心理护理对妊娠晚期孕妇心身状态、睡眠质量及分娩结局的改善作用

The effects of psychological nursing intervention on psychosomatic status,sleep quality and delivery outcomes of late trimester pregnant females

目的分析心理护理对妊娠晚期孕妇心身状态、睡眠质量及分娩结局的改善作用。方法选取我院2014年2月～2015年3月妊娠晚期妇女240例为研究对象，随机分为研究组和对照组，给予对照组产前常规护理，在对照组的基础上给予研究组心理护理干预，比较两组产妇心理状态、睡眠质量以及分娩结局的差异。结果研究组孕妇SAS（30．52±5．67）、SDS（30．26±8．76）、SCL-90（175．26±22．94）评分显著低于对照组SAS（38．64±5．19）、SDS（39．42±8．59）、SCL-90（204．53±30．29）（P〈0．05）；研究组孕妇睡眠质量、入睡时间、睡眠紊乱、日间功能、总分显著低于对照组（P〈0．05）；研究组孕妇自然分娩比例（70．8％）显著高于对照组（56．7％）（P〈0．05）。结论心理护理能够改善妊娠晚期妇女心身状态和睡眠质量，提高其自然分娩比例。

Objective To analysis the effects of psychological nursing intervention on psychosomatic status, sleep quality and delivery outcomes of late trimester pregnant females. Methods 240 cases of late trimester pregnant females in our hospital from February 2014 to March 2015 were randomly divided into the study group and the control group. Patients in the control group were treated with conventional care; patients in the study group were treated with psychological nursing intervention on the basis of conventional care. Compare the psychosomatic status, sleep quality and delivery outcomes of these two groups before and after the intervention. Results After psychological nursing inter- vention, the SAS, SDS, SCL-90 and PSQI scores （total score and 4 factors scores ） of the study group were significant- ly lower than that in control group, respectively （ P 〈 0.05 ）; the delivery outcomes of the study group was significantly better than control group＇ s （P 〈 0.05 ） . Conclusion Psychological nursing intervention has better effect on improving late trimester pregnant females＇ psychosomatic status, sleep quality and delivery outcomes.