怀孕期间每三个月对睡眠质量的客观和自我报告评估:一项前性观察性研究
Miyauchi Kiyoko1, Abe Takayuki2, Fujimoto Kaoru3
1Program for Nursing Science, Ehime University Graduate School of Medicine, Toon, Ehime 791-0295, Japan.
概括
怀孕期间睡眠质量不佳是一个重要问题,从头三个月开始,到第三个月恶化. 客观的动图和问卷显示,整个妊娠期间睡眠质量和功能下降.
科学领域:
- 产科和妇科 产科和妇科
- 睡眠医学 睡眠医学
- 孕产妇健康 孕产妇健康
背景情况:
- 由于荷尔蒙变化,孕妇经常出现睡眠障碍.
- 关于怀孕期间睡眠质量的客观数据有限,主要依赖于自我报告的症状.
研究的目的:
- 客观地评估睡眠质量使用actigraphy和主观地通过问卷在怀孕的每个三个月.
- 了解睡眠质量从第一到第三季度的进展变化.
主要方法:
- 一项纵向研究,涉及自然怀孕的初婚妇女.
- 睡眠被测量使用actigraphy和问卷在三个点:第一,第二和第三个三个月.
主要成果:
- 在怀孕的第一季度,人们注意到"清爽的感觉"减少和精神功能受损.
- 第二个三个月的早晨恶心与较差的睡眠质量有积极的相关性.
- 第三季度的睡眠质量最差,总睡眠时间和效率降低,与背痛和腿部有关.
结论:
- 怀孕期间的睡眠不佳始于第一季度,到第三季度就显著恶化.
- 早晨的恶心和身体上的不适,如背痛和腿,会在整个怀孕期间对睡眠质量产生重大影响.
- 客观评估显示,妊娠第三季度睡眠质量和身体功能显著下降.
相关概念视频
Stages of Sleep
179
Sleep progresses through distinct stages, each characterized by specific brain wave patterns and physiological responses ranging from wakefulness to stages of non-rapid eye movement, known as non-REM, to rapid eye movement, referred to as REM. Understanding these stages helps in recognizing how sleep supports various bodily and cognitive functions.
Before sleep begins, in wakefulness, the brain exhibits primarily beta waves, which are high in frequency and low in amplitude, indicating alertness...
Before sleep begins, in wakefulness, the brain exhibits primarily beta waves, which are high in frequency and low in amplitude, indicating alertness...
179
Insufficient Sleep and Sleep Deprivation
138
Insufficient sleep refers to not getting the recommended amount of sleep for optimal functioning, even if it's just slightly less than needed. Sleep insufficiency may occur due to lifestyle choices, such as staying up late for social events or work, resulting in routinely getting less sleep than required. For example, consistently sleeping 6 hours when the body needs 7-9 hours can lead to cumulative effects on health and well-being.
Sleep deprivation is a more severe form of sleep loss...
Sleep deprivation is a more severe form of sleep loss...
138
Insomnia
82
Insomnia is a prevalent sleep disorder characterized by difficulty falling asleep, frequent awakenings during the night, and waking up too early without being able to return to sleep. People with insomnia often experience these disruptions at least three nights a week for at least one month. Chronic insomnia, which lasts for at least three months, can lead to increased anxiety, which in turn can worsen sleep difficulties, creating a cycle of sleeplessness and stress.
Multiple factors contribute...
Multiple factors contribute...
82
Sleep-Wake Cycles
1.3K
Sleep is an essential physiological process vital to maintaining overall well-being. The reticular activating system (RAS), a network of neurons in the brainstem, regulates wakefulness and sleep. While it may seem passive, sleep consists of distinct cycles, each with its unique characteristics and functions. Two key sleep phases are non-rapid eye movement (NREM) and rapid eye movement (REM).
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
1.3K
Nightmares and Night Terrors
82
Nightmares and night terrors represent two distinct types of sleep disturbances that differ in timing, characteristics, and the sleeper's recall of the event. Nightmares are vivid, disturbing dreams that usually awaken the sleeper from REM sleep, a stage of sleep where brain activity is high, and dreams are most frequent. Upon awakening, individuals often have detailed recollections of their nightmares, which can include themes of threats to survival, security, or self-esteem.
Nightmares...
Nightmares...
82
Management of Insomnia
239
The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
239


