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系統識別號 U0026-0702201714274600
論文名稱(中文) 印尼高危險妊娠婦女睡眠品質及其相關因素之探討
論文名稱(英文) Sleep quality and associated factors among Indonesian women with high risk pregnancy
校院名稱 成功大學
系所名稱(中) 護理學系
系所名稱(英) Department of Nursing
學年度 105
學期 1
出版年 106
研究生(中文) 魏嘉怡
研究生(英文) Yosi Maria Wijaya
學號 T26047027
學位類別 碩士
語文別 英文
論文頁數 59頁
口試委員 指導教授-周承珍
口試委員-王琪珍
口試委員-陳幸眉
中文關鍵字 none 
英文關鍵字 sleep quality  high risk pregnancy 
學科別分類
中文摘要 none
英文摘要 Background: Pregnant women generally experience poor sleep quality. However, the majority of research on this topic has been conducted on sleep quality in women with normal pregnancy. Few studies of sleep quality have focused on women with high-risk pregnancy, and no study on sleep quality among high risk pregnant women in Indonesia have been conducted.
Objective: To investigated sleep quality and associated factors among women with high-risk pregnancy in Indonesia.
Methods: This was a cross sectional study with a convenience sample. 144 women with high risk pregnancy were recruited from a prenatal clinic in a private hospital, West Java, Indonesia, screened according to high-risk pregnancy, gestational age ≥ 20 weeks. Data were collected using four instruments: demographic questionnaire, Pittsburgh Sleep Quality Index, Beck Depression Inventory, and a State Trait Anxiety Inventory.
Results: The participants in this study were married, the average age was 28.92 years old (SD = 6.04), most of them unemployed (78%). More than half (86.8%) of pregnant women scored 6 in high risk severity with mean gestational age was 27.67 ± 5.59 weeks. The frequent criteria of high risk pregnancies among participants were hypertension (39.6%), anemia (33.3%) and birth interval less than 2 years (17.4%). The global score of sleep quality was 6.36 (SD= 3.01). More than half of the participants (56.9%) reported poor sleep quality (PSQI >5). Sleep quality was predicted by educational years, gestational age and depression, accounting for 28.2% of the total variance.
Conclusion: Women with high risk pregnancy with more years of education, longer gestational age and higher levels of depression experience poor sleep quality. Further research is needed to assess sleep quality with a longitudinal approach and develop interventions that will improve sleep quality in women with high risk pregnancy.
Relevance to clinical practice: Understanding the sleep quality and associated factors contributes to health care providers’ ability to design effective treatments intended to improve sleep quality in order to prevent women with high risk pregnancy from adverse birth outcomes.
論文目次 ABSTRACT III
TABLES OF CONTENT V
LIST OF TABLES VIII
LIST OF FIGURES IX
CHAPTER ONE INTRODUCTION 1
1.1 Research Background. 1
1.2 Significance 2
1.3 Research Purpose 3
CHAPTER TWO LITERATURE REVIEW 4
2.1 Pregnancy 4
2.1.1 Normal pregnancy 4
2.2 High-risk pregnancy 6
2.2.1 Definition of high-risk pregnancy 6
2.2.2 Prevalence of high-risk pregnancy 7
2.2.3 Impact of high-risk pregnancy 7
2.2.4 Risk factors for high-risk pregnancy 8
2.2.5 How to measure high-risk pregnancy 9
2.3 Sleep quality 10
2.3.1 Sleep 10
2.3.2 Sleep during pregnancy 13
CHAPTER THREE RESEARCH AND METHOD 18
3.1 Research Design 18
3.2 Research framework 18
3.3 Operational Definition 19
3.4 Population and sample 19
3.5 Instrument 20
3.6 Pilot study 23
3.7 Data collection procedures 23
3.8 Data Analysis 24
CHAPTER FOUR RESEARCH RESULTS 26
4.1 Sample characteristics 26
4.2 Sleep quality 28
4.3 Factors correlated with sleep quality 30
4.4 Predictors of sleep quality 32
CHAPTER FIVE DISCUSSION 33
5.1 Discussion 33
5.2 Limitation 36
5.3 Conclusion 37
5.4 Nursing Implications 37
REFERENCES 38
APPENDIX 46
Appendix 1 Demographic & Maternal Related Factors Questionnaire 46
Appendix 2 Pittsburgh Sleep Quality Index (PSQI) 47
Appendix 3 PSQI Questionnaire Permission 50
Appendix 4 State Trait Anxiety Inventory (STAI) 51
Appendix 5 STAI Questionnaire Permission 53
Appendix 6 Beck Depression Inventory (BDI) 54
Appendix 7 BDI Questionnaire Permission 55
Appendix 8 Informed Consent 56
Appendix 9 Ethical Clearance Document 58
Appendix 10 Research Permission Approval Document 59
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