2018 Fiscal Year Final Research Report
Examination of the effect that sleep education in the pregnancy period for blood pressure prevention for pregnancy hypertension syndrome gives to blood pressure
| Project/Area Number |
15K11739
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Multi-year Fund |
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| Section | 一般 |
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| Research Field |
Lifelong developmental nursing
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| Research Institution | Hyogo University of Health Sciences |
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Principal Investigator |
Okada Kimie 兵庫医療大学, 看護学部, 准教授 (00437443)
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| Co-Investigator(Kenkyū-buntansha) |
西村 明子 兵庫医療大学, 看護学部, 教授 (20324783)
辻野 健 兵庫医療大学, 薬学部, 教授 (90283887)
片田 千尋 兵庫医療大学, 看護学部, 講師 (10708556)
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| Project Period (FY) |
2015-04-01 – 2019-03-31
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| Keywords | 妊娠高血圧症候群 / PSQI / 初産婦 / 睡眠衛生教育 / 家庭血圧測定法 |
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| Outline of Final Research Achievements |
We implemented a sleep hygiene improvement intervention for primiparous with normal pregnancies and verified its effectiveness in preventing increases in maternal blood pressure during pregnancy.Home blood pressure measurements and the Japanese version of the Pittsburgh Sleep Quality Index (PSQI) surveys were conducted. The analysis included 24 women in the intervention group and 48 women in the control group. Changes in sleep quality during pregnancy were small in the intervention group, and in the control group, sleep quality decreased significantly.The transition of blood pressure from the first to the third trimester did not have the meaningful difference in the intervention group. whereas the control group showed a significant increase.Interaction effect of the pregnancy period matched intervention in bedtime SBP.
This study suggests that improving sleep hygiene in pregnant women in the first trimester may help reduce blood pressure increases during pregnancy.
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| Free Research Field |
助産
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| Academic Significance and Societal Importance of the Research Achievements |
本研究では、妊婦自身が行う睡眠衛生の改善が、妊娠末期の睡眠の質の低下や血圧の上昇の軽減に効果があることを示すことができた。これは、妊娠初期の睡眠衛生の改善の効果を妊娠全期における睡眠の質と血圧の変化で検証した縦断研究であり、日本において意義深い結果を示すことができたと考える。本研究結果は、妊娠末期の睡眠の質の低下と血圧の上昇の軽減し、母体・胎児の健康の維持・増進を目的とした新しい支援を検討するための基礎データの一助となると考える。今後は妊婦の睡眠の質を客観的データで調査し、妊娠各期の睡眠の質に効果的な睡眠衛生の改善教育を検討し、妊婦のライフスタイルに合わせた支援について検討したい。
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