分析“一对一”全程陪伴责任制助产对改善产妇产后睡眠质量的作用

The Role of“One to One”Whole-course Accompanying Responsibility System for Midwifery on Improving Postpartum Sleep Quality

目的:分析“一对一”全程陪伴责任制助产对改善产妇产后睡眠质量的作用。方法:选取2021年1月至2022年12月厦门大学附属第一医院妇产科收治的自然分娩的产妇136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68例。对照组给予常规助产护理干预,观察组实施“一对一”全程陪伴责任制助产干预。采用匹兹堡睡眠质量指数(PSQI)比较2组患者睡眠质量的差异,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,采用视觉模拟评分法(VAS)比较2组患者的疼痛感受。结果:护理干预后,观察组SAS评分、SDS评分、PSQI评分、VAS评分均显著低于对照组,差异均有统计学意义(均P<0.05)。结论:采用“一对一”全程陪伴责任制助产护理干预,能够有效减轻产妇生产时及产后的疼痛感受,缓解焦虑、抑郁等紧张情绪,改善睡眠质量,值得推广使用。

Objective:To investigate the effect of“one to one”whole-course accompanying responsibility system on improving postpartum sleep quality.Methods:A total of 136 natural parturients admitted to the Department of Obstetrics and Gynecology of the First Affiliated Hospital of Xiamen University from January 2021 to December 2022 were selected as the research objects,and were divided into observation group and control group according to the random number table method,with 68 cases in each group.The control group was given routine midwifery nursing intervention,and the observation group was given“one-to-one”whole-course accompanying responsibility midwifery intervention.Pittsburgh Sleep Index Scale(PSQI)was used to compare the difference of sleep quality between 2 groups,Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were used to compare the improvement of anxiety and depression symptoms between 2 groups,and Visual Analog Scale(VAS)was used to compare the pain perception between the 2 groups.Results:After nursing intervention,SAS score,SDS score,PSQI score and VAS score in the observation group were significantly lower than those of the control group,and the differences between the 2 groups were statistically significant(P s<0.05).Conclusion:The use of“one to one”whole-course accompanying responsibility system for midwifery nursing intervention can effectively reduce the pain feeling during childbirth and postpartum,relieve anxiety,depression and other nervous emotions,improve sleep quality,and is worth promoting.