孕妇睡眠信念和态度及其对睡眠质量的影响  

Disfunctional belief and attitudes of pregnant women and their influence on sleep qualityy

作　　者：王哲蔚[1] 马一枚 

机构地区：[1]同济大学附属第一妇婴保健院,上海200040

出　　处：《中国妇幼健康研究》2015年第3期453-456,共4页Chinese Journal of Woman and Child Health Research

摘　　要：目的探讨孕妇的睡眠个人信念和态度及其对睡眠质量的影响。方法针对孕前妇女200人,孕早期妇女200人,孕中期妇女156人,孕晚期妇女244人,使用睡眠个人信念和态度量表及阿森斯失眠量表进行横断面调查。结果①年龄大、情绪不稳定、有不良产史的妇女睡眠个人信念和态度量表得分越低(t值分别为-2.900、-2.310、-2.805,P值分别为0.004、0.009、0.005),文化程度低、睡眠个人信念和态度量表得分低的妇女孕期失眠乐观得分越低(t值分别为3.866、3.550,P值分别为0.000、0.005);②多因素分析显示:睡眠个人信念和态度量表得分及孕期失眠乐观分低仍是孕期失眠的危险因素(OR值分别为0.931、0.726,均P<0.001);③失眠孕妇中寻求治疗的占12.6%。结论建议在孕期健康教育中,纠正孕妇非理性的睡眠个人信念和态度,建立对孕期失眠的正确认识;对失眠孕妇包括提供心理治疗和适当药物治疗的干预。Objective To study personal belief and attitudes of pregnant women and their influence on sleep quality. Methods Cross-sectional survey was conducted on 200 preconceptional women, 200 women in early pregnancy, 156 women in middle pregnancy and 244 in late pregnancy using disfunctional beliefs and attitudes scale （ DBAS） and Athens Insomnia Scale. Results Women who were older,with unstable motion or abnormal birth history had lower scores in DBAS （t value was -2. 900, -2. 310 and -2. 805, respectively, P value was 0. 004, 0. 009 and 0. 005, respectively）. The women who had lower educational level or lower scores in DBAS were more pessimistic on insomnia in pregnancy （t value was 3. 866 and 3. 550 respectively,P value was 0. 000 and 0. 005, respectively）. Multivariate Logistic analysis showed that lower scores in DBAS and low optimism score on pregnancy insomnia were still the risk factors of insomnia in pregnancy （OR value was 0. 931 and 0. 726, respectively, both P〈0. 001）. Among pregnant women suffering insomnia, 12. 6% had sought therapy. Conclusion It is suggested to correct the irrational belief and attitude of sleep of pregnant women and establish correct understanding on insomnia through health education. Intervention should be provided for pregnant women suffering insomnia including psychological therapy and drug treatment.

关 键 词：妊娠 认知 态度 睡眠质量 

分 类 号：R715.3[医药卫生—妇产科学]