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影响孕晚期孕妇睡眠质量的因素:来自土耳其的横断面研究。

Factors affecting poor sleep quality in last trimester pregnant women: a cross-sectional research from Turkey.

机构信息

Ankara Yıldırım Beyazıt University, Faculty of Health Sciences, Department of Nursing - Ankara, Turkey.

Balıkesir University, Faculty of Health Sciences, Department of Midwifery - Balıkesir, Turkey.

出版信息

Rev Assoc Med Bras (1992). 2024 Sep 16;70(9):e20240180. doi: 10.1590/1806-9282.20240180. eCollection 2024.

Abstract

OBJECTIVE

The aim of the study was to determine the factors affecting poor sleep quality in the last trimester pregnant women.

METHODS

A cross-sectional study was conducted at a tertiary care maternity hospital in Ankara, Turkey. The research was conducted between May and September 2019 with 570 pregnant women in the last trimester. The data were collected through the Personal Information Form, Pittsburgh Sleep Quality Index, International Physical Activity Questionnaire Short Form, Restless Legs Syndrome Form, Brief Fatigue Inventory, and Perceived Stress Scale.

RESULTS

The mean Pittsburgh Sleep Quality Index score of the pregnant women was 5.98±3.31, and 48.9% of them were found to have over five Pittsburgh Sleep Quality Index scores. Hemoglobin levels, income perceptions, smoking habits, attending pregnant schools, experiencing leg pains or cramping, experiencing back, waist, or neck pains, Restless Legs Syndrome, fatigue levels, and perceived stress levels of the pregnant women were found to be important determinants of sleep quality (p<0.05).

CONCLUSION

According to the findings, increasing hemogram levels, attending antenatal education programs, and improving the ability of pregnant women to manage stress are opportunities to improve sleep quality during pregnancy. Careful evaluation of pregnant women in terms of insomnia and affecting factors can be suggested during antenatal follow-up.

摘要

目的

本研究旨在确定影响孕妇妊娠晚期睡眠质量的因素。

方法

这是一项在土耳其安卡拉的一家三级保健妇产医院进行的横断面研究。研究于 2019 年 5 月至 9 月期间进行,共有 570 名处于妊娠晚期的孕妇参与。通过个人信息表、匹兹堡睡眠质量指数、国际体力活动问卷短表、不宁腿综合征量表、简要疲劳量表和感知压力量表收集数据。

结果

孕妇的匹兹堡睡眠质量指数平均得分为 5.98±3.31,其中 48.9%的孕妇得分超过 5 分。孕妇的血红蛋白水平、收入认知、吸烟习惯、参加孕妇学校、腿部疼痛或痉挛、背部、腰部或颈部疼痛、不宁腿综合征、疲劳程度和感知压力水平是睡眠质量的重要决定因素(p<0.05)。

结论

根据研究结果,增加血液学参数、参加产前教育计划以及提高孕妇应对压力的能力是改善妊娠期间睡眠质量的机会。在产前随访中,建议对孕妇的失眠和相关影响因素进行仔细评估。

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