抑郁症状和孕晚期睡眠质量的相关性研究

Study on the correlation between depression and sleep quality during late pregnancy

目的了解孕晚期孕妇抑郁和睡眠质量现状并分析抑郁症状与睡眠质量及其各维度的关系。方法采用匹兹堡睡眠质量指数量表（PSQI）及流调用抑郁自评量表（CES-D）对上海市第一妇婴保健院随访的孕28周之后的260名妇女进行问卷调查。采用卡方检验和非条件Logistic回归分析探讨抑郁症状与孕晚期孕妇睡眠质量的关系。结果被调查孕妇中,56.15%有抑郁症状,20.77%有睡眠障碍。有抑郁症状的妇女中,28.08%有睡眠障碍。在考虑了孕妇年龄、调查孕周、文化程度、户籍地、有无妊娠史、孕前体重指数（BMI）和孕晚期工作时间后,统计学分析表明抑郁症状对PQSI总分有影响（OR=3.229,95%CI：1.531～6.810）。有抑郁症状的孕妇主观睡眠质量（OR=3.903,95%CI：1.253～12.158）、睡眠潜伏期（OR=4.846,95%CI：1.574～14.920）、睡眠功能紊乱（OR=7.869,95%CI：2.576～24.036）及白天功能紊乱（OR=6.395,95%CI：2.328～17.565）4个维度的危险值比没有抑郁症状的孕妇高。结论抑郁症状是孕晚期孕妇睡眠质量的危险因素,应加强相关方面的保健工作。

Objective To survey the current situations of sleep quality and depression of pregnant woman during late pregnancy,analyze the relationship between depression and sleep quality and the different dimensions. Methods PSQI and CES-D were used to survey260 pregnant women more than 28 gestational weeks in the hospital. Chi-square test and non-conditional logisitic regression analysis were used to analyze and explore the relationship between depression and sleep quality. Results Among the pregnant women,56. 15% of them had depression symptoms,20. 77% of them had sleep disorder. Among the pregnant women with depression symptoms,28. 08% of them had sleep disorder. After considering age,gestational weeks of investigation,educational level,place of registered permanent residence,having pregnancy history or not,body mass index（ BMI） before pregnancy,and working time during late pregnancy,statistical analysis showed that depression had impact on the total score of PSQI（ OR = 3. 229,95% CI： 1. 531- 6. 810）. The risks of subjective sleep quality（ OR =3. 903,95% CI： 1. 253-12. 158）,sleep latency（ OR = 4. 846,95% CI： 1. 574-14. 920）,sleep disorder（ OR = 7. 869,95% CI： 2. 576-24. 036）,and function disorder during daytime（ OR = 6. 395,95% CI： 2. 328-17. 565） among the pregnant women with depression were higher than those among the pregnant women without depression. Conclusion Depression is a risk factor of sleep quality of pregnant women during late pregnancy,the related health care should be strengthened.