妊娠期糖尿病孕妇睡眠质量现状及其影响因素

目的探讨妊娠期糖尿病(gestational diabetes mellitus,GDM)孕妇的睡眠质量,分析其影响因素。方法便利抽样法选取2013年1月至2014年12月在连云港市第一人民医院GDM专病门诊诊治的100例GDM孕妇及产科门诊血糖水平正常的100例孕妇为研究对象,采集一般人口学特征,并采用匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)量表评定其睡眠情况。结果 GDM孕妇的PSQI总分为(7.52±1.97)分,高于正常孕妇的(5.56±1.78)分,差异有统计学意义(P0.05)。PSQI量表中,GDM孕妇在睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、日间功能障碍等项目上的评分分别为(1.34±0.50)、(1.18±0.63)、(1.00±0.59)、(0.69±0.81)、(1.85±0.88)、(1.03±0.71)分,均高于正常孕妇的评分,差异均有统计学意义(均P0.05)。不同年龄、学历、工作情况、孕前体质量指数(body mass index,BMI)的GDM孕妇的睡眠质量差异均有统计学意义(均P0.05)。二分类Logistic回归分析筛选出学历、孕前BMI是GDM孕妇睡眠障碍的影响因素。结论GDM孕妇的睡眠质量明显较正常孕妇差,睡眠障碍的发生受孕妇学历和孕前BMI的影响。

Investigation on Sleep Quality in Pregnant Women with Gestational Diabetes Mellitus and Influencing Factors Analysis

Objective To investigate sleep quality of pregnant women with gestational diabetes mellitus (GDM),and analyze its' influencing factors.Methods By convenience sampling,100 cases of GDM pregnant women and 100 cases of normal pregnant women were selected from January 2013 to December 2014,general demographic characteristics were collected,and using the Pittsburgh sleep quality index (PSQI) scale to assess sleep conditions.Results The total score of PSQI in GDM pregnant women (7.52±1.97) was higher than in normal pregnant women (5.56 ± 1.78),and the difference was statistically significant (P＜0.05).The GDM pregnant women's sleep quality(1.34±0.50),sleep latency (1.18±0.63),sleep duration (1.00±0.59),habitual sleep efficiency(0.69±0.81),sleep disturbance(1.85 ±0.88),daytime dysfunction(1.03 ±0.71) were higher than normal pregnant women,and the difference was statistically significant (all P＜0.05).With different age,education,working conditions and pre-pregnancy BMI,the sleep qualities of GDM pregnant women were different,and the difference was statistically significant (all P＜0.05).The logistic regression analysis screened that the education background and the BMI before pregnant were the influencing factors.Conclusion The sleep qualities of GDM pregnant women are significantly worse than normal pregnant women;the occurrence of sleep disturbance is influenced by pregnant women'educational background and the BMI before pregnant.