妊娠晚期孕妇抑郁与睡眠质量的相关性研究
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摘要
目的了解妊娠晚期孕妇抑郁和睡眠质量的现况及其影响因素,探讨妊娠晚期孕妇抑郁与睡眠质量的相关性。方法选择中卫市2所医院535名符合调查要求的孕妇进行问卷调查,采用匹兹堡睡眠质量指数量表(pittsburgh sleep quality index,PSQI)和抑郁自评量表(self-rating depression scale,SDS)评定孕妇睡眠质量及抑郁。结果 535名孕妇抑郁检出率为34.2%,睡眠障碍的检出率为20.6%。有抑郁的孕妇睡眠障碍检出率(29.0%)高于无抑郁的孕妇(16.2%),差异有统计学意义(x~2=12.018,P=0.001)。PSQI总分和SDS得分呈正相关(r=0.680,P<0.001)。文化程度低、夫妻关系差、有孕期并发症、睡眠障碍是妊娠晚期孕妇抑郁的危险因素。有孕期并发症、担忧孩子健康、抑郁是妊娠晚期孕妇睡眠障碍的危险因素。结论妊娠晚期孕妇睡眠质量与抑郁呈正相关,应采取综合性干预措施改善妊娠晚期孕妇的抑郁情绪和睡眠质量。
Objective To investigate the current status of depression and sleep quality among pregnant women in the late pregnancy and its influencing factors,and to explore the relationship between depression and sleep quality in late pregnant women. Methods A total of 535 pregnant women were selected from 2 hospitals in Zhongwei city and the questionnaire survey were conducted,the quality of sleep and depression in pregnant women were evaluated using pittsburgh sleep quality index questionnaire( PSQI) and self-rating depression scale( SDS). Results Among the 535 pregnant women,34. 2% of them had depression symptoms,20. 6% of them had sleep disorder. The detection rate of sleep disorders in pregnant women with depression( 29. 0%) was higher than those among the pregnant women without depression( 16. 2%),and the difference was statistically significant( x~2= 12. 018,P = 0. 001). There was a positive relationship between the total score of PSQI and the score of SDS( r = 0. 680,P < 0. 001). Results of Multivariate logistic regression analysis showed that low level of education,poor relationship between husband and wife,pregnancy complications and sleep disorders were important risk factors of depressive symptom. Pregnancy complications,worry about children's health and depression were risk factors for sleep disorders in the late pregnancy. Conclusions There is a positive relationship between sleep quality and depression in late pregnant women,and comprehensive intervention measures should be taken to improve the depression and sleep quality of pregnant women in the late pregnancy.
Objective To investigate the current status of depression and sleep quality among pregnant women in the late pregnancy and its influencing factors,and to explore the relationship between depression and sleep quality in late pregnant women. Methods A total of 535 pregnant women were selected from 2 hospitals in Zhongwei city and the questionnaire survey were conducted,the quality of sleep and depression in pregnant women were evaluated using pittsburgh sleep quality index questionnaire( PSQI) and self-rating depression scale( SDS). Results Among the 535 pregnant women,34. 2% of them had depression symptoms,20. 6% of them had sleep disorder. The detection rate of sleep disorders in pregnant women with depression( 29. 0%) was higher than those among the pregnant women without depression( 16. 2%),and the difference was statistically significant( x~2= 12. 018,P = 0. 001). There was a positive relationship between the total score of PSQI and the score of SDS( r = 0. 680,P < 0. 001). Results of Multivariate logistic regression analysis showed that low level of education,poor relationship between husband and wife,pregnancy complications and sleep disorders were important risk factors of depressive symptom. Pregnancy complications,worry about children's health and depression were risk factors for sleep disorders in the late pregnancy. Conclusions There is a positive relationship between sleep quality and depression in late pregnant women,and comprehensive intervention measures should be taken to improve the depression and sleep quality of pregnant women in the late pregnancy.
引文
[1]Chen CH,Lin HC.Prenatal care and adverse pregnancy outcomes among women with depression:a nationwide populationbased study[J].Can J Psychiatry,2011,56(5):273-280.
[2]钱艺美.高危孕妇危险因素分析及预后[J].中华疾病控制杂志,2012,16(9):754-755,758.
[3]李婷,陈思,曹惠芳,等.妊娠期睡眠呼吸障碍的发生及其高危因素[J].现代妇产科进展,2016,25(5):354-357.
[4]Okun ML,Kiewra K,Luther JF,et al.Sleep disturbances in depressed and non depressed pregnant women[J].Depress Anxiety,2011,28(8):676-685.
[5]Breslau N,Roth T,Rosenthal L,et al.Sleep disturbance and psychiatric disorders:a epidemiological study of young adults[J].Biol Psychiatry,1996,39(6):411-418.
[6]张婉婉,仇春波.孕期睡眠质量与焦虑、抑郁心理的相关性调查研究[J].中国现代医生,2016,54(10):50-52.
[7]李青,田建丽,徐晓慧,等.产前风险问卷预测产后抑郁的适用性研究[J].现代预防医学,2017,44(8):1406-1409,1421.
[8]刘贤臣,唐茂琴,胡蕾,等.匹兹堡睡眠质量指数的信度和效度研究[J].中华精神科杂志,1996,28(2):103-107.
[9]贾彩丽,王立军,陆亚娟,等.孕晚期妇女抑郁现状及其影响因素分析[J].护理研究,2016,30(33):4134-4137.
[10]左梦玲,董柏青,雷利志,等广西孕产妇死亡率变化趋势分析及预测研究[J].中华疾病控制杂志,2017,21(9):953-955.
[11]Olsson C,Nilsson-Wikmar L.Health-related quality of life and physical ability among pregnant women with and without back pain in late pregnancy[J].Acta Obstet Gynecol Scand,2004,83(4):351-357.
[12]张朝辉,张亚林,穆俊林,等.抑郁症患者睡眠多导图分析[J].郑州大学学报(医学版),2009,44(4):778-780.
[13]武姣,罗艳虹,郭兴萍,等.母亲孕早期患病对出生缺陷的随机效应Logistic模型分析[J].中华疾病控制杂志,2016,20(2):146-148,157.
[2]钱艺美.高危孕妇危险因素分析及预后[J].中华疾病控制杂志,2012,16(9):754-755,758.
[3]李婷,陈思,曹惠芳,等.妊娠期睡眠呼吸障碍的发生及其高危因素[J].现代妇产科进展,2016,25(5):354-357.
[4]Okun ML,Kiewra K,Luther JF,et al.Sleep disturbances in depressed and non depressed pregnant women[J].Depress Anxiety,2011,28(8):676-685.
[5]Breslau N,Roth T,Rosenthal L,et al.Sleep disturbance and psychiatric disorders:a epidemiological study of young adults[J].Biol Psychiatry,1996,39(6):411-418.
[6]张婉婉,仇春波.孕期睡眠质量与焦虑、抑郁心理的相关性调查研究[J].中国现代医生,2016,54(10):50-52.
[7]李青,田建丽,徐晓慧,等.产前风险问卷预测产后抑郁的适用性研究[J].现代预防医学,2017,44(8):1406-1409,1421.
[8]刘贤臣,唐茂琴,胡蕾,等.匹兹堡睡眠质量指数的信度和效度研究[J].中华精神科杂志,1996,28(2):103-107.
[9]贾彩丽,王立军,陆亚娟,等.孕晚期妇女抑郁现状及其影响因素分析[J].护理研究,2016,30(33):4134-4137.
[10]左梦玲,董柏青,雷利志,等广西孕产妇死亡率变化趋势分析及预测研究[J].中华疾病控制杂志,2017,21(9):953-955.
[11]Olsson C,Nilsson-Wikmar L.Health-related quality of life and physical ability among pregnant women with and without back pain in late pregnancy[J].Acta Obstet Gynecol Scand,2004,83(4):351-357.
[12]张朝辉,张亚林,穆俊林,等.抑郁症患者睡眠多导图分析[J].郑州大学学报(医学版),2009,44(4):778-780.
[13]武姣,罗艳虹,郭兴萍,等.母亲孕早期患病对出生缺陷的随机效应Logistic模型分析[J].中华疾病控制杂志,2016,20(2):146-148,157.