孕妇主观与客观睡眠质量相关性及妊娠压力的效应修饰
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摘要
目的研究孕妇主观睡眠质量和客观睡眠质量之间的相关性,分析不同妊娠压力水平下孕妇主观与客观睡眠质量相关性的差异,以更确切地评估孕妇的睡眠质量。方法选取2017年3月-2018年3月松江区323名孕16周的孕妇为研究对象,用匹兹堡睡眠质量指数量表(PSQI)评价近1个月主观睡眠质量,用腕部体动仪记录孕妇连续7 d的客观睡眠质量,用孕妇生活事件量表评价妊娠压力。结果被调查孕妇的PSQI评分平均为6. 39分。腕部体动仪记录得到的睡眠时间、清醒次数、清醒时间和客观睡眠效率都与主观睡眠质量维度、睡眠持续性维度及匹兹堡睡眠质量指数有相关性,相关系数0. 112～0. 173,其中清醒次数与匹兹堡睡眠量表测量结果的相关性最强。相比妊娠压力相对较小的孕妇,妊娠压力较大的孕妇清醒次数和清醒时间与PSQI得分、客观睡眠效率与PSQI得分的线性相关关系不明显。结论在孕妇中,问卷量表和腕部体动仪测得的主观与客观睡眠质量存在较弱的相关性,在反映睡眠质量方面有不同的侧重性。妊娠压力是主观与客观睡眠质量相关性的效应修饰因子,对于妊娠压力大的孕妇,尤其要注意同时观测主观与客观睡眠质量问题。
引文
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[3]Gelaye B,Barrios YV,Zhong QY,et al.Association of poor subjective sleep quality with suicidal ideation among pregnant Peruvian women[J].Gen Hosp Psychiatry,2015,37(5):441-447.
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[8]Hung HM,Tsai PS,Ko SH,et al.Patterns and predictors of sleep quality in Taiwanese pregnant women[J].MCN Am J Matern Child Nurs,2013,38(2):95-101.
[9]Manber R,Steidtmann D,Chambers AS,et al.Factors associated with clinically significant insomnia among pregnant low-income Latinas[J].J Womens Health(Larchmt),2013,22(8):694-701.
[10]檀丽薇,史慧静,王英,等.上海地区孕早中期孕妇睡眠质量现况及相关的社会结构性因素[J].上海预防医学,2018,30(3):207-211.
[11]Lechinger J,Heib DP,Gruber W,et al.Heartbeat-related EEGamplitude and phase modulations from wakefulness to deep sleep:interactions with sleep spindles and slow oscillations[J].Psychophysiology,2015,52(11):1441-1450.
[12]Genzel L,Kroes MC,Dresler M,et al.Light sleep versus slow wave sleep in memory consolidation:a question of global versus local processes?[J].Trends Neurosci,2014,37(1):10-19.
[13]Shambroom JR,Fábregas SE,Johnstone J.Validation of an automated wireless system to monitor sleep in healthy adults[J].JSleep Res,2012,21(2):221-230.
[14]Buysse DJ,Reynolds CF 3rd,Monk TH,et al.The Pittsburgh Sleep Quality Index:a new instrument for psychiatric practice and research[J].Psychiatry Res,1989,28(2):193-213.
[15]Ruiz RJ,Fullerton JT.The measurement of stress in pregnancy[J].Nurs Health Sci,1999,1(1):19-25.
[16]Hughes JM,Song Y,Fung CH,et al.Measuring sleep in vulnerable older adults:a comparison of subjective and objective sleep measures[J].Clin Gerontol,2018,41(2):145-157.
[17]Cespedes EM,Hu FB,Redline S,et al.Comparison of self-reported sleep duration with actigraphy:results from the Hispanic Community Health Study/Study of Latinos Sueno Ancillary Study[J].Am J Epidemiol,2016,183(6):561-573.
[18]Volkovich E,Tikotzky L,Manber R.Objective and subjective sleep during pregnancy:links with depressive and anxiety symptoms[J].Arch Womens Ment Health,2016,19(1):173-181.