[[alternative]]The Efficacy of Foot Reflexology on Quality of Sleep for Postpartum Women

[[abstract]]本研究主要目的為探討教導足部按摩對陰道生產產後護理之家婦女睡眠品質之成效。研究採實驗設計，於北部某兩家產後護理之家於產後第九天以匹茲堡睡眠品質量表(Pittsburgh Sleep Quality Index, PSQI)評量陰道生產婦女的睡眠品質，總分數大於5分並徵求同意參與研究之產後婦女為收案對象，共收案65位個案。採用Random Allocation Software簡單隨機分將研究個案分配至實驗組與控制組，實驗組為一般常規照護及接受足部反射區按摩療法，控制組為一般常規照護。於介入措施後即產後第14天再次測量個案之睡眠品質，結果發現：隨著時間的變化，均能提昇實驗組及控制組個案的睡眠品質，然而經由足部按摩療法後，實驗組產生睡眠品質差的機率是控制組的0.797倍(OR 95% CI = 0.723~0.879)。此外，產後婦女睡眠品質與職業、教育程度、運動習慣、脹奶疼痛、主觀性奶水不足以及夜間擠奶時間與夜間擠奶次數有相關性。運用多元逐步迴歸方式，在產後婦女睡眠品質之預測因子，以運動層面的預測力最佳，可解釋6.8％。本研究建議臨床護理人員藉由教導足部按摩，不僅能發揮護理獨立性功能，有助於促進產後婦女之睡眠品質，亦為提供健康照護的另一選擇。[[abstract]]Purpose: The purpose of the study was to examine the effectiveness of foot reflexology on quality of sleep for postpartum women.Design and Sample: An experimental design was conducted in two postpartum centers in north Taiwan. The sample who met the study criteria were in 9th days by the Pittsburgh sleep quality Index (PSQI) commented on quality of sleep for postpartum women, postpartum women who were agreed participates in this research and total score was bigger than 5. There were 65 participant women in this research, and used randomly allocation software assigned postpartum women into control and experimental group, experimental group were routine care and accept foot reflexology, and control group were only routine care. After the intervention, both groups were measured the quality of sleep again at postpartum 14th days.Result: Along with the time change, the experimental group and the control group could promote the quality of sleep for postpartum women, after the experimental group postpartum women accept foot reflexology were better than control group postpartum women on the ratio of bad quality of sleep about 0.797 times in the postpartum 14th day (OR 95% CI = 0.723~0.879). In addition, job status, education, exercise habit, breast fullness, subjective breastmilk insufficiency, breast pumping times and frequency were related to quality of sleep. The stepwise regression found that exercise could explain 6.8％ of quality of sleep. This study recommended nurses in clinical foot reflexology practice, not only elaborated nurses independent function, but also promoted promote, and could be an alterative way to provided health care