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研究生:戈依莉
研究生(外文):Yili Ko
論文名稱:產後疲倦與身心情境因素之相關性
論文名稱(外文):Psychophysiologic and Situational Correlates of Postpartum Fatigue
指導教授:呂昌明呂昌明引用關係
學位類別:博士
校院名稱:國立臺灣師範大學
系所名稱:衛生教育研究所
學門:教育學門
學類:專業科目教育學類
論文種類:學術論文
論文出版年:2002
畢業學年度:90
語文別:中文
論文頁數:137
中文關鍵詞:不愉快症狀理論產後疲倦身心情境因素
相關次數:
  • 被引用被引用:26
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摘 要
本研究的主要目的是根據不愉快症狀理論,探討重要的人口學、身心情境因素與不同時間序列產後疲倦的關係。立意取樣台北市三所教學醫院,無母嬰合併症產婦189位,於產後第3週時填寫以下六個量表:產後疲倦量表、母乳哺餵經驗量表、憂鬱傾向量表、社會支持量表、睡眠量表及嬰兒氣質量表,並於產後第6、9週繼續追蹤產後疲倦資料。統計方法採用百分比、平均值、二因子變異數分析、相關分析及複迴歸分析法。主要結果如下:
一、產後疲倦有90∼96%高發生率,程度屬於輕至中度,以身心混合形式最多;對生活造成輕度或中度的影響,並會隨著產後時間遞減。
二、人口學資料(高齡、第一胎、分娩方式、家庭社經等級)與產後疲倦無顯著相關。
三、身心情境因素中,憂鬱傾向、母乳哺餵問題、睡眠品質、社會支持低,與產後疲倦呈顯著相關。
四、自變項中憂鬱、嬰兒氣質分別與不同時間產後疲倦有交互作用存在,即「憂鬱傾向」、「磨娘精嬰兒氣質」與產後不同時間序列的疲倦有交互作用,而影響母親產後疲倦感。
五、本研究架構所選用的人口學、身心情境因素等九項因素,能解釋產後三週疲倦全部變異量之31.4%,其中影響最大的四個因素是「憂鬱」、「年齡」、「哺餵問題」、「分娩方式」;在產後六週時,九項因素能解釋疲倦全部變異量之22.9%,有意義的影響因素是「睡眠品質」;在產後九週九項因素能解釋全部變異量之15.3%,有顯著意義的影響因素是「餵奶問題」和「嬰兒氣質」。本研究之結果可做為評估產後疲倦之重要依據,進而提升產後婦女之生活品質。
根據研究結果提出下列幾點建議:在教育方面將不愉快症狀理論推廣至醫院工作人員、一般民眾以父母;未來研究方面,可針對不同影響因素進行大樣本、縱貫性、質量並重的施測,並針對特定的影響因素在產後初期設計介入措施,探討降低產後疲倦之效果。
Psychophysiologic and Situational Correlates of Postpartum Fatigue
Abstract
The purpose of this study was based on TOUS (Theory of Unpleasant Symptoms) to investigate the relationship among postpartum fatigue and associated psychophysiologic and situational factors (breast feeding experience, depression, social support, sleep and infant behaviors); to investigate the relationship between postpartum fatigue and demographic factors (age, parity, type of delivery, and family''s socioeconomic status); to determine which aspects of independent variables predict postpartum fatigue; to describe postpartum fatigue change over time. This study used longitudinal research design. Questionnaires were mailed to a purposive sample of 189 low-risk pureperium women at 3, 6, and 9 weeks postpartum. Six instruments were used to collect data: the Breastfeeding Experience Scale (Warmbach, 1993); the Center for Epidemiologic Studies Depression Scale (Radloff, 1977); the Personal Resources Questionnaire (Weinert, 1987); the Visual Analog Sleep Scale (Verran & Synder-Halpern, 1987); the Neonatal Perception Inventories (Broussard, 1978); and the Postpartum Fatigue Inventory (Yang, 1998).
Data were statistically analyzed by means of descriptive analysis, correlation, repeated measure ANOVA, and multiple regression. The prevalence rate of postpartum fatigue was 90-96%. Most mothers experienced mildly to moderate fatigue during the three measures, and gradually decreased. Significant correlations were found among breastfeeding experience, depression, social support, sleep and postpartum fatigue.
Six significant predictors of postpartum fatigue were identified: age, type of delivery, depression and breastfeeding experience at three weeks postpartum; sleep at six weeks postpartum; breastfeeding experience and infant behavior at nine weeks. There were interactional effects between depression and postpartum fatigue over time, and infant behavior on postpartum fatigue over time. The total variance explained was 31.4% at three weeks postpartum, 22.9% at six weeks and 15.3% at nine weeks respectively.
The results of this study suggested that health staffs should routinely assess and intervene in postpartum fatigue if possible.
目 錄
  中文摘要      I
  英文摘要      III
  表目錄      VII
  圖目錄      IX
第一章 緒 論
第一節 研究動機與重要性      1
第二節 研究目的          6
第三節 研究問題          7
第四節 研究假設          8
第五節 名詞界定          9
第二章 文獻探討
第一節 產後疲倦概念        11
第二節 不愉快症狀理論       21
第三節 社會人口學變項與產後疲倦  26
第四節 有關產後疲倦重要身心變項的研究 30
第三章 研究方法
第一節 研究設計與研究架構      48
第二節 研究情境            50
第三節 研究對象           50
第四節 研究樣本保護          51
第五節 資料步驟            52
第六節 研究工具        54
第七節 資料處理    61
第四章 研究結果
第一節 人口學資料與產後疲倦發生情形分析 63
第二節 人口學身心情境因素得分情形    65
第三節 社會人口學變項、身心情境因素與產後疲倦之相關 67
第四節 不同社會人口學、身心情境因素之不同
    時間序列產後疲倦的差異   70
第五節 人口學、身心情境因素對產後疲倦之預測    80
第五章 分析與討論
第一節 產後疲倦現況綜合討論       83
第二節 人口學、身心情境因素與產後疲倦之相關 86
第三節 不同人口學、身心情境因素對不同時間產後疲倦交互作用 89
第四節 人口學與身心情境因素對產後疲倦之預測力 90
第六章 結論與建議        91
參考文獻    95         
附錄
附件一 各量表使用同意函
附件二 專家效度名單
附件三 研究計劃審查同意書
附件四 研究對象同意書
附件五 產後疲倦身心情境影響之正式問卷
附件六 產後三週疲倦量表分佈分項表
附件七 產後六週疲倦量表分佈分項表
附件八 產後九週疲倦量表分佈分項表
附件九 取樣醫院與問卷收發情形一覽表
附件十 自變項各量表總分之得分分佈圖
表目錄
表2-1 影響產後疲倦經驗前置因素與結果     24
表2-2 產後輕鬱症、產後憂鬱症、產後精神病的比較   32
表2-3 各睡眠階段腦波特徵         40
表3-1 預試問卷各量表信度分析       52
表3-2 本研究各量表信度考驗      54
表3-3 社經地位等級分佈表     56
表3-4 量表計分方式及意義 61
表4-1 研究對象人口學基本資料    64
表4-2 產後疲倦身心情境變項得分結果摘要表  66
表4-3 研究對象、自變項與產後疲倦不同時間點之相關  68
表4-4 不同人口學、身心情境變項不同時間序列
產後疲倦之平均值  71
表4-5 不同自變項類別在產後三、六、九週疲倦之平均值
與標準差  72
表4-6 高齡與否之產婦在不同時間序列產後疲倦
二因子變異數分析  73
表4-7 不同胎次之產婦在不同時間序列產後疲倦
二因子變異數分析  73
表4-8 不同分娩方式之產婦在不同時間序列產後
疲倦二因子變異數分析  74
表4-9 不同家庭社經地位在不同時間產後疲倦
二因子變異數分析  74
表4-10 不同母乳哺餵問題之產婦在不同時間序列
產後疲倦二因子變異數分析  75
表4-11 不同憂鬱傾向之產婦在不同時間序列產後疲倦
二因子變異數分析  76
表4-12 不同社會支持之產婦在不同時間序列產後疲倦
二因子變異數分析  77
表4-13 不同睡眠品質之產婦在不同時間序列產後疲倦
二因子變異數分析  78
表4-14 育有不同嬰兒氣質之產婦在不同時間序列產後疲倦
二因子變異數分析  79
表4-15 影響產後疲倦人口學身心情境因素共線性診斷 80
表4-16 各自變項對產後疲倦不同時間點之影響及預測力 82
圖目錄
圖3-1 研究架構    49
圖4-1 憂鬱對不同時間序列產後疲倦影響之交互作用 76
圖4-2 嬰兒氣質對不同時間序列產後疲倦影響之交互
   作用  79
參考文獻
中文部分
戈依莉(民88). 孕婦工作疲倦與早產相關性,國科會專題研究報告。
毛義方(民87). 高架作業勞工疲勞與生理狀況評估,行政院勞工委員會勞工安全衛生研究所委託研究報告。
王珮玲、許惠萍(民89). 學前兒童氣質與問題行為關係之研究,台北市立師範學院學報,31, 209-228。.
朱嘉華、方進隆(民87). 國小運動習慣對睡眠品質影響之研究,中華民國體育學會學報,26, 217-224.
江惠英、鍾信心(民86). 血液透析病人疲倦感與社會支持、憂鬱傾向及血液生化檢驗值相關性探討,護理研究, 5(2), 115-126。.
余玉眉(民84). 婦女健康議題及研究的現況與展望,護理新象, 5(3), 123-137。
李志文(民87). 股四頭肌疲勞前後等長性肌電圖與力矩值關係之研究,未發表的博士論文,台北:國立台灣師範大學體育研究所。
李芸湘(民90). 肺癌病患接受化學治療期間疲憊程度及其相關因素和疲憊因應策略之探討,未發表的碩士論文,花蓮:慈濟大學護理學研究所。
姜逸群(民85). 幼稚園教師疲勞感生活型態與自覺健康狀態之相關性研究,國科會專題研究報告。
洪志秀、張素凰、金繼春(民82). 產褥期婦女之壓力與其相關因素,公共衛生,20(1), 29-44。
孫秀卿(民88). 男性肝癌病患接受經導管肝動脈栓塞治療期間疲倦型態及其相關因素之探討,未發表的碩士論文,台北:台北醫學院護理學研究所。
孫美華(民89). 疲憊、危險因子監控認知不健康信念對冠狀動脈繞道手術後病患生活品質之探討,未發表的碩士論文,台北:長庚大學護理學研究所。
徐澄清(民73). 因才施教-從出生的第一天開始,台北:健康世界。
張玉珠(民85). 肺癌病患接受放射線治療期間疲憊程度及其相關因素探討,未發表的碩士論文,台北:國防醫學院護理學研究所。
陳怡亨(民90). 中文版癌症病童父母個人資源量表信度和效度檢定,未發表碩士論文,台北:陽明大學社區護理研究所。
陳建志、林光洋(民87). 慢性疲倦 基層醫學, 13(6), 110-113。
陸玓玲(民87). 台灣地區生活品質研究概況,中華衛誌,17(6), 442-457。
馮兆康(民87). 護理人員疲勞狀況之研究,弘光學報,31, 43-59。
黃采薇(民89). 比較背部按摩與放鬆訓練處置化學治療期間疲憊程度之成效,未發表的碩士論文,台北:台北醫學院護理學研究所。
兩性平等法盼了11年 (民國90年12月21日) 中時電子報(民90). 取自:http://ec.chinatimes.com.tw/scripts/chinatimes/iscstext.exe? DB=ChinaTimes&Function=ListDoc&From=3&Single=1
黃麗虹(民90). 探討極早期袋鼠式護理對新生兒子宮外適應及母親產後疲憊程度的影響,未發表的碩士論文,台北:國防醫學院護理學研究所。
楊玉娥(民87). 產後疲倦感與社會支持,母育信心,生活時間運用之相關性,行政院國家科學委員會研究計劃成果報告。
楊玉娥、陳彰惠(民84). 由胎次及時間序列探討產婦於產褥期之衛教需求,高雄醫學科學雜誌,11(6), 353-358。
劉淑樺(民89). 運動訓練對血液透析病患運動耐力,血液生化值,疲憊與健康控制歸因之成效,未發表的碩士論文,高雄:高雄醫學大學護理學研究所。
蔡仁貞(民85). 冠狀動脈病患感受度、運動耐力與日常活動量之探討,護理研究, 4(4), 312-320。
蔡忠融(民88). 電信作業人員疲勞及生理狀況評估,未發表碩士論文,台北:陽明大學公共衛生學研究所。
蔡明煌(民86). 電腦顯示終端機作業人員疲勞及生理狀況之研究,未發表碩士論文,台北:陽明大學公共衛生學研究所。
蔡欣玲、林小玲、林惠蘭、梁麗麗(民89). 癌症病人疼痛、情緒困擾及睡眠情形之探討, 榮總護理, 17(1), 1-14。
鄭繡絨、陳彰惠(民90). 產褥期間母親的關注與社會支持,護理研究,9(3), 322-331。
簡錦標、鄭泰安(1985). Depression in Taiwan:Epidemiological survey utilizing CES-D, 精神神經學雜誌(日文),87(5), 335-338。
龔曉萍(民89). 化學治療期間乳癌病患疲憊感及其相關因素探討,未發表的碩士論文,台北:國防醫學院護理學研究所。
英文部分
Affonso, D. D., & Domino, G. (1984). Postpartum depression: A review. Birth, 11(4), 231-235.
Affonso, D. D.(1987). Assessment of maternal postpartum adaptation, Public Health Nursing,4(1), 9-20.
Annandale, E. (1998). The sociology of health medicine :Polity Press.
Atkinson, L. S., & Baxley, E. G. (1994). Postpartum fatigue. American Family Physician, 50(1), 113-118.
Barnard, K. E.,& Kang, R. (1985). State modulation. In Johnson-Corwley, N. & G. A. Sumner (Eds.) Nursing Systems Toward Effective Parenting-Preterm. Seattle : NCAST Publications.
Beck, C. T. (1996). A meta-analysis of the relationship between postpartum depression and temperament. Nursing Research, 45(4), 225-230.
Boore, J. R. P., & McCann, K. (2000). Fatigue in persons with renal failure who require maintenance haemodialysis, Journal of Advanced Nursing, 32(5), 1132-1142.
Bourgoin, G. L., Lahaie, Berger, M.G., Dovigi, C.V., Picard, L. M., & Sahai, V.F., (1997). Factors influencing the duration of breastfeeding in the sudbury region. Canadian Journal of Public Health, 99(4): 238-241.
Brandt, P. A.,& Weinert, C., (1984). The PRQ-A social support measure. Nursing Research, 30, 277-280.
Broussard, E.R. (1978). Psychosocial disorders in children: early assessment of infants at risk. Continuing Education, 44-57.
Campbell, I. (1986). Postpartum sleep patterns of mother-baby pairs. Midwifery, 2, 193-201.
Carty,E. M., & Bradley, C.(1996).Women''s perception of fatigue during pregnancy and postpartum. Clinical Nursing Research, 5, 67-76.
Chapman, J.J., Macey, M.J., Keegan, M., Borum, P., Bennett, S. (1985). Concerns of breast-feeding mothers from birth to 4 months. Nursing Research, 34, 374-377.
Chen, C. H., Wu, H.Y., Tseng, Y. F., Chou, F. H., & Wang, S.Y., (1999). Psychosocial aspects of Taiwanese postpartum depression phenomenological approach:preliminary report. Kaohsiung Journal of Medical Science 15, 44-51.
Cunningham, FG., MacDonald, P. C., Gant, N. F., Leveno, K. J., & Gilstrap, L. C. (1993). Williams obstetrics. New Jersey:Prentice Hall.
Driver, H., & Shapiro, C. (1992). A longitudinal study of sleep stages in young women during pregnancy and postpartum. Sleep, 15(5), 449-453.
Edhbog, M., Seimyr, L., Lundh, W., & Widsrom, A. M. (2000). Fussy child-difficult parenthood? Comparisons between families with a "depressed" mother and non-depressed mother 2 months postpartum. Journal of Reproductive and Infant Psychology, 18(3), 225-238.
Evans, M.L., Dick. M.J., Shield, D.R., Shook, D.M., & Smith, M.B. (1998). Postpartum sleep in the hospital. Clinical Nursing Research, 7(4), 379-389.
Fawcett, J. (1981). Needs of cesarean birth parents. JOGNN: Journal of Obstetrics, Gynecologic, and Neonatal Nursing, 372-376.
Gardner, D. L., & Campbell, B. (1991). Assessing postpartum fatigue. Managing Clinical Nursing, 16, 264-266.
Gardner, D. (1991). Fatigue in postpartum women. Applied Nursing Research, 4, 57-62.
Gjerdingen, D. K., Froberg, D.G., Chaloner, K. M., & McGovern, P.M. (1993). Changes in women’s physical health during the first postpartum year, Archives of Family Medicine, 2(3), 277-83.
Gjerdingen, D. K., & Chaloner, K. (1994). Mother''s experience with household roles and social support during the first postpartum year. Women and Health, 21, 57-74.
Gotlib, I. H., Wgiffen, V. E., Mount, J. H., Milen, K., & Cordy, N. I. (1989). Prevalence rates and demographic characteristics assorciation with depression in pregnancy and the postpartum. Journal of Consulting and Clinical Psychology, 57, 269.
Hauri, P. (1992). Sleep disorders. Kalamazoo, MI:Upjohn.
Hobfoll, S. E., & Walfisch, S. (1984). Coping with a threat to life: a longitudinal study of self-concept, social support, and psychological distress, American Journal of Community Psychology, 12, 87-100.
Hodgson, L. A. ( 1991). Why do we need sleep? Relating theory to nursing practice. Journal of Advanced Nursing, 16, 1503-1510.
Hollingshead, A. (1975). Four factor index of social status, Yale University Press, New Haven, CT.
Lee, K. A. Hicks, G, Nino-Murcia, G. (1991). Validity and reliability of a scale to assess fatigue. Psychiatry Research, 36, 291-298.
Lee, K. A., & Zaffke, M. E. (1999). Longitudinal changes in fatigue and energy during pregnancy and the postpartum. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 28(2), 183-191.
Lee, K. A., & DeJoseph, J. F. (1992). Sleep disturbances, vitality, and fatigue among a select group of employed childbearing women. Birth, 19, 208-213.
Lee, K.A., Lentz, M.J., Taylor, D.L., Mitchell, E.S., & Woods N.F. (1994). Fatigue as a response to environmental demands in women''s live, Image, 26(2), 149-154.
Lenz, E. R., Suppe, F., Gift, A. G., Pugh, L. C., & Milligan, R. A. (1995). Collaborative development of middle-range nursing theories:toward a theory of unpleasant symptoms. Advances in Nursing Science, 17(3), 1-13.
Lenz, E., Pugh, L. C., Milligan, R., Gift, A., & Suppe, F. (1997). The middle-range theory of unpleasant symptoms: An update. Advances in Nursing Science, 19(3), 14-27.
Logsdon, M. C., & Brikimer, J. C. (1997). Social support providers for postpartum women. Journal of Social Behavior and Personality, 12(1), 89-100.
Kleinbaum, D. C., Kupper, L. L., &Muller, K. E. (1988). Applied Regression Analysis and other Multivariable Methods. Duxbury Press.
May, K. A., Mahlmeister, L.R.(1991). Pocket guide to maternal and neonatal nursing, Lippincott.
McVeigh, C. A. (2000). Investigating the relationship betweenn satisfaction with social support and functional status after childbirth. American Journal of Maternal Child Nursing, 25(1), 25-30.
Meisenhelder, J. B., & Meservey, P. M. (1987). Childbearing over thirth: description and satisfaction with mothering, Western Journal of Nursing Research, 9(4), 527-41.
Mercer, R. T. (1981). A theoretical framework for studying factors that impact on the maternal role. Nursing Research, 30, 73-77.
Millgan, R. A., Parks, P. C., Kitzman, H., Lenz, E. R., (1997). Measuring women''s fatigue during the postpartum period. Journal of Nursing Measurement, 5(1), 3-16.
Milligan R. (1989). Maternal fatigue during the first three months of the postpartum. Baltimore, MD: University of Maryland. Dissertation.
Milligan, R., Lenz, E., Parks, P., Pugh, L., & Kitzman, H. (1996). Postpartum fatigue: Clarifying a concept. Scholarly Inquiry for Nursing Practices, 10, 279-291.
Milligan, R., Parks, P., Lenz, E. (1990). An analysis of postpartum fatigue over the first three months of the postpartum period. In: Wang, J., Simoni, P., Nath, C., eds. Vision of Excellence: The Decade of the Nineties. Charleston, Wva: West Virginia Nurses'' Association Research Conference Group.
Milligan, R.A., Parks, P.L., & Lenz, E.R. (1991). Interaction between social support and predictors of postpartum fatigue. Presented at NAACOG Eighth Annual Meeting: Orlando, Fla.
Moorcroft, W. (1989). Sleep, dreaming, and sleep disorders: An introduction. Lanham, MD: University Press of America.
Morrison, J.D. (1980). Fatigue as a presenting complaint in family practice. The Journal of Family Practice, 10(5), 795-801.
Nichols, F. H., & Zwelling, E. (1997). Maternal- newborn nursing. Philadelphia, Pennsylvania:WB. Saunders.
North American Nursing Diagnosis Association (1990). Taxonomy I revisited-1990 with official nursing diagnoses. St. Louis: Author.
O''connor, P. J., & Youngstedt, S. D. (1995). Influence of exercise on human sleep. Exercise and Sport Science Review, 23, 105-134.
Piper, B. F., Lindsey, A. M., Dodd, M. J. & Paul, S. (1988). Development of an instrument to measure the subjective dimension of fatigue. Paper presented at the National Conference on Research for Practice on Key Aspects of Comfort management of Pain, Fatigue, and Nausea, Chapel Hill, North Carolina.
Polit, D. F., & Hungler, B. P. (1995). Nursing research:Principles and methods, New York:Lippincott.
Pugh, L. C. (1990). Psychologic correlate of postpartum fatigue during childbearing. Dissertation Abstracts International, 51, 1-5.
Pugh, L. C. & Milligan, R. A. (1993). A framework for the study of childbearing fatigue. Advanced Nursing Science, 15, 60-70.
Pugh, L.C., & Milligan , R. A. (1998). Nursing intervention to increase the duration of breastfeeding. Applied Nursing Research, 11(4), 190-194.
Radloff, L.S. (1977). The CES-D Scale: A self report depression scale for research in the general population, Applied Psychological Measurement, 1(3), 385-401.
Rhoten, D. (1982). Fatigue and the post-surgical patient. In C. Norris, (Ed.), Concept clarification in nursing (pp. 27-300). Rockville, MD: Aspen.
Ruchala, P. L. (1991). The postpartum experience : A study of maternal concerns, confidence, and support. Unpublished doctoral thesis. Rush University, College of Nursing, Chicago.
Ruchala, P.L.,& Halstead, L. (1994). The experience of low-risk women: A time of adjustment and change. Maternal-Child Nursing Journal, 22(3), 83-89.
Russell, C. S. (1974). Transition to parenthood: Problems and Gratification. Journal of Marriage and Family, 36, 294-301.
Smith-Hanarahan, C. & Deblois, D. (1995) Postpartum early discharge impact on maternal fatigue and functional ability. Clinical Nursing Reasearch, 4, 50-66.
Snyder-Halpern, P. & Verran, J. A. (1987). Instrumentation to describe subjective sleep characteristics in healthy subjects. Research in Nursing and Health, 10(3), 155-163.
Sparks, S., & Taylor, C. (1995). Nursing diagnosis reference manual. Springhouse, Pennsylvania: Springhouse Corporation.
Stern, G., & Kruckman, L. (1983).Multi-disciplinary per-spectives on post-partum depression: an anthro-pological critique. Social Science and Medicine. 17(15), 1027-1041.
Stevens, K. A. (1986). The effect of sleep adequacy and well being on maternicity. NAACOG Newsletter.
Tarkka, M., Paunonen, M., & Laippala, P. (1999). Factors related to successful breastfeeding by first-time mothers when the child is 3 months old. Journal of Advanced Nursing, 29(1), 113-118.
Thome, M., & Alder, B. (1999). A telephone intervention to reduce fatigue and symptom distress in mothers with difficult in the community. Journal of Advanced Nursing, 29(1), 128-137.
Troy, N. W., & Dalgas-Pelish, P. (1997). The natural evolution of postpartum fatigue among a group of primiparous women. Clinical Nursing Research, 6, 126-141.
Troy, N.W. (1999). A comparison of fatigue and Energy Levels at 6 weeks and 14 to 19 months postpartum, Clinical Nursing Research, 8(2), 135-152.
Tulman, L., & Fawcett, J. (1988). Return of functional ability after childbirth. Nursing Research, 37, 77-81.
Wambach, K. (1990). Development of an instrument to measure brea stfeeding outcomes: The breastfeeding experience scale. Unpublished manuscript, The University of Arizona, Tucson.
Wambach, K. A. (1998).Maternal fatigue in breastfeeding primiparae during the first nine weeks postpartum, Journal of Human Lactation, 14(3), 219-229.
Waters, M. A., & Lee, K. A. (1996). Differences between primigravidae and multigravidae mothers in sleep disturbances, fatigue, and functional status.Journal of Nurse-Midwifery,41(5), 364-367.
Weinert, C., & Tilden, V. P. (1990). Measures of social support assessment validation. Nursing Research, 39, 212-216.
Winningham, M.L. (1995). Fatigue: the missing link to quality of life. Quality Life Nurse Challenge, 4, 2-7.
Yoshitake, H. (1971). Relations between the symptoms and the feeling of fatigue. Ergonomics, 14(1), 175-186.
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