摘要: 孕期良好睡眠對孕母和胎兒的健康有著很重要的保護作用。近年來，對孕期各階段的睡眠質量和影響因素逐漸研究得更加具體和量化，對不同孕期進行單獨觀察和干預成為研究熱點?；趪鴥韧鈱υ兄衅谥饔^睡眠質量的研究結果，本文對孕中期睡眠質量現(xiàn)狀及影響因素的研究進展，分別從人口學因素、心理因素和其他三個方面進行闡述。很多證據(jù)表明，應當抓住孕中期這個關鍵階段，對孕婦的睡眠質量進行干預和調節(jié)，探索孕婦教育和社區(qū)支持的雙重干預模式等方法，提升孕婦睡眠質量，以改善胎兒出生結局。

關鍵詞: 孕婦  /  睡眠質量  /  影響因素  

Abstract: Good sleep quality during pregnancy plays a very important role in health of mothers and fetus.Around the world, the quality and influencing factors of sleep during each trimester of pregnancy were also studied more specifically and quantitatively.It is an inevitable trend to observe and intervene separately in different trimesters of pregnancy.Based on the results of research on the subjective sleep quality in the second trimester of pregnancy both at home and abroad, this paper mainly studies the influencing factors on the quality of sleep during the second trimester of pregnancy, mainly focusing on the social demographic, psychological and other factors.The second trimester is a key stage to prevent and adjust sleep quality of pregnant women.Dual approaches of education for pregnant women and community support should be explored to enhance their sleep quality, thereby improving the outcome of fetal birth.

[1]

SEDOV I D, CAMERON E E, MADIGAN S, et al. Sleep quality during pregnancy: a meta-analysis[J/OL]. Sleep Med Rev, 2017. https://sci-hub.tw/10.1016/j.smrv.2017.06.005.

[2]

MICHELI K, KOMNINOS I, BAGKERIS E, et al.Sleep patterns in late pregnancy and risk of preterm birth and fetal growth restriction[J].Epidemiology, 2011, 22(5):738-744. doi: 10.1097/EDE.0b013e31822546fd

[3]

BEEBE K R, LEE K A.Sleep disturbance in late pregnancy and early labor[J].J Perinatal Neonatal Nursing, 2007, 21(2):103-108. doi: 10.1097/01.JPN.0000270626.66369.26

[4] 謝幸, 茍文麗.婦產(chǎn)科學[M].8版.北京:人民衛(wèi)生出版社, 2013. [5] 周海燕. 孕中期婦女睡眠質量及心理社會保護/風險因素[D]. 濟南: 山東大學, 2015. http://www.wanfangdata.com.cn/details/detail.do?_type=degree&id=Y2967013 [6] 李鵬飛, 聶秀紅.妊娠期婦女睡眠呼吸特點[J].北京醫(yī)學, 2015, 37(7):674-676. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=bjyx201507020 [7] 吳清明, 周瑾.出生缺陷產(chǎn)前篩查及產(chǎn)前診斷研究進展[J].中國優(yōu)生與遺傳雜志, 2011(1):129-131. https://www.wenkuxiazai.com/doc/640597513c1ec5da50e27012.html [8] 葉惠萍.孕產(chǎn)婦在不同妊娠時期心理咨詢剖析[J].中國婦幼保健, 2010, 25(25):3688. http://med.wanfangdata.com.cn/Paper/Detail/PeriodicalPaper_zgfybj201025078 [9] 唐華, 金龍濤, 劉穎, 等.鎮(zhèn)江市妊娠中期貝克抑郁問卷-Ⅱ調查分析[J].中國婦幼保健, 2016, 31(1):140-142. http://industry.wanfangdata.com.cn/dl/Detail/Periodical?id=Periodical_zgfybj201601058 [10]

SKOUTERIS H, CARR R, WERTHEIM E H, et al.A prospective study of factors that lead to body dissatisfaction during pregnancy[J].Body Image, 2005, 2(4):347-361. doi: 10.1016/j.bodyim.2005.09.002

[11]

BUYSSE D J, REYNOLDS C F, MONK T H, et al.The Pittsburgh Sleep Quality Index:a new instrument for psychiatric practice and research[J].Psychiatry Res, 1989, 28(2):193-213. doi: 10.1016/0165-1781(89)90047-4

[12]

SKOUTERIS H, WERTHEIM E H, GERMANO C, et al.Assessing sleep during pregnancy:a study across two time points examining the Pittsburgh Sleep Quality Index and associations with depressive symptoms[J].Women's Health Issues, 2009, 19(1):45-51. doi: 10.1016/j.whi.2008.10.004

[13]

QIU C, GELAYE B, ZHONG Q Y, et al.Construct validity and factor structure of the Pittsburgh Sleep Quality Index among pregnant women in a Pacific-Northwest cohort[J].Sleep Breathing, 2016, 20(1):293-301. doi: 10.1007/s11325-016-1313-4

[14] 劉賢臣, 唐茂芹, 胡蕾, 等.匹茲堡睡眠質量指數(shù)的信度和效度研究[J].中華精神科雜志, 1996, 29(2):103-107. http://www.cqvip.com/qk/90113a/199602/2172834.html [15]

Yang Y, Mao J, Ye Z, et al.Determinants of sleep quality among pregnant women in China: a cross-sectional survey[J].J Matern Fetal Neonatal Med, 2017:1-6. doi: 10.1080/14767058.2017.1359831

[16]

BLAIR L M, PORTER K, LEBLEBICIOGLU B, et al.Poor sleep quality and associated inflammation predict preterm birth:heightened risk among African Americans[J].Sleep, 2015, 38(8):1259-1267. https://www.researchgate.net/profile/Lisa_Christian/publication/274642690_Poor_Sleep_Quality_and_Associated_Inflammation_Predict_Preterm_Birth_Heightened_Risk_among_African_Americans/links/552e67280cf2acd38cb93e0c.pdf?origin=publication_list

[17]

HUNG H M, TSAI P S, KO S H, et al.Patterns and predictors of sleep quality in Taiwanese pregnant women[J].MCN Am J Matern Child Nurs, 2013, 38(2):95-101. doi: 10.1097/NMC.0b013e3182659345

[18]

FACCO F L, KRAMER J, HO K H, et al.Sleep disturbances in pregnancy[J].Obstet Gynecol, 2010, 115(1):77-83. doi: 10.1097/AOG.0b013e3181c4f8ec

[19]

TSAI S Y, LEE P L, LIN J W, et al.Cross-sectional and longitudinal associations between sleep and health-related quality of life in pregnant women:a prospective observational study[J].Int J Nursing Stud, 2016, 56:45-53. doi: 10.1016/j.ijnurstu.2016.01.001

[20] 陳珺.孕婦健康相關生活質量及影響因素調查[J].中國現(xiàn)代醫(yī)生, 2013, 51(32):8-11. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=zwkjzlml-yyws201332003 [21]

SIGNAL T L, PAINE S J, SWEENEY B, et al.Prevalence of abnormal sleep duration and excessive daytime sleepiness in pregnancy and the role of socio-demographic factors:comparing pregnant women with women in the general population[J].Sleep Med, 2014, 15(12):1477-1483. doi: 10.1016/j.sleep.2014.07.007

[22] 蔡曉紅, 張煥改, 徐小芬, 等.浙江省溫州地區(qū)妊娠婦女睡眠障礙流行病學調查[J].中華流行病學雜志, 2010, 31(5):597-599. http://d.old.wanfangdata.com.cn/Periodical/zhlxbx201005035 [23] 高秀紅, 楊芳玲.文化程度對妊娠晚期孕婦睡眠質量影響的調查與分析[J].航空航天醫(yī)學雜志, 2012, 23(8):1008-1010. http://d.wanfangdata.com.cn/Periodical_hkhtyy201208076.aspx [24]

BONARI L, PINTO N, AHN E, et al.Perinatal risks of untreated depression during pregnancy[J].Can J Psychiatry, 2004, 49(11):726-735. doi: 10.1177/070674370404901103

[25]

JOMEEN J, MARTIN C R.Assessment and relationship of sleep quality to depression in early pregnancy[J].J Reproduct Infant Psychol, 2007, 25(1):87-99. doi: 10.1080/02646830601117308

[26]

SKOUTERIS H, GERMANO C, WERTHEIM E H, et al.Sleep quality and depression during pregnancy:a prospective study[J].J Sleep Res, 2008, 17(2):217-220. doi: 10.1111/j.1365-2869.2008.00655.x

[27]

Richardson G E.The metatheory of resilience and resiliency[J].J Clin Psychol, 2002, 58(3):307-321. doi: 10.1002/(ISSN)1097-4679

[28]

NORRIS F H, STEVENS S P, PFEFFERBAUM B, et al.Community resilience as a metaphor, theory, set of capacities, and strategy for disaster readiness[J].Am J Commun Psychol, 2008, 41(1-2):127-150. doi: 10.1007/s10464-007-9156-6

[29] 楊躍, 程相紅.孕婦睡眠質量狀況與家庭功能的相關性[J].中國健康心理學雜志, 2016, 24(5):671-674. http://d.old.wanfangdata.com.cn/Periodical/jkxlxzz201605008 [30] 蔡曉紅, 李美麗, 徐小芬, 等.孕期打鼾對不同妊娠期婦女的影響[J].中華結核和呼吸雜志, 2010, 33(5):331-335. http://d.old.wanfangdata.com.cn/Periodical/zhjhhhx201005005 [31]

FERRARO Z M, CHAPUT J P, GRUSLIN A, et al.The potential value of sleep hygiene for a healthy pregnancy:a brief review[J].ISRN Family Med, 2014, 2014:928293. http://www.ncbi.nlm.nih.gov/pubmed/24967333

[32]

QIU C, FREDERICK I O, SORENSEN T, et al.Sleep disturbances among pregnant women with history of migraines:a cross-sectional study[J].Cephalalgia, 2015, 35(12):1092-1102. doi: 10.1177/0333102415570493

[33] 張龍, 黃艷潔, 徐騰, 等.孕晚期婦女睡眠質量及影響因素[J].中國婦幼保健, 2011, 26(30):4710-4713. http://d.wanfangdata.com.cn/Periodical_zgfybj201130029.aspx [34]

TAUMAN R, ZUK L, ULIEL-SIBONY S, et al.The effect of maternal sleep disordered breathing on the infant's neuro-development[J].Am J Obstet Gynecol, 2015, 212(5):656.e1-656.e7. http://www.sciencedirect.com/science/article/pii/S0002937815000022

[35]

LUQUE-FERNANDEZ M A, BAIN P A, GELAYE B, et al.Sleep-disordered breathing and gestational diabetes mellitus: a meta-analysis of 9, 795 participants enrolled in epidemiological observational studies[J].Diabetes Care, 2013, 36(10):3353-3360. doi: 10.2337/dc13-0778

[36] 李美麗, 蔡曉紅, 倪麗艷, 等.孕期打鼾對胎兒宮內生長發(fā)育的影響[J].醫(yī)學研究雜志, 2011, 40(3):51-55. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=yxyjtx201103016 [37] 彭燕. 孕期睡眠剝奪對子代情感和認知功能影響及機制研究[D]. 重慶: 重慶醫(yī)科大學, 2015. http://www.wanfangdata.com.cn/details/detail.do?_type=degree&id=D792216 [38] 孫秀蘭, 車志宏.音樂療法改善睡眠障礙對中晚期孕婦心理衛(wèi)生狀況影響的研究[J].中國社區(qū)醫(yī)師(醫(yī)學專業(yè)), 2010, 12(34):77. doi: 10.3969/j.issn.1007-614x.2010.34.085 [39]

KEMPLER L, SHARPE L, BARTLETT D.Sleep education during pregnancy for new mothers[J].BMC Pregnancy Childbirth, 2012, 12:155. doi: 10.1186/1471-2393-12-155

[40]

RODRIGUEZ-BLANQUE R, SáNCHEZ-GARCíA J C, SáNCHEZ-LóPEZ A M, et al.The influence of physical activity in water on sleep quality in pregnant women:a randomised trial[J].Women Birth, 2018, 31(1):e51-e58. doi: 10.1016/j.wombi.2017.06.018

相關知識

孕產(chǎn)婦睡眠質量及產(chǎn)后睡眠的影響因素
孕期睡眠相關營養(yǎng)因素的研究進展
孕婦葉酸正確服用率及其影響因素研究進展
孕期睡眠障礙的流行病學研究進展
孕期心理健康狀態(tài)與睡眠質量的縱向研究
妊娠早期孕婦癥狀群及其影響因素
懷孕，如何影響到睡眠質量
孕期健康教育影響母親的嬰兒睡眠照護知識和行為狀況研究
減胎術對孕婦心理健康影響的研究進展
婦女孕前和孕期維生素D水平及影響因素

網(wǎng)址: 孕中期孕婦睡眠質量現(xiàn)狀及影響因素研究進展 http://m.u1s5d6.cn/newsview230792.html