Investigation The Sleep Quality Status And Evaluation The Effect Of Mindfulness In Mid-late Pregnant Women

Objective:The purpose of this study was to investigate the current situation of sleep quality and to explore the application effect of mindfulness-based psychological intervention strategies in sleep quality in mid-late pregnant women.Methods: The research was in two parts.The first part: To investigate the sleep quality of pregnant women in middle and late.420 cases of mid-late pregnancy were investigated using the General Information Questionnaire,Five Facet Mindfulness Questionnaire(FFMQ)and Pittsburgh Sleep Quality Index(PSQI)to understand the level of sleep quality and analyze the related factors.The second part: An intervention study of mindfulness therapy on sleep quality in women in mid-late pregnancy,which is through literature review and expert consultation to develop a intervention program and the quasi-experiment method of research to design.A total of 100 eligible pregnant women(PSQI>7points)using the method of facilitating sampling were selected as the intervention objects,and the subjects were randomly divided into the experimental group(n=50)and the control group(n=50)using the random number table method.The control group conducted only routine care.On the basis of this,the intervention group conducted online mindfulness training intervention for a total of 6 weeks,once a week,about 30 minutes each time.The Five-factor Mindfulness Scale and the Pittsburgh Sleep Quality Index were used before and after the intervention to evaluate application effect of mindfulness training in the sleep quality of women in middle and late pregnancy.Results:The first part of the results,a total of 420 questionnaires were distributed,and 415 valid questionnaires were returned.The effective rate of recovery was 98.81%.415 cases of mid-late pregnancy,age 21~44(31.20 ± 4.07)years,gestational age 14~39(28.74 ± 3.98)weeks,total sleep quality(6.28 ± 2.70)points,poor sleep quality 145 people(34.94%).The score of mindfulness level is(124.75 ± 13.58)points.Correlation regression analysis showed that the age,gestational age and the number of lectures in pregnant women school all had an impact on sleep quality.Mindfulness level was positively correlated with sleep quality.In the second part,after the intervention,38 patients in the control group and 40 patients in the intervention group.The subjective sleep quality,sleep time,sleep time,sleep efficiency,sleep disturbance score and total score of PSQI in the experimental group were significantly lower than those of the control group,and the difference was statistically significant(P< 0.05);The total scores of FFMQ and its acting with awareness and non-judgment were significantly higher than those of the control group(P< 0.05).Within the group,the total score of PSQI in the experimental group and the scores of each dimension except the sleep disorder and hypnotic drugs were significantly lower than those before the intervention(P< 0.05).The FFMQ total score and the observation dimension score were significantly higher than the pre-intervention score(P< 0.05).There was no significant difference in the scores of PSQI and each dimension between the control group and the pre-intervention scores(P> 0.05).The FFMQ total score and the score of acting with awareness were lower than pre-intervention scores(P< 0.05).Conclusions:Women in mid-late pregnancy have an average quality of sleep.There was a significant positive correlation between mindfulness level and sleep quality.The higher the level of mindfulness,the better the quality of sleep.Mindfulness training can effectively improve the quality of sleep in women in mid-late pregnancy.This method is simple and easy to learn,and can effectively help pregnant women to adjust themselves and improve sleep quality.