title: Sleep Hygiene and Sleep Quality of Third-Trimester Pregnant Women.
abstract: The purpose of this descriptive study was to examine the associations of sleep hygiene and actigraphy measures of sleep with self-reported sleep quality in 197 pregnant women in northern Taiwan. Third-trimester pregnant women completed the Sleep Hygiene Practice Scale (SHPS) and the Pittsburgh Sleep Quality Index (PSQI) as well as the Center for Epidemiologic Studies-Depression Scale (CES-D), and wore an actigraph for 7 consecutive days. Student's t-test was used to compare the SHPS scores and means as well as variability of actigraphy sleep variables between poor sleepers (i.e., PSQI global score >5) and good sleepers (i.e., PSQI global score ≤5). Compared to good sleepers, poor sleepers reported significantly worse sleep hygiene, with higher SHPS scores and higher sleep schedule, arousal-related behavior, and sleep environment subscale scores. Poor sleepers had significantly greater intra-individual variability of sleep onset latency, total nighttime sleep, and wake after sleep onset than good sleepers. In stepwise linear regression, older maternal age (p = .01), fewer employment hours per week (p = .01), higher CES-D total score (p < .01), and higher SHPS arousal-related behavior subscale scores (p < .01) predicted self-reported global sleep quality. Findings support avoiding physically, physiologically, emotionally, or cognitively arousing activities before bedtime as a target for sleep-hygiene intervention in women during pregnancy.
authors.affiliation: Associate Professor, School of Nursing, National Taiwan University, No. 1, Sec. 1, Jen-Ai Rd., Taipei, 10051, Taiwan.
authors.forename: Shao-Yu
authors.initials: SY
authors.lastname: Tsai
authors.affiliation: Professor, Department of Obstetrics and Gynecology, National Taiwan University, Taipei, Taiwan.
authors.forename: Chien-Nan
authors.initials: CN
authors.lastname: Lee
authors.affiliation: Assistant Professor, Department of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
authors.forename: Wei-Wen
authors.initials: WW
authors.lastname: Wu
authors.affiliation: Professor, Department of Biobehavioral Nursing and Health Systems, University of Washington, Seattle, WA.
authors.forename: Carol A
authors.initials: CA
authors.lastname: Landis
mesh_terms: D056044:Actigraphy; D000328:Adult; D000367:Age Factors; D003430:Cross-Sectional Studies; D004644:Emotions; D005260:Female; D006801:Humans; D006920:Hygiene; D011247:Pregnancy; D011263:Pregnancy Trimester, Third / Q000502:physiology*; D037841:Pregnant People; D057566:Self Report; D012890:Sleep / Q000502:physiology*; D012893:Sleep Wake Disorders / Q000503:physiopathology*; D011795:Surveys and Questionnaires; D013624:Taiwan; D014851:Wakefulness / Q000502:physiology*
keywords: actigraphy; pregnancy; sleep hygiene; sleep quality; women