| Purpose:To understand the trend of sleep quality and its influencing factors in pregnant women during pregnancy in Shihezi area,and to provide guidance for nursing staff to improve sleep care during pregnancy.Method:1.1.Longitudinal SurveyA total of 146 pregnant women in Shihezi City were sampled by repeated measurement survey.The sleep quality and influencing factors were tracked at 9 to 13 weeks,20 to 24 weeks,28 to 32 weeks and 36 to 40 weeks gestation survey.2.Data statisticsEpi Data3.1 software was used to input the verification data and imported into SPSS 22.0 software for statistical analysis.Statistical methods include descriptive statistical analysis,?2 test,repeated measurement of variance analysis,generalized estimation equation.Result:1.Change in sleep quality1.1 The subjects were 9 to 13 weeks of gestation,20 to 24 weeks of gestation,28 to 32 weeks of gestation,and the sleep quality score(question detection rate)was 5.00 ± 2.04(13.7%),4.36 ± 1.89(6.2 %),4.45 ± 1.89(8.9%)and 4.79 ± 2.07(8.2%).The c2 test showed that the difference in the detection rate of sleep quality was not statistically significant(?2=5.305,P=0.151)..1.2 Repeated measurement of variance analysis showed that the sleep quality score changed with the development of the study(F=9.382,P=0.036).There was no statistically significant difference between the two measurements at 9 to 13 weeks of gestation and 36 to 40 weeks(P = 0.336),and there was no statistically significant difference between 20 to 24 weeks gestation and 28 to 32 weeks(P = 0.588).The difference between the two measurements was statistically significant(P<0.05),thereis T1 and T2,T1 and T3,T3 and T4,T2 and T4.1.3 with the development of pregnancy,sleep duration changes were statistically significant(F=8.456,P<0.001).1.4 With the development of pregnancy,several changes in sleep disorders during pregnancy were statistically significant(P<0.001).Which at night to get up the toilet,wake up at night or wake up early,feel too hot,nightmares,coughing or snoring,feeling pain is the main manifestation of sleep disorders.2.Factors affecting sleep quality2.1 Univariate analysisThe influencing factors were set as intergroup factors.Repeated measurements of variance analysis showed that pre-pregnancy sleep evaluation,anxiety and depression affected changes in sleep quality scores during pregnancy(P<0.05).2.2 Multi-factor analysisThe dependent variable is sleep quality score from four timesmeasurement.The results of the generalized estimation equation show that the more severe the anxiety is,the worse the sleep quality(Wald?2=6.966,P=0.008).The greater the impact of pregnancy on life,the worse the quality of sleep(Wald?2=10.877,P=0.004).Good relationship between husband and wife has a protective effect on sleep quality(Wald?2=8.421,P=0.004).According to whether the quality of sleep is detected from the four times measurement is a dependent variable.The results of the generalized estimation equation show that the degree of sleep is more likely to occur with the increase of anxiety(Wald?2=17.539,P=0.001).Depressors were more likely to have sleep quality problems than those without depressive symptoms(Wald?2=17.201,P=0.001).Good at dealing with people is a protective factor in the quality of sleep(Wald?2=6.197,P=0.013).Conclusion:1.Shihezi City,pregnant women,better sleep quality of sleep.The sleep quality score of the subjects was better,and the detection rate of sleep quality was low.2.Changes in sleep quality occur throughout the pregnancy.Poor sleep quality appears in the first and final stages of pregnancy and needs attention.With the development of pregnancy,sleep time gradually shorter.The whole pregnancy "sleep disorder" problem is most significant and with the development of sleep disorders symptoms of pregnancy changes.Late pregnancy "sleep time" longer,insomnia significantly.Helping women in late pregnancy to solve sleep difficulties may be able to significantly improve the quality of sleep in late pregnancy.3.Anxiety on pregnancy quality of sleep a greater impact on the more serious anxiety symptoms prone to sleep quality problems.Improve the psychological state,improve the ability to communicate can help reduce the quality of sleep problems in pregnant women. |
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