摘要
目的探索产后疲乏程度对泌乳发动时间的影响。方法采用按群比例的不等概率抽样方法抽取南通市3所医院553例产妇。在产妇住院期间调查其泌乳发动时间、泌乳发动延迟比例及产后疲乏状况。采用疲乏量表测量产妇产后疲乏程度,采用产妇感知的乳房充盈状况评定泌乳发动时间。采用单因素方差分析比较不同疲乏程度产妇泌乳发动时间的差异,采用多元线性回归分析产后疲乏对泌乳发动的影响。结果产后疲乏与泌乳发动时间显著相关(r=0.15,P<0.001)。产后疲乏评分为9~14分者泌乳发动时间显著晚于产后疲乏评分为0~3分及4~5分者,差异具有统计学意义(P=0.004),且泌乳发动延迟比例显著增高(P=0.020)。在控制分娩方式、麻醉方式、哺乳持续时间、产妇疼痛及新生儿吸吮姿势等变量后,产后疲乏仍是影响泌乳发动的变量(t=3.26,P=0.001)。结论产后疲乏是阻碍泌乳发动的因素之一。医护人员及家属应关注产妇疲乏状况,采取有效措施缓解产后疲乏,促进产妇泌乳发动及母乳喂养。
Objective To explore the impact of postpartum fatigue on the onset of lactation. Methods Totally 553 mother-infant dyads were enrolled from three hospitals in Nantong City using sampling method of probability proportional to size. The timing of the onset of lactation,delayed onset of lactation and maternal postpartum fatigue were measured during the period of hospitalization. Postpartum fatigue was measured by Fatigue Scale-14. The tim- ing of onset of lactation was determined by matemal perception of breast fullness. One-way analysis of variance was used to compare the difference of onset of lactation in four groups with varied fatigue scores. Impact of the maternal fatigue on the onset of lactation was analyzed by multiple linear regression. Results Mothers＇ fatigue score was related to the onset of laetation（r=0.15,P〈0.001）. Mothers with postpartum fatigue scores ranging from 9 to 14 had delayed onset of lactation compared with those with fatigue score ranging from 0 to 3 and from 4 to 5, and the differences were significant （P=0.004）,and the rate of delayed onset of lactation was increased （P=0.020）. Postpartum fatigue was an independent risk factor,after controlling mode of delivery,mode of anesthesia,duration of infant sucking,maternal pain,and infant sucking gesture（t=3.26,P=0.001）. Conclusion Postpartum fatigue is one of reasons leading to delayed onset of lactation. Health care providers and family members should pay more attention to postpartum fatigue and take effective measures to promote a successful onset of lactation and breastfeeding.
作者
柏婷
杨雅卉
付雪妹
周莹
韦晓曼
张凤
BAI Ting;YANG Yahui;FU Xuemei;ZHOU Ying;WEI Xiaoman;ZHANG Feng
出处
《中华护理杂志》
CSCD
北大核心
2018年第4期438-442,共5页
Chinese Journal of Nursing
基金
国家自然科学基金项目(81701425)
南通市科技局应用基础项目(MS12016004)
江苏省高等学校大学生创新创业训练计划项目(201610304120H)
关键词
产后疲乏
泌乳发动
母乳喂养
Postpartum Fatigue
Onset of Lactation
Breast Feeding
