摘要
目的探讨与孕晚期初产妇发生失眠的相关危险因素,为构建针对性干预措施以降低孕晚期初产妇失眠发生率、改善不良分娩结局提供理论依据。方法回顾性分析2018年10月—2022年10月于山东第一医科大学附属聊城二院定期产检的孕晚期初产妇391名作为研究对象,调查其失眠症发生率,根据调查结果将研究对象分成非失眠组267例和失眠组124例,收集两组孕产妇年龄、文化程度、工作状态、家庭月均收入等一般资料及实验室指标(雌二醇、孕酮),采用单因素和多因素Logistic回归分析探究孕晚期初产妇失眠的影响因素。结果非失眠组和失眠组孕晚期初产妇年龄、文化程度、家庭月均收入、室内通风情况、饮食规律及配合支持度等指标比较,差异均具有统计学意义(P<0.05);多因素Logistic回归分析结果显示,年龄、文化程度、室内通风情况、饮食是否规律、配偶支持度等是孕晚期产妇发生失眠独立影响因素(P<0.05)。结论孕晚期初产妇失眠与年龄、文化程度、室内通风情况、饮食规律及配偶支持力度存在关联,提示医护人员应采取针对性干预措施来改善孕晚期初产妇的失眠状况。
Objective To explore the risk factors related to insomnia in late pregnancy primiparous women,and to provide theoretical basis for constructing targeted intervention measures to reduce the incidence of insomnia in late pregnancy primiparous women and improve adverse delivery outcomes.Methods A retrospective analysis was conducted on 391 primiparous women who underwent regular prenatal examinations at Liaocheng Second Affiliated Hospital of Shandong First Medical University from October 2018 to October 2022.The incidence of insomnia was investigated,and the study subjects were divided into a non insomnia group(n=267)and an insomnia group(n=124)based on the survey results.The general data,such as the age,education level,work status,monthly household income,and laboratory indicators,such as estradiol and progesterone were collected.Univariate and multivariate logistic regression analysis were used to investigate the risk factors of insomnia in late pregnancy primiparous women.Results There were significant differences in age,educational level,average monthly household income,indoor ventilation,dietary patterns,and cooperation support during the late pregnancy between the non insomnia group and the insomnia group(P<0.05).The multivariate logistic regression analysis showed that age,educational level,indoor ventilation,regular diet,and spouse support were independent influencing factors for the occurrence of insomnia in late pregnant women(P<0.05).Conclusion The occurrence of insomnia in late pregnancy primiparous women is correlated with age,educational level,indoor ventilation,dietary patterns,and spousal support,indicating that medical staff should take targeted intervention measures to improve the insomnia status of late pregnancy primiparous women.
作者
刘辉
郭峰
周爱玲
李飞飞
LIU Hui;GUO Feng;ZHOU Ailing;LI Feifei(Department of Obstetrics and Gynecology,Liaocheng Second People's Hospital/Liaocheng Second Affiliated Hospital of Shandong First Medical University,Liaocheng 252600,Shandong Province,China)
出处
《中国实用乡村医生杂志》
2023年第6期68-73,共6页
Chinese Practical Journal of Rural Doctor
关键词
孕晚期
初产妇
失眠
干预措施
分娩结局
Late Pregnancy
Primiparous Women
Insomnia
Intervention Measures
Delivery Outcome
