孕晚期孕妇睡眠质量及影响因素的纵向研究

摘要：目的 通过调查妊娠女性在孕晚期不同阶段的睡眠质量,分析影响睡眠质量的因素。方法 选取2019年7月-2020年6月在复旦大学附属妇产科医院建卡并定期产检的167名孕妇作为研究对象。采用纵向调查研究方法对调查对象自孕28周至38周内进行6次问卷调查,收集一般资料和睡眠质量相关信息,分析28周至38周孕妇睡眠质量变化及影响因素。结果 167例孕妇孕28周PSQI平均分为（6.74±2.54）分,孕30周PSQI平均分为（6.53±2.23）分,孕32周PSQI平均分为（6.65±2.30）分,孕34周PSQI平均分为（8.68±2.24）分平均分为（8.55±2.40）分,孕38周分平均（8.55±2.40）分。不同孕周之间PSQI总分之间差异有统计学意义（F=34.729,P<0.01）。工作时间以及睡前使用电子产品时长是孕妇28周、30周、32周PSQI总分的影响因素（P＜0.01）,工作时间是孕妇34周PSQI总分的影响因素（P＜0.01）,工作时间和便秘困扰是孕妇36周、38周PSQI总分的影响因素（P＜0.01）。结论 晚期孕妇睡眠质量不佳,尤其在34周突出,在孕晚期不同时间显示工作时间、使用电子产品时长及便秘困扰相关。

A longitudinal study of sleep quality and its influencing factors in women in late pregnancy

[Abstract] Objective This study investigated the sleep quality of pregnant women in different pregnancy weeks of the third trimester and analyze the factors affecting the sleep quality. Method From July 2019 to June 2020, 167 pregnant women were participated in the Obstetrics and Gynecology Hospital of Fudan University. Based on the longitudinal survey method, six questionnaires were conducted from 28 weeks to 38 weeks to collect socio-demographic infomation, sleep related information questionnaire and Pittsburgh Sleep Quality Scale (PSQI), and observe the change of sleep quality and influencing factors in pregnant women from 28 weeks to 38 weeks. Results The mean PSQI score of 167 pregnant women was (6.74 ± 2.54) at 28 weeks, (6.53 ± 2.23) at 30 weeks and (6.65 ± 2.30) at 32 weeks, the mean PSQI score was (8.68 ± 2.24) at 34 weeks and (8.55 ± 2.40) at 38 weeks. There was significant difference in PSQI total score among different gestational weeks (F=34.729, P<0.01). The working hours and the time of using electronic products before sleeping were the influencing factors of the total score of PSQI at 28 weeks, 30 weeks and 32 weeks (P< 0.01), and working hours were the influencing factors of the total score of PSQI at 34 weeks (P<0.01),and working hours and constipation were the influencing factors of PSQI at 36 and 38 weeks (P<0.01). Results Poor sleep quality in late pregnant women was detected, especially at 34 weeks, is correlated with working hours, electronic time and constipation at different times in the third trimester.