【摘要】 目的 调查产妇产后疲乏现状，探究反刍思维在领悟社会支持与产后疲乏间的中介与调节作用。方法 选取2021年5月至2022年5月在河南省人民医院分娩的产妇为研究对象，采用一般资料调查表、产后疲乏量表(PFS)、反刍思维量表(RRS)、领悟社会支持量表(PSSS)等工具进行调查。结果 被调查产妇处于中度疲乏水平、中度反刍思维水平及较高的社会支持水平。领悟社会支持与反刍思维、产后疲乏均呈负相关(r=-0.519、-0.406,P<0.05),反刍思维与产后疲乏呈正相关(r=0.397,P<0.05)。反刍思维在产妇领悟社会支持与产后疲乏之间起部分中介(中介效应值为0.30);反刍思维还在产妇领悟社会支持与产后疲乏之间起调节作用，交互项“领悟社会支持×反刍思维”的回归系数显著(β=-0.140,P=0.003)。结论 产妇领悟社会支持影响产后疲乏的过程受到反刍思维的影响，建议临床医护人员可通过帮助产妇提高社会支持的方式降低其反刍思维水平，以减轻产后疲乏。更多还原

【Abstract】 Objective To investigate the status quo of postpartum fatigue in puerperae, and to explore the mediating and moderating effects of rumination on the perception of social support and postpartum fatigue.Methods The puerperae who gave birth in Henan Provincial People’s Hospital from May 2021 to May 2022 were selected as the research objects, and the general information questionnaire, postpartum fatigue scale(PFS), ruminative responses scale(RRS), and perceived social support scale(PSSS) were used.Results The surveyed puerperae were in moderate fatigue level, moderate rumination level, and high social support level. Comprehension of social support was negatively correlated with rumination thinking and postpartum fatigue(r=-0.519,-0.406, P<0.05), and rumination thinking was positively correlated with postpartum fatigue(r=0.397, P<0.05). Rumination was a partial mediator between maternal perception of social support and postpartum fatigue(the mediating effect value was 0.30). Rumination played a moderating role between maternal perception of social support and postpartum fatigue, and the regression coefficient of the interaction item “perceived social support × rumination thinking” was significant(β=-0.140,P=0.003).Conclusion The process of puerpera’s perception that social support directly affects postpartum fatigue is affected by rumination thinking. It is suggested that clinical medical staff can reduce the level of rumination thinking by helping puerperae to improve social support, so as to reduce postpartum fatigue.更多还原