การทบทวนอย่างเป็นระบบเกี่ยวกับการจัดการอาการเหนื่อยล้าในผู้คลอด

Abstract

Intrapartum fatigue impacts both physical and psychological health. It also impacts the fetus and neonate. Therefore, parturients who experience fatigue need effective management. The purpose of this study was to summarize intrapartum fatigue management based on quantitative research reported between 1998 and 2013. The systematic review process followed guidelines developed by the Joanna Briggs Institute (JBI, 2011). The researcher conducted a search from libraries, direct-contact with primary researchers and electronic searching using available and relevant medical and nursing databases as followings: CINAHL, PubMed, ScienceDirect, Wiley online library, and Google Scholar. All identified studies were then reviewed by the researcher and major advisor who then selected relevant studies and appraised and extracted data. These steps were conducted independently. The systematic search identified a total of 12 studies but 1 study was excluded due to inaccessible full-text. The remaining 11 studies included 8 randomized controlled trials and 3 quasi-experimental studies. Selected studies could not be analyzed by meta-analysis; therefore narrative summary was used for analysis. There methods of fatigue management were proven to reduce intrapartum fatigue. These methods included 1) pushing method; 2) fatigue management program comprised of nursing support, positioning and pushing; and 3) music therapy. In summary, evidence-based recommendations of effective fatigue management among parturients include pushing methods, fatigue management program and music therapy. It is recommended that further research on conducting more experimental research regarding intrapartum fatigue management and replicating of primary researches to confirm a reliable body of knowledge. This should be done along with a meta-analysis based on available data.