目的 了解妊娠晚期孕妇抑郁和睡眠质量的现况及其影响因素,探讨妊娠晚期孕妇抑郁与睡眠质量的相关性.方法 选择中卫市2所医院535名符合调查要求的孕妇进行问卷调查,采用匹兹堡睡眠质量指数量表(Pittsburgh sleep quality index, PSQI)和抑郁自评量表(self-rating depression scale, SDS)评定孕妇睡眠质量及抑郁.结果 535名孕妇抑郁检出率为34.2％,睡眠障碍的检出率为20.6％.有抑郁的孕妇睡眠障碍检出率(29.0％ )高于无抑郁的孕妇(16.2％),差异有统计学意义(χ2 =12.018,P=0.001).PSQI总分和SDS得分呈正相关(r=0.680,P＜0.001).文化程度低、夫妻关系差、有孕期并发症、睡眠障碍是妊娠晚期孕妇抑郁的危险因素.有孕期并发症、担忧孩子健康、抑郁是妊娠晚期孕妇睡眠障碍的危险因素.结论 妊娠晚期孕妇睡眠质量与抑郁呈正相关,应采取综合性T预措施改善妊娠晚期孕妇的抑郁情绪和睡眠质量.
Objective To investigate the current status of depression and sleep quality among pregnant women in the late pregnancy and its influencing factors, and to explore the relationship between depression and sleep quality in late pregnant women. Methods A total of 535 pregnant women were selected from 2 hospitals in Zhongwei city and the questionnaire survey were conducted, the quality of sleep and depression in pregnant women were evaluated using pittsburgh sleep quality index questionnaire (PSQI) and self-rating depression scale (SDS). Results Among the 535 pregnant women, 34.2％ of them had depression symptoms, 20.6％ of them had sleep disorder. The detection rate of sleep disorders in pregnant women with depression (29.0％) was higher than those among the pregnant women without depression(16.2％),and the difference was statistically significant ( χ2 =12.018,P =0.001 ). There was a positive relationship between the total score of PSQI and the score of SDS (r =0.680,P＜0.001 ). Results of Multivariate logistic regression analysis showed that low level of education, poor relationship between husband and wife,pregnancy complications and sleep disorders were important risk factors of depressive symptom. Pregnancy complications, worry about children(s) health and depression were risk factors for sleep disorders in the late pregnancy. Conclusions There is a positive relationship between sleep quality and depression in late pregnant women, and comprehensive intervention measures should be taken to improve the depression and sleep quality of pregnant women in the late pregnancy.