优质护理对产妇产后睡眠质量及抑郁状况影响分析(1)
摘要 目的：探究优质护理对产妇产后睡眠质量及抑郁状况影响分析。方法：选取2016年1月至2018年1月重庆市渝北区人民医院收治的剖宫产产妇80例作为研究对象，按照双盲法随机分组方式分为观察组和对照组，每组40例。给与对照组产妇常规护理干预，观察组产妇实施优质护理干预办法，比较2组产妇护理前后焦虑评分与睡眠质量变化。结果：护理前，2组间产妇焦虑评分与睡眠质量比较，差异无统计学意义(P>0.05)，护理后，观察组睡眠质量与焦虑评分明显优于对照组，差异有统计学意义(P<0.05)。结论：对剖宫产产妇实施优质护理，可有效改善其负面情绪，同时提升其睡眠质量，进而提升其生命质量，值得临床推广与应用。
关键词 优质护理;产后抑郁;负面情绪;睡眠质量;护理效果
Effect of Quality Nursing on Postpartum Sleep Quality and Depression
LIU Xia
(People′s Hospital of Chongqing Yubei District，Chongqing 401120，China)
Abstract Objective：To investigate the effects of quality nursing on the quality of postnatal sleep and depression.Methods：A total of 80 cases of cesarean section women admitted to Yubei District People′s Hospital of Chongqing city from January 2016 to January 2018 were selected as the study object.According to the double-blind method，they were randomly divided into observation group and control group，with 40 cases in each group.The routine nursing intervention was given to the control group，and the observation group was given quality nursing intervention.The anxiety score and sleep quality of the two groups were compared before and after nursing.Results：Before nursing，there was no significant difference in anxiety score and sleep quality between the two groups(P>0.05).After nursing，the sleep quality and anxiety score of the observation group were significantly better than that of the control group，the difference was statistically significant(P<0.05).Conclusion：The implementation of quality care for caesarean section can effectively improve its negative mood，improve its sleep quality，and then improve its quality of life，worthy of clinical promotion and application.
Keywords Quality care; Post-partum depression; Negative emotions; Sleep quality; Nursing effects
中圖分类号：R473.71;R338.63文献标识码：Adoi：10.3969/j.issn.2095-7130.2020.04.065
产妇在分娩后因为新生儿哭闹、角色转变、母乳喂养不顺、产后不适等原因，导致情绪不佳，易出现产后抑郁，产妇临床表现为悲观绝望、烦躁不安、多虑、情绪低落等，降低睡眠质量，不利于产后恢复及新生儿生长发育。因此需要给予有效的干预促使产妇保持良好的心态，提高睡眠质量[1]。现将个体化心理干预用于产褥期产妇，以探寻其在改善产妇产后抑郁状况、提高睡眠质量中的作用。现将结果报道如下。
1 资料与方法
1.1 一般资料 选取2016年1月至2018年1月重庆市渝北区人民医院收治的剖宫产产妇80例作为研究对象，按照双盲法随机分组方式分为观察组和对照组，每组40例。观察组中年龄22～39岁，平均年龄(26.54±1.18)岁;孕周38～40周，平均孕周(39.23±0.18)周;经产妇13例，初产妇27例。对照组中产妇年龄23～38岁，平均年龄(28.65±0.14)岁;孕周39～40周，平均孕周(40.56±0.56)周;经产妇15例，初产妇25例。2组患者一般资料经比较，差异无统计学意义(P>0.05)，具有可比性。
1.2 护理方法 对照组产妇给予常规护理，包括病情观察、相关知识讲解、保持病房干净及生命体征的检测。观察组产妇在对照组的基础上联合健康教育护理，具体方法为：1)建立健康教育小组，给产妇及家属分发健康手册，采用集中多媒体学习方式向产妇介绍相关知识，包括疾病产生的原因、治疗方法、注意事项等。对围手术期的注意事项和相关护理进行健康指导，如耳部要保持干燥，对于耳部油脂分泌旺盛者要用棉签清理耳部。医护人员需积极耐心的融合到产妇的疾病管理中，提高产妇的健康教育程度[2]。2)心理护理：a.医护人员耐心与产妇进行交流，多关心、体贴产妇，倾听她们的心声，动员家属多鼓励她们，从而缓解产妇由心理压力带来的不良情绪。说话要注意措辞，不要让产妇有疑虑，产生误解，减轻产妇的心理负担[3]。b.给产妇提供舒适、干净的住院环境，提供光亮适度的照明，让产妇有一个好的心情养病。c.医护人员应做到关爱产妇、尊重产妇，让产妇时刻有安全感，理解产妇的不合情理的想法。鼓励产妇多多参加活动和人际交往来分散注意力，从而保持愉悦的心情。, 百拇医药(刘霞)
关键词 优质护理;产后抑郁;负面情绪;睡眠质量;护理效果
Effect of Quality Nursing on Postpartum Sleep Quality and Depression
LIU Xia
(People′s Hospital of Chongqing Yubei District，Chongqing 401120，China)
Abstract Objective：To investigate the effects of quality nursing on the quality of postnatal sleep and depression.Methods：A total of 80 cases of cesarean section women admitted to Yubei District People′s Hospital of Chongqing city from January 2016 to January 2018 were selected as the study object.According to the double-blind method，they were randomly divided into observation group and control group，with 40 cases in each group.The routine nursing intervention was given to the control group，and the observation group was given quality nursing intervention.The anxiety score and sleep quality of the two groups were compared before and after nursing.Results：Before nursing，there was no significant difference in anxiety score and sleep quality between the two groups(P>0.05).After nursing，the sleep quality and anxiety score of the observation group were significantly better than that of the control group，the difference was statistically significant(P<0.05).Conclusion：The implementation of quality care for caesarean section can effectively improve its negative mood，improve its sleep quality，and then improve its quality of life，worthy of clinical promotion and application.
Keywords Quality care; Post-partum depression; Negative emotions; Sleep quality; Nursing effects
中圖分类号：R473.71;R338.63文献标识码：Adoi：10.3969/j.issn.2095-7130.2020.04.065
产妇在分娩后因为新生儿哭闹、角色转变、母乳喂养不顺、产后不适等原因，导致情绪不佳，易出现产后抑郁，产妇临床表现为悲观绝望、烦躁不安、多虑、情绪低落等，降低睡眠质量，不利于产后恢复及新生儿生长发育。因此需要给予有效的干预促使产妇保持良好的心态，提高睡眠质量[1]。现将个体化心理干预用于产褥期产妇，以探寻其在改善产妇产后抑郁状况、提高睡眠质量中的作用。现将结果报道如下。
1 资料与方法
1.1 一般资料 选取2016年1月至2018年1月重庆市渝北区人民医院收治的剖宫产产妇80例作为研究对象，按照双盲法随机分组方式分为观察组和对照组，每组40例。观察组中年龄22～39岁，平均年龄(26.54±1.18)岁;孕周38～40周，平均孕周(39.23±0.18)周;经产妇13例，初产妇27例。对照组中产妇年龄23～38岁，平均年龄(28.65±0.14)岁;孕周39～40周，平均孕周(40.56±0.56)周;经产妇15例，初产妇25例。2组患者一般资料经比较，差异无统计学意义(P>0.05)，具有可比性。
1.2 护理方法 对照组产妇给予常规护理，包括病情观察、相关知识讲解、保持病房干净及生命体征的检测。观察组产妇在对照组的基础上联合健康教育护理，具体方法为：1)建立健康教育小组，给产妇及家属分发健康手册，采用集中多媒体学习方式向产妇介绍相关知识，包括疾病产生的原因、治疗方法、注意事项等。对围手术期的注意事项和相关护理进行健康指导，如耳部要保持干燥，对于耳部油脂分泌旺盛者要用棉签清理耳部。医护人员需积极耐心的融合到产妇的疾病管理中，提高产妇的健康教育程度[2]。2)心理护理：a.医护人员耐心与产妇进行交流，多关心、体贴产妇，倾听她们的心声，动员家属多鼓励她们，从而缓解产妇由心理压力带来的不良情绪。说话要注意措辞，不要让产妇有疑虑，产生误解，减轻产妇的心理负担[3]。b.给产妇提供舒适、干净的住院环境，提供光亮适度的照明，让产妇有一个好的心情养病。c.医护人员应做到关爱产妇、尊重产妇，让产妇时刻有安全感，理解产妇的不合情理的想法。鼓励产妇多多参加活动和人际交往来分散注意力，从而保持愉悦的心情。, 百拇医药(刘霞)
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