Moudi Asieh, Dashtgard Ali, Salehiniya Hamid, Sadat Katebi Maryam, Reza Razmara Mohammad, Reza Jani Mohammad
Department of Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Department of Nursing, Lecturer of Nursing and Midwifery School, Birjand University of Medical Sciences, Birjand, Iran.
Biomedicine (Taipei). 2018 Jun;8(2):11. doi: 10.1051/bmdcn/2018080211. Epub 2018 May 28.
Menopausal women are widely reported to have poor sleep quality and sleep problems. It is not clear whether increases in sleep disturbance are brought about by hormone changes associated with menopause or due to psychosocial and physical problems.
This cross-sectional study was conducted on 600 menopausal women aged between 40 and 60 without any known severe illnesses in the city of Qaen, Iran, from April 2015 to May 2016. Data were collected by Health-Promoting Lifestyle Profile II and Pittsburgh Sleep Quality Index.
This study was conducted to investigate the relationship between health-promoting lifestyle and sleep quality in Iranian postmenopausal women. Data were analyzed using an independent t-test, Mann-Whitney, Chi-square, Spearman and univariate logistic regression.
The univariate logistic regression suggested that the physical activity dimension of lifestyle (OR = 1.095, 95% CI: 1.035-1.158, P < 0.006), non-smoking status (OR = 0.549, 95% CI: 0.331-0.912, P < 0.021) and occupation (women who were farmer compared with housewives) (OR = 0.239, 95% CI (0.074-0.775), P < 0.017) were associated with sleep quality.
Postmenopausal women in this study were at high risk for poor sleep quality. Poor sleep quality was associated with low levels of physical activity, smoking and being a housewife compared to being a farmer. Therefore, there is an essential need to educate women about health-promoting behaviors including daily physical activity and avoiding smoking which are associated with quality of sleep.
据广泛报道，更年期女性睡眠质量较差且存在睡眠问题。目前尚不清楚睡眠障碍的增加是由与更年期相关的激素变化引起的，还是由于心理社会和身体问题导致的。
2015年4月至2016年5月，在伊朗卡恩市对600名年龄在40至60岁之间、无任何已知严重疾病的更年期女性进行了这项横断面研究。通过健康促进生活方式概况II和匹兹堡睡眠质量指数收集数据。
本研究旨在调查伊朗绝经后女性促进健康的生活方式与睡眠质量之间的关系。使用独立t检验、曼-惠特尼检验、卡方检验、斯皮尔曼检验和单变量逻辑回归分析数据。
单变量逻辑回归表明，生活方式的身体活动维度（比值比[OR]=1.095，95%置信区间[CI]：1.035-1.158，P<0.006）、非吸烟状态（OR=0.549，95%CI：0.331-0.912，P<0.021）和职业（与家庭主妇相比，农民女性）（OR=0.239，95%CI[0.074-0.775]，P<0.017）与睡眠质量相关。
本研究中的绝经后女性睡眠质量差的风险较高。与农民相比，睡眠质量差与身体活动水平低、吸烟以及身为家庭主妇有关。因此，迫切需要对女性进行促进健康行为的教育，包括日常身体活动和避免吸烟，这些行为与睡眠质量有关。
