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題名：孕婦身體活動、睡眠品質與非計畫性剖腹產
書刊名：護理暨健康照護研究
作者：蔡名秀／黃久美／郭維茗／吳慧美／李美鶯
作者(外文)：Tsai, Ming-show／Huang, Chiu-mieh／Kuo, Wei-ming／Wu, Hui-mei／Lee, Mei-ying
出版日期：2010
卷期：6:1
頁次：頁13-23
主題關鍵詞：懷孕；身體活動；睡眠品質；非計畫性剖腹生產；Pregnancy；Physical activity；Sleep quality；Unplanned cesarean section
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(6) 博士論文(1) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:6
  • 共同引用共同引用:32
  • 點閱點閱:241
背景　懷孕因生理結構及荷爾蒙變化，可能造成孕婦身體活動或睡眠品質改變而影響其生產方式。目的　探討身體活動、睡眠品質與非計畫性剖腹產之關係。方法　運用前瞻及相關性之研究設計，立意取樣台北巿兩家醫學中心的第三孕期婦女共184位個案。以三日身體活動量表(3-day physical activity)及匹茲堡睡眠品質量表(PSQI)評量其身體活動之能量消耗與睡眠品質。結果　顯示研究對象的身體活動量較一般族群低，亦較少從事中重度的身體活動。睡眠品質差者佔77.2%，有40.7%的孕婦對自己的睡眠品質感到不滿意，而造成睡眠品質差的主要面向為「睡眠困擾」。Logistic迴歸分析顯示睡眠品質變差，發生非計畫性剖腹生產的機率增加為1.22倍(95% CI=1.01-1.48)，孕期三日身體活動量增加則是減少為0.76倍(95% CI=0.60-0.97)。結論／實務應用　建議產前照護應主動探詢孕期身體活動及睡眠品質的狀況，並給予適當協助與衛教，有助於減少非計畫性剖腹產的發生。
Background: Physiological structure and hormonal changes in women during pregnancy may alter physical activity behavior and sleep quality, both of which are factors that influence the method of fetal delivery. Purpose: The purpose of this research was to examine the relationships between physical activity, sleep quality, and unplanned cesarean section. Methods: This study employed a prospective and descriptive correlational design. A total of 184 pregnant women in their third trimester at 2 medical centers participated in the study. A 3-day physical activity scale and Pittsburgh Sleep Quality Index (PSQI) were used to evaluate, respectively, physical activity-related energy expenditures and sleep quality. Results: Subjects had a comparatively low level of energy expenditure on physical activity and performed a lower than normal amount of moderate-to-heavy physical activity. Three-quarters (77.2%) of subjects had poor sleep quality, and 40.7% reported being unsatisfied with their sleep quality. The main cause of poor sleep quality was sleep disturbance. Using logistic regression, results indicated that the odds of undergoing cesarean section increased to 1.22 (95% CI=1.01-1.48) when sleep quality was "poor". By contrast, odds decreased to 0.76 (95% CI=0.60-0.97) when physical activity energy expenditures rose. Conclusions/Implications for practice: Results support the need to obtain physical activity and sleep quality data on women during pregnancy. Appropriate assistance and health education are important during perinatal care to reduce the incidence of unplanned cesarean sections.
期刊論文
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11.呂昌明、林旭龍、黃奕清、李明憲、王淑芳(20001200)。身體活動自我報告量表之效度及信度的研究--以Polar Vantage NV心搏率監測器為效標。衛生教育學報，14，33-48。new window  延伸查詢new window
12.Bouchard, C.、Tremblay, A.、Leblanc, C.、Lortie, G.、Sauard, R.、Therialt, G.(1983)。A method to assess energy expenditure in children and adults。American Journal of Clinical Nutrition，37(3)，461-467。  new window
13.斯莉婷、蘇芳玉(2005)。一位初產婦面臨引產失敗而接受剖腹生產的照護經驗。新臺北護理期刊，7（2），53－61。  延伸查詢new window
14.黃碧華、馬素華、徐淑華(2008)。大學新生睡眠品質與疾病和生化檢驗值之關係。長庚護理，19（4），439－449。new window  延伸查詢new window
15.謝景璋(2004)。剖腹產有那些危險。台北長庚婦產科月刊。  延伸查詢new window
16.Beckmann, C. R.,、Beckmann, C. A.(1990)。Effect of a structured antepartum exercise program on pregnancy and laboroutcome in primiparas。Journal of Reproductive Medicine，35(7)，704－709。  new window
17.Bhide, A., Guven, M., Prefumo, F., Vankalayapati, P.,、Thilaganathan, B.(2007)。Maternal and neonatal outcome after failed ventouse delivery: Comparison of forceps versus cesarean section。Journal of Maternal-Fetal & Neonatal Medicine，20(7)，541－545。  new window
18.Chasan-Taber, L., Freedson, P. S., Roberts, D. E., Schmidt, M. D.,、Fragala, M. S.(2007)。Energy expenditure of selected household activities during pregnancy。Research Quarterly for Exercise and Sport，78(2)，133－137。  new window
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20.Costa, D., Rippen, N., Dritsa. M.,、Ring, A.(2003)。Self-reported leisure-time physical activity during pregnancy and relationship to psychological well-being。Journal of Psychosomatic Obstetrics and Gynecology，24(2)，111－119。  new window
21.Doi, Y., Mionwa, M., Uchiyama, M., Okawa, M., Kin, K.,Shibui, K., et al.(2000)。Psychometric assessment of subjective sleep quality using the Japanese version of the Pittsburgh Sleep Quality Index (PSQI-J) in psychiatric disordered and control subjects。Psychiatry Research，97(2－3)，165－172。  new window
22.Hager, R. M. E., Daltveit, A. K., Hofoss, D., Nilsen, S. T., Kolaas,T., Oian, P., et al.(2004)。Complications of cesarean deliveries: Rates and risk factors。American Journal of Obstetrics Gynecology，190(2)，428－434。  new window
23.Hedmann, C., Pohjasvaara, T., Tolonen, U., Suhonen-Malm, A.S.,、Myllyla, V. V.(2002)。Effects of pregnancy on mothers’ sleep。Sleep Medicine，3(1)，37－42。  new window
24.King, J. C.(2000)。Physical of pregnancy and nutrient metabolism。American Journal of Clinical Nutrition，71(5)，1218－1225。  new window
25.Lee, K. A.、Gay, C. L.(2004)。Sleep in late pregnancy predicts length of labor and type of delivery。American Journal of Obstetrics and Gynecology，191(6)，2041-2046。  new window
26.Lin, S. Y., Hu, C. J.,、Lin, H. C.(2008)。Increased risk of stroke in patients who undergo cesarean section delivery:A nationwide population-based study。American Journal of Obstetrics Gynecology，198(4)，391－393。  new window
27.Mindell, J. A.、Jacobson, B. J.(2000)。Sleep disturbances during pregnancy。Journal of Obstetric, Gynecologic, and Neonatal Nursing，29(6)，590-597。  new window
28.Pilcher, J. J., Ginter, D. R.,、Sadowsky, B.(1997)。Sleep quality versus sleep quality: Relationships between sleep and measures of health, well-being and sleepiness in college students。Journal of Psychosomatic Research，42(6)，583－596。  new window
29.Pilcher, J. J., Schoeling, S. E.,、Prosansky, C. M.(2000)。Self-report sleep habits as predictors of subjective sleepiness。Behavioral Medicine，25(4)，161－168。  new window
30.Retnakaran, R., Qi, Y., Sermer, M., Connelly, P. W., Zinman, B.,、Hanley, A. J.(2009)。Pre-gravid physical activity and reduced risk of glucose intolerance in pregnancy。Clinical Endocrinology，70(4)，615－622。  new window
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學位論文
1.王淑芳(2000)。影響婦女孕期運動行為之相關因素研究(碩士論文)。國立臺灣師範大學，台北市。  延伸查詢new window
2.朱嘉華(1999)。國小教師身體活動與睡眠品質之相關研究(碩士論文)。國立臺灣師範大學，台北市。  延伸查詢new window
3.高毓秀(2002)。職場員工運動行為改變計劃之實驗研究--跨理論模式之應用(博士論文)。國立臺灣師範大學。  延伸查詢new window
4.李小璐(2005)。婦女之睡眠品質、疲倦及憂鬱：產後二週及四週時間序列研究(碩士論文)。國立台北護理學院。  延伸查詢new window
圖書
1.蕭伃伶(2006)。妊娠期間的護理。產科護理學（四版）。台北。  延伸查詢new window
 
 
 
 
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