孕妇特质应对方式与睡眠质量的关联性研究

Association between sleep quality and trait coping styles in pregnant women

目的探究孕妇特质应对方式和睡眠质量的现状及两者间的关联性。方法采用横断面研究设计,在2018年12月1日—2019年6月30日期间招募同济大学附属妇产科医院建档产检的孕妇309名,通过自设问卷收集研究对象的一般人口学资料,用国际量表评估孕妇的睡眠质量及特质应对方式。采用Logistic回归分析孕妇特质应对与睡眠质量之间的关联性。结果研究纳入孕妇308名,根据匹兹堡睡眠质量量表(Pittsburgh sleep quality index,PSQI),研究对象的得分为5.77±2.93,其中睡眠质量差(PSQI>5)的孕妇共140名(45.5%),在主观睡眠质量、入睡时间、实际睡眠时间、睡眠效率、睡眠紊乱、睡眠药物使用和日间功能障碍7个维度上存在特定睡眠问题的人数分别有66(21.4%)、102(33.1%)、33(10.7%)、44(14.3%)、60(19.5%)、1(0.3%)、102(33.1%)。睡眠质量的7个维度中主观睡眠质量(1.07±0.67)、入睡时间(1.23±0.84)、睡眠紊乱(1.13±0.55)、日间功能障碍(1.37±0.83)4个维度的平均分均>1。积极应对与PSQI得分、主观睡眠质量、入睡时间、睡眠紊乱和日间功能障碍具有相关性,消极应对与PSQI得分、主观睡眠质量、入睡时间、睡眠紊乱和日间功能障碍具有相关性。结论妊娠期妇女的睡眠质量与特质应对之间存在关联性,且积极的应对方式有助于孕妇睡眠质量的提高。

Objective To explore the association of sleep quality and trait coping styles in pregnant women.Methods A cross-sectional study was conducted among 309 pregnant women who were registered in Obstetrics and Gynecology Hospital of Tongji University between December 1,2018 and June 30,2019.The general demographic data were collected through a self-designed questionnaire,and the sleep quality and trait coping styles of pregnant women were assessed with the Pittsburgh sleep quality index(PSQI)and Coping Styles Questionnaire(CSQ),respectively.Logistic regression was used to analyze the association between sleep quality and trait coping in pregnant women.Results Among 308 pregnant women included in the final analysis the mean PSQI score was 5.77±2.93.There were 140 pregnant women(45.5%)with poor sleep quality(PSQI>5);and there were 66(21.4%),102(33.1%),33(10.7%),44(14.3%),60(19.5%),1(0.3%)and 102(33.1%)participants having problems of subjective sleep quality,time to sleep,actual sleep time,sleep efficiency,sleep disorders,sleep medication use,and daytime dysfunction,respectively.The average scores of subjective sleep quality,sleep onset time,sleep disorder and daytime dysfunction were 1.07±0.67,1.23±0.84,1.13±0.55 and 1.37±0.83,respectively.Logistic regression analysis showed that positive coping was correlated with PSQI score,subjective sleep quality,time to sleep,sleep disorders,and daytime dysfunction,while negative coping was correlated with PSQI score,subjective sleep quality,time to sleep,sleep disorders,and daytime dysfunction.Conclusion The study shows that trait coping styles are positively associated with sleep quality among pregnant women,indicating that a positive coping style can help improve the sleep quality of pregnant women.