Alizadeh Niloofar, Khalesi Zahra Bostani, Jafarzadeh-Kenarsari Fatemeh, Maroufizadeh Saman
Department of Midwifery, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran.
Department of Biostatistics and Epidemiology, School of Health, Guilan University of Medical Sciences, Rasht, Iran.
Afr Health Sci. 2024 Sep;24(3):251-258. doi: 10.4314/ahs.v24i3.29.
The present study aimed to determine the relationship between sleep quality during pregnancy and postpartum anxiety. A total of 237 pregnant women participated in this birth cohort study, using the sequential sampling method. The data collection tools included a demographic information form, Pittsburgh Sleep Quality Inventory, and Spielberger State-Trait Anxiety Inventory. The PSQI was completed by the participants at 28 and 40 weeks of gestation, and the STAI was completed in two stages, that is, once in the third trimester and once at eight weeks postpartum. The mean global PSQI score of the participants was 8.11 (SD=5.41) in this study. Overall, 138 (58.2%) women had poor sleep quality. The mean score for overt anxiety was 36.58 (SD=9.37), and the mean score for latent anxiety was 37.56 (SD=9.44). There was a significant positive correlation between the total score of sleep quality during pregnancy and the scores of overt anxieties (r=0.314, P<0.001) and latent anxiety (r=0.344, P<0.001) after delivery. The results of the present study indicated a significant relationship between sleep quality during pregnancy and postpartum anxiety. Therefore, it is recommended to evaluate the quality of sleep of pregnant women and design appropriate interventions during pregnancy to reduce postpartum anxiety.
本研究旨在确定孕期睡眠质量与产后焦虑之间的关系。共有237名孕妇采用序贯抽样方法参与了这项出生队列研究。数据收集工具包括人口统计学信息表、匹兹堡睡眠质量指数和斯皮尔伯格状态-特质焦虑量表。参与者在妊娠28周和40周时完成匹兹堡睡眠质量指数，斯皮尔伯格状态-特质焦虑量表分两个阶段完成，即在孕晚期完成一次，产后8周完成一次。在本研究中，参与者的匹兹堡睡眠质量指数全球平均得分为8.11（标准差=5.41）。总体而言，138名（58.2%）女性睡眠质量较差。显性焦虑平均得分为36.58（标准差=9.37），潜在焦虑平均得分为37.56（标准差=9.44）。孕期睡眠质量总分与产后显性焦虑得分（r=0.314，P<0.001）和潜在焦虑得分（r=0.344，P<0.001）之间存在显著正相关。本研究结果表明孕期睡眠质量与产后焦虑之间存在显著关系。因此，建议评估孕妇的睡眠质量，并在孕期设计适当的干预措施以减少产后焦虑。
