| Objective: To investigate the sleep quality of the pregnant women in second trimester, analyze the relationship among pregnancy perceived stress, psychological resilience, self-efficacy, personality traits and sleep quality, and explore the effect of pregnancy perceived stress, psychological resilience, self-efficacy and personality traits on sleep quality. In order to further provide the theoretical basis for developing measures to improve the sleep quality of the pregnant women in second trimester from the perspective of positive psychology.Methods:A convenience sample of 231 pregnant women in a certain third-class comprehensive hospital in Shandong Province and a county hospital were obtained as the research object, the data collection tools included general information questionnaire, psychological resilience scale (resilience-10), the pregnancy stress scale, Pittsburgh sleep quality index (PSQI), Big five personality questionnaire (nervousness and extraversion section) and self-efficacy scale. SPSS 17.0 software was used for statistical analysis, descriptive statistics, analysis of variance, t test, chi-square test, Pearson correlation analysis, logistic regression analysis were used as the statistical approach.Results:1. The demographic characteristic and clinical information of the Participants.This research had surveyed 231 mid-pregnancy women, the age of 44.5% pregnant women ranged from 26 to 30; 81.4% of pregnant women had a high school degree or above; 41.8% of them engaged in physical and mental labor. Furthermore,77.5% of them were planning to be pregnant; 67.5% of pregnant women were Primipara,33.3% of pregnant women had moderate or severe pregnancy reaction during pregnancy.2. The sleep quality of the Participants.The PSQI of the mid-pregnancy women ranged from 0 to 16, and the average score was (5.15 ± 2.72),52.8% of the mid pregnant women’PSQI was greater than 5 points or more which indicated that they had the poor sleep quality. Furthermore,18.2% of the mid pregnant women self-evaluated that their sleep quality was relatively poor; 23.8% of pregnant women sleep less than 7 hours; 31.2% of pregnant women’ sleep efficiency was lower than 85%; 22.1% of pregnant women had the sleep disturbance; 39.8% of pregnant women had moderate or severe daytime dysfunction.3. The correlation among sleep quality and the pregnancy perceived stress, psychological resilience, self-efficacy, personality trait of the mid-pregnancy women.Pearson correlation analysis showed that psychological resilience (r=-.240, P< 0.01), self-efficacy (r=-.264, P< 0.01), extraversion (r=-.185, P< 0.01) had a significantly negative correlation with sleep quality; neuroticism (r=.339, P< 0.01), pregnancy perceived stress (r=.321, P< 0.01) had a significantly positive correlation with sleep quality. In addition, there were significant correlations among psychological resilience, self-efficacy, personality trait and pregnancy perceived stress each other.4. Logistic regression analysis of the protective/risk factors of sleep quality.First of all, sleep quality as the dependent variable, psychological resilience, self-efficacy, personality trait and the pregnancy stress perception as the independent variable respectively entered into the univariate logistic regression equation after controlling the general demographic variables. Results showed that the psychological resilience (OR= 0.917,95% CI= 0.876-0.960, P< 0.001, R2=0.146), self-efficacy (OR= 0.945,95% CI= 0.919-0.972, P< 0.001, R2=0.157), neuroticism (OR= 1.098, 95% CI= 1.033 1.167, P< 0.01, R2=0.163) and pregnancy stress perception (OR= 3.782,95% CI= 1.451 9.860, P< 0.01, R2=0.177) significantly predicted the sleep quality.To further analyze the effect of the multiple factors on sleep quality, psychological resilience,self-efficacy, personality and pregnancy stress perception as the independent variables and sleep quality as the dependent variable respectively entered into the multi-factor logistic regression equation after controlling the general demographic variables, the results showed that the pregnancy perceived stress (OR= 3.478,95% CI= 1.297 9.330, P< 0.05, R2= 0.253) was the significantly risk factor of sleep quality.Conclusions:1. The mid-pregnancy women have the poor sleep quality.2. The sleep quality of the mid-pregnancy women is significant associated with pregnancy perceived stress, psychological resilience, and self-efficacy and personality traits.3. Psychological resilience and self-efficacy are the protective factors of sleep quality; Neuroticism and pregnancy perceived stress are the risk factors of sleep quality; Note that the pregnancy perceived stress has a significant impact on sleep quality. |
PDF Full Text Request