بررسی رابطه خشونت فیزیکی توسط همسر و اختلالات کیفیت خواب در بارداری

نوع مقاله : اصیل پژوهشی

نویسندگان

1 کارشناس ارشد مامایی، گرایش مامایی قانونی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

2 استادیار گروه مامایی و بهداشت باروری، مرکز تحقیقات مامایی و بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

3 دانشیار گروه آمار زیستی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

چکیده

مقدمه: خواب از مهم‌ترین نیازهای زندگی فرد است که نقش اساسی در سلامت دارد. خشونت خانگی به‌خصوص نوع فیزیکی بر کیفیت خواب اثر دارد. مطالعه حاضر با هدف تعیین رابطه خشونت فیزیکی و اختلالات کیفیت خواب زنان باردار انجام شد.
روش‌کار: این مطالعه مقطعی در سال ۱۳۹۸ بر روی ۲۰۰ زن باردار مراجعه‌کننده به مراکز تابعه دانشگاه علوم پزشکی شهید بهشتی تهران انجام شد. اطلاعات جمعیت‌شناختی با استفاده از پرسشنامه محقق‌ساخته دموگرافیک- مامایی و اطلاعات مربوط به خشونت خانگی با استفاده از پرسشنامه خشونت خانگی برگرفته از سازمان جهانی بهداشت و کیفیت خواب با پرسش‌نامه پیترزبورگ جمع‌آوری شد. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه ۲۳) و آزمون‌های آماری تی مستقل، کای دو و ضریب همبستگی اسپیرمن انجام شد. میزان p کمتر از ۰۵/۰ معنی‌دار در نظر گرفته شد.
یافته‌ها: در این مطالعه 70 نفر (۲/۳۵%) نمونه‌ها دارای کیفیت خواب نامطلوب بودند و بیشترین و کمترین فراوانی خشونت فیزیکی هل دادن (۱۶%) و داغ کردن (۴%) بود. بین کیفیت خواب و میزان خشونت فیزیکی ارتباط آماری معنی‌داری وجود داشت (۰۰۱/۰p<). ضریب همبستگی خشونت فیزیکی با اختلالات کیفیت خواب ۱۴۹/۰=r بود (۰۴۹/۰=p).
نتیجه‌گیری: با توجه به رابطه مثبت خشونت فیزیکی با اختلالات خواب، توصیه به غربالگری و شناسایی موارد خشونت خانگی در دوران بارداری در کسانی که با شکایت اختلال خواب مراجعه می‌کنند، می‌گردد. بنابراین مشاوره، تدوین و اجرای برنامه‌های توانمند‌سازی زنان در مواجهه با خشونت، موجب ارتقاء سلامت آنان می‌شود.

کلیدواژه‌ها

عنوان مقاله [English]

The Relationship between Physical Violence by Husband and Sleep Quality Disorders in Pregnant Women

نویسندگان [English]

  • Mina Arabzadeh 1
  • Mahbobeh Ahmadi Doulabi 2
  • Sedigheh Amir Ali Akbari 2
  • Maliheh Nasiri 3
1 M.Sc. in Midwifery, Legal Midwifery, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2 Assistant Professor, Department of Midwifery and Reproductive Health, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
3 Associate Professor, Department of Biostatistics, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
چکیده [English]

Introduction: Sleep is one of the most important life needs which plays an essential role in health. Domestic violence, especially physical violence, affects sleep quality. This study was performed with aim to determine the relationship between physical violence and sleep quality disorders in pregnant women.
Methods: This cross-sectional study was performed in 2019 on 200 pregnant women referred to the affiliated centers of Shahid Beheshti University of Medical Sciences in Tehran. Demographic data were collected using researcher-made Demographic-Midwifery Questionnaire, data related to domestic violence using World Health Organization Domestic Violence questionnaire and data related to sleep quality using Pittsburgh Sleep Quality Questionnaire. Data were analyzed by SPSS software (version 23) and Independent t-test, Chi-square and Spearman correlation coefficient. P<0.05 was considered statistically significant.
Results:In this study, 70 samples (35.2%) had poor sleep quality and the highest and lowest frequency of physical violence was: pushing (16%) and heating (4%). There was a statistically significant relationship between sleep quality and physical violence (p<0.001). The correlation coefficient of physical violence with sleep quality disorders was r = 0.149 (p=0.049).
Conclusion: Considering the positive relationship between physical violence and sleep disorders, it is recommended that screen and identify the cases of domestic violence during pregnancy in those who refer with complaints of sleep disorders. Therefore, counseling, formulating and implementing the women's empowerment programs in the case of violence will promote their health.

کلیدواژه‌ها [English]

  • Physical violence
  • Pregnancy
  • Sleep quality

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مجله زنان، مامایی و نازایی ایران
دوره 24، شماره 6
شهریور 1400
صفحه 45-57

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