首頁資訊孕婦睡眠障礙的影響因素研究

孕婦睡眠障礙的影響因素研究

來源：泰然健康網(wǎng) 時間：2024年12月03日 08:12

孕婦睡眠障礙的影響因素研究杭州市婦產(chǎn)科醫(yī)院產(chǎn)科,浙江杭州 310008Factors affecting sleep disorders among pregnant womenCAI Fengcheng, XU Mengyan, WU Yingying, LIU Bei, ZHU LiDepartment of Obstetrics, Hangzhou Women's Hospital, Hangzhou, Zhejiang 310008, China 摘要參考文獻(xiàn) 相關(guān)文章Metrics 摘要目的了解孕婦睡眠障礙發(fā)生情況及其影響因素,為孕期健康管理提供參考。方法選擇2023年1—10月在杭州市婦產(chǎn)科醫(yī)院產(chǎn)檢的孕婦為調(diào)查對象,通過問卷收集年齡、孕期和運(yùn)動情況等資料;采用匹茲堡睡眠質(zhì)量指數(shù)量表、妊娠壓力量表、妊娠相關(guān)焦慮量表和中文版簡版愛丁堡產(chǎn)后抑郁量表評估睡眠質(zhì)量、妊娠壓力、焦慮和抑郁情況。采用多因素logistic回歸模型分析孕婦睡眠障礙的影響因素。結(jié)果調(diào)查孕婦386人,年齡為（30.28±4.65）歲;孕早、中、晚期分別占20.47%、47.93%和31.61%;存在焦慮、抑郁情緒分別占14.51%和21.76%;中度妊娠壓力為主,占51.04%。存在睡眠障礙106人,檢出率為27.46%。多因素logistic回歸分析結(jié)果顯示,年齡（≥35歲,OR=1.656,95%CI：1.094~2.503）、孕期（孕晚期,OR=2.097,95%CI：1.213~3.621）、近6個月規(guī)律運(yùn)動（OR=0.376,95%CI：0.210~0.670）、焦慮情緒（OR=2.794,95%CI：1.545~5.048）、抑郁情緒（OR=3.501,95%CI：1.877~6.529）和妊娠壓力（中度,OR=1.355,95%CI：1.018~1.801;重度,OR=2.538,95%CI：1.417~4.540）是孕婦睡眠障礙的影響因素。結(jié)論孕婦睡眠障礙受年齡、孕期、運(yùn)動習(xí)慣、焦慮情緒、抑郁情緒和妊娠壓力影響,應(yīng)早期識別睡眠障礙高風(fēng)險(xiǎn)人群,做好心理干預(yù)與孕期健康指導(dǎo)。服務(wù)把本文推薦給朋友加入引用管理器 E-mail AlertRSS作者相關(guān)文章蔡鋒成徐萌艷吳映瑛劉蓓祝莉關(guān)鍵詞：孕婦, 睡眠障礙, 心理健康, 影響因素 Abstract：Objective To investigate the current status and influencing factors of sleep disorders among pregnant women, so as to provide insights into health management during pregnancy. Methods Pregnant women who underwent prenatal checkups at Hangzhou Obstetrics and Gynecology Hospital from January to October 2023 were selected as subjects, and general data including age, pregnancy period and exercise were collected through questionnaire surveys. Sleep quality, pregnancy stress, anxiety and depression were evaluated using Pittsburgh Sleep Quality Index, Pregnancy Stress Rating Scale, Pregnancy-related Anxiety Scale and Edinburgh Postnatal Depression Scale, respectively. Factors affecting sleep disorders among pregnant women were analyzed using a multivariable logistic regression model. Results A total of 386 pregnant women was surveyed, with a mean age of (30.28±4.65) years, including 20.47% in the first trimester, 47.93% in the second trimester and 31.61% in the third trimester. Women with anxiety and depression accounted for 14.51% and 21.76%, respectively. Pregnancy stress was mainly moderate, accounting for 51.04%. There were 106 pregnant women with sleep disorders, accounting for 27.46%. Mutivariable logistic regression analysis showed that age (≥35 years, OR=1.656, 95%CI: 1.094-2.503), pregnancy period (third pregnancy, OR=2.097, 95%CI: 1.213-3.621), regular exercise in the past 6 months (OR=0.376, 95%CI: 0.210-0.670), anxiety (OR=2.794, 95%CI: 1.545-5.048), depression (OR=3.501, 95%CI: 1.877-6.529) and pregnancy stress (moderate, OR=1.355, 95%CI: 1.018-1.801; severe, OR=2.538, 95%CI: 1.417-4.540) were the factors affecting sleep disorders among pregnant women. Conclusions Sleep disorders of pregnant women is influenced by age, pregnancy period, pregnancy stress, anxiety, depression and exercise. It is necessary to identify high-risk individuals with sleep disorders early, and to provide psychological intervention and prenatal health guidance.Key words：pregnant women sleep disorders psychological health influencing factor收稿日期: 2023-12-07 修回日期: 2024-03-27 出版日期: 2024-05-10基金資助:浙江省醫(yī)藥衛(wèi)生科技計(jì)劃項(xiàng)目（2024KY226）; 浙江省中醫(yī)藥科技計(jì)劃項(xiàng)目（2024ZL739）; 杭州市醫(yī)藥衛(wèi)生科技計(jì)劃項(xiàng)目（A20220046）作者簡介: 蔡鋒成,碩士,主管護(hù)師,主要從事婦幼保健工作通信作者:徐萌艷,E-mail：xumengy@zju.edu.cn 引用本文: 蔡鋒成, 徐萌艷, 吳映瑛, 劉蓓, 祝莉. 孕婦睡眠障礙的影響因素研究[J]. 預(yù)防醫(yī)學(xué), 2024, 36(5): 440-443.
CAI Fengcheng, XU Mengyan, WU Yingying, LIU Bei, ZHU Li. Factors affecting sleep disorders among pregnant women. Preventive Medicine, 2024, 36(5): 440-443.鏈接本文: http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2024.05.017 或 http://www.zjyfyxzz.com/CN/Y2024/V36/I5/440

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