임신후기 여성의 피로, 수면장애 및 임신 스트레스
Relationship between Fatigue, Sleep Disturbance, and Gestational Stress among Pregnant Women in the Late Stages
0
조회
0
다운로드
12
인용
0
참고문헌
키워드
초록
Purpose: The objective of this study was to investigate the relationship between fatigue, sleep disturbance, and gestationalstress in women during late stage of pregnancy. Methods: This study was conducted with 113 healthy pregnantwomen at gestational age greater than 27 weeks who were registered at community health centers and receivedprenatal care. A structured questionnaire regarding fatigue, sleep disturbance, and gestational stress was used. Thedata was analyzed using a t-test, an ANOVA, and Pearson correlation coefficients. Results: The subjects with unplannedpregnancies and irregular exercise patterns showed a higher level of fatigue than those with planned pregnanciesand regular exercise patterns. Pregnant women with caffeine intake manifested higher levels of gestationalstress and sleep disturbance than those without. The levels of sleep disturbance and gestational stress increasedas the fatigue levels increased. The fatigue levels increased with increased levels of sleep disturbance. Conclusion:Planned pregnancy, regular exercise patterns, and caffeine intake were related with fatigue, sleep disturbance, andgestational stress in women during late stages of pregnancy. Fatigue, sleep disturbance, and gestational stress hadclose associations to each other. In the future, such results should guide development of nursing intervention programsfor women in late stages of pregnancy.
Abstract
Purpose: The objective of this study was to investigate the relationship between fatigue, sleep disturbance, and gestationalstress in women during late stage of pregnancy. Methods: This study was conducted with 113 healthy pregnantwomen at gestational age greater than 27 weeks who were registered at community health centers and receivedprenatal care. A structured questionnaire regarding fatigue, sleep disturbance, and gestational stress was used. Thedata was analyzed using a t-test, an ANOVA, and Pearson correlation coefficients. Results: The subjects with unplannedpregnancies and irregular exercise patterns showed a higher level of fatigue than those with planned pregnanciesand regular exercise patterns. Pregnant women with caffeine intake manifested higher levels of gestationalstress and sleep disturbance than those without. The levels of sleep disturbance and gestational stress increasedas the fatigue levels increased. The fatigue levels increased with increased levels of sleep disturbance. Conclusion:Planned pregnancy, regular exercise patterns, and caffeine intake were related with fatigue, sleep disturbance, andgestational stress in women during late stages of pregnancy. Fatigue, sleep disturbance, and gestational stress hadclose associations to each other. In the future, such results should guide development of nursing intervention programsfor women in late stages of pregnancy.
참고문헌 (30)
- Nazik E, "Incidence of pregnancy-related discomfort and management approaches to relieve them among pregnant women", Journal of Clinical Nursing, 23(11-12), pp.1736~1750 (2014)
- Hall WA, "Childbirth fear, anxiety, fatigue, and sleep deprivation in pregnant women", Journal of Obstetric, Gynecologic and Neonatal Nursing, 38(5), pp.567~576 (2009)
- Balendran J, "A common sleep disorder in pregnancy: Restless legs syndrome and its predictors", The Australian & New Zealand Journal of Obstetrics & Gynaecology, 51(3), pp.262~264 (2011)
- Okun ML, "Sleep complaints in late pregnancy and the recurrence of postpartum depression", Behavioral Sleep Medicine, 7(2), pp.106~117 (2009)
- Leung PL, "Sleep disturbances in Chinese pregnant women", An International Journal of Obstetrics and Gynaecology, 112(11), pp.1568~1571 (2005)
- 김영희, "임부의 피로와 영향요인", 한국모자보건학회지, 16(1), pp.80~88 (2012), 한국모자보건학회
- Ko H, "Sleep disturbances in Korean pregnant and postpartum women", Journal of Psychosomatic Obstetrics and Gynaecology, 33(2), pp.85~90 (2012)
- Lopes EA, "Sleep disorders in pregnancy", Arquivos de Neuro-Psiquiatria, 62(2A), pp.217~221 (2004)
- Kızılırmak A, "Insomnia in pregnancy and factors related to insomnia", The Scientific World Journal, 2012, pp.197093~ (2012)
- Kamysheva E, "A prospective investigation of the relationships among sleep quality, physical symptoms, and depressive symptoms during pregnancy", Journal of Affective Disorders, 123(1-3), pp.317~320 (2010)
- Dørheim SK, "Can insomnia in pregnancy predict postpartum depression? a longitudinal, population-based study", PLoS One, 9(4), pp.e94674~ (2014)
- Ahn HR, "Experimental study of the effects of husband's supportive behavior reinforcement education on stress relief of primigravidas", pp.1984
- Chou FH, "A longitudinal study of nausea and vomiting, fatigue and perceived stress in, and social support for, pregnant women through the three trimesters", The Kaohsiung Journal of Medical Sciences, 24(6), pp.306~314 (2008)
- Parcells DA, "Women's mental health nursing: Depression, anxiety and stress during pregnancy", Journal of Psychiatric and Mental Health Nursing, 17(9), pp.813~820 (2010)
- Jeong GH, "Differences of women's perception of fatigue according to the period of pregnancy", Journal of Korean Academy of Nursing, 30(3), pp.731~740 (2000)
- Hong SH, "A study on the stress of pregnant and the coping of pregnant", Korean Journal of Family Welfare, 6(2), pp.115~128 (2001)
- 권미경, "임신 중 스트레스, 우울과 모-태아 애착 및 태아체중의 상관관계", Journal of Korean Academy of Nursing, 41(2), pp.276~283 (2011), 한국간호과학회
- Tack B, "Dimensions and correlated of fatigue in older adults with rheumatoid arthritis", pp.1991
- Lee KS, "Prediction model of fatigue in women with rheumatoid arthritis", pp.1999
- Buysse DJ, "The Pittsburgh sleep index: A new instrument for psychiatric practice and research", Psychiatry Research, 28(2), pp.193~213 (1989)
- Kim GD, "A study on quality of sleep and emotional health status in the elderly", 석사, pp.1998
- 김자숙, "임신한 간호사의 피로, 스트레스 및 소진에 관한 연구", 한국직업건강간호학회지, 22(3), pp.208~217 (2013), 한국직업건강간호학회
- Kim YA, "Relationship between maternal stress during pregnancy and neonatal stress response", 석사, pp.2007
- Gaston A, "Tired, moody and pregnant? exercise may be the answer", Psychology & Health, 28(12), pp.1353~1369 (2013)
- Hung HM, "Patterns and predictors of sleep quality in Taiwaneses pregnant women", Maternal Child Nursing, The American Journal of Maternal Child Nursing, 38(2), pp.95~101 (2013)
- Ko SH, "A comparative study of sleep quality between pregnant and nonpregnant Taiwanese women", Journal of Nursing Scholarship, 42(1), pp.23~30 (2010)
- Lee KA, "Parity and sleep patterns during and after pregnancy", Obstetrics & Gynecology, 95(1), pp.14~18 (2000)
- Tsubouchi H, "Effect of coffee intake on blood flow and maternal stress during the third trimester of pregnancy", International Journal of Gynecology and Obstetrics, 92(1), pp.19~22 (2006)
- Diego M, "Caffeine use affects pregnancy outcome", Journal of Child & Adolescent Substance Abuse, 17(2), pp.41~49 (2007)
- Fairbrother N, "Psychometric evaluation of the multidimensional assessment of fatigue scale for use with pregnant and postpartum women", Psychological Assessment, 20(2), pp.150~158 (2008)
