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Japanese
Title :
産褥早期の疲労感と増悪因子に関する研究
Subtitle :
原著
Authors :
山崎圭子, 高木廣文, 久保絹子1), 増田知実1)
Authors (kana) :
Organization :
東邦大学看護学部, 1)東邦大学医療センター大森病院
Journal :
母性衛生
Volume :
57
Number :
2
Page :
314 - 322
Year/Month :
2016 / 7
Article :
原著
Publisher :
日本母性衛生学会
Abstract :
「抄録」 【目的】 本研究は, 産褥早期の疲労感の増悪因子を特定し, その関係を明らかにすることである. 【方法】 2013年9月から2014年4月, 母児同室開始後2日目の母親を対象に, 「産後の疲労感」尺度, EPDSを用いて自記式質問紙調査を実施した. 「産後の疲労感」尺度得点を産科関連因子ごとに分析した. 【結果】 分析対象者は363名(初産婦209名, 経産婦154名)であった. 「産後の疲労感」尺度合計点を要因ごとに平均値の差を検定した結果, 初産婦, 高年出産, 分娩時異常出血, 混合栄養, EPDS9点以上, 不妊治療後妊娠, 双胎, 甲状腺機能低下症で得点が高く, 有意差が認められた. 以上の結果を踏まえて, 産褥早期の疲労感に影響を与える変数を確認するために重回帰分析を行った結果, 「分娩歴」「EPDS得点」「年齢」の3項目で有意であった. 【結論】 産褥早期の疲労感の増悪因子として, 「分娩歴」「EPDS得点」「年齢」が有意な項目と認められた. 「産後の疲労感」得点が高い母親は, 出産施設を退院した後も「産後の疲労感」得点の推移を観察することで, 産後うつ病の早期発見につながる可能性が示唆された.
Practice :
公衆衛生学
Keywords :
疲労感, 産褥早期, EPDS, 産後うつ病, fatigue, early puerperium, postpartum depression
  
English
Title :
A study on fatigue during the early puerperium and its associated aggravating factors
Subtitle :
Original Articles
Authors :
Keiko Yamazaki, Hirofumi Takagi, Kinuko Kubo1), Tomomi Masuda1)
Authors (kana) :
Organization :
Faculty of Nursing, Toho University, 1)Toho University Omori Medical Center
Journal :
Japanese Journal of Maternal Health
Volume :
57
Number :
2
Page :
314 - 322
Year/Month :
2016 / 7
Article :
Original article
Publisher :
Japan Society of Maternal Health
Abstract :
[Abstract] [Objective] The objective of this study was to identify the aggravating factors associated with fatigue during the early puerperium and clarify the causes. [Methods] During the period from September 2013 to April 2014, a self-assessed questionnaire using the EPDS and the scale for "Feeling of Postpartum Fatigue Scale (FPFS)" was conducted among mothers two days after rooming-in was initiated. The scores of FPFS were analyzed for each obstetric-related factor. [Results] The subjects included 363 mothers (209 primiparous women and 154 parous women). The total scores assessed with FPFS were stratified into various factors, and the difference in the mean value for each factor was statistically analyzed. As a result, the score was significantly higher in the groups such as "primipara", "late child-bearing", "intrapartum abnormal bleeding", "mixed feeding", "EPDS 9 or higher", "pregnancy after infertility treatment", "twins" and "hypothyroidism". Based on these findings, a multiple regression analysis was conducted to identify the variables which adversely influence the feeling of postpartum fatigue, and three items, i.e. "delivery history", "EPDS score" and "age", were found to be significantly influential. [Conclusion] The aggravating factors that were suggested to be associated with fatigue during the early puerperium included being in the EPDS, age and delivery history. It was suggested that early detection of postpartum depression would be possible in mothers having high FPFS-scores if their scores are continuously monitored also after discharge from the hospital.
Practice :
Public Health
Keywords :
fatigue, early puerperium, EPDS, postpartum depression
  

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