孕晚期妇女睡眠质量及影响因素

目的:研究妊娠晚期孕妇的睡眠障碍发生情况及其影响因素。方法:采用匹兹堡睡眠质量指数表(PQSI)和爱丁堡产后抑郁量表(EPDS)对到北京世纪坛医院产科孕晚期孕妇进行睡眠和抑郁状况调查,运用χ2检验、非参数检验和Lo-gistic回归分析影响孕晚期妇女睡眠状况的因素。结果:孕晚期孕妇的睡眠障碍发生率为40.0%,Logistic回归分析发现抑郁筛查阳性的孕妇发生睡眠障碍的风险是抑郁筛查阴性孕妇的10.542倍(OR=10.542,P<0.001),丈夫文化程度在高中以上的孕妇发生睡眠障碍的风险是丈夫文化程度在高中以下的孕妇的0.182倍(OR=0.182,P=0.003)。结论:孕妇在孕晚期睡眠障碍的发生比例较高,可能与孕妇自身的抑郁状况及丈夫的文化程度有关,应运用相应的心理护理和知识教育等改善孕晚期妇女的睡眠质量。

Quality of sleeping and the effect factors among women during the third trimester of pregnancy

Objective:To study the prevalence of sleep disorder and the effect factors among women during the third trimester of pregnancy. Methods:PSQI and EPDS were used to survey sleeping and depression status among women during the third trimester of pregnancy from department of obstetrics in Beijing Tiantan Hospital;χ2 test,nonparametric test and logistic regression analysis were used to analyze the effect factors of sleeping status among women during the third trimester of pregnancy. Results:The incidence of sleep disorder among women during the third trimester of pregnancy was 40.0%.Logistic regression analysis showed that the risk of sleep disorder among the pregnant women with positive screening result of depression was 10.542 times over the risk of sleep disorder among the pregnant women with negative screening result of depression(OR=10.542,P<0.001);the risk of sleep disorder among the pregnant women whose husbands' educational levels were above senior high school was 0.182 times over the risk of sleep disorder among the pregnant women whose husbands' educational levels were below senior high school(OR=0.182,P=0.003). Conclusion:The incidence of sleep disorder among women during the third trimester of pregnancy is high,which may be related to the depression status of pregnant women and educational level of their husbands,corresponding psychological nursing and knowledge education should be used to improve the quality of sleeping among women during the third trimester of pregnancy.