目的 调查孕妇围产期睡眠质量并分析相关因素.方法 选取2021年6月-2022年6月在本院妇产科自愿参与调查问卷的150例孕晚期孕妇,调查其围产期睡眠质量,采用Logistic回归分析影响睡眠障碍发生的相关因素.结果 150例孕产妇孕晚期和产后得分最高的因子均是睡眠时间,其次分别为入睡时间、主观睡眠质量、睡眠障碍、睡眠效率和催眠药物.孕晚期和产后睡眠质量与文化程度、家庭经济收入,有关,差异具有统计学意义(P<0.05);与年龄、户口所在地、孕前BMI,婚姻状况无关,差异无统计学意义(P>0.05).Logistic回归分析显示,文化程度较低和配偶配合情况较差是影响孕妇孕晚期睡眠质量的独立危险因素(P<0.05);文化程度较低和社会支持度较差是影响孕妇产后睡眠质量的独立危险因素(P<0.05).结论 围产期妇女容易出现睡眠质量较差的情况,睡眠障碍发生率高,其与孕妇的文化程度、家庭经济收入、配偶配合情况,社会支持度等存在较大关系.
Objective To investigate the current status of sleep quality in the third trimester and after delivery and to analyze the influencing factors of sleep disorders.Methods A total of 150 pregnant women in the third trimester in obstetrics and gynecology department of the hospital were enrolled between June 2021 and June 2022,The sleep quality in the third trimester and after delivery was investigated,and the influencing factors of sleep disorders were analyzed by Logistic regression analysis.Results In the 150 pregnant women in the third trimester and after delivery,score of sleep time was the highest,followed by falling asleep time,subjective sleep quality,sleep disorders,sleep efficiency and hypnotics.The sleep quality in the third trimester and after delivery was related to education level and family economic income(P<0.05),but not related to age,registered residence,progestational BMI or marital status(P>0.05).Logistic regression analysis showed that low education level and poor spouse cooperation were independent risk factors of sleep quality in the third trimester(P<0.05),while low education level and poor social support were independent risk factors of sleep quality after delivery(P<0.05).Conclusion Women are prone to poor sleep quality in the third trimester and after delivery,and the incidence of sleep disorders is high,which is closely related to the pregnant women's education level,family economic income,spouse cooperation and social support.