Factors Predicting Sleep Quality Among First-Time Postnatal Mothers
Keywords:
Anxiety, Fatigue, First-time mothers, Social supportAbstract
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 participants 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. The participants were selected by inclusion criteria. The research instruments included the Personal Information Questionnaire; the Pittsburgh Sleep Quality Index (PSQI), Thai version by Sitasuwan et al.; the Fatigue Symptoms Checklist, Thai version by Theerakulchai; the State Anxiety Inventory (STAI) FormY1, Thai version by Thapinta et al.; and the Mother Social Support Questionnaire form by Sittibunma et al. All instruments underwent reliability testing. Data were analyzed by using descriptive statistics, Spearman’s rank correlation coefficient, and binary logistic regression analysis.
The findings revealed that
1. The participants 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 < .001); anxiety and social support were unable to predict sleep quality in this group.
The findings of this study could provide a basis for developing a nursing care plan to provide effective nursing care and reduce physical discomfort of first-time postnatal mothers in order to promote good sleep quality in this group.
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