發(fā)布時(shí)間：2018-08-10 19:32

【摘要】：目的:了解石河子市妊娠期婦女孕期睡眠質(zhì)量變化趨勢(shì)及其影響因素,為提高護(hù)理人員妊娠期睡眠保健提供指導(dǎo)。方法:1.縱向調(diào)查采用重復(fù)測(cè)量調(diào)查的研究設(shè)計(jì),便利抽樣石河子市妊娠期婦女146名,于妊娠第9~13周、20~24周、28~32周、36~40周對(duì)其睡眠質(zhì)量及影響因素進(jìn)行縱向跟蹤調(diào)查。2.數(shù)據(jù)統(tǒng)計(jì)采用EpiData3.1軟件錄入核查數(shù)據(jù),導(dǎo)入至SPSS 22.0軟件進(jìn)行統(tǒng)計(jì)學(xué)分析。統(tǒng)計(jì)學(xué)方法包括描述性統(tǒng)計(jì)分析、χ2檢驗(yàn)、重復(fù)測(cè)量方差分析、廣義估計(jì)方程。結(jié)果:1.睡眠質(zhì)量變化1.1研究對(duì)象妊娠9~13周、妊娠20~24周、妊娠28~32周、妊娠36~40周睡眠質(zhì)量得分(問(wèn)題檢出率)分別為5.00±2.04(13.7%),4.36±1.89(6.2%),4.45±1.89(8.9%)和4.79±2.07(8.2%)。χ2檢驗(yàn)顯示,睡眠質(zhì)量問(wèn)題檢出率差異不具有統(tǒng)計(jì)學(xué)意義(χ2=5.305,P=0.151)。1.2重復(fù)測(cè)量方差分析顯示,隨著妊娠發(fā)展研究對(duì)象睡眠質(zhì)量得分發(fā)生變化(F=9.382,P=0.036)。在妊娠9~13周與36~40周的兩次測(cè)量之間差異沒(méi)有統(tǒng)計(jì)學(xué)意義(P=0.336),在妊娠20~24周與28~32周兩次測(cè)量之間的差異沒(méi)有統(tǒng)計(jì)學(xué)意義(P=0.588),妊娠20~24周、28~32周兩次測(cè)量與妊娠9~13周、36~40周兩次測(cè)量差異具有統(tǒng)計(jì)學(xué)意義(P0.05)。1.3隨妊娠發(fā)展,妊娠期睡眠時(shí)間變化具有統(tǒng)計(jì)學(xué)差異(F=8.456,P0.001)。1.4隨妊娠發(fā)展,幾種妊娠期睡眠障礙變化均具有統(tǒng)計(jì)學(xué)差異(P0.001)。其中夜間起床上廁所、夜間易醒或早醒、感覺(jué)太熱、做噩夢(mèng)、咳嗽或打鼾、感到疼痛是睡眠障礙的主要表現(xiàn)。2.睡眠質(zhì)量影響因素2.1單因素分析:以各影響因素為組間因素,重復(fù)測(cè)量方差分析結(jié)果顯示,孕前睡眠評(píng)價(jià)、焦慮、抑郁影響妊娠期睡眠質(zhì)量得分的變化(P0.05)。2.2多因素分析以四次測(cè)量睡眠質(zhì)量得分為因變量,廣義估計(jì)方程擬合結(jié)果顯示,焦慮越嚴(yán)重者睡眠質(zhì)量越差(Waldχ2=6.966,P=0.008);感受到懷孕對(duì)生活的影響越大者睡眠質(zhì)量越差(Waldχ2=10.877,P=0.004);夫妻關(guān)系好對(duì)妊娠期睡眠質(zhì)量起保護(hù)作用(Waldχ2=8.421,P=0.004)。以四次測(cè)量是否檢出睡眠質(zhì)量問(wèn)題為因變量,廣義估計(jì)方程擬合結(jié)果顯示,隨焦慮程度增加,更易出現(xiàn)睡眠質(zhì)量問(wèn)題(Waldχ2=17.539,P=0.001);抑郁者比無(wú)抑郁癥狀者更易出現(xiàn)睡眠質(zhì)量問(wèn)題(Waldχ2=17.201,P=0.001);善于與人交往為睡眠質(zhì)量問(wèn)題的保護(hù)性因素(Waldχ2=6.197,P=0.013)。結(jié)論:1.石河子市妊娠期婦女睡眠質(zhì)量較好,睡眠質(zhì)量問(wèn)題檢出率低。2.研究對(duì)象整個(gè)妊娠期睡眠質(zhì)量發(fā)生變化。妊娠早期、晚期睡眠質(zhì)量差,需要關(guān)注;隨妊娠發(fā)展,睡眠時(shí)間逐漸變短;整個(gè)妊娠期“睡眠障礙”問(wèn)題最為顯著且隨妊娠發(fā)展睡眠障礙癥狀發(fā)生變化;妊娠晚期“入睡時(shí)間”較長(zhǎng),入睡困難明顯,幫助妊娠晚期婦女解決入睡困難或可明顯改善妊娠晚期睡眠質(zhì)量。3.焦慮對(duì)妊娠期睡眠質(zhì)量影響較大,焦慮癥狀越嚴(yán)重越易出現(xiàn)睡眠質(zhì)量問(wèn)題;改善心理狀態(tài)、提升交往能力有助于減少妊娠期婦女睡眠質(zhì)量問(wèn)題的發(fā)生。
[Abstract]:Objective: to investigate the trend and influencing factors of pregnancy sleep quality of pregnant women in Shihezi city, and to provide guidance for nursing staff to improve their sleep quality during pregnancy. Method 1: 1. The longitudinal survey was carried out by repeated survey design to facilitate the sampling of 146 pregnant women in Shihezi city. The sleep quality and influencing factors of 146 pregnant women were investigated longitudinally at the 13th and 24th week of gestation, 2832 weeks and 3640 weeks, respectively. EpiData3.1 software was used to input and verify the data, and the data was imported into SPSS 22. 0 software for statistical analysis. Statistical methods include descriptive statistical analysis, 蠂 2 test, repeated measurement variance analysis, and generalized estimation equation. The result is 1: 1. Sleep quality changes 1.1 the sleep quality scores (problem detection rate) of the subjects were 5.00 鹵2.04 (13.7%), 4.36 鹵1.89 (6.2%), 4.45 鹵1.89 (8.9%) and 4.79 鹵2.07 (8.2%), respectively. 蠂 2 test showed that the sleep quality scores were 5.00 鹵2.04 (13.7%) and 4.79 鹵2.07 (8.2%) respectively. There was no significant difference in the detectable rate of sleep quality problems (蠂 ~ 2 ~ 2 ~ (5.305) P ~ (0.151) .1.2 the repeated analysis of variance showed that the score of sleep quality was changed with pregnancy development (F _ (9.382) P _ (0.036). There was no significant difference between the two measurements at the 9th and 3640 weeks of gestation (P0. 336), there was no significant difference between the two measurements at 20: 24 and 28: 32 (P0. 588), and there was no significant difference between the two measurements at the 2nd week of gestation (P0. 588) and between the two measurements at the 2nd week of gestation (P0. 336). The volume difference was statistically significant (P0.05) .1.3 with the development of pregnancy, The changes of sleep time during pregnancy were statistically different (FG 8.456U P0.001) .1.4 with the development of pregnancy, the changes of several kinds of sleep disorders during pregnancy were all statistically different (P0.001). Among them, wake up at night to go to the toilet, wake up easily or early at night, feel too hot, have nightmares, cough or snore, feel pain is the main manifestation of sleep disorder. 2. Single factor analysis of influencing factors of sleep quality 2.1: the results of variance analysis of repeated measurements showed that sleep evaluation, anxiety, and anxiety were the main factors affecting sleep quality. The effects of depression on sleep quality scores during pregnancy (P0.05) .2.2 multivariate analysis with four measurements of sleep quality scores as a dependent variable, the generalized estimation equation fitting results showed that, The worse the anxiety was, the worse the sleep quality was (Wald 蠂 2 = 6.966P 0.008), the worse the sleep quality was (Wald 蠂 2 + 10.877 P 0.004), and the better the relationship between husband and wife had a protective effect on the sleep quality during pregnancy (Wald 蠂 2 8.421 P 0.004). The fitting results of the generalized estimation equation showed that with the increase of anxiety degree, whether sleep quality problems were detected by four times of measurement was a dependent variable. Sleep quality problems were more likely to occur in patients with depression than those without depression (Wald 蠂 2 + 17.539), sleep quality problems in depression patients (Wald 蠂 2 + 17.201 P0. 001), and good communication with people as protective factors for sleep quality problems (Wald 蠂 2 + 6. 197 P 0. 013). Conclusion 1. Shihezi City pregnancy women sleep quality is better, sleep quality problem detection rate is low. 2. Participants sleep quality changes throughout pregnancy. Early pregnancy, poor sleep quality in late pregnancy, need to pay attention to; with the development of pregnancy, sleep time gradually become shorter; the whole pregnancy "sleep disorder" problem is the most significant and changes with the development of pregnancy sleep disorder symptoms; Third trimester of pregnancy "fall asleep time" is longer, fall asleep difficulty is obvious, help the woman of the third trimester to solve to fall asleep difficulty or can obviously improve the sleep quality of the third trimester. Anxiety has a great influence on the sleep quality of pregnancy, the more serious the anxiety symptoms, the more prone to sleep quality problems; improve the psychological state, improve the ability of communication help to reduce the occurrence of sleep quality problems of pregnant women.
【學(xué)位授予單位】：石河子大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：R473.71

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 劉維琴;蔡傳蘭;崔時(shí)敏;曹立新;丁秀秀;許韶君;;妊娠期抑郁癥狀與睡眠質(zhì)量的關(guān)聯(lián)研究[J];中國(guó)婦幼保健;2015年23期

2 劉玉娥;;睡眠障礙孕婦生活質(zhì)量研究[J];湖南師范大學(xué)學(xué)報(bào)(醫(yī)學(xué)版);2015年03期

3 張秀琴;馮亞玲;胡玲卿;許倩;劉敏;吳貞紅;余燕云;宋艷;唐李平;;圍孕期婦女心理焦慮調(diào)查及相關(guān)因素分析[J];護(hù)理研究;2014年34期

4 曹洪容;;同伴教育對(duì)高齡產(chǎn)婦睡眠質(zhì)量及心理的影響[J];現(xiàn)代臨床護(hù)理;2014年06期

5 代蘭芬;陳華麗;李節(jié);喬桂圓;;產(chǎn)前抑郁癥對(duì)孕婦睡眠質(zhì)量的影響研究[J];護(hù)理管理雜志;2014年02期

6 謝曉花;王瑛;黃秀嫻;韶紅;;護(hù)理干預(yù)對(duì)住院保胎孕婦睡眠質(zhì)量的影響[J];護(hù)理研究;2012年27期

7 施志敏;李濤平;冼樂(lè)武;李正功;;睡眠呼吸暫停綜合征與妊娠糖耐量異常的相關(guān)性及可能的發(fā)病機(jī)制[J];南方醫(yī)科大學(xué)學(xué)報(bào);2011年08期

8 裘曉萍;;孕婦妊娠末期睡眠質(zhì)量調(diào)查及護(hù)理干預(yù)效果研究[J];中國(guó)實(shí)用護(hù)理雜志;2011年05期

9 謝曉花;王瑛;黃秀嫻;羅選紅;;保胎孕婦住院期間睡眠質(zhì)量及相關(guān)因素分析[J];護(hù)理學(xué)報(bào);2010年13期

10 蔡曉紅;張煥改;徐小芬;宣妙燕;俞晨藝;李美麗;謝于鵬;王玉環(huán);方曉紅;呂杰強(qiáng);;浙江省溫州地區(qū)妊娠婦女睡眠障礙流行病學(xué)調(diào)查[J];中華流行病學(xué)雜志;2010年05期

相關(guān)博士學(xué)位論文 前1條

1 李節(jié);孕婦健康相關(guān)生活質(zhì)量及其影響因素的研究[D];華中科技大學(xué);2011年

相關(guān)碩士學(xué)位論文 前2條

1 邱云香;自我按摩對(duì)妊娠晚期婦女睡眠質(zhì)量及疲勞的影響[D];南昌大學(xué)醫(yī)學(xué)院;2013年

2 鄭瑞雙;妊娠期婦女睡眠質(zhì)量與嗜睡、疲勞、焦慮、抑郁的相關(guān)性研究[D];中南大學(xué);2011年

，

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