The Relationship Between Sleep Quality And Anxiety Of Pregnant Women In The Third Trimester Of Pregnancy In Shenyang:the Mediating Role Of Optimism

Objective: Pregnancy is an important life event for women of childbearing age.This study firstly explore optimism about the sleep quality and anxiety symptoms of pregnancy in the late pregnant women the mediation role of relationship.It will help understand the anxiety symptoms of pregnant women in the third trimester and rich intervention measures to improve the third trimester pregnant women anxiety symptoms the theoretical basis of the basis,to explore the intervention pregnant women to the direction of the main psychological characteristic optimism,cultivate optimistic way of thinking,comprehensive intervention measures to improve maternal and child health.Methods: A cross-sectional survey conducted in this study with cluster sampling method.From October 2019 to January 2020,this study consisted of pregnant women in their third trimester who were hospitalized in the Department of Obstetrics,Shengjing Hospital,China Medical University,Shenyang,Liaoning Province,China.Pregnant women who met the inclusion criteria were selected as the survey subjects.Face-to-face survey with paper questionnaire.Informed consent of participants was obtained before data collection and questionnaire survey was conducted,with the effective response rate of 85.14%.SPSS17.0 and Amos6.0 were used to conduct t test,analysis of variance,Spearman correlation analysis,hierarchical regression analysis and structural equation model for statistical analysis of data.Results: The average level of anxiety symptoms of pregnant women in the third trimester of pregnancy in this study was 43.88±9.05.The overall prevalence of anxiety symptoms was 23.4%,mild anxiety 18.3%,moderate anxiety 4.3%,and severe anxiety 0.9%.Optimism has a partially mediating role in the relationship between sleep quality and anxiety symptoms of pregnant women in the third trimester(a*b=0.045,BCa 95% CI:0.000,0.100).Sleep quality and optimism are predictors of anxiety symptoms.Among them,sleep quality is positively correlated with anxiety,and optimism is negatively correlated with anxiety symptoms.Optimism played a partially mediating role in the association between sleep quality and anxiety symptoms in the third trimester of pregnancy.Conclusion: In this study,the anxiety level of pregnant women in the third trimester was relatively low,but it was universal in general.The results of this study show that sleep quality with optimism as a mediator has a predictive effect on the anxiety of pregnant women in the third trimester.The establishment of appropriate optimistic psychological resources can help alleviate the negative effects of sleep quality,thereby effectively alleviating anxiety symptoms and improving the physical and mental health of pregnant women.