心理护理对妊娠晚期孕妇睡眠质量干预的分析

An analysis of intervention results of psychological nursing on sleep quality of third-trimester pregnant women

目的 分析心理护理对妊娠晚期孕妇睡眠质量的干预效果.方法 2010年1-12月到浦东新区精神卫生中心以睡眠问题就诊的晚期妊娠妇女,经匹茨堡睡眠质量指数量表评定为睡眠质量差（总分〉5分）的孕妇164例为研究对象.随机分为心理护理干预组82例,对照组82例.干预组由经过培训的护理师进行心理护理干预,包括渐进式和妊娠分娩相关知识健康教育;对照组仅参加妊娠分娩相关知识健康教育讲座.在妊娠37-40周临产前再次对两组进行匹茨堡睡眠质量指数量表评定,比较两组孕妇干预前后睡眠质量的差别.结果 两组孕妇年龄、文化程度、职业、孕龄比较无显著性差异（均P〉0.05）.心理护理干预前干预组匹茨堡睡眠质量指数量表总分为5.48±2.25,对照组为5.32±2.43,两组比较无显著性差异（t=0.44,P〉0.05）;心理护理干预后干预组匹茨堡睡眠质量指数量表平均得分（3.21±2.42）明显低于干预前（配对t=4.25,P〈0.05）.干预后睡眠质量差者11例,明显低于干预前的25例（配对χ2=22.04,P〈0.01）.结论 心理护理干预可明显改善妊娠晚期孕妇的睡眠质量.

Objective To analyze the intervention effects of psychological nursing on sleep quality of third-trimester pregnant women. Methods 164 pregnant women visiting our mental health center from January 2010 to December 2010 and suffering from sleep problems assessed by Pittsburgh Sleep Quality Index （PSQI） evaluation （total score 〉 5 points） were studied. They were randomly divided into psychological nursing intervention group （82 cases） and control group （ 82 cases）. Intervention group accepted psychological nursing intervention given by trained nurse practitioners, including gradual relaxation training and pregnancy related knowledge education. Control group only attended pregnancy related knowledge education seminar. PSQI evaluation was done again during 37-40 gestation week and the sleep quality before and after intervention was compared between two groups. Results There was not significant difference in age, education, occupation of pregnant women and gestational age between two groups （ all P 〉 0.05）. Before intervention, PSQI total score in psychological nursing intervention group （5.48 ± 2.25 ） and control group （ 5.32± 2.43 ） had no significant difference （ t = 0. 44, P 〉 0.05）. After psychological nursing intervention, PSQI score in intervention group （3.21 ±2.42） was obviously lower than that before intervention （ pairing t = 4.25, P 〈 0.05 ）. There were 11 eases suffering from low sleep quality in intervention group, which was obviously lower than that （25 eases） before intervention （ matched X2 = 22.04, P 〈 0.01 ）. Conclusion Psychological nursing intervention can significantly improve sleep quality of third-trimester pregnant women.