بررسی ارتباط افکار مزاحم (نشخوار فکری، نگرانی) با کیفیت خواب مادران باردار مراجعه‌کننده به مراکز بهداشتی درمانی وابسته به دانشگاه علوم پزشکی اصفهان

نوع مقاله : اصیل پژوهشی

نویسندگان

1 کارشناس مامایی، کمیته تحقیقات دانشجویی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران.

2 دانشیار گروه مامایی و بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران.

3 کارشناس ارشد مامایی، دانشکده پزشکی، دانشگاه علوم پزشکی گناباد، گناباد، ایران.

4 کارشناس ارشد مامایی، دانشکده پرستاری و مامایی، دانشگاه آزاد واحد کرمان، کرمان، ایران.

5 دانشجوی دکترای تخصصی بهداشت باروری، گروه مامایی و بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران.

چکیده

مقدمه: تغییرات هورمونی دوران بارداری، سیکل خواب - بیداری و ساختار خواب را متأثر می‌سازند و منجر به اختلال خواب می‌شود. نشخوار فکری و نگرانی، دو مورد از افکار منفی هستند که می‌توانند بر کمیت و کیفیت خواب تأثیرگذار باشند و سبب اختلال خواب شوند، لذا مطالعه حاضر با هدف تعیین ارتباط افکار مزاحم (نشخوار فکری، نگرانی) با کیفیت خواب مادران باردار انجام شد.
روش‌کار: این مطالعه توصیفی مقطعی در سال 1398 بر روی 190 نفر از مادران باردار مراجعه‌کننده به مراکز بهداشتی درمانی شهر اصفهان انجام شد. ابزار مورد استفاده در این مطالعه پرسشنامه‌های نشخوار فکری، نگرانی و کیفیت خواب بود. تجزیه و تحلیل داده‌ها با استفاده از نرم‌ا‌فزار آماری SPSS (نسخه 22) و آزمون‌های اسپیرمن و رگرسیون انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: در مادران باردار شرکت‌کننده در مطالعه، میانگین نمره ‌کلی کیفیت خواب 60/5±57/2، نشخوار ذهنی 43/1±62/9 و نگرانی 37/3±52/33 بود. بر اساس نتایج آزمون اسپیرمن، بین تمام ابعاد کیفیت خواب و نمره کلی کیفیت خواب با نمره کلی نشخوار ذهنی و نگرانی ارتباط معکوس و معنی‌داری وجود داشت (001/0=p).
نتیجه‌گیری: بین افکار مزاحم نشخوار فکری و نگرانی با کیفیت خواب مادران باردار ارتباط معناداری وجود داشت بود. بدین‌منظور با بررسی مؤلفه‌های افکار مزاحم و ارتباط آنها با کیفیت خواب مادران باردار می‌توان گام مؤثری در جهت بهبود کیفیت خواب زنان باردار برداشت.

کلیدواژه‌ها

عنوان مقاله [English]

The relationship between disturbing thoughts (rumination, worry) and sleep quality of pregnant mothers referring to health centers affiliated to Isfahan University of Medical Sciences 2019

نویسندگان [English]

  • Hadise Enteshari Najaf Abadi 1
  • Mahnaz Noroozi 2
  • Fatemeh Shaghaghi 3
  • Hadise Safinejad 4
  • Zahra Mohebbi-Dehnavi 5
1 B.Sc. of Midwifery, Student Research Committee, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
2 Associate Professor, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
3 M.Sc. of Midwifery, Faculty of Medicine, Gonabad University of Medical Sciences, Gonabad, Iran.
4 M.Sc. of Midwifery, School of Nursing and Midwifery, Kerman Azad University, Kerman, Iran.
5 PhD student in Reproductive Health, Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
چکیده [English]

Introduction: Hormonal changes during pregnancy affect the sleep-wake cycle and sleep structure and lead to sleep disorders. Ruminants and anxiety are two negative thoughts that can affect the quantity and quality of sleep and cause sleep disorders. Therefore, this study was conducted with aim to determine the relationship between disturbing thoughts (rumination, worry) and sleep quality of pregnant mothers.
Methods: This cross-sectional descriptive study was performed in 2019 on 190 pregnant mothers referring to the health centers in Isfahan. Data collection tools were the questionnaires of ruminant, anxiety and sleep quality. Data were analyzed by SPSS software (version 22) and Spearman and regression tests. P<0.05 was considered statistically significant.
Results: In pregnant mothers participating in the study, the mean overall score of sleep quality was 2.57±5.60, mental rumination was 9.62±1.43 and anxiety was 33.52±3.37. Based on the results of Spearman test, there is a significant inverse relationship between all dimensions of sleep quality and overall sleep quality score with the overall score of mental rumination and anxiety (p=0.001).
Conclusion: There was a significant relationship between rumination disturbing thoughts and anxiety with the quality of sleep in pregnant mothers. For this purpose, by examining the components of disturbing thoughts and their relationship with the quality of sleep in pregnant mothers, an effective step can be taken to improve the quality of sleep of pregnant women.

کلیدواژه‌ها [English]

  • Disturbing thoughts
  • Pregnant women
  • Rumination
  • Sleep quality
  • Worry

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مجله زنان، مامایی و نازایی ایران
دوره 24، شماره 13
اسفند 1400
صفحه 80-89

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