妊娠期睡眠质量与焦虑症状的关联研究

目的：了解孕妇焦虑情绪现状，分析妊娠期睡眠质量与焦虑症状的关系。方法采用自编的调查问卷，对六安市金安区妇幼保健院1010名孕妇进行问卷调查，收集孕妇一般情况信息，采用匹茨堡睡眠质量指数量表（ PSQI）和状态－特质焦虑量表（STAI）评定睡眠质量和状态－特质焦虑症状。结果1010名孕妇中睡眠质量问题检出率为44．65％，状态焦虑症状检出率为16．53％，特质焦虑症状检出率为13．37％。有睡眠质量问题的孕妇状态焦虑症状（19．73％）和特质焦虑症状（17．07％）的检出率均高于无睡眠质量问题的孕妇（χ2值分别为9．67、6．04，均P＜0．05）。多因素Logistic分析结果显示，睡眠质量与状态和特质焦虑症状关联的OR估计值分别为1．44（95％CI：1．03～2．03）和1．71（95％CI：1．18～2．47）。结论孕妇睡眠质量与孕期焦虑症状存在关联，应积极采取综合性干预措施改善孕妇妊娠期睡眠质量和焦虑情绪。

Correlation between sleep quality and anxiety symptoms in pregnant women

Objective To understand the present situation of anxiety and to evaluate the correlation between sleep quality and anxiety symptoms in pregnant women during pregnancy .Methods A total of 1 010 pregnant women in Jin’an District of Lu’an City were surveyed with self-designed questionnaires to collect general information .Pittsburgh Sleep Quality Index ( PSQI) and State-Trait Anxiety Inventory (STAI) were applied to investigate the sleep quality and anxiety in pregnant women .Results The prevalence of sleep quality problems , state anxiety symptoms and trait anxiety symptoms were 44.65%, 16.53%and 13.37%, respectively.The detection rates of state anxiety symptoms (19.73%) and trait anxiety symptoms (17.07%) were higher in cases with sleep problems than in those without sleep problems (χ2 value was 9.67 and 6.04, respectively, both P<0.05).Multivariate Logistic regression analysis showed that OR value of sleep quality with state anxiety symptoms and with trait anxiety symptoms was 1.44 (95%CI:1.03-2.03) and 1.71(95%CI:1.18-2.47), respectively .Conclusion Sleep quality is closely related to anxiety in pregnant women during pregnancy , so comprehensive interventions should be taken to improve maternal sleep quality and anxiety during pregnancy .