土屋, 雅子

岩田, 裕子

坂上, 明子

前原, 邦江

青木, 恭子

小澤, 治美

森田, 亜希子

前川, 智子

望月, 良美

佐伯, 章子

ツチヤ, ミヤコ

イワタ, ヒロコ

サカジョウ, アキコ

マエハラ, クニエ

アオキ, キョウコ

オザワ, ハルミ

モリタ, アキコ

マエカワ, トモコ

モチヅキ, ヨシミ

サエキ, アキコ

TSUCHIYA, Miyako

IWATA, Hiroko

SAKAJO, Akiko

MAEHARA, Kunie

AOKI, Kyoko

OZAWA, Harumi

MORITA, Akiko

MAEKAWA, Tomoko

MOCHIZUKI, Yoshimi

SAEKI, Akiko

産褥

システマティックレビュー

疲労

母体年齢

fatigue

material age

nursing

postpartum

systematic review

The present systematic review was conducted to identify nursing interventions to prevent postpartum accumulated fatigue available during the first month postpartum, with the aim of providing clinical recommendations for the management of older Japanese primiparas during the first month postpartum.An initial search of published guidelines and systematic reviews was conducted, followed by a search of English and Japanese literature using Cochran Central Register of Controlled trials,Cochrane Database of Systematic Review,MEDLINE,Cumulative Index to Nursing and Allied Health Literature,PsycINFO,PubMed,and Ichushi-Web. Four studies were identified between 1997 and 2013, that examined nursing interventions to prevent accumulated fatigue during the first month postpartum; two randomized controlled trials, one non-randomized controlled trial, and one case-control study. These studies discussed four intervention types: maternal positioning during the breastfeeding (side lying); information provision by the booklet; postpartum exercise program; behavioral-educational intervention on sleep for primiparous women and their infants. The strengths of the evidence were classified between very weak and medium.No strong evidence of nursing intervention to prevent postpartum accumulated fatigue was found, indicating that further research using with randomized controlled trials or cohort design is required. Consideration of Japanese culture and current clinical practice is necessary to develop recommendations for nursing practice with older Japanese primiparas.