細(xì)節(jié)化護(hù)理在產(chǎn)房護(hù)理中的效果觀察及對產(chǎn)婦的睡眠影響

李浩娟 李季

摘要?目的：探討細(xì)節(jié)化護(hù)理在產(chǎn)房護(hù)理中的效果以及對產(chǎn)婦睡眠質(zhì)量的影響。方法：選取2018年1月至2019年1月廈門大學(xué)附屬婦女兒童醫(yī)院收治的80例產(chǎn)婦作為研究對象，采用隨機(jī)數(shù)字表法將其分為觀察組和對照組，每組40例。對照組產(chǎn)婦給予常規(guī)護(hù)理，觀察組產(chǎn)婦在常規(guī)護(hù)理的基礎(chǔ)上提供細(xì)節(jié)化護(hù)理干預(yù)，比較2組產(chǎn)婦焦慮、抑郁評分以及睡眠質(zhì)量評分、睡眠效率評分、睡眠障礙評分、日間功能評分、睡眠時(shí)間等睡眠狀況以分析細(xì)節(jié)化護(hù)理在產(chǎn)房護(hù)理中的效果以及對產(chǎn)婦的睡眠影響。結(jié)果：觀察組產(chǎn)婦睡眠質(zhì)量、睡眠效率、睡眠障礙等睡眠狀況評分、護(hù)理后焦慮評分、抑郁評分等負(fù)性情緒評分對照組產(chǎn)婦少，2組比較差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論：細(xì)節(jié)化護(hù)理可以改善產(chǎn)房中產(chǎn)婦的焦慮情緒提高其睡眠質(zhì)量。

關(guān)鍵詞?細(xì)節(jié)化護(hù)理干預(yù);產(chǎn)婦;睡眠質(zhì)量;負(fù)性情緒

Observation on the Effect of Detailed Nursing in Dvelivery Room and its Influence on the Seep of Puerpera

LI Haojuan，LI Ji

（Women′s and Children′s Hospital affiliated to Xiamen University，Xiamen Maternal and Child Health Hospital，Xiamen 361000，China）

Abstract?Objective：To explore the effect of detailed nursing in delivery room and its influence on the sleep quality of puerpera.Methods：A total of 80 pregnant women admitted to Xiamen University Women and Children′s Hospital from January 2018 to January 2019 were selected as the study subjects.They were divided into observation group and control group by random number table method，with 40 cases in each group.Control group given routine care，maternal maternal observation group on the basis of conventional nursing provide detail nursing intervention，compared two groups of maternal anxiety and depression scores，and sleep quality grade，sleep efficiency，sleep disturbance scores，daytime function score，sleep sleep to analysis the detail in the maternity ward nursing care effects and maternal effects of sleep.Results：The observation group of maternal sleep quality，sleep efficiency，sleep disorders and other sleep conditions score，post-nursing anxiety score，depression score and other negative mood score the control group less，the difference between the two groups had statistical significance（P<0.05）.Conclusion：Detailed nursing can improve the anxiety mood and sleep quality of puerpera in delivery room.

Keywords?Detailed nursing intervention; Maternal; Sleep quality; Negative emotions

中圖分類號：R338.63;R248.3??文獻(xiàn)標(biāo)識碼：A??doi：10.3969/j.issn.2095-7130.2020.09.059

孕婦產(chǎn)前（一般孕周28周之后）、產(chǎn)時(shí)和產(chǎn)后這3個(gè)階段，合稱圍生期，是各種婦科疾病發(fā)生幾率顯著增加的時(shí)期，也是孕婦以及產(chǎn)婦心里疾病萌生的高發(fā)時(shí)期。在此期間孕婦可因?qū)Ψ置涮弁吹目謶?、產(chǎn)婦因生產(chǎn)后出血導(dǎo)致的身體虛弱以及尚未快速適應(yīng)母親角色的問題等等因素產(chǎn)生焦慮，從而影響睡眠和生理健康[1]。因此對孕婦圍生期的護(hù)理意義重大，產(chǎn)科臨床應(yīng)采用有效的護(hù)理干預(yù)措施減少產(chǎn)后出血的情況避免產(chǎn)婦身體虛弱并同時(shí)提高產(chǎn)婦的睡眠質(zhì)量[2]。本文選取我院收治的產(chǎn)婦80例作為研究對象，現(xiàn)將結(jié)果報(bào)道如下。

1?資料與方法

1.1?一般資料?選取2018年1月至2019年1月廈門大學(xué)附屬婦女兒童醫(yī)院收治的80例產(chǎn)婦作為研究對象，采用隨機(jī)數(shù)字表法將其分為觀察組和對照組，每組40例。觀察組中，產(chǎn)婦年齡22～40歲，平均年齡（31.0±3.3）歲，孕周36～40周，平均孕周（38.6±0.8）周，包括26例初產(chǎn)婦和14例經(jīng)產(chǎn)婦。自然分娩23例，剖宮產(chǎn)17例;對照組中產(chǎn)婦年齡范圍20～41歲，平均年齡（30.6±3.5）歲，孕周36～41周，平均孕周（38.5±0.8）周，包括29例初產(chǎn)婦和11例經(jīng)產(chǎn)婦。一般資料經(jīng)統(tǒng)計(jì)學(xué)分析，差異無統(tǒng)計(jì)學(xué)意義（P>0.05），具有可比性。本研究經(jīng)過我院倫理委員會(huì)批準(zhǔn)并經(jīng)患者及其家屬知情同意。