基于阶段性改变理论模式护理干预对产妇产后心理状态和生存质量的影响

Effect of phase change nursing intervention on the psychological status and life quality of the maternal postpartum

目的:探讨阶段性改变理论模式的护理干预对产妇产后心理状态和生存质量的影响。方法:对2012年5月至2013年5月来我院进行产检、分娩的284例孕妇给予常规护理,设为对照组;对2013年6月至2014年6月来我院进行产检、分娩的284例孕妇给予阶段性护理干预,设为实验组。对比两组孕妇的产后心理状态和生存质量,评价指标包括产妇焦虑自评得分(SAS)、抑郁自评得分(SDS)、产后出血量、产后出血发生率、睡眠质量得分和生存质量得分。结果:根据两组样本的SAS和SDS得分,对照组焦虑和抑郁状态均显著重于实验组(P<0.05);实验组患者的睡眠质量和生存质量得分也显著高于对照组(P<0.05)。结论:采用阶段性护理干预可有效降低产妇产后焦虑和抑郁的发生,从而提高产妇产后心理状态;还可提高产妇产后睡眠质量和生存质量。

Objective： To investigate the effect of stage nursing intervention on psychology and quality of life in antepartum and postpartum women. Methods： Stage nursing intervention was introduced into our hospital in Jun. 2013. The clinical data of 284 pregnant women receiving prenatal examination and giving birth in our hospital from May. 2012 to May. 2013 were retrospectively analyzed and they were served as control group, while another 284 pregnant women matched for age, weight and gestational weeks in hospital from Jun. 2013 to Jun. 2014 were selected as experimental group. The control group received conventional nursing while the experimental group received stage change nursing. Postpartum psychological status and quality of labor were compared between the two groups. All the patients were evaluated by Self- Rating Anxiety Scale （SAS） and Self Rating depression Scale （ SDS）, postpartum hemorrhage volume and postpartum hemorrhage incidence, score of PSQI and WHOQOL-BREF Results： The results showed that the patients in the control group had a higher level of anxiety and depression compared with the experimental group （ P 〈 0.05 ）, and the patients in the experimental group showed a higher quality of sleep and life （ P 〈 0.05 ）. Conclusion： Stage nursing intervention can effectively reduce anxiety anddepression in postpartum women, and improve their life quality both physically and psychologically.