بررسی ارتباط اختلالات خواب در ماه آخر بارداری با طول مدت لیبر و نوع زایمان در زنان باردار مراجعهکننده به بیمارستان طالقانی آبادان در سال 1396

نوع مقاله: اصیل پژوهشی

نویسندگان

1 کارشناس پرستاری، دانشکده پرستاری، دانشکده علوم پزشکی آبادان، آبادان، ایران. دانشجوی کارشناسی ارشد پرستاری، کمیته تحقیقات دانشجویی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران.

2 کارشناس پرستاری، دانشکده پرستاری، دانشکده علوم پزشکی آبادان، آبادان، ایران.

3 استادیار گروه پرستاری، دانشکده پرستاری، دانشکده علوم پزشکی آبادان، آبادان، ایران.

4 استادیار گروه پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران.

5 دانشجوی کارشناسی اتاق عمل، کمیته تحقیقات دانشجویی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران.

6 کارشناس پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی جندی شاپور اهواز، اهواز، ایران.

7 استادیار گروه پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی ایلام، ایلام، ایران

چکیده

مقدمه: اختلال در خواب علاوه بر داشتن عواقب فیزیکی و روانی برای زنان باردار، ممکن است بر روی طول مدت لیبر و نوع زایمان آنها تأثیر گذار باشد. مطالعه حاضر با هدف تعیین ارتباط اختلالات خواب در ماه آخر بارداری با طول مدت لیبر و نوع زایمان انجام گرفت.
روش‌کار: این مطالعه توصیفی در سال 1396 بر روی 147 نفر از زنان باردار مراجعه‌کننده به زایشگاه بیمارستان آیت‌الله طالقانی آبادان انجام شد. ابزار گردآوری داده‌ها متشکل از دو بخش اطلاعات جمعیت‌شناختی و بارداری مادر و پرسشنامه استاندارد کیفیت خواب پیتزبورگ (PSQI) بود. متغیر‌های مورد مطالعه شامل: طول لیبر، نوع زایمان و کیفیت خواب بود. داده‌ها طی 3 ماه گردآوری شدند. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 18) و آزمون‌های کای دو، تی مستقل و آنالیز واریانس دوطرفه انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: میانگین نمره کیفیت خواب زنان باردار 2/4±86/8 و میانگین طول مدت لیبر 1/2±53/3 ساعت بود. 47 نفر (5/64%) از زنانی که سزارین شدند، دارای اختلال خواب بودند، این درحالی است که اختلال خواب در زنان با زایمان طبیعی تنها در 26 نفر (5/35%) مشاهده شد. همچنین 74 نفر (3/50%) زایمان طبیعی و 73 نفر (7/49%) زایمان سزارین داشتند. میانگین طول مدت لیبر در زنانی که اختلال خواب داشتند، به‌طور معنی‌داری بیشتر از افراد بدون اختلال خواب بود (04/0=p). همچنین میزان زایمان طبیعی نیز به‌طور معنی‌داری در زنان بدون اختلال خواب بیشتر بود (0001/0>p).
نتیجه‌گیری: بین شیوع اختلالات خواب در دوران بارداری و افزایش طول مدت لیبر ارتباط آماری معنی‌داری وجود دارد و شیوع سزارین در زنان دارای اختلالات خواب بیشتر است.

کلیدواژه‌ها


عنوان مقاله [English]

The relationship between sleep disorders in the last month of pregnancy and the length of labor and mode of delivery in pregnant women referring to Abadan Taleghani Hospital in 2017

نویسندگان [English]

  • Zeinab Raiesifar 1
  • Salar Kamangar 2
  • Noorollah Tahery 3
  • Shahram Baraz 4
  • Seyed Ziaoodin Moosavi 2
  • Pouriya Darabiyan 5
  • Parvin Ghezebash 6
  • Afsaneh Raiesifar 7
1 BC of Nursing, School of Nursing, Abadan University of Medical Sciences, Abadan, Iran. M.Sc. student of Nursing, Student Research Committee, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
2 BC of Nursing, School of Nursing, Abadan University of Medical Sciences, Abadan, Iran.
3 Assistant professor, Department of Nursing, School of Nursing, Abadan University of Medical Sciences, Abadan, Iran.
4 Assistant professor, Department of Nursing, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
5 BC student of operating room, Student Research Committee, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
6 BC of Nursing, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
7 Assistant professor, Department of Nursing, School of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran
چکیده [English]

Introduction: Sleep disorders in addition to physical and psychological consequences for pregnant women may affect their labor duration and mode of delivery. This study was performed with aim to determine the relationship between sleep disorders in the last month of pregnancy with labor duration and mode of delivery.
Methods: This descriptive study was performed on 147 pregnant women referred to the maternity of Abadan Ayatollah Taleghani Hospital in 2017. Data collecting tools included two section of demographic and pregnancy information, and Pittsburgh sleep quality (PSQI). The variables of this study were labor length, mode of delivery and quality of sleep. Data were collected during 3 months. Data were analyzed using SPSS software (version 18) and Chi-square, Independent T-test and ANOVA tests. P<0.05 was considered statistically significant.
Results: The mean score of sleep quality in pregnant women was 8.86 ± 4.2 and mean length of labor was 3.53±2.1 h. Also, 74 women (50.3%) had vaginal delivery and 73 (49.7%) had cesarean delivery. Moreover, 47 (64.5%) of women with cesarean section had sleep disorder, while sleep disorders were observed only in 35.5% (26) of women with vaginal delivery. Mean duration of labor in women who have had sleep disorder was significantly higher than those without sleep disorder (p= 0.04). Also, vaginal delivery was significantly higher in women without sleep disorder (p <0.0001).
Conclusion: There was statistically significant relationship between sleep disorders in pregnancy and duration of labor, also the prevalence of cesarean delivery was higher in women with sleep disorders.

کلیدواژه‌ها [English]

  • Delivery
  • labor
  • pregnancy
  • sleep disorder
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