Department of Nursing, Seydişehir Kamil Akkanat Faculty of Health Sciences, Necmettin Erbakan University, Konya, Turkey.
Women Health. 2024 Nov-Dec;64(10):839-847. doi: 10.1080/03630242.2024.2420215. Epub 2024 Oct 27.
In recent years, the prevalence of smartphone addiction has significantly increased. This situation has raised concerns about its potential impact on health aspects, such as sleep quality and mental health, particularly among vulnerable populations like pregnant women. This study aimed to identify the factors that determine sleep quality in pregnant women and examine the relationship between smartphone addiction, depression, and sleep quality. This descriptive correlational study included 257 pregnant women in their second and third trimesters who were registered at six family health centers between September 2022 and March 2023. Data were collected using a sociodemographic questionnaire, the Smartphone Addiction Scale Short Form, Edinburgh Postnatal Depression Scale, and Pittsburgh Sleep Quality Index. Regression and mediation analyses were performed for the data. Of the participants, 44.4 percent had poor sleep quality. Depression and third trimester were significant determinants of sleep quality. The bootstrapping results revealed that smartphone addiction led to an increase in the level of depression (β = 0.145; < .001). Depression worsened sleep quality (β = 0.262; < .001). The smartphone addiction did not significantly affect sleep quality (β = 0.020; = .279). Depression mediates the relationship between sleep quality and smartphone addiction (β = 0.038; 95 percent CI [0.018: 0.062]). The study highlights that while smartphone addiction does not directly impact sleep quality in pregnant women, it is associated with increased depression levels, which subsequently worsen sleep quality. It is recommended that healthcare providers monitor smartphone usage and mental health in pregnant women to mitigate the risk of sleep disturbances and improve overall well-being.
近年来，智能手机成瘾的患病率显著增加。这种情况引起了人们对其潜在健康影响的关注，特别是在孕妇等弱势群体中，如睡眠质量和心理健康。本研究旨在确定决定孕妇睡眠质量的因素，并研究智能手机成瘾、抑郁与睡眠质量之间的关系。本描述性相关性研究纳入了 2022 年 9 月至 2023 年 3 月期间在六家家庭健康中心登记的 257 名处于第二和第三孕期的孕妇。使用社会人口学问卷、智能手机成瘾量表短式、爱丁堡产后抑郁量表和匹兹堡睡眠质量指数收集数据。对数据进行回归和中介分析。参与者中，44.4%的人睡眠质量差。抑郁和孕晚期是睡眠质量的显著决定因素。bootstrap 结果显示，智能手机成瘾导致抑郁水平升高（β=0.145；<0.001）。抑郁使睡眠质量恶化（β=0.262；<0.001）。智能手机成瘾对睡眠质量没有显著影响（β=0.020；=0.279）。抑郁中介了睡眠质量和智能手机成瘾之间的关系（β=0.038；95%置信区间 [0.018: 0.062]）。研究表明，虽然智能手机成瘾不会直接影响孕妇的睡眠质量，但它与抑郁水平升高有关，进而使睡眠质量恶化。建议医疗保健提供者监测孕妇的智能手机使用情况和心理健康，以降低睡眠障碍的风险，提高整体幸福感。
