COVID-19 大流行期间埃塞俄比亚孕妇的睡眠质量差和自杀意念：系统评价和荟萃分析。

Poor sleep quality and suicidal ideation among pregnant women during COVID-19 in Ethiopia: systematic review and meta-analysis.

机构信息

Department of Statistics, College of Natural and Computational Sciences, Samara University, Semera, Afar, Ethiopia.

Department of Nursing, College of Medicine and Health Sciences, Samara University, Semera, Afar, Ethiopia.

出版信息

PeerJ. 2023 Sep 29;11:e16038. doi: 10.7717/peerj.16038. eCollection 2023.

DOI:10.7717/peerj.16038

PMID:37790617

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10544305/

Abstract

INTRODUCTION

COVID-19 has profoundly impacted the mental health and well-being of pregnant women worldwide. In Ethiopia, the poor sleep quality and suicidal ideation among pregnant women has increased due to the COVID-19 pandemic. This study aimed to provide comprehensive evidence on the prevalence and associated factors of poor sleep quality and suicidal ideation among pregnant women during COVID-19 in Ethiopia.

MATERIALS AND METHODS

This study is based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendation. Data were searched from PubMed, Google Scholar, and African Journals Online from the occurrence of the COVID-19 pandemic to February 2023. Two researchers extracted the data and performed the methodological quality assessment independently. Random-effect model was used to estimate the pooled effect size and Iwas used to check heterogeneity. Stata 14.0 (StataCorp, Collage Station, Texas, USA) was used for statistical analysis.

RESULTS

From six studies the pooled prevalence of poor sleep quality was 55% (95% CI [0.42-0.69], I = 98.1%, < 0.001). Age ≥ 30 years pooled AOR = 1.95, 95% CI (0.85, 3.06), 3rd trimester pooled AOR = 3.20, 95% CI (1.82, 4.58), substance use pooled AOR = 2.51, 95% CI (0.99, 4.04), depression pooled AOR = 2.97, 95% CI (0.92, 5.02) and stress pooled AOR 2.14, 95% CI (0.24, 4.03) were associated factors of poor sleep quality. Three studies reported about suicidal ideation and pooled prevalence was 11% (95% CI: 0.09, 0.13, I = 48.2%, = 0.145). Depression pooled AOR = 3.19, 95% CI (1.68, 4.71) was the only associated factor of suicidal ideation.

CONCLUSION

Due to COVID-19 pregnant women in Ethiopia were affected by poor sleep quality and suicidal ideation. Thus, suitable and well designed programs proposing awareness of COVID-19, mental health counseling and involvement should be designed to improve the general mental health of pregnant women.

TRIAL REGISTRATION

PROSPERO registration number CRD42023389896.

摘要

简介

COVID-19 对全球孕妇的心理健康和福祉产生了深远影响。在埃塞俄比亚，由于 COVID-19 大流行，孕妇的睡眠质量差和自杀意念增加。本研究旨在提供关于 COVID-19 期间埃塞俄比亚孕妇睡眠质量差和自杀意念发生率及其相关因素的综合证据。

材料和方法

本研究基于系统评价和荟萃分析的首选报告项目（PRISMA）建议。从 COVID-19 大流行开始到 2023 年 2 月，从 PubMed、Google Scholar 和非洲期刊在线检索数据。两名研究人员独立提取数据并进行方法学质量评估。使用随机效应模型估计汇总效应大小，I 用于检查异质性。使用 Stata 14.0（StataCorp，College Station，Texas，USA）进行统计分析。

结果

从六项研究中，睡眠质量差的总患病率为 55%（95%CI[0.42-0.69]，I=98.1%，<0.001）。年龄≥30 岁的合并优势比（AOR）为 1.95，95%CI（0.85，3.06），孕晚期的合并 AOR 为 3.20，95%CI（1.82，4.58），物质使用的合并 AOR 为 2.51，95%CI（0.99，4.04），抑郁的合并 AOR 为 2.97，95%CI（0.92，5.02），压力的合并 AOR 为 2.14，95%CI（0.24，4.03），这些都是睡眠质量差的相关因素。三项研究报告了自杀意念的情况，总患病率为 11%（95%CI：0.09，0.13，I=48.2%，=0.145）。抑郁的合并 AOR 为 3.19，95%CI（1.68，4.71）是自杀意念的唯一相关因素。