Study on the sleep quality of women pregnant with a second child and the influencing factors

Abstract Objectives To investigate the sleep quality of women pregnant with a second child and the influencing factors and provide a scientific basis for health care guidance to clinically improve the sleep quality of pregnant women. Methods A total of 162 women pregnant with a second child at a fir...

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Main Authors: Yi-Min Cai, Xia-Li Zheng, Zhou-Min Shen, Bi-Fang Zhou, Yu-Ming Liu, Jia-Yu Yang, Nian Xie
Format: Article
Language:English
Published: BMC 2022-10-01
Series:European Journal of Medical Research
Subjects:
Online Access:https://doi.org/10.1186/s40001-022-00848-z
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author Yi-Min Cai
Xia-Li Zheng
Zhou-Min Shen
Bi-Fang Zhou
Yu-Ming Liu
Jia-Yu Yang
Nian Xie
author_facet Yi-Min Cai
Xia-Li Zheng
Zhou-Min Shen
Bi-Fang Zhou
Yu-Ming Liu
Jia-Yu Yang
Nian Xie
author_sort Yi-Min Cai
collection DOAJ
description Abstract Objectives To investigate the sleep quality of women pregnant with a second child and the influencing factors and provide a scientific basis for health care guidance to clinically improve the sleep quality of pregnant women. Methods A total of 162 women pregnant with a second child at a first-class tertiary hospital in Changsha from January to August 2018 were selected as the research subjects. General demographic characteristics were collected, and the Pittsburgh Sleep Quality Index (PSQI) scale was used to assess their sleep quality. Multivariate logistic regression analysis was used to explore the influencing factors of the sleep quality of women pregnant with a second child. Results The PSQI score (except hypnotic drugs) and total score of pregnant women with second birth were higher than those of normal female population, and the difference was statistically significant (P < 0.05). Univariate analysis showed statistically significant differences in sleep quality among women pregnant with a second child of different ages, marital relationships, gender expectations, education levels, monthly family incomes, planned or unplanned pregnancy, and gestational weeks (P < 0.05). The results of the multi-factor analysis showed that the low education level (OR = 0.224, P = 0.001), low family monthly income (OR = 3.035, P = 0.014), expectation of gender (OR = 0.065, P = 0.038), and dissatisfaction with marital relationship (OR = 0.275, P = 0.001) were the primary risk factors of poor sleep quality of in women with second pregnant. Conclusions The overall sleep quality of women pregnant with a second child is poor, and 37.65% have sleep quality problems. Low education levels, low family monthly incomes, fetal gender expectations, and poor relationship between husband and wife are the main factors affecting the sleep quality of women pregnant with a second child. Pregnant women with the above factors should pay attention to their sleep quality and take necessary measures for intervention and guidance to improve the level of health care during pregnancy.
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spelling doaj.art-de47e53aca5b4108b8de1236898ac5962022-12-22T04:37:02ZengBMCEuropean Journal of Medical Research2047-783X2022-10-012711610.1186/s40001-022-00848-zStudy on the sleep quality of women pregnant with a second child and the influencing factorsYi-Min Cai0Xia-Li Zheng1Zhou-Min Shen2Bi-Fang Zhou3Yu-Ming Liu4Jia-Yu Yang5Nian Xie6Department of Nursing, Hunan Provincial People’s Hospital (The First Affiliated Hospital of Hunan Normal University)Department of Pediatrics, Hunan Provincial People’s Hospital (The First Affiliated Hospital of Hunan Normal University)Department of Nursing, Hunan Provincial People’s Hospital (The First Affiliated Hospital of Hunan Normal University)Department of Interventional Vascular Surgery, Hunan Provincial People’s Hospital (The First Affiliated Hospital of Hunan Normal University)Department of Pediatrics, Hunan Provincial People’s Hospital (The First Affiliated Hospital of Hunan Normal University)Department of Pediatrics, Hunan Provincial People’s Hospital (The First Affiliated Hospital of Hunan Normal University)Department of Critical Care Medicine, The Second Xiangya Hospital, Central South UniversityAbstract Objectives To investigate the sleep quality of women pregnant with a second child and the influencing factors and provide a scientific basis for health care guidance to clinically improve the sleep quality of pregnant women. Methods A total of 162 women pregnant with a second child at a first-class tertiary hospital in Changsha from January to August 2018 were selected as the research subjects. General demographic characteristics were collected, and the Pittsburgh Sleep Quality Index (PSQI) scale was used to assess their sleep quality. Multivariate logistic regression analysis was used to explore the influencing factors of the sleep quality of women pregnant with a second child. Results The PSQI score (except hypnotic drugs) and total score of pregnant women with second birth were higher than those of normal female population, and the difference was statistically significant (P < 0.05). Univariate analysis showed statistically significant differences in sleep quality among women pregnant with a second child of different ages, marital relationships, gender expectations, education levels, monthly family incomes, planned or unplanned pregnancy, and gestational weeks (P < 0.05). The results of the multi-factor analysis showed that the low education level (OR = 0.224, P = 0.001), low family monthly income (OR = 3.035, P = 0.014), expectation of gender (OR = 0.065, P = 0.038), and dissatisfaction with marital relationship (OR = 0.275, P = 0.001) were the primary risk factors of poor sleep quality of in women with second pregnant. Conclusions The overall sleep quality of women pregnant with a second child is poor, and 37.65% have sleep quality problems. Low education levels, low family monthly incomes, fetal gender expectations, and poor relationship between husband and wife are the main factors affecting the sleep quality of women pregnant with a second child. Pregnant women with the above factors should pay attention to their sleep quality and take necessary measures for intervention and guidance to improve the level of health care during pregnancy.https://doi.org/10.1186/s40001-022-00848-zSecond childSleep qualityPittsburgh Sleep Quality IndexInfluencing factors
spellingShingle Yi-Min Cai
Xia-Li Zheng
Zhou-Min Shen
Bi-Fang Zhou
Yu-Ming Liu
Jia-Yu Yang
Nian Xie
Study on the sleep quality of women pregnant with a second child and the influencing factors
European Journal of Medical Research
Second child
Sleep quality
Pittsburgh Sleep Quality Index
Influencing factors
title Study on the sleep quality of women pregnant with a second child and the influencing factors
title_full Study on the sleep quality of women pregnant with a second child and the influencing factors
title_fullStr Study on the sleep quality of women pregnant with a second child and the influencing factors
title_full_unstemmed Study on the sleep quality of women pregnant with a second child and the influencing factors
title_short Study on the sleep quality of women pregnant with a second child and the influencing factors
title_sort study on the sleep quality of women pregnant with a second child and the influencing factors
topic Second child
Sleep quality
Pittsburgh Sleep Quality Index
Influencing factors
url https://doi.org/10.1186/s40001-022-00848-z
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