مقایسه اختلالات خواب در زنان باردار دیابتی و سالم

نوع مقاله : اصیل پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد مامایی، گروه مامایی و بهداشت باروری، کمیته تحقیقات دانشجویی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

2 مربی گروه مامایی، مرکز تحقیقات علوم رفتاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

3 استاد گروه روان‌پزشکی، مرکز تحقیقات علوم رفتاری، دانشکده پزشکی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران.

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

5 دانشجوی کارشناسی ارشد ژنتیک، دانشگاه آزاد اسلامی تهران، تهران، ایران.

چکیده

مقدمه: اختلالات خواب، از مشکلات شایع دوران بارداری است. دیابت بارداری نیز در ایران در حال افزایش است. جهت یافتن این موضوع که آیا دیابت بارداری می‌تواند سبب اختلال خواب در دوران بارداری شود؟، مطالعه حاضر با هدف مقایسه اختلالات خواب در زنان باردار مبتلا و غیر‌مبتلا به دیابت بارداری انجام شد.
روش‌کار: این مطالعه توصیفی مقایسه‌ای در سال 1395 بر روی 240 زن با سن حاملگی 32-22 هفته مراجعه‌کننده به مراکز بهداشتی وابسته به دانشگاه علوم پزشکی شهید بهشتی شهر تهران انجام شد. 120 زن باردار دارای FBS بیشتر از 120 یا GCT بیشتر از 140 یا GTT مختل را گروه مورد و 120 زنان باردار سالم با قندخون نرمال را گروه کنترل تشکیل دادند. ابزار گردآوری داده‌ها، پرسشنامه استاندارد کیفیت خواب پیتزبورگ، مقیاس افسردگی، اضطراب و استرس DASS-21و پرسشنامه مشخصات دموگرافیک بود که از طریق مصاحبه تکمیل شد. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 16) و آزمون‌های من‌ویتنی و تی مستقل انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: میانگین نمره خواب زنان سالم 79/5±37/17 و میانگین نمره خواب زنان دیابتی 32/9±42/13 بود. بین دو گروه از نظر سن، تعداد بارداری و تعداد سقط اختلاف آماری معنی‌داری وجود داشت (05/0p<). میانگین نمرات افسردگی، اضطراب و استرس در زنان مبتلا به دیابت بارداری، بیشتر بود. بین دو گروه از نظر کیفیت ذهنی خواب (005/0=p)، مدت زمان خواب (001/0>p) و نمره کیفیت خواب کل (001/0>p)، اختلاف آماری معنی‌داری مشاهده شد.
نتیجه‌گیری: دیابت بارداری می‌تواند بر روی برخی حیطه‌های خواب اثر‌گذار باشد. کیفیت خواب در زنان باردار دیابتی کمتر از زنان باردار سالم است.

کلیدواژه‌ها

عنوان مقاله [English]

Comparison of sleep disorders in pregnant women with gestational diabetes mellitus and healthy women

نویسندگان [English]

  • Zohreh Yeganeh 1
  • Zohre Sheikhan 2
  • Alireza Zahiroddin 3
  • Nourossadat Kariman 4
  • Hedyeh Riazi 4
  • Fahimeh Kavossi 5
1 M.Sc. Student of Midwifery, Department of Midwifery and Reproductive Health, Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2 Instructor, Department of Midwifery, Behavioral Sciences Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
3 Professor, Department of Psychiatry, Behavioral Sciences Research Center, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
4 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.
5 M.Sc. Student of Genetic, Islamic Azad University of Tehran Unit, Tehran, Iran.
چکیده [English]

Introduction: Sleep disorders are of common problems during pregnancy. The rate of gestational diabetes (GDM) is increasing in Iran. Is gestational diabetes may cause sleep disorders during pregnancy? This study was performed with aim to compare sleep disorders in pregnant women with and without GDM.
Methods: This comparative descriptive study was conducted on 240 pregnant women with gestational age of 22-32 weeks referring to health centers of Tehran ShahidBeheshti University of Medical Sciences in 2016. Case group consisted of 120 pregnant women with Fasting Blood Sugar>120 or Glucose Challenge Test>140 or abnormal Glucose Tolerance Test. Control group included 120 healthy pregnant women with normal blood sugar. Data collection tool were Pittsburgh Sleep Quality Index, Depression Anxiety Stress Scales- 21 and demographic characteristic questionnaires which were completed through interview. Data were analyzed using SPSS software (version 16), Mann-Whitney test and independent t test. P<0.05 was considered statistically significant.
Results: Mean total sleep score was 17.37±5.79 in healthy women and 13.42±9.32 in women with GDM. Statistical significant difference was observed between two groups in terms of age, number of pregnancy and number of abortion (P<0.05). Mean scores of depression, anxiety, and stress were higher in women with GDM. Statistical significant difference was observed between two groups in terms of subjective sleep quality (P=0.005), sleep duration (P<0.001), and total score of sleep quality (P<0.001).
Conclusion: Gestational diabetes can affect some dimensions of sleep. Sleep quality is lower in pregnant women with GDM than healthy pregnant women.

کلیدواژه‌ها [English]

  • Gestational diabetes
  • Sleep disorders
  • Women

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مجله زنان، مامایی و نازایی ایران
دوره 21، شماره 12
اسفند 1397
صفحه 49-56

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