摘要
目的 研究连云港地区孕产妇睡眠状况及相关影响因素。方法 本文研究对象选自于连云港市建档及产检的孕产妇中,在2000多例问卷中选取其中1200例,时间为2022年6月至2023年6月间,应用匹兹堡睡眠质量指数(PSQI)对孕产妇的睡眠状况进行评估,统计睡眠障碍发生情况,同时对睡眠障碍和非睡眠障碍孕产妇的妊娠压力、自我理解和感受、一般资料等展开比对。结果 孕产妇的睡眠障碍发生占比为57.50%,睡眠障碍孕产妇的中度以上妊娠压力占比、中间及以下社会支持度占比、非计划妊娠占比均高于非睡眠障碍孕产妇,P<0.05。结论 孕产妇的睡眠状况极易受社会支持、妊娠压力等因素影响,临床医务人员需要充分重视其睡眠质量管理力度,早期识别高风险人群,舒缓其妊娠压力等。
关键词: 孕产妇;睡眠质量;影响因素;睡眠障碍;妊娠压力
Abstract
Objective To study the sleep status and related influencing factors of pregnant women in Lianyungang area. Methods The subjects of this study were selected from pregnant women who had established archives and prenatal examinations in Lianyungang City. 1200 of them were selected from more than 2000 questionnaires from June 2022 to June 2023. The Pittsburgh Sleep Quality Index (PSQI) was used to evaluate the sleep status of pregnant women, and the occurrence of sleep disorders was statistically analyzed. At the same time, the pregnancy stress, self-understanding and feelings, and general information of pregnant women with sleep disorders and non-sleep disorders were compared. Results The incidence of sleep disorders in pregnant women was 57.50%. The proportion of moderate or above pregnancy stress, the proportion of intermediate and below social support, and the proportion of unplanned pregnancy in pregnant women with sleep disorders were higher than those in pregnant women without sleep disorders, P < 0.05. Conclusion The sleep status of pregnant women is easily affected by factors such as social support and pregnancy stress. Clinical medical staff need to pay full attention to the management of their sleep quality, identify high-risk groups early, and relieve their pregnancy stress.
Key words: Pregnant women; Sleep quality; Influencing factors; Sleep disorders; Pregnancy stress
参考文献 References
[1] 王哲,许腾,吴善玉. 孕产妇睡眠质量评估及影响因素研究进展[J]. 延边大学医学学报,2023,46(3):221-225.
[2] 蔡丽娜. 孕产妇睡眠质量影响因素分析及护理干预效果观察[J]. 世界睡眠医学杂志,2021,8(12):2123-2125.
[3] 王敬敏,郑蕊,秦珍珍. 孕妇围产期睡眠质量调查及相关因素分析[J]. 罕少疾病杂志,2024,31(2):31-32.
[4] 吴雨函,张钰群,王慧泽. 不同阶段孕产妇焦虑抑郁症状及其影响因素[J]. 临床心身疾病杂志,2023,29(3):56-60.
[5] 郭文静,万立新,马跃,等. 吉林省孕产妇膳食模式与睡眠障碍的关系研究[J]. 世界睡眠医学杂志,2023,10(10): 2312-2316.
[6] 杨丽,孙梦云,黄星,等. 孕早、中、晚期及产后睡眠质量自然转归及影响因素分析[J]. 中国妇幼健康研究,2021, 32(8):1107-1111.
[7] 杨怀洁,杨虹,鲜文滢,等. 孕产妇睡眠质量及产后睡眠的影响因素[J]. 中华疾病控制杂志,2021,25(2):176-179, 239.
[8] 蔡姝雅,冯雅慧,王雅文,等. 我国孕妇孕早、中期睡眠质量及其影响因素[J]. 中华流行病学杂志,2020, 41(5): 711 -715.
[9] 赵海艳,王颖. 孕期睡眠和情绪状况对产妇早期认知功能的影响[J]. 重庆医学,2022,51(12):2157-2160.
[10] 买力曼·巴哈尼,张玉霞,萨拉瓦提·哈日特别克,等. 乌鲁木齐妊娠期妇女睡眠质量现状调查及影响因素分析[J]. 现代预防医学,2023,50(12):2158-2164.
[11] 袁德慧,李玉红,熊敏,等. 妊娠女性不同时期非稳态负荷状况及其影响因素研究[J]. 中国全科医学,2023, 26(32): 4057-4063.
[12] 曾娜,韩凤琼,张金凤,等. 孕妇睡眠障碍状况及影响因素分析[J]. 中国医药科学,2023,13(10):105-109.