妇产护理干预对产妇睡眠质量及产后出血的影响

Effect of Maternal Nursing Intervention on Sleep Quality and Postpartum Hemorrhage

目的:研究妇产护理干预对产妇睡眠质量及产后出血的影响。方法:选取2021年10月至2022年9月清流县总医院妇产科收治的产妇100例作为研究对象,按照随机数字表法分为观察组和对照组,每组50例。对照组给予常规护理干预,观察组给予妇产科护理干预。采用匹兹堡睡眠质量指数(PSQI)比较2组患者睡眠质量的变化,采用视觉模拟评分法(VAS)比较2组患者的疼痛情况,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)比较2组患者焦虑、抑郁症状改善情况,根据医院妇产科患者满意度量表对2组产妇的护理满意度进行评价,统计2组产妇的产后2 h出血量、产后24 h出血量、产后总出血量、产后出血率,根据血浆凝血酶原时间、血小板计数对2组产妇的凝血功能指标进行评价,同时比较2组患者护理满意度。结果:护理干预后,观察组PSQI评分、SAS评分、SDS评分、VAS评分均显著低于对照组,观察组产后2 h出血量、产后24 h出血量、产后总出血量、产后出血率显著低于对照组,观察组产妇护理后血浆凝血酶原时间、血小板计数显著高于对照组,2组比较差异均有统计学意义(均P<0.05)。结论:妇产护理干预对产妇的睡眠质量及产后出血具有积极影响,产妇在妇产护理干预下,焦虑、抑郁情绪显著减少,护理满意度及评分显著提高,产后出血情况显著减少,疼痛严重程度显著下降,凝血功能指标显著好转,睡眠时间和睡眠质量显著提高,因此妇产科护理干预在产妇睡眠质量及产后出血护理中更具推广价值。

Objective:To study the effect of maternal nursing intervention on sleep quality and postpartum hemorrhage.Methods:A total of 100 parturients admitted to the Department of Obstetrics and Gynecology of Qingliu General Hospital from October 2021 to September 2022 were selected as research objects and were divided into observation group and control group according to the random number table method,with 50 cases in each group.The control group was given routine nursing intervention,and the observation group was given obstetrics and gynecology nursing intervention.Pittsburgh Sleep Quality Index(PSQI)was used to compare the changes of sleep quality between the two groups,and Visual Analogue Scale(VAS)was used to compare the pain status between the two groups.Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were used to compare the improvement of anxiety and depression symptoms between the two groups.According to the satisfaction scale of patients in obstetrics and gynecology of the hospital,the nursing satisfaction of the two groups of women was evaluated.The postpartum 2 h blood loss,24 h postpartum blood loss,postpartum total blood loss,postpartum bleeding rate of the two groups of women were analyzed.The coagulation function index of the two groups of women was evaluated according to the plasma prothrombin time and platelet count,and the nursing satisfaction of the two groups of patients was compared.Results:After nursing intervention,PSQI score,SAS score,SDS score and VAS score of the observation group were significantly lower than the control group,postpartum 2 h blood loss,postpartum 24 h blood loss,postpartum total blood loss and postpartum bleeding rate of observation group were significantly lower than the control group,and plasma prothrombin time and platelet count of observation group were significantly higher than control group after nursing.The differences were statistically significant(P s<0.05).Conclusion:Maternal nursing intervention has a positive impact on maternal sleep quality and postpartum bleeding,maternal nursing intervention in obstetrics and gynecology,anxiety,depression mood significantly reduced,nursing satisfaction and score significantly improved,postpartum bleeding significantly reduced,pain severity significantly decreased,coagulation function indicators significantly improved,and sleep time and sleep quality significantly improved.Therefore,the nursing intervention of obstetrics and gynecology is more valuable to popularize in the nursing of maternal sleep quality and postpartum hemorrhage.