ปัจจัยทำนายคุณภาพการนอนหลับในมารดาที่มีบุตรคนแรก

Abstract

Postnatal mothers experience physical and psychological changes in addition to taking on the role of motherhood. These factors can significantly affect sleep quality. This predictive correlational research aimed to study sleep quality and the predictive power of fatigue, anxiety, and social support on sleep quality in first-time postnatal mothers. The sample consisted of 106 first-time postnatal mothers aged 20 years and over who received postpartum check-up services at Maharaj Nakorn Chiang Mai Hospital and Regional Health Promotion Center 1 in Chiang Mai between January and June 2023, and who were selected by inclusion criteria. The research tools included the Personal Information Questionnaire; the Pittsburgh Sleep Quality Index (PSQI), Thai version (Chotinaiwattarakul et al., 2014); the Fatigue Symptoms Checklist, Thai version (Theerakulchai, 2004); the State Anxiety Inventory [STAI] FormY1, Thai version (Thapinta, 1991); and the Mother Social Support Questionnaire form (Sittibunma et al., 2014). Data were analyzed using descriptive statistics, Spearman’s rank correlation coefficient, and binary logistic regression analysis. The findings revealed that 1. The sample had a median sleep quality score of 9.00 (IQR = 4.00) which was classified as poor sleep quality.

2. Fatigue could predict sleep quality in first-time postnatal mothers at 7.9% (p = .05); anxiety and social support were unable to predict sleep quality in first-time postnatal mothers. The findings of this study could provide a basis for developing a nursing plan or guidelines for promoting good sleep quality in first-time postnatal mothers.