摘要
目的研究初产妇女负性情绪与游离脂肪酸(FFA)、睡眠质量的关系。方法随机选取于台州市妇女儿童医院妇产科待产的158例初产妇,根据妇女有无焦虑、抑郁等负性情绪分为负性组(n=89)和非负性组(n=69),负性情绪组进一步分为A组(焦虑组,n=30)、B组(抑郁组,n=32)、C组(焦虑抑郁组,n=27)三组。分析各组负性情绪与FFA水平、睡眠质量的相关性。结果产后一周,负性情绪焦虑、抑郁与FFA水平在各组间差异均有统计学意义(F值分别为6.962、120.019、4.611,均P<0.05),进一步多重比较后发现3个负性情绪组的水平基本都高于非负性组。3个负性组FFA水平与焦虑、抑郁评分存在正相关关系(r值分别为0.314、0.326、0.413,均P<0.05)。初产妇睡眠质量的各分项指标及匹兹堡睡眠质量指数(PSQI),在各组间差异均有统计学意义(F值分别为18.259、23.869、23.455、21.656、15.869、22.443、32.103,均P<0.05),进一步多重比较后发现,与非负性组相比,3个负性组总的PSQI均显著增高,即睡眠质量较差。结论初产妇焦虑、抑郁等负性情绪与FFA具有正相关关系,与睡眠质量之间具有负相关关系。因此对初产妇进行饮食、睡眠及运动指导,可降低FFA水平,改善睡眠质量,从而降低初产妇焦虑、抑郁等负性情绪的发生率,具有很高的临床推广价值。
Objective To study relationship of negative emotion of primiparae with their serum free fatty acids(FFA) level and sleep quality. Methods 158 primiparae who waited to delivery in Taizhou Municipal Women and Children’s Hospital were randomly selected and they were divided into negative emotion group(n=89) and non-negative emotion group(n=69) according to whether they had negative emotions such as anxiety and depression. The negative emotion group was further divided into group A(anxiety group,n=30),group B(depression group,n=32) and group C(anxiety and depression group,n=27). The correlation of negative emotions with serum FFA level and sleep quality was analyzed. Results At one week after delivery,in the levels of negative emotions anxiety,depression,and serum FFA level of the primiparae there were significant differences among the four groups(F=6.962,120.019 and 4.611 respectively,all P<0.05). After further multiple comparisons,the levels of anxiety,depression,and serum FFA level in the three negative emotion subgroups were basically higher than those in the non-negative emotion group. There was a positive correlation of serum FFA levels with scores in anxiety and depression of the primiparae in the three negative subgroups(r=0.314,0.326 and 0.413 respectively,all P<0.05). There were significant differences in sub-items of sleep quality and Pittsburgh Sleep Quality Index(PSQI) of the primiparae among the four groups(F=18.259,23.869,23.455,21.656,15.869,22.443 and 32.103 respectively,all P<0.05). After further multiple comparisons,it was found that compared with the non-negative emotion group,the total PSQI score of the primiparae in the three negative emotion subgroups were significantly higher,that is,the sleep quality was poor. Conclusion Anxiety,depression and other negative emotions of the primiparae are positively correlated with their serum FFA level and are negatively correlated with their sleep quality. Therefore,diet,sleep and exercise guidance for primiparae could decrease their serum FFA level,impro
作者
胡婉婧
马霞
顾荣华
HU Wanjing;MA Xia;GU Ronghua(Department of Gynecology and Obstetrics,Taizhou Municipal Women and Children\s Hospital,Zhejiang Taizhou 318000,China;Department of Gynecology and Obstetrics,Taizhou Hospital,Zhejiang Taizhou 317000,China)
出处
《中国妇幼健康研究》
2020年第5期631-634,共4页
Chinese Journal of Woman and Child Health Research
关键词
游离脂肪酸
初产妇
负性情绪
睡眠
相关分析
free fatty acid(FFA)
primipara
negative emotion
sleep
relationship analysis
