体外受精-胚胎移植术受孕者睡眠质量与妊娠压力及心理弹性的关系  

Relation of sleep quality to resilience and pregnancy pressure in pregnant women undergoing in vitro fertilization and embryo transfer

作　　者：张华建 肖红[1] 易红霞[1] 宗文华[1] 易含笑 邝钰贤 李璐柳 ZHANG Huajian;XIAO Hong;YI Hongxia;ZONG Wenhua;YI Hanxiao;KUANG Yuxian;Li Luliu(The First Affiliated Hospital of Nanchang University,Nanchang 330006,China)

机构地区：[1]南昌大学第一附属医院妇产科,南昌330006

出　　处：《中国心理卫生杂志》2020年第10期817-821,共5页Chinese Mental Health Journal

基　　金：江西省卫生计生委科技计划课题(20181045)。

摘　　要：目的:了解体外受精-胚胎移植术(IVF-ET)受孕者睡眠质量的现状及与心理弹性、妊娠压力的关系。方法:选取南昌大学第一附属医院生殖科的IVF-ET受孕者180例,使用匹兹堡睡眠质量指数量表(PSQI)、妊娠压力量表(PSRS)和中文版心理弹性量表(CD-RISC)进行测评,PSQI总分>7分为存在睡眠障碍。结果:有75人(41.7%)存在睡眠障碍。Logistic回归分析结果表明,妊娠压力是睡眠质量的危险因素(OR=1.43、8.50、11.93),心理弹性是睡眠质量的保护因素(OR=0.70、0.35、0.16)。结论:IVF-ET受孕者睡眠质量总体处于较差水平。妊娠压力越大越容易发生睡眠障碍,心理弹性水平越高越少发生睡眠障碍。Objective:To understand the status of sleep quality in pregnant women undergoing in vitro fertilization and embryo transfer(IVF-ET) and its relation to resilience and pregnancy pressure.Methods:Totally 180 cases of IVF-ET pregnant women were selected and assessed with the Pittsburgh Sleep Quality Index(PSQI,the total score of >7 was defined as sleep disorder),Pregnancy Stress Rating Scale(PSRS),Connor-Davidson Resilience Scale(CD-RISC) of Chinese version.Results:Seventy-five cases(41.7%) had sleep disorders.Logistic regression results showed that pregnancy stress was a risk factor for sleep quality(OR=1.43,8.50,11.93)and resilience was a protective factor for sleep quality(OR=0.70,0.35,0.16).Conclusion:It suggests that sleep quality of pregnant women undergoing IVF-ET is generally poorer.The higher the pregnancy pressure is,the more likely it is to have sleep disorder,and the better the resilience is,the less likely it is to have sleep disorder.

关 键 词：体外受精-胚胎移植术 受孕者 睡眠质量 妊娠压力 心理弹性 

分 类 号：R338.63[医药卫生—人体生理学] R714.2[医药卫生—基础医学]