Sleep Quality Components as Predictors of Health-Related Quality of Life Domains among Primigravida in Ibadan, Nigeria
,
Abstract
Background and Objective: Pregnancy and childbirth are periods of great joy and delicate, interesting, and exciting aspects of women’s life. The study investigates whether sleep quality components will predict health-related quality of life (HRQOL) domains among primigravidas.
Materials and Methods: The study employed descriptive research design. 768 primigravidas, attending antenatal care in nine purposively-selected government hospitals in Ibadan, Nigeria, which fulfilled the inclusion criteria participated in the study. A questionnaire consisting of demographic information of primigravidas, World Health Organization Quality of Life-BREF (WHOQOL-BREF), and Pittsburgh Sleep Quality Index (PSQI) with reliability coefficient of 0.89 and 0.85, respectively, were used to collect data. Six hypotheses were tested using multiple regression analysis (MRA) and analysis of variance (ANOVA).
Results: Sleep quality components had a statistical, joint influence on HRQOL domains (physical health domain, F = 4.526, P < 0.01; psychological domain, F = 2.931, P < 0.05; and environment domain, F = 2.788, P < 0.05) of primigravidas in Ibadan. In addition, domains of HRQOL were significantly influenced by primigravidas’ marital status (F = 3.591, P < 0.05).
Conclusion: Effective management of sleep quality components during pregnancy can improve HRQOL domains of primigravidas. Researchers recommended that antenatal care lectures for primigravidas should be reinforced with emphasis on the sleep quality and its influence on their HRQOL domains for better wellness of the primigravidas.
1. World Health Organization. Population Reports: Issues in World Health: 9, Geneva. 2020.
2. The Free Dictionary by Farlex. Holistic health [Online]. [cited 2018 Oct 23]; Available from: URL: https://medical-dictionary.thefreedictionary.com/ holistic+health
3. Carr AJ, Higginson IJ, Robinson PG. Quality of life. London, IK: BMJ Books, 2003.
4. Ware JEJ, Kosinski, M, Bjorner, JB, et al. User's Manual for the SF-36v2TM Health Survey. 2nd ed. Lincoln, RI: Quality Metric Incorporated; 2007.
5. Hofberg K, Ward MR. Fear of pregnancy and childbirth. Postgrad Med J 2003; 79: 505-10.
6. Ritter C, Hobfoll SE, Lavin J, et al. Stress, psycho-social resources, and depressive symptomatology during pregnancy in low-income, inner-city women. Health Psychol 2000; 19: 576-85.
7. Lobel M, Hamilton J, Cannella D. Psychosocial perspectives on pregnancy: prenatal maternal stress and coping. Soc Personal Psychol Compass 2008; 2: 1600-23.
8. Davis-Floyd R. Birth as an American rite of passage. 2nd. Berkeley, CA: University of California Press; 2004.
9. Gottlieb DJ. Does obstructive sleep apnea treatment reduce cardiovascular risk?: It is far too soon to say. JAMA 2017; 318: 128-30.
10. Raphael D, Brown I, Renwick P, et al. Quality of life: What are the implications for health promotion? Am J Health Behav 1997; 21(2): 118-28.
11. Kane RL. Assuring quality in nursing home care. J Am Geriatr Soc 1998; 46: 232-7.
12. Bond J. Quality of life for people with dementia: Approaches to the challenge of measurement. Ageing Soc 1999: 5; 561-79.
13. Baxter J, Shetterly SM, Eby C, et al. Social network factors associated with perceived quality of life. The San Luis Valley Health and Aging Study. J Aging Health 1998; 10: 287-310.
14. Forger F, Ostensen M, Schumacher A, et al. Impact of pregnancy on health related quality of life evaluated prospectively in pregnant women with rheumatic diseases by the SF-36 health survey. Ann Rheum Dis 2005; 64: 1494.
15. National Sleep Foundation. Why do we need Sleep? [Online]. [cited 2020]; Available from: URL: https:/ http://www.sleepfoundation.org//www.sleepfoundation.org/articles/why-do-we-need-sleep
16. Evy Baby. The importance of sleep during pregnancy [Online]. [cited 2015 Oct]; Available from: URL: https://www.evybaby.com/en-eg/moms-land/articles/2015/october/the-importance-of-sleep-during-pregnancy
17. Okun ML, Tolge M, Hall M. Low socioeconomic status negatively affects sleep in pregnant women. J Obstet Gynecol Neonatal Nurs 2014; 43: 160-7.
18. Mehta N, Shafi F, Bhat A. Unique aspects of sleep in women. Mo Med 2015; 112: 430-4.
19. Chen CK, Pei YC, Chen NH, et al. Sedative music facilitates deep sleep in young adults. J Altern Complement Med 2014; 20: 312-7.
20. Shobeiri F, Khaledi S, Masoumi SZ, et al. The prevalence of sleep disorders in pregnancy and some of the associated factors in Hamadan, Iran. Research Journal of Pharmaceutical, Biological and Chemical Sciences 2016; 7: 885-92.
21. Teran-Perez G, Arana-Lechuga Y, Esqueda-Leon E, et al. Steroid hormones and sleep regulation. Mini Rev Med Chem 2012; 12: 1040-8.
22. Topf M. Hospital noise pollution: An environmental stress model to guide research and clinical interventions. J Adv Nurs 2000; 31: 520-8.
23. Lee KA. Sleep and pregnancy/postpartum. J Perinat Neonatal Nurs 2007; 21: 91.
24. Lee KA, Landis C, Chasens ER, et al. Sleep and chronobiology: Recommendations for nursing education. Nurs Outlook 2004; 52: 126-33.
25. Hedman C, Pohjasvaara T, Tolonen U, et al. Effects of pregnancy on mothers' sleep. Sleep Med 2002; 3: 37-42.
26. Tauman R. Maternal sleep and fetal outcome. The Open Sleep Journal 2013; 6: 63-7.
27. Ayrim A, Keskin EA, Ozol D, et al. Influence of self-reported snoring and witnessed sleep apnea on gestational hypertension and fetal outcome in pregnancy. Arch Gynecol Obstet 2011; 283: 195-9.
28. Chang JJ, Pien GW, Duntley SP, et al. Sleep deprivation during pregnancy and maternal and fetal outcomes: is there a relationship? Sleep Med Rev 2010; 14: 107-14.
29. Kohn M, Murray BJ. Sleep and quality of life in pregnancyand postpartum. In: Verster JC, Pandi-Perumal SR, Streiner DL, editors. Sleep and quality of life in clinical medicine. Totowa, NJ: Humana Press; 2008. p. 497-504.
30. World Health Organization: Maternal mortality. [Cited May 2020]. Available from: URL: https://www.who.int/en/news-room/fact-sheets/detail/maternal-mortality
31. World Health Organization. Maternal health in Nigeria: generating information for action. Available from: URL:https://www.who.int/reproductivehealth/maternal-health-nigeria/en/.
32. UNICEF. UNICEF Annual Report 2016. Available from: URL: https://www.unicef.org/reports/unicef-annual-report-2016
33. Ayoub G, Awed H. Comparative study between primigravida and multigravida regarding women's self-care practices for management of selected minor discomforts. Madridge J Case Rep Stud 2018; 2: 41-9.
34. Danish N, Fawad A, Abbasi N. Assessment of pregnancy outcome in primigravida: Comparison between booked and un-booked patients. J Ayub Med Coll Abbottabad 2010; 22: 23-5.
35. Lee KA, Gay CL. Sleep in late pregnancy predicts length of labor and type of delivery. Am J Obstet Gynecol 2004; 191: 2041-6.
36. Kamysheva E, Skouteris H, Wertheim EH, et al. A prospective investigation of the relationships among sleep quality, physical symptoms, and depressive symptoms during pregnancy. J Affect Disord 2010; 123: 317-20.
37. National Sleep Foundation. Pregnancy and Sleep. [Online]. [cited 2015 Ag 31]; Available from: URL: http://sleepfoundation.org/sleep-topics/pregnancy-and-sleep
38. Borcherding KE. Coping in healthy primigravidae pregnant women. J Obstet Gynecol Neonatal Nurs 2009; 38: 453-62.
39. The World Health Organization Quality of Life Assessment (WHOQOL): Development and general psychometric properties. Soc Sci Med 1998; 46: 1569-85.
40. Gureje O, Kola L, Afolabi E, et al. Determinants of quality of life of elderly Nigerians: results from the Ibadan study of ageing. Afr J Med Med Sci 2008; 37: 239-47.
41. Buysse DJ, Reynolds CF, III, Monk TH, et al. The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Res 1989; 28: 193-213.
42. Carpenter JS, Andrykowski MA. Psychometric evaluation of the Pittsburgh Sleep Quality Index. J Psychosom Res 1998; 45: 5-13.
43. Calou C, Pinheiro A, Castro R, de Oliveira M, de Souza Aquino P, Antezana, F. (2014) Health related quality of life of pregnant women and associated factors: An integrative review. Health 2014; 6: 2375-87.
44. Sut HK, Asci O, Topac N. Sleep quality and health-related quality of life in pregnancy. J Perinat Neonatal Nurs 2016; 34: 302-9.
45. Mourady D, Richa S, Karam R, et al. Associations between quality of life, physical activity, worry, depression and insomnia: A cross-sectional de-signed study in healthy pregnant women. PLoS One 2017; 12: e0178181.
46. Rezaei E, Moghadam ZB, Saraylu K. Quality of life in pregnant women with sleep disorder. J Family Reprod Health 2013; 7: 87-93.
47. Tsai SY, Lee PL, Lin JW, et al. Cross-sectional and longitudinal associations between sleep and health-related quality of life in pregnant women: A prospective observational study. Int J Nurs Stud 2016; 56: 45-53.
48. Calou CGP, de Oliveira MF, Carvalho FHC, et al. Maternal predictors related to quality of life in pregnant women in the Northeast of Brazil. Health Qual Life Outcomes 2018; 16: 109.
49. Fernandes R, Vido M. Pregnancy and quality of life: Assessment during the gestational trimesters. Online Braz J Nurs 2009; 8.
50. Wang P, Liou SR, Cheng CY. Prediction of maternal quality of life on preterm birth and low birth-weight: A longitudinal study. BMC Pregnancy Childbirth 2013; 13: 124.
51. Vachkova E, Jezek S, Mares J, et al. The evaluation of the psychometric properties of a specific quality of life questionnaire for physiological pregnancy. Health Qual Life Outcomes 2013; 11: 214.
2. The Free Dictionary by Farlex. Holistic health [Online]. [cited 2018 Oct 23]; Available from: URL: https://medical-dictionary.thefreedictionary.com/ holistic+health
3. Carr AJ, Higginson IJ, Robinson PG. Quality of life. London, IK: BMJ Books, 2003.
4. Ware JEJ, Kosinski, M, Bjorner, JB, et al. User's Manual for the SF-36v2TM Health Survey. 2nd ed. Lincoln, RI: Quality Metric Incorporated; 2007.
5. Hofberg K, Ward MR. Fear of pregnancy and childbirth. Postgrad Med J 2003; 79: 505-10.
6. Ritter C, Hobfoll SE, Lavin J, et al. Stress, psycho-social resources, and depressive symptomatology during pregnancy in low-income, inner-city women. Health Psychol 2000; 19: 576-85.
7. Lobel M, Hamilton J, Cannella D. Psychosocial perspectives on pregnancy: prenatal maternal stress and coping. Soc Personal Psychol Compass 2008; 2: 1600-23.
8. Davis-Floyd R. Birth as an American rite of passage. 2nd. Berkeley, CA: University of California Press; 2004.
9. Gottlieb DJ. Does obstructive sleep apnea treatment reduce cardiovascular risk?: It is far too soon to say. JAMA 2017; 318: 128-30.
10. Raphael D, Brown I, Renwick P, et al. Quality of life: What are the implications for health promotion? Am J Health Behav 1997; 21(2): 118-28.
11. Kane RL. Assuring quality in nursing home care. J Am Geriatr Soc 1998; 46: 232-7.
12. Bond J. Quality of life for people with dementia: Approaches to the challenge of measurement. Ageing Soc 1999: 5; 561-79.
13. Baxter J, Shetterly SM, Eby C, et al. Social network factors associated with perceived quality of life. The San Luis Valley Health and Aging Study. J Aging Health 1998; 10: 287-310.
14. Forger F, Ostensen M, Schumacher A, et al. Impact of pregnancy on health related quality of life evaluated prospectively in pregnant women with rheumatic diseases by the SF-36 health survey. Ann Rheum Dis 2005; 64: 1494.
15. National Sleep Foundation. Why do we need Sleep? [Online]. [cited 2020]; Available from: URL: https:/ http://www.sleepfoundation.org//www.sleepfoundation.org/articles/why-do-we-need-sleep
16. Evy Baby. The importance of sleep during pregnancy [Online]. [cited 2015 Oct]; Available from: URL: https://www.evybaby.com/en-eg/moms-land/articles/2015/october/the-importance-of-sleep-during-pregnancy
17. Okun ML, Tolge M, Hall M. Low socioeconomic status negatively affects sleep in pregnant women. J Obstet Gynecol Neonatal Nurs 2014; 43: 160-7.
18. Mehta N, Shafi F, Bhat A. Unique aspects of sleep in women. Mo Med 2015; 112: 430-4.
19. Chen CK, Pei YC, Chen NH, et al. Sedative music facilitates deep sleep in young adults. J Altern Complement Med 2014; 20: 312-7.
20. Shobeiri F, Khaledi S, Masoumi SZ, et al. The prevalence of sleep disorders in pregnancy and some of the associated factors in Hamadan, Iran. Research Journal of Pharmaceutical, Biological and Chemical Sciences 2016; 7: 885-92.
21. Teran-Perez G, Arana-Lechuga Y, Esqueda-Leon E, et al. Steroid hormones and sleep regulation. Mini Rev Med Chem 2012; 12: 1040-8.
22. Topf M. Hospital noise pollution: An environmental stress model to guide research and clinical interventions. J Adv Nurs 2000; 31: 520-8.
23. Lee KA. Sleep and pregnancy/postpartum. J Perinat Neonatal Nurs 2007; 21: 91.
24. Lee KA, Landis C, Chasens ER, et al. Sleep and chronobiology: Recommendations for nursing education. Nurs Outlook 2004; 52: 126-33.
25. Hedman C, Pohjasvaara T, Tolonen U, et al. Effects of pregnancy on mothers' sleep. Sleep Med 2002; 3: 37-42.
26. Tauman R. Maternal sleep and fetal outcome. The Open Sleep Journal 2013; 6: 63-7.
27. Ayrim A, Keskin EA, Ozol D, et al. Influence of self-reported snoring and witnessed sleep apnea on gestational hypertension and fetal outcome in pregnancy. Arch Gynecol Obstet 2011; 283: 195-9.
28. Chang JJ, Pien GW, Duntley SP, et al. Sleep deprivation during pregnancy and maternal and fetal outcomes: is there a relationship? Sleep Med Rev 2010; 14: 107-14.
29. Kohn M, Murray BJ. Sleep and quality of life in pregnancyand postpartum. In: Verster JC, Pandi-Perumal SR, Streiner DL, editors. Sleep and quality of life in clinical medicine. Totowa, NJ: Humana Press; 2008. p. 497-504.
30. World Health Organization: Maternal mortality. [Cited May 2020]. Available from: URL: https://www.who.int/en/news-room/fact-sheets/detail/maternal-mortality
31. World Health Organization. Maternal health in Nigeria: generating information for action. Available from: URL:https://www.who.int/reproductivehealth/maternal-health-nigeria/en/.
32. UNICEF. UNICEF Annual Report 2016. Available from: URL: https://www.unicef.org/reports/unicef-annual-report-2016
33. Ayoub G, Awed H. Comparative study between primigravida and multigravida regarding women's self-care practices for management of selected minor discomforts. Madridge J Case Rep Stud 2018; 2: 41-9.
34. Danish N, Fawad A, Abbasi N. Assessment of pregnancy outcome in primigravida: Comparison between booked and un-booked patients. J Ayub Med Coll Abbottabad 2010; 22: 23-5.
35. Lee KA, Gay CL. Sleep in late pregnancy predicts length of labor and type of delivery. Am J Obstet Gynecol 2004; 191: 2041-6.
36. Kamysheva E, Skouteris H, Wertheim EH, et al. A prospective investigation of the relationships among sleep quality, physical symptoms, and depressive symptoms during pregnancy. J Affect Disord 2010; 123: 317-20.
37. National Sleep Foundation. Pregnancy and Sleep. [Online]. [cited 2015 Ag 31]; Available from: URL: http://sleepfoundation.org/sleep-topics/pregnancy-and-sleep
38. Borcherding KE. Coping in healthy primigravidae pregnant women. J Obstet Gynecol Neonatal Nurs 2009; 38: 453-62.
39. The World Health Organization Quality of Life Assessment (WHOQOL): Development and general psychometric properties. Soc Sci Med 1998; 46: 1569-85.
40. Gureje O, Kola L, Afolabi E, et al. Determinants of quality of life of elderly Nigerians: results from the Ibadan study of ageing. Afr J Med Med Sci 2008; 37: 239-47.
41. Buysse DJ, Reynolds CF, III, Monk TH, et al. The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Res 1989; 28: 193-213.
42. Carpenter JS, Andrykowski MA. Psychometric evaluation of the Pittsburgh Sleep Quality Index. J Psychosom Res 1998; 45: 5-13.
43. Calou C, Pinheiro A, Castro R, de Oliveira M, de Souza Aquino P, Antezana, F. (2014) Health related quality of life of pregnant women and associated factors: An integrative review. Health 2014; 6: 2375-87.
44. Sut HK, Asci O, Topac N. Sleep quality and health-related quality of life in pregnancy. J Perinat Neonatal Nurs 2016; 34: 302-9.
45. Mourady D, Richa S, Karam R, et al. Associations between quality of life, physical activity, worry, depression and insomnia: A cross-sectional de-signed study in healthy pregnant women. PLoS One 2017; 12: e0178181.
46. Rezaei E, Moghadam ZB, Saraylu K. Quality of life in pregnant women with sleep disorder. J Family Reprod Health 2013; 7: 87-93.
47. Tsai SY, Lee PL, Lin JW, et al. Cross-sectional and longitudinal associations between sleep and health-related quality of life in pregnant women: A prospective observational study. Int J Nurs Stud 2016; 56: 45-53.
48. Calou CGP, de Oliveira MF, Carvalho FHC, et al. Maternal predictors related to quality of life in pregnant women in the Northeast of Brazil. Health Qual Life Outcomes 2018; 16: 109.
49. Fernandes R, Vido M. Pregnancy and quality of life: Assessment during the gestational trimesters. Online Braz J Nurs 2009; 8.
50. Wang P, Liou SR, Cheng CY. Prediction of maternal quality of life on preterm birth and low birth-weight: A longitudinal study. BMC Pregnancy Childbirth 2013; 13: 124.
51. Vachkova E, Jezek S, Mares J, et al. The evaluation of the psychometric properties of a specific quality of life questionnaire for physiological pregnancy. Health Qual Life Outcomes 2013; 11: 214.
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| Issue | Vol 5 No 4 (2020): Autumn | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/jss.v5i4.7807 | |
| Keywords | ||
| Health Pregnancy Pregnancy trimesters Public hospital Quality of life Sleep quality | ||
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How to Cite
1.
Olutola F, Adejuwon G. Sleep Quality Components as Predictors of Health-Related Quality of Life Domains among Primigravida in Ibadan, Nigeria. J Sleep Sci. 2021;5(4):146-154.
