以家庭为中心的心理韧性干预改善产妇产后疲乏的效果观察OA

Objective To explore the effects of family-centered psychological resilience program on alleviating primiparous postpartum fatigue,aiming to provide theoretical and practical evidence for the management of postpartum fatigue.Methods By convenience sampling,the study selected 98 primiparas who underwent antenatal examinations at the obstetrics clinic of a Grade Ⅲ-B hospital in Shanghai from October 2023 to September 2024.They were assigned to either the control group(n=48)or the intervention group(n=50)based on their visit time.The control group received routine obstetric care,while the intervention group started family-centered psychological resilience program from Week 28 of gestation.These primiparas were assessed for fatigue levels using the Postpartum Fatigue Scale(PFS)and the Visual Analog Fatigue Scale(VAFS)at 2 days,2 weeks,4 weeks and 6 weeks postpartum.Results At 2 days postpartum,there was no significant difference in fatigue scores between the two groups(P>0.05).At 2 weeks postpartum,the intervention group showed significantly lower physical fatigue scores,PFS total scores and VAFS scores than the control group(P<0.05).At 4 weeks postpartum,the intervention group showed significantly lower mental fatigue scores and PFS total scores than the control group(P<0.05).At 6 weeks postpartum,the intervention group showed significantly lower physical fatigue scores,mental fatigue scores,PFS total scores and VAFS scores than the control group(P<0.05).Conclusion Family-centered psychological resilience program is an effective strategy for managing primiparous postpartum fatigue,as it effectively alleviates postpartum fatigue in primiparas and its effects even become progressively more pronounced over time.