Maternal Age, Pregnancy-Related Anxiety, Sleep Hygiene Practices, and Sleep Quality Among Pregnant Women
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Abstract
Background: Pregnancy affects both physical and psychological aspects and may impact the sleep quality of pregnant women.
Objectives: To examine the relationships among maternal age, pregnancy-related anxiety, sleep hygiene practices, and sleep quality in pregnant women.
Methods: This study employed a descriptive correlational research design. The sample consisted of 129 pregnant women aged 20 years or older who attended antenatal care at a hospital in Pathum Thani Province. The research instruments included a personal information record form, the Pittsburgh Sleep Quality Index (PSQI), a pregnancy-related anxiety questionnaire, and a sleep hygiene practice scale. Data were analyzed using descriptive statistics and Spearman’s rank correlation.
Results: Most participants (72.09%) were aged between 20–30 years, and age showed no significant correlation with sleep quality (r=0.07, p=0.469). Participants had a moderate level of pregnancy-related anxiety (mean = 22.81, SD=5.44), which had a low positive correlation with sleep quality (r=0.24, p=0.006). Sleep hygiene practices were at a low level (mean = 76.93, SD=18.75) but showed a moderate positive correlation with sleep quality (r=0.45, p<0.001). Additionally, 50.39% of the pregnant women had poor sleep quality.
Conclusion: The findings highlight the importance of promoting sleep hygiene and managing pregnancy-related anxiety to improve sleep quality and overall health among pregnant women.
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บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี และคณาจารย์ท่านอื่น ในวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
References
Anbesaw, T., Abebe, H., Kassaw, C., Bete, T., & Molla, A. (2021). Sleep quality and associated factors among pregnant women attending antenatal care at Jimma Medical Center, Jimma, Southwest Ethiopia, 2020: Cross-sectional study. BMC Psychiatry, 21, 469 (2021). https://doi.org/10.1186/s12888-021-03483-w
Carskadon, M. A., & Dement, W. C. (2017). Normal human sleep: An overview. In I. M. Kryger, T. Roth, & W. C. Dement (Eds.), Principles and practice of sleep medicine (5th ed., pp. 15–24). Elsevier.
Chow, C. M. (2022). Sleep hygiene practices: Where to now? Hygiene, 2(3), 146–51. https://doi.org/10.3390/hygiene2030013
Deklava, L., Lubina, K., Circenis, K., Sudraba, V., & Millere, I. (2015). Causes of anxiety during pregnancy. Procedia-Social and Behavioral Sciences, 205, 623–6. https://doi.org/10.1016/j.sbspro.2015.09.097
Dryer, R., & Brunton, R. (2022). Pregnancy-related anxiety theory, research, and practice. Routledge.
Du, M., Liu, J., Han, N., Zhao, Z., Yang, J., Xu, X., Luo, S., & Wang, H. (2021). Maternal sleep quality during early pregnancy, risk factors and its impact on pregnancy outcomes: A prospective cohort study. Sleep Medicine, 79, 11–8. https://doi.org/10.1016/j.sleep.2020.12.040
Gelaye, B., Barrios, Y. V., Zhong, Q.-Y., Rondon, M. B., Borba, C. P. C., Sánchez, S. E., Henderson, D. C., & Williams, M. A. (2015). Association of poor subjective sleep quality with suicidal ideation among pregnant Peruvian women. General Hospital Psychiatry, 37(5), 441-447. https://doi.org/10.1016/j.genhosppsych.2015.04.014
Hedman, C., Pohjasvaara, T., Tolonen, U., Suhonen-Malm, A. S., & Myllylä, V. V. (2002). Effects of pregnancy on mothers’ sleep. Sleep Medicine, 3(1), 37–42. https://doi.org/10.1016/S1389-9457(01)00130-7
Houng, N. T. T., Thuy, N. T. H., & Yen, L. T. H. (2019). Quality of sleep among pregnant women. International Journal of Clinical Medicine, 10, 16–25. https://doi.org/10.4236/ijcm.2019.101003
Lowe, M. R. (1993). The effects of dieting on eating behavior: A three-factor model. Psychological Bulletin, 114(1), 100–21. https://doi.org/10.1037/0033-2909.114.1.100
Lu, Q., Zhang, X., Wang, Y., Li, J., Xu, Y., Song, X., Su, S., Zhu, X., Vitiello, M. V., Shi, J., Bao, Y., & Lu, L. (2021). Sleep disturbances during pregnancy and adverse maternal and fetal outcomes: A systematic review and meta-analysis. Sleep Medicine Reviews, 58, 1–14. https://doi.org/10.1016/j.smrv.2021.101436
Mindell, J. A., Cook, R. A., & Nikolovski, J. (2015). Sleep patterns and sleep disturbances across pregnancy. Sleep Medicine, 16(4), 483–8. https://doi.org/10.1016/j.sleep.2014.12.006
National Sleep Foundation. (2007). Women and sleep. https://www.sleepfoundation.org/professionals/sleep-americar-polls/2007-women-and-sleep
Nikom, O., & Buthin, S. (2021). Sleep quality and factors associated with sleep quality in the third trimester of pregnant women. Regional Health Promotion Center 9 Journal, 15(38), 719–31. (In Thai)
Pimsuwan, P., Baosoung, C., & Sansiriphun, N. (2020). Pregnancy-related anxiety, risk knowledge, and pregnancy risk perception among advanced age pregnant women. Nursing Journal, 47(3), 50–60. (In Thai)
Polit, D. F., & Beck, C. T. (2017). Nursing research: generating and assessing evidence for nursing practice. (10th ed.). Lippincott Williams & Wilkins.
Polo-Kantola, P., Aukia, L., Karlsson, H., Karlsson, L., & Paavonen, E. J. (2017). Sleep quality during pregnancy: Associations with depressive and anxiety symptoms. Acta Obstetricia et Gynecologica Scandinavica, 96(2), 198–206. https://doi.org/10.1111/aogs.13056
Rhoades, R. A., & Bell, D. R. (2013). Medical physiology–Principles for clinical medicine (4th ed.). Lippincott Williams & Wilkins.
Rini, C. K., Dunkel-Schetter, C., Wadhwa, P. D., & Sandman, C. A. (1999). Psychological adaptation and birth outcomes: The role of personal resources, stress, and sociocultural context in pregnancy. Health Psychology, 18(4), 333–45. https://doi.org/10.1037/0278-6133.18.4.333
Sitasuwan, T., Bussaratid, S., Ruttanaumpawan, P., & Chotinaiwattarakul, W. (2014). Reliability and validity of the Thai version of the Pittsburgh Sleep Quality Index. Journal of the Medical Association of Thailand, 97(3), 57–67.
Spielman, A. (1986). Assessment of insomnia. Clinical Psychology Review, 6(1), 11–25. https://doi.org/10.1016/0272-7358(86)90015-2
Takelle, G.M., Muluneh, N. Y., & Biresaw, M. S. (2022). Sleep quality and associated factors among pregnant women attending antenatal care unit at Gondar, Ethiopia: A cross-sectional study. BMJ, 12. 1–9. https://doi.org/10.1136/bmjopen-2021-056564
Thakolpattanakul, K., Deoisres, W., & Tachasuksri, T. (2019). Factors related to sleep quality in pregnant women. The Journal of Faculty of Nursing Burapha University, 27(1), 60–7. (In Thai)
Tsai, S. Y., Lee, C. N., Wu, W. W., & Landis, C. A. (2016). Sleep hygiene and sleep quality of third-trimester pregnant women. Research in Nursing & Health, 39(1), 57–65. https://doi.org/10.1002/nur.21705
Yang, Y., Mao, J., Ye, Z., Zeng, X., Zhao, H., Liu, Y., & Li, J. (2018). Determinants of sleep quality among pregnant women in China: A cross-sectional survey. Journal of Maternal-Fetal & Neonatal Medicine, 31(22), 2980–5. https://doi.org/10.1080/14767058.2017.1359831
Zeleke, A. M., Tassew, W. C., & Bayeh, G. M. (2024). Poor sleep quality and associated factors among pregnant women in Ethiopia: A systematic review and meta-analysis. Clinical Epidemiology and Global Health, 29, 101755. https://doi.org/10.1016/j.cegh.2024.101755
Zhu, J., Li, Y., Wang, R., Zhang, J., Liu, C., Li, H., Yang, D., Ma, S., & Guan, S. (2024). The mediating role of family functions between pregnancy-related anxiety and sleep quality: A cross-sectional study. Nat Sci Sleep, 16, 279–89. https://doi.org/10.2147/NSS.S443612
