Sut Hatice Kahyaoglu, Asci Ozlem, Topac Nalan
Department of Obstetrics and Gynecology Nursing, Faculty of Health Sciences (Dr Sut), and Department of Nursing, Institute of Health Sciences (Ms Topac), Trakya University, Edirne, Turkey; and Department of Nursing, Faculty of Health Sciences, Artvin Coruh University, Artvin, Turkey (Dr Asci).
J Perinat Neonatal Nurs. 2016 Oct/Dec;34(4):302-309. doi: 10.1097/JPN.0000000000000181.
The aim of this study was to investigate sleep quality and health-related quality of life in pregnancy. In a cross-sectional design, 492 women (292 pregnant and 200 nonpregnant healthy controls) were included in this study between November 2014 and June 2015. Participants completed a survey on sociodemographic characteristics, the Pittsburgh Sleep Quality Index (PSQI), and the European Quality of Life-5 Dimensions (EQ-5D). The PSQI total and EQ-5D scores of pregnant women were significantly worse than the controls (P = .017 and P < .001, respectively). Linear regression analysis showed that only pregnancy status was related to PSQI scores (β = .117; P = .009). Compared with the first trimester, the risk of poor sleep quality increased 2.11-fold in the second trimester (P = .048) and 1.86-fold in the third trimester (P = .054). Compared with the first trimester, EQ-5D scores significantly decreased in the second (P = .038) and third (P < .001) trimesters. Sleep quality and health-related quality of life of pregnant women were worse than those of nonpregnant healthy controls. Healthcare professionals need to be aware of deteriorations in sleep quality and health-related quality of life of pregnant women.
本研究的目的是调查孕期的睡眠质量和与健康相关的生活质量。在一项横断面设计中，2014年11月至2015年6月期间，492名女性（292名孕妇和200名非孕健康对照者）被纳入本研究。参与者完成了一项关于社会人口学特征、匹兹堡睡眠质量指数（PSQI）和欧洲生活质量五维度量表（EQ-5D）的调查。孕妇的PSQI总分和EQ-5D得分显著低于对照组（分别为P = 0.017和P < 0.001）。线性回归分析表明，只有妊娠状态与PSQI得分相关（β = 0.117；P = 0.009）。与孕早期相比，孕中期睡眠质量差的风险增加了2.11倍（P = 0.048），孕晚期增加了1.86倍（P = 0.054）。与孕早期相比，EQ-5D得分在孕中期（P = 0.038）和孕晚期（P < 0.001）显著下降。孕妇的睡眠质量和与健康相关的生活质量比非孕健康对照者差。医疗保健专业人员需要意识到孕妇睡眠质量和与健康相关的生活质量的恶化情况。
