家庭因素对高龄二胎妊娠期妇女睡眠质量的影响

Effects of family-related factors on sleep quality among elderly pregnant women who already have one child

目的探讨家庭因素对高龄二胎妊娠期妇女睡眠质量的影响。方法采用方便抽样方法,对年龄≥35周岁的二胎妊娠期妇女应用匹兹堡睡眠质量指数量表(PSQI)、家庭关怀度指数(APGAR)和自制调查问卷进行调查。结果共调查了299名高龄二胎妊娠期妇女,睡眠质量差的比例达30.8%。高龄二胎妊娠期妇女PSQI总分为(6.31±2.95)分,高于成年女性常模和首次怀孕妇女常模(u=16.396,5.497,P<0.05)。单因素分析显示,不同孕分期、家庭支持(父母)、家庭支持(丈夫)、家庭支持(孩子)、家庭功能和家庭权利等因素与高龄二胎妊娠期妇女睡眠质量好差发生率的比例有关(χ~2=12.312,21.049,18.617,11.682,13.494,6.779,均P<0.05)。Logistic回归分析显示,高龄二胎妊娠期妇女睡眠质量与孕分期、家庭支持(父母)、家庭支持(丈夫)、家庭支持(孩子)和家庭功能有关。结论得不到父母、丈夫和孩子的足够家庭支持、家庭功能障碍和孕晚期是导致高龄二胎妊娠期妇女睡眠质量差的主要因素。

Objective To investigate the status of sleep quality and the family-related factors among elder-ly pregnant women who already have one child. Methods A total of 299 elderly pregnant women who already haveone child were investigated using pittsburgh sleep quality index(PSQI),family APGAR index and a self-designedquestionnaire. Results The total prevalence of poor sleep quality was 30.8% among elderly pregnant women whoalready have one child. PSQI score was average(6.31 ± 2.95). PSQI score were higher than the adult female normand pregnant woman for the first time(u = 16.396,5.497,P < 0.05). Univariate analysis showed that the determi-nants of sleep quality included pregnancy,family support(parents),family support(husband),family support(child),family dysfunction,family right(χ~2= 12.312,21.049,18.617,11.682,13.494,6.779,P < 0.05).Logistic regression analysis showed that pregnancy,family support(parents),family support(husband),familysupport(child)and family dysfunction were associated with sleep quality. Conclusion The poor sleep qualityamong elderly pregnant women who already have one child is related to low family support(parents,husband,child),obstacle of family dysfunction and late pregnancy.