡眠品質及嬰兒睡眠之影響。結果：共203位個案參與，13.3%母親有產後憂鬱現象，母親有產後憂鬱者，其母育信心（X^2=10.0, p=.002），睡眠品質（X^2=-4.53, p＜.001）顯著低於母親無產後憂鬱者，且嬰兒睡眠問題，包括嬰兒夜醒次數（t=-3.29, p=.001）、睡眠潛伏期（t=-2.84, p=.005）及夜醒總時間（t=-3.38, p=.001）顯著高於母親無產後憂鬱者。結論：醫護人員應重視母親產後憂鬱問題及其對母育信心、睡眠品質與嬰兒睡眠問題的影響，並進一步提供介入措施，期能改善產後母親及嬰兒之健康。

關鍵字

產後憂鬱 ； 睡眠品質 ； 母育信心 ； 嬰兒睡眠

並列摘要

Background: Postpartum depression not only affects the mother's physical and mental health, but also affects the sleep and growth of newborns. However, related research is limited. Aims: The study aims to explore the relationship between mothers' postpartum depression and maternal confidence, sleep quality and infants' sleep quality. Methods: This is a cross-sectional study design using purpose sampling. Participants were recruited from the pediatric outpatient department of a regional hospital in Taipei City. Instruments included Edinburgh Postpartum Depression Scale, Pittsburgh Sleep Quality Scale, Maternal Confidence Scale, and Infant Sleep Scale. Data analysis used chi-square test and independent sample t-test to detect the influence of different maternal confidence, sleep quality and infant's sleep on postpartum depression. Results: A total of 203 cases participated. 13.3% of mothers had postpartum depression, and mothers who had postpartum depression had their maternal confidence (X^2 = 10.0 , p ＜ .002). Sleep quality (X^2 = -4.53, p ＜ .001) was significantly lower than that of mothers without postpartum depression. Infants with sleep problems, including the number of times the baby wakes up at night (t = -3.29, p = .001), sleep latency (t = -2.84, p = .005) and total time to wake up at night (t = -3.38, p = .001) were significantly higher than those of mothers without postpartum depression. Conclusion: Medical staff should pay attention to the mother's postpartum depression and its impact on maternal confidence, sleep quality and infant sleep problems, and further provide intervention to improve the health of the postpartum mother and infant.

並列關鍵字

postpartum depression ； parenting confidence ； sleep quality ； infant sleep

參考文獻

白宗平、邵馨慧、蘇軒、陳智長、黃麗卿（2017）。產後婦女的家庭型態與產後照顧及憂鬱症的相關性。台灣家醫誌，27（3），154-163。

陳玨如、郭淑瑜、李建南、鄧森文、李碧霞（2017）。產後護理機構婦女產後憂鬱與睡眠品質之相關研究。新臺北護理期刊，19（2），33-45。

陳婷、蕭逸煊、黃政昌（2019）。「產後憂鬱評估」的內涵與方式之探討。諮商與輔導，404，12-17。

賀珠霞（2001）。中文版愛丁堡産後憂鬱量表之效度評估-台灣婦女産後憂鬱之測定。護理研究，9（2），105-113。

劉千琪、陳月枝（2011）。母育信心之概念分析。長庚護理，22（4），472-478。