The relationship between stigma and sleep quality in females treated firstly by in vitro fertilization and embryo transfer: the moderating role of mindfulness
10.3760/cma.j.cn211501-20200303-00793
- VernacularTitle:首次体外受精-胚胎移植患者病耻感与睡眠质量的关系：正念水平的调节作用
- Author:
Xiaofei KANG
1
;
Yueru MENG
;
Guopeng LI
;
Zhenhua JIANG
;
Mei FANG
Author Information
1. 山东大学附属生殖医院护理部，济南 250012
- From:
Chinese Journal of Practical Nursing
2020;36(23):1777-1783
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the level of sleep quality among females treated firstly by IVF-ET and to find the moderate role of mindfulness in the relationship between stigma and sleep quality.Methods:From April 2018 to September 2018, we invited 380 IVF-ET females in the fertility hospital of Shandong Province to participate in the study and to finish a questionnaire survey including the Pittsburgh Sleep Quality Index(PSQI), the Mindful Attention Awareness Scale(MAAS), the simple measuring scale of stigma, and the general information questionnaire.Results:The average score of PSQI was (4.82±2.29), and the prevalence of sleep distress(PSQI>5) was 31.3%(118/380). Spearman correlation analysis showed that PSQI score was positively correlated with stigma( r=0.156, P=0.002), the infertility time( r=0.110, P=0.032), and the treatment time( r=0.142, P=0.005 ), was negatively correlated with mindfulness level( r=-0.325, P<0.001). The hierarchical regression showed that mindfulness level could moderate the correlation between stigma and sleep quality( P<0.001, Δ R2=2.8%). Furthermore, the Johnson-Neyman technique revealed that, within a specific region that was mindfulness above 72, the moderating role was significant. Conclusion:The sleep distress was common among females treated firstly by IVF-ET. Mindfulness level could moderate the correlation between stigma and sleep quality. It is suggested that the reproductive center should strengthen publicity and education to reduce the stigma level of patients, and carry out mindfulness related intervention to further improve their sleep quality.
