Motta Ana Júlia Pereira, Lucchese Roselma, Leão Graciele Cristina Silva, Rosa Dayane Eusenia, Gonçalves Vilmar De Assis, Mendonça Revora Silverio
Institute of Biotechnology, University Federal of Catalão, Catalão, GO, Brazil.
Sleep Sci. 2024 May 15;17(3):e263-e271. doi: 10.1055/s-0044-1782174. eCollection 2024 Sep.
This study aimed to analyze the factors associated with poor sleep quality in women in the postpartum period who were assisted in a municipality in central Brazil. This is a cross-sectional study ( = 400) conducted virtually from 2020 to 2021. Sociodemographic and clinical characteristics, self-perceived sleep, and the Pittsburgh Sleep Quality Index (PSQI) were assessed. It was identified that 82% of postpartum women were between 18 and 35-years-old and had an average monthly household income of R$2,339.27 ± 1,812.95. It was also found that 33.50% (95% CI: 28.7-38.0) had sleep disorders (PSQI >10); 70.25% (95%CI 65.8-74.8) had poor sleep quality (PSQI >5); 57.4% (95% CI: 52.0-63.1) had inadequate sleep on weekdays/workdays; and 64.1% (95% CI 59.3-69.2) had unsuitable sleep on weekends/days off. It was found that the factors associated with sleep disturbance were: age between <18 years and >35 years ( = 0.048); difficulty to think clearly ( = 0.043); frequent sadness ( = 0.046); poor sleep quality; low income ( = 0.030); difficulty to think clearly ( = 0.013); and loss of interest in things ( = 0.030). As for sleep on weekdays, the associated factors were: marital status without a partner ( = 0.008); and being a victim of physical violence ( = 0.003). Finally, for sleep on weekends/off: nonwhite skin-color ( = 0.039); and having postpartum depression ( = 0.029). The findings of the present study call attention to the impacts of changes in women's bodies, behavior, and interpersonal relationships caused by the arrival of a newborn. We also highlight the need for a multidisciplinary and comprehensive medical approach in this period.
本研究旨在分析巴西中部某城市接受护理的产后女性睡眠质量差的相关因素。 这是一项于2020年至2021年以虚拟方式开展的横断面研究（n = 400）。评估了社会人口学和临床特征、自我感知睡眠情况以及匹兹堡睡眠质量指数（PSQI）。 研究发现，82%的产后女性年龄在18至35岁之间，家庭月平均收入为2339.27雷亚尔±1812.95雷亚尔。还发现，33.50%（95%置信区间：28.7 - 38.0）有睡眠障碍（PSQI>10）；70.25%（95%置信区间65.8 - 74.8）睡眠质量差（PSQI>5）；57.4%（95%置信区间：52.0 - 63.1）在工作日睡眠不足；64.1%（95%置信区间59.3 - 69.2）在周末/休息日睡眠不合适。研究发现，与睡眠障碍相关的因素有：年龄<18岁和>35岁（p = 0.048）；思维清晰困难（p = 0.043）；频繁悲伤（p = 0.046）；睡眠质量差；低收入（p = 0.030）；思维清晰困难（p = 0.013）；对事物失去兴趣（p = 0.030）。至于工作日的睡眠，相关因素有：未婚（p = 0.008）；遭受身体暴力（p = 0.003）。最后，对于周末/休息日的睡眠：非白色肤色（p = 0.039）；患有产后抑郁症（p = 0.029）。 本研究结果提醒人们关注新生儿到来对女性身体、行为和人际关系变化的影响。我们还强调在此期间需要采取多学科和全面的医疗方法。
