全程护理干预对降低产后抑郁及提高睡眠质量的影响

The Effect of Whole-course Nursing Intervention on Reducing Postpartum Depression and Improving Sleep Quality

目的:分析全程护理干预对降低产后抑郁及提高对睡眠质量的影响。方法:选取2017年7月至2018年6月厦门市湖里妇幼保健院收治的90例产妇作为研究对象,按照随机数字表法随机分为对照组和观察组,每组45例,对照组进行围产期常规护理干预,观察组进行全程护理干预,比较2组产妇的产后抑郁发生情况及睡眠质量。结果:2组产妇护理后的负性情绪评分低于护理前,差异有统计学意义(P <0. 05);护理后观察组产妇的负性情绪评分低于对照组,差异有统计学意义(P <0. 05);观察组产妇的EPDS评分明显低于对照组产妇,差异有统计学意义(P <0. 05);观察组产妇的产后抑郁发生率(2. 22%)明显少于对照组(31. 11%),差异有统计学意义(P <0. 05);观察组产妇各维度睡眠质量评分均明显低于对照组,差异有统计学意义(P <0. 05)。结论:全程护理干预能够有效缓解产妇的负性情绪,降低产后抑郁的发生率,提高睡眠质量,值得临床借鉴和推广应用。

Objective: Ro analyze the effect of nursing intervention on decreasing postpartum depression and improving sleep quality. Methods: A total of 90 cases from July 2017 to June 2018 in Huli maternal and child health care center were randomly divided into control group and observation group according to random number table method,45 cases in each group,control group perinatal routine nursing intervention,the observation group of the whole nursing intervention,compared two groups of maternal postpartum depression and sleep quality. Results: The negative emotional score after nursing was lower than before nursing in 2 groups,the difference was statistically significant( P <0.05).After nursing,the observation group maternal negative emotional score was lower than the control group,the difference was statistically significant( P <0.05).The EPDS score of the observation group was significantly lower than that of the control group( P <0.05).The incidence of postpartum depression in the observation group(2.22%)was significantly lower than that in the control group(31.11%),and the difference was statistically significant( P <0.05).Sleep quality scores of all dimensions in the observation group were significantly lower than those in the control group,with statistically significant differences( P <0.05). Conclusion: Whole-course nursing intervention can effectively relieve maternal negative emotions,reduce the incidence of postpartum depression and improve sleep quality,which is worthy of clinical reference and application.