產後護理機構婦女產後憂鬱與睡眠品質之相關研究

Background: Although postpartum women are prone to have sleep disorders compared with pregnant or general women, and that postpartum depression is highly prevalent in Taiwan and has a substantial influence on Taiwanese women, these two topics have rarely been examined together in Taiwan. Objective: This study investigated the correlations between postpartum depression and sleep quality as well as their relating factors. Methods: This study adopted a cross-sectional study design. A total of 187 postpartum women were recruited from 11 postpartum care facilities in New Taipei City and Taipei City. Data were collected using the Chinese version of the Edinburgh postnatal depression scale (EPDS) and postpartum sleep quality scale. For data analysis, descriptive statistics, t test, one-way ANOVA, and Pearson correlation analysis were conducted. Results: The results showed that first, 5.9% of participants had postpartum depression (EPDS score of ＞12), which was correlated with young age, primipara, caesarean delivery, unpleasant birthing experience, mixed feeding, and discomfort in postpartum recovery (i.e., the Chinese custom of ＂sitting the month＂). Second, the mean postpartum sleep quality scale score was 17.15 (total score: 56), and was correlated with unpleasant birthing experience, physiological discomfort, caregiving at night, and discomfort in sitting the month. Women with postpartum depression also had poorer sleep quality (r = .41, p ＜ .001). Conclusion: Paying attention to factors related to postpartum depression and sleep quality, and the effect of postpartum depression on sleep quality facilitates reducing the incidence of postpartum depression and mitigating postpartum sleep-related problems.