某醫學中心孕婦妊娠期間發生白天嗜睡之相關因素探討

Factors Influencing Daytime Sleepiness in Pregnant Women at a Medical Center

鄭羽琇(Yu-Hsiu Cheng) ； 蘇河仰(Her-Young Su) ； 李佳錡(Chia-Chi Li) ； 張玉坤(Yue-Cune Chang) ； 廖珍娟(Jen-Jiuan Liaw)

《榮總護理》 32卷4期 (2015/12) Pp. 392-405

https://doi.org/10.6142/VGHN.32.4.392

摘要

懷孕婦女發生睡眠困擾的情形比一般婦女高，尤其是孕婦白天嗜睡問題，可能影響母嬰未來的健康，其影響因素是值得討論的議題。本研究之目的是探討懷孕婦女從第二妊娠期到生產前發生白天嗜睡問題的比率與相關影響因素。研究設計採前瞻性、長期追蹤，以方便取樣方式選取北部某醫學中心產前門診16-20週之懷孕婦女，於2014年9月1日至2015年4月15日，以白天嗜睡量表測量孕婦16-20週(Time_1)、24週(Time_2)、28週(Time_3)、32週(Time_4)及36週(Time_5)五個時段白天嗜睡的得分，共有84位懷孕婦女完成五個時段的問卷填寫。研究結果發現第二妊娠期至生產前之孕婦，白天嗜睡的問題因妊娠週數改變而有所變化，隨著懷孕時間的成長，測量時間Time2(24週)、Time3(28週)及Time4(32週)比Time1(16-20週)白天嗜睡問題較少；而孕期不適量表得分越高，白天嗜睡問題越嚴重(p ＜ .05)，顯示妊娠週數改變及孕期不適情形皆會影響懷孕期間白天嗜睡問題。建議未來應發展改善孕婦睡眠問題的相關策略，儘早協助解決孕婦的睡眠問題，以增進孕婦之健康。

關鍵字

孕婦 ； 白天嗜睡 ； 相關因素

並列摘要

Pregnant women have significantly increased daytime sleepiness. The primary strategy in solving sleep problems during pregnancy entails exploring the relevant factors that influence sleep in pregnant women, particularly discomfort during pregnancy and developing individualized interventions for improving their sleep. This study explored the relevant factors that influence the daytime sleepiness in pregnant women throughout the pregnancy. We used a prospective and longitudinal study design. A total of 84 pregnant women who met the study criteria completed the questionnaires at five time points at a medical center in Taipei during September 1, 2014–April 15, 2015. Daytime sleepiness was measured at 16- 20 ( Time_1 ), 24 ( Time_2 ), 28 ( Time_3 ), 32 ( Time_4 ), and 36 weeks of pregnancy (Time_5) by using the Epworth Sleep Scale. The daytime sleepiness in pregnant women significantly decreased at Time_2, Time_3 and Time_4 compared with the score at Time_1. The daytime sleepiness score signifi cantly increased ( p ＜ .05 ) as the pregnancy discomfort scores increased. According to the study results, clinicians should consider the relevant factors and the changes of daytime sleepiness throughout pregnancy. Clinicians must develop individualized strategies for solving sleep problems in pregnant women earlier to promote future maternal health.

並列關鍵字

pregnant women ； daytime sleepiness ； relevant factors

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