产褥期产妇疲乏现状及其相关影响因素分析

Analysis on the Current Situation of Puerperium Puerpera Fatigue and Its Related Influencing Factors

目的:观察产褥期产妇疲乏现状并分析其相关影响因素。方法:选取2020年6月—2022年9月于莆田市妇幼保健院完成分娩的81例产褥期产妇作为研究对象,采用疲乏评定量表(FAI)评估产褥期产妇疲乏现状,自制一般资料调查问卷,比较不同资料产妇的FAI评分,采用线性回归分析产褥期产妇疲乏的影响因素。结果:81例产褥期产妇FAI评分为(4.61±1.22)分,处于中度疲乏水平。产次≥2次、剖宫产、纯母乳喂养、产后出血、社会支持低水平、睡眠质量较差、心理状况不良产妇的FAI评分高于产次为1次、自然分娩、混合或人工喂养、社会支持中高水平、睡眠质量良好、心理状况良好的产妇,差异有统计学意义(P<0.05);不同年龄、受教育程度、家庭平均月收入、是否早产儿、职业状态产妇FAI评分比较,差异无统计学意义(P>0.05)。线性回归分析结果显示,产次≥2次、剖宫产、纯母乳喂养、产后出血、社会支持低水平、睡眠质量较差、心理状况不良均为产褥期产妇疲乏的影响因素(P<0.05)。结论:产褥期产妇处于中度疲乏水平,其疲乏程度可能受产次、分娩方式、喂养方式、产后出血、社会支持、睡眠质量、心理状况等因素影响。临床应重点关注上述因素,并实施相应措施。

Objective:To observe the current situation of puerperium puerpera fatigue and analyze its related influencing factors.Method:A total of 81 puerperium puerpera who gave birth in Putian Maternal and Child Health Hospital from June 2020 to September 2022 were selected as the research objects.The fatigue assessment instrument(FAI)was used to evaluate the current situation of puerperal fatigue.The FAI scores of puerpera with different data were compared,the correlation factors of puerperal fatigue were analyzed by linear regression.Result:The average FAI score of 81 puerperium puerpera was(4.61±1.22)points,which was at the level of moderate fatigue.The FAI scores in puerpera with birth times≥2 times,caesarean section,exclusive breastfeeding,postpartum hemorrhage,low level of social support,poor sleep quality and poor psychological status were statistically higher than those with birth time of 1 time,spontaneous delivery,mixed or artificial feeding,moderate to high level of social support,good sleep quality and good psychological status,the differences were statistically significant(P<0.05).There were no statistical differences in the FAI score of puerperas with different age,education level,family average monthly income,whether premature infants,occupational status of maternity(P>0.05).By linear regression analysis,the results showed that birth times≥2 times,cesarean section,pure breast milk,postpartum hemorrhage,low level of social support,poor sleep quality,and poor psychological status were the influencing factors of puerperal maternal fatigue(P<0.05).Conclusion:Puerperium puerpera with moderate fatigue levels,the degree of fatigue may be affected by the birth time,mode of delivery,feeding mode,postpartum hemorrhage,social support,sleep quality,psychological status and other factors.Clinical attention should be paid to the above factors and corresponding measures should be implemented.