反复胚胎种植失败患者睡眠质量现状及影响因素研究  

Study on sleep quality status of patients with recurrent implantation failure and its influencing factors

作　　者：王珂[1,2] 李哲芫 秦宁馨 白洁 徐燕 郑锦霞[1] WANG Ke;LI Zheyuan;QIN Ningxin△;BAI Jie;XU Yan;ZHENG Jinxia(Department of Reproductive Medicine,Tongji University Affiliated Obstetrics and Gynecology Hospital,Shanghai 201204,China;Department of Nursing,International Medical Technology,Shanghai Sanda University,Shanghai 201209,China;Department of Nursing,Fudan University Affiliated Zhongshan Hospital,Shanghai 200000,China;Doctor Degree Candidate of Nursing Enrolled in 2024,School of Medicine,Tongji University,Shanghai 200092,China)

机构地区：[1]同济大学附属妇产科医院生殖医学中心,上海201204 [2]上海杉达学院国际医学技术学院护理系,上海201209 [3]复旦大学附属中山医院护理部,上海200000 [4]同济大学医学院,上海200092

出　　处：《中国性科学》2025年第4期32-37,共6页Chinese Journal of Human Sexuality

基　　金：国家自然科学基金青年项目(82201882);上海市自然科学基金面上项目(23ZR1450200);同济大学附属妇产科医院护理专项课题项目(2023HL20)。

摘　　要：目的探讨反复胚胎种植失败(RIF)患者的睡眠质量,分析影响因素,以期为改善该类患者睡眠质量提供科学依据。方法采用横断面调查,选取2023年9月至12月在同济大学附属妇产科医院生殖医学中心接受辅助生殖技术(ART)助孕的RIF患者作为研究对象。采用一般资料调查表、焦虑自评量表(SAS)、抑郁自评量表(SDS)、匹兹堡睡眠质量指数量表(PSQI)进行问卷调查,分析RIF患者的睡眠质量及影响因素。结果共纳入RIF患者404例,其中188例存在睡眠障碍(46.53%)。睡眠障碍患者主观睡眠质量、入睡时间、睡眠效率、睡眠紊乱及PSQI得分均高于睡眠质量正常患者,差异具有统计学意义(P<0.05)。二元Logistic回归分析结果显示,是否有喝咖啡的习惯、是否有晒太阳的习惯、平均每日运动时长、焦虑、抑郁是影响RIF患者睡眠质量的独立危险因素(P<0.05)。结论RIF患者睡眠障碍检出率较高,其睡眠质量主要受到生活习惯和负性情绪的影响。在临床工作中,医护人员可考虑从指导患者建立良好生活习惯、改善负性情绪的角度出发,制定多元化、个性化护理方案,以期改善RIF患者的睡眠质量。Objective To explore the sleep quality of patients with recurrent implantation failure(RIF),analyze the influencing factors,so as to provide scientific basis for improving the sleep quality of such patients.Methods A cross-sectional survey was conducted to select RIF patients who received assisted reproductive technology(ART)assisted pregnancy in Department of Reproductive Medicine,Tongji University Affiliated Obstetrics and Gynecology Hospital from September to December 2023.A questionnaire survey was conducted using a general information questionnaire,self-rating anxiety scale(SAS),self-rating depression scale(SDS)and Pittsburg sleep quality index(PSQI)to analyze the sleep quality and influencing factors of RIF patients.Results A total of 404 RIF patients were included,of which 188 patients(46.53%)had sleep disorders.Patients with sleep disorders have higher subjective sleep quality,falling asleep time,sleep efficiency,sleep disorders,and PSQI scores than patients with normal sleep quality,with the statistically significant differences(P<0.05).The results of binary Logistic regression analysis showed that whether patients had the habits of drinking coffee,whether patients had the habits of sunbathing,average daily exercise duration,anxiety,and depression were independent risk factors affecting the sleep quality of RIF patients(P<0.05).Conclusions The detection rate of sleep disorders in RIF patients was high,and their sleep quality was mainly affected by living habits and negative emotions.In clinical work,medical staff can consider developing diversified and personalized nursing programs from the perspective of guiding patients to establish good living habits and improve negative emotions,so as to improve the sleep quality of RIF patients.

关 键 词：辅助生殖技术 反复胚胎种植失败 睡眠质量 影响因素 

分 类 号：R711[医药卫生—妇产科学]