细节化护理干预对产妇睡眠质量、负性情绪及产后出血量的影响

Effects of Detailed Nursing Intervention on Maternal Sleep,Negative Emotion and Postpartum Blood Loss

目的:研究细节化护理干预对产妇睡眠质量、负性情绪及产后出血量的影响。方法:选取2019年1月至2020年2月蚌埠第三人民医院收治的产妇90例作为研究对象,随机分为对照组和观察组,每组45例。对照组产妇给予常规护理干预,观察组产妇在对照组护理的基础上增加细节化护理干预。观察比较护理前后2组产妇的匹兹堡睡眠质量指数量表(PSQI)评分以及汉密顿焦虑量表(HAMA)和汉密顿抑郁量表(HAMD)评分、健康调查简表(SF-36)评分和产后出血量。结果:护理后,观察组产妇PSQI各维度得分均低于对照组(P<0.05);护理后,2组产妇汉密顿焦虑量表(HAMA)和汉密顿抑郁量表(HAMD)评分均降低,且观察组的HAMA评分及HAMD评分均低于对照组产妇,2组比较差异均有统计学意义(均P<0.05);护理后,2组产妇的SF-36评分均升高,观察组产妇SF-36的8个维度评分均高于对照组,2组比较差异均有统计学意义(均P<0.05);观察组产妇产后出血量少于对照组产妇,2组比较差异有统计学意义(P<0.05)。结论:细节化护理干预可更好地改善产妇的睡眠质量和负性情绪,减少产后出血量,产妇的焦虑及抑郁情绪能够得到有效的控制,生命质量得到很好提升,该护理措施在临床中值得推广应用。

Objective:To study the effects of detailed nursing intervention on maternal sleep,negative emotions and postpartum blood loss.Methods:According to different nursing methods,90 parturients admitted to The third People′s Hospital of Bengbu from January 2019 to February 2020 were randomly divided into two groups.The control group 45 parturients were given routine nursing intervention,and the research group 45 parturients were given detailed nursing intervention on this basis.The Pittsburgh sleep Scale score,negative emotion score such as anxiety and depression,SF-36 quality of life score and postpartum hemorrhage were observed and compared between the two groups during the nursing period.Results:After the nursing care,The PSQI score in the observed group was lower than that in the control group(P<0.05);After the nursing care,In group 2,both the decreased maternal Hamilton Anxiety Scale(HAMA)and the Hamilton Depression Scale(HAMD)scores were found,Moreover,the HAMA score and HAMD score of the observed group were lower than that of the control group,There were significant differences between the 2 groups(all P<0.05);After the nursing care,Maternal SF-36 scores were elevated in all 2 groups,The maternal SF-36 scores were higher than the control group,There were significant differences between the 2 groups(all P<0.05);The postpartum bleeding volume in the observed group was less than that in the control group,It was significant between the 2 groups(P<0.05).Conclusion:Detailed nursing intervention has a positive impact on maternal sleep,negative emotions and postpartum blood loss,maternal anxiety and depression can be effectively controlled,sleep management has been significantly improved,and the quality of life has been greatly improved,the nursing measures in clinical application is worth widely promoted.