孕晚期睡眠障碍妇女应用以家庭为核心综合干预的作用效果

Effect of Family-centered Comprehensive Intervention on Women with Sleep Disorders in Late Pregnancy

目的:对孕晚期妇女进行以家庭为核心的综合干预,分析孕晚期妇女睡眠障碍的改善效果。方法:选取2020年1月至2022年12月厦门市中医院收治的行产前检查的孕晚期妇女158例作为研究对象,按照随机数字表法分为对照组和观察组,每组79例。对照组给予孕晚期妇女常规睡眠障碍干预措施,观察组在对照组常规干预措施的基础上实施以家庭为核心的综合干预,通过对比2组孕妇干预前后抑郁自评量表(SDS)、焦虑自评量表(SAS)评分、匹兹堡睡眠质量指数(PSQI)评分、健康生活方式评分、生命质量评分、满意度等数据,作为干预措施作用和效果评判标准。结果:通过以家庭为核心的综合干预,孕晚期妇女SAS、SDS评分明显降低至健康心理水平,睡眠质量也恢复到良好睡眠质量标准内,并且养成了适度锻炼、注意饮食健康和营养、生活作息规律的良好生活习惯,干预措施结束后,观察组孕妇较对照组而言,对实施的干预措施满意度更高,组间差异有统计学意义(P<0.05)。结论:通过以家庭为核心的综合干预不仅可以减轻孕晚期妇女负面情绪,缓解孕妇睡眠障碍,还有助于提高孕晚期妇女生命质量,保持健康的生活方式,起到降低胎儿宫内缺氧、畸形发育、生长发育受限等高危妊娠并发症发生率。

Objective:To analyze the improvement effect of sleep disorders in late pregnant women through comprehensive intervention with family as the core.Methods:A total of 158 women in late pregnancy who underwent prenatal examination in Xiamen Traditional Chinese Medicine Hospital from January 2020 to December 2022 were selected as the study subjects and randomly divided into study group(n=79)and control group(n=79)according to the random number table method.The control group was given routine sleep disorder intervention measures,and the observation group was given family-centered comprehensive intervention measures on the basis of routine intervention measures of the control group.The data of SDS,SAS score,PSQI score,healthy lifestyle score,quality of life score and satisfaction before and after intervention of pregnant women in the two groups were compared as the evaluation criteria of the effect and effect of intervention measures.Results:Through comprehensive intervention with family as the core,SAS and SDS scores of women in late pregnancy were significantly reduced to the level of healthy psychology,sleep quality was restored to the standard of good sleep quality,and a good lifestyle habit of moderate exercise,attention to diet health and nutrition,regular life and rest was formed.After the intervention,pregnant women in the observation group were more satisfied with the intervention than those in the control group,and the difference between groups was statistically significant(P<0.05).Conclusion:Family-centered comprehensive intervention can not only alleviate the negative emotions and sleep disorders of women in late pregnancy,but also help to improve the quality of life of women in late pregnancy,maintain a healthy lifestyle,and reduce the incidence of high-risk pregnancy complications such as intrauterine hypoxia,malformation and growth restriction.