以质量求发展,以服务铸品牌

Journal of Nursing ›› 2022, Vol. 29 ›› Issue (21): 11-16.doi: 10.16460/j.issn1008-9969.2022.21.011

Previous Articles     Next Articles

Latent Class Analysis of Fatigue of Pregnant Women in Late Pregnancy

WANG Rui-ying, XING Wei, FA Xian-en, CHEN Jun-zhuo   

  1. The Second Affiliated Hospital, Zhengzhou University, Zhengzhou 450014, China
  • Received:2022-08-22 Online:2022-11-10 Published:2022-12-07

Abstract: Objective To explore the latent classes of maternal fatigue in the third trimester of pregnancy, and to analyze the differences in demographic characteristics, sleep quality and psychological resilience among different classes. Methods With convenience sampling, 251 pregnant women were recruited from a tertiary grade-A hospital in Zhengzhou from April to July in 2022, and were investigated using general information questionnaire, Fatigue Self-assessment Scale, Pittsburgh Sleep Quality Index and Connor-Davidson Resilience Scale. Results Maternal fatigue in the third trimester of pregnancy could be divided into 2 latent classes: extensive fatigue group with high situational sensitivity (29.08%) and low fatigue group with positive situational sensitivity (70.92%). Logistic regression analysis showed that gestational age, adverse pregnancy history, sleep quality and mental resilience were the influencing factors of latent classes of maternal fatigue in late pregnancy (P<0.05). Conclusion Maternal fatigue in late pregnancy is heterogeneous and can be divided into 2 latent classes. Women with larger gestational weeks, previous adverse pregnancy history and poor sleep quality have more severe symptoms of fatigue in late pregnancy, and need more attention.

Key words: late pregnancy, fatigue, sleep quality, resilience, latent class analysis

CLC Number: 

  • R473.71
[1] Yehia D, Malak MZ, Al-Thwabih NN, et al.Psychosocial Factors Correlate with Fatigue among Pregnant Women in Jordan[J]. Perspect Psychiatr Care,2020,56(1):46-53.DOI:10.1111/ppc.12372.
[2] Effati-Daryani F, Mohammad-Alizadeh-Charandabi S, Mohammadi A, et al. Fatigue and Sleep Quality in Different Trimesters of Pregnancy[J]. Sleep Sci,2021,14(Spec1):69-74. DOI:10.5935/1984-0063.20200091.
[3] 苏比努尔·艾力,郑婕,向佳明,等.妊娠晚期孕妇症状群及其影响因素研究[J]. 护理学杂志,2021,36(7):26-30.DOI:10.3870/j.issn.1001-4152.2021.07.026.
[4] 朱笑笑,夏海鸥,张凤,等.孕28周妇女疲乏现状及影响因素分析[J]. 上海护理,2018,18(12):37-41.DOI:10.3969/j.issn.1009-8399.2018.12.009.
[5] Zhu X, Xia H.Trajectory Patterns and Factors Influencing Perinatal Fatigue among Chinese Women from Late Pregnancy to 6 Months after Delivery[J]. Peer J, 2022,10:e13387. DOI:10.7717/peerj.13387.
[6] 郑建盛,王志萍,杨丽全,等.二胎高危孕妇妊娠压力与疲劳的关系—链式中介效应分析[J]. 锦州医科大学学报,2019,40(6):39-43.DOI:10.13847/j.cnki.lnmu.2019.06.012.
[7] 徐晓芳. 不同妊娠阶段孕妇症状群及相关因素[D].济南:山东大学,2020.DOI:10.27272/d.cnki.gshdu.2020.004735.
[8] 中华中医药学会团体标准,王天芳.疲劳的评定标准[J]. 中华中医药杂志,2019,34(6):2580-2583.
[9] Gao M, Hu J, Yang L, et al.Association of Sleep Quality During Pregnancy with Stress and Depression: A Prospective Birth Cohort Study in China[J]. BMC Pregnancy Childbirth,2019,19(1):444.DOI:10.1186/s12884-019-2583-1.
[10] Connor KM,Davidson JR.Development of a New Resilience Scale: The Connor-davidson Resilience Scale (CD-RISC)[J]. Depress Anxiety,2003, 18(2):76-82.DOI:10.1002/da.10113.
[11] 李玉娟,李君艳,欧阳艳琼.孕妇参与群组孕期保健体验质性研究的Meta整合[J]. 护理学报,2021,28(6):6-12. DOI:10.16460/j.issn1008-9969.2021.06.006.
[12] 彭顺,胡祥恩.大学生压力与疲劳的关系:一个有调节的中介模型[J]. 心理与行为研究,2021,19(4):563-570.DOI:10.3969/j.issn.1672-0628.2021.04.020.
[13] 夏比旦·吐逊江,古丽加那提·吾买尔,姜婷.孕妇妊娠压力与产前焦虑、社会支持的关系[J]. 现代预防医学,2022,49(12):2178-2183.
[14] 黄浩洁,史冀龙,侯莉娟,等.脑内5-HT能和DA能系统在运动疲劳调控作用中的研究进展[J]. 武汉体育学院学报,2020,54(2):87-92.DOI:10.15930/j.cnki.wtxb.2020.02.001.
[15] 蒋婷婷,陈艳艳,潘琼琼,等.妊娠晚期孕妇症状群特征及影响因素研究[J]. 中国医院统计,2022,29(2):87-92.DOI:10.3969/j.issn.1006-5253.2022.02.002.
[16] 王财玉,雷雳,乔雪.愉悦追求在自我调节疲劳与大学生智能手机成瘾之间的中介作用:自然联结的调节作用[J]. 心理发展与教育,2021,37(4):601-608. DOI:10.16187/j.cnki.issn1001-4918.2021.04.17.
[17] 单立刚,李存保,马多,等.孕前午睡与目前夜眠时长对孕晚期疲劳的相关性研究[J]. 中国生育健康杂志,2022,33(2):135-140.DOI:10.3969/j.issn.1671-878X.2022.02.007.
[18] Zhang X, Cao D, Sun J, et al.Sleep Heterogeneity in the Third Trimester of Pregnancy: Correlations with Depression, Memory Impairment, and Fatigue[J]. Psychiatry Res,2021,303:114075. DOI:10.1016/j.psychres.2021.114075.
[19] Tsai S, Lee P, Gordon C, et al.Objective Sleep Efficiency but not Subjective Sleep Quality Is Associated with Longitudinal Risk of Depression in Pregnant Women: A Prospective Observational Cohort Study[J]. Int Journal Nur Stud,2021,120:103966.DOI:10.1016/j.ijnurstu.2021.103966.
[20] Tsai SS, Wang HH, Chou FH.The Effects of Aromatherapy on Postpartum Women: A Systematic Review[J]. J Nurs Res,2020,28(3):e96.DOI:10.1097/jnr.0000000000000331.
[21] Sanli Y, Goke AG, Aypar AN, et al.Effects of Music on Sleep Quality and Comfort Levels of Pregnant Women[J]. J Perinat Med,2022,50(4):467-475. DOI:10.1515/jpm-2021-0551.
[22] 江林娜,杨文娇,高源敏,等.338例产褥期妇女主观幸福感现状及影响因素分析[J]. 护理学报,2020,27(18):55-59. DOI:10.16460/j.issn1008-9969.2020.18.055.
[23] 侯瑞,宋明芬,亢俊俊,等.维持性血液透析患者疲乏影响因素及其与心理弹性、希望之间的相关性分析[J]. 中华全科医学,2021,19(2):266-269.DOI:10.16766/j.cnki.issn.1674-4152.001784.
[24] 杨业环,黄星,孙梦云,等.中国孕妇心理韧性情况及其影响因素分析[J]. 中国妇幼健康研究, 2021,32(8):1134-1139.DOI:10.3969/j.issn.1673-5293.2021.08.010.
[25] 张玉环,逄冬,邰春玲,等.临床护士自我调节疲劳现状调查及影响因素分析[J]. 护理学杂志,2021,36(4):50-53.DOI:10.3870/j.issn.1001-4152.2021.04.050.
[26] Lee M, Song Y, Zhu L, et al.Coping Strategies and Benefit-Finding in the Relationship between Non-disclosure and Depressive Symptoms among Breast Cancer Survivors in China[J]. Am J Health Behav,2017,41(4):368-377.DOI:10.5993/AJHB.41.4.1.
[1] ZHANG Xi, HUANG Jing, WANG Tian-hua, LI Yan, CAO Yuan, LI Ming-hui, YU Li-ping. Translation of Parenting Resilience Elements Questionnaire and its validation [J]. Journal of Nursing, 2025, 32(4): 6-11.
[2] LI Wei, WANG Xiang, PEI Li, GAO Qing-qing, HUANG Hai-chao. Symptom clusters among women during late pregnancy: a scoping review [J]. Journal of Nursing, 2024, 31(3): 51-56.
[3] MI Jiao, TAN Yu-wei, TANG Xiao-yan, LIU Lei, YUAN Rong. Mediating effect of negative emotions on psychological load and alarm fatigue in ICU nurses [J]. Journal of Nursing, 2024, 31(3): 68-72.
[4] YAO Wan-qing, YANG Li-zhuang, CHEN Dan-dan, ZHANG Wan-qiu, LU Wei, GUAN Cui-hong, LI Hai. Efficacy of different non-drug interventions on cancer-related fatigue in breast cancer patients: a network Meta-analysis [J]. Journal of Nursing, 2024, 31(24): 37-43.
[5] LI Si-yuan, WU Yu-ze, WEI Xue-mei, LUO Lan-jun, DENG Mei-hong, LI Mei, CUI Li-jun. Latent profile of resilience of junior nurses and its impact on adaptive performance [J]. Journal of Nursing, 2024, 31(23): 1-7.
[6] LU Zhen-tao, SHI Fu-xia, WANG Yu-hui, GUO Jing. Clinical application rules of auricular point sticking for cancer-induced fatigue based on data mining [J]. Journal of Nursing, 2024, 31(19): 8-11.
[7] FU Li-ting, ZHANG Xing-hai, SUN Xuan. Mediating effect of meaning in life and self-esteem between sense of control and sleep quality of elderly people [J]. Journal of Nursing, 2024, 31(18): 7-11.
[8] YANG Xia, YU Wei-hua, ZHANG Yu-xi, DENG Man, REN Ying, ZHANG Li, ZHANG Hai-Yan. Status quo and influencing factors of psychological distress in community elderly patients with multiple chronic diseases:a 377-case study [J]. Journal of Nursing, 2024, 31(18): 50-55.
[9] LI Zhang-zhang, LUO Yan-yan, LI Gen-qiang. Mediating effect of resilience between service-oriented leadership and work engagement of clinical nurses [J]. Journal of Nursing, 2024, 31(15): 1-6.
[10] DAI Mei-fen, LIANG Yu-zhen, YANG Jing, YOU Yan-yan, YANG Qing, CHANG Guang-ting, OU Xing-ying, HUANG Chuan-qiang, CHEN Zhi-xing, OU Jie-fen. Construction of nursing protocol for cancer-related fatigue in breast cancer patients undergoing chemotherapy based on evidence-based practice and theory of chinese medicine [J]. Journal of Nursing, 2024, 31(15): 34-38.
[11] ZHANG Yu-xia, FAN Xiao-hui, WANG Xue-jiao, LIU Yu-an, LI Le-zhi. Translation of Mindful Self-care Scale and its reliability and validity in ICU nurses [J]. Journal of Nursing, 2024, 31(15): 46-51.
[12] LI Li-xiang, LIU Qiong-ling, WAN Chong-hua, WANG Li-ping, LIN Hua-min, ZHU Xiao-jia, CHEN Zhen-fei, LIANG Wen-xin, LI Qi-zhen. Mediating effect of resourcefulness between family resilience and anticipatory grief in patients with advanced lung cancer [J]. Journal of Nursing, 2024, 31(12): 54-58.
[13] LI Dao-xing, ZUO Li, YANG Jie, TIAN Yu-fei, LIU Yu-an. Current status of moral resilience and its influencing factors in pediatric nurses: a 316-case study [J]. Journal of Nursing, 2024, 31(12): 59-64.
[14] LIU Xue, LI Guo-xin, ZHANG Guang-qing, LI Ying-na, LIU Wan-shan, XIAO Juan. Current status of psychological resilience of caregivers of patients with maintenance hemodialysis and its influencing factors: a 220-case study [J]. Journal of Nursing, 2023, 30(8): 63-68.
[15] TAN Jian, KONG Xue-er, HOU Xuan-xuan. Mediating effect of job satisfaction between psychological resilience and burnout among nurses [J]. Journal of Nursing, 2023, 30(8): 69-73.
Viewed
Full text


Abstract

Cited

  Shared   
No Suggested Reading articles found!