孕期睡眠质量与焦虑抑郁心理相关性调查研究.docVIP

孕期睡眠质量与焦虑抑郁心理相关性调查研究 　　[摘要] 目的 调查孕期睡眠质量与焦虑、抑郁心理的相关性，为提高孕妇睡眠质量提供指导依据。 方法 对我院2013年6月～2015年6月入选的168例孕妇睡眠质量进行调查研究，并对孕妇的睡眠与其出现的焦虑、抑郁心理的相关性进行分析。 结果 调查的168例孕妇的睡眠质量 PSQI总评分（11.78±3.21）分；其中睡眠质量良好36例，占21.43%，睡眠质量一般81例，占48.21%，睡眠质量差51例，占30.36%。调查的168例孕妇SAS评分（42.2±8.3）分，调查孕妇SDS评分（41.9±7.0）分，孕妇睡眠质量评分与SAS、SDS呈正相关，差异具有统计学意义（P0.05），且PSQI 各维度评分与SAS、SDS均具有相关性。其中PSQI总分与SAS、SDS的相关系数分别为0.372、0.369。 结论 妊娠期孕妇睡眠质量与焦虑、抑郁心理存在密切的相关性。 　　[关键词] 孕期；睡眠质量；焦虑、抑郁心理；相关性 　　[中图分类号] R395.1 [文献标识码] B [文章编号] 1673-9701（2016）10-0050-03 　　[Abstract] Objective To research the correlation between sleep quality and anxiety and depression during pregnancy， and to provide guidance for improving the sleep quality among pregnant women. Methods A total of 168 pregnant women in our hospital from June 2013 to June 2015 were selected and their sleep quality was investigated. The correlation between sleep quality and anxiety and depression was analyzed. Results The overall PSQI scores of the 168 pregnant women were（11.78±3.21） scores. The sleep quality of 36 pregnant women was good（21.43%）， of 81 cases was fair（48.21%）， and 51 cases were poor （30.36%）. The SAS scores of the 168 pregnant women were （42.2±8.3） scores， SDS scores were （41.9±7.0）， and the scores of sleep quality were positively correlated with SAS and SDS， which was statistically significant（P0.05）. PSQI scores at various dimensionalities also showed correlation with SAS and SDS， and the correlation coefficients between the total score of PSQI， SAS and SDS were 0.372 and 0.369， respectively. Conclusion Sleep quality is closely correlated to anxiety and depression in pregnant women. 　　[Key words] Pregnancy； Sleep quality； Anxiety and depression； Correlation 　　妊娠是妇女生命中重要的生理过程之一，同时也是一种重大的应激反应。睡眠质量差是妊娠期妇女的一个常见主诉。妊娠期孕妇出现入睡困难、频繁夜醒、睡眠不足等睡眠障碍，而睡眠障碍会引起心理紧张、失眠，最终会增加孕妇焦虑等负性心理[1]。研究发现，长期不良的睡眠障碍会对孕妇妊娠期的生理及心理方面产生较大的影响，导致妊娠期妇女分娩产程延长、剖宫产率增高、分娩时出血量增多、新生儿出生低体重Apgar评分降低、发生产后抑郁症等[2]。本研究通过对我院产前门诊2013年6月～2015年6月入选的孕妇（孕28周以后）的睡眠状态进行调查研究，并对孕妇的睡眠与其出现的焦虑、抑郁心理的相关性进行分析，旨在了解孕妇睡眠质