护士主导下开展同伴支持护理干预对初产妇产后创伤应激障碍的影响

The Impact of Peer Support Nursing Intervention Led by Nurses on Traumatic Stress Disorder in Primiparous Women after Childbirth

目的研究护士主导下开展同伴支持护理干预对初产妇产后创伤应激障碍的影响。方法选取2020年8月至2021年8月在南平市建阳第一医院分娩的68名初产妇作为对照组,采用常规护理干预;2021年9月至2022年8月期间分娩的68名初产妇设为观察组,主要接受护士主导下开展同伴支持护理干预。对比两组产妇护理1个月后、护理3个月后的产后应激障碍水平,护理前后抑郁程度及焦虑程度,母婴知识知晓情况。结果两组产妇护理前的产后创伤应激障碍水平无差异(P>0.05),经护理干预后均比护理前有所降低,但观察组护理1个月、3个月后的创伤应激障碍水平均低于对照组(均P<0.05)。护理干预前,两组产妇的EPDS评分和SAS评分对比无差异(均P>0.05),经护理干预后两组评分均较干预前降低,观察组EPDS评分和SAS评分均低于对照组(均P<0.05)。观察组母婴知识知晓率高于对照组(P<0.05)。结论护士主导下开展同伴支持护理干预可以降低产后创伤应激障碍水平,有效改善产后抑郁和焦虑等不良情绪,提高产妇母婴知识知晓率。

Objective To explore Study the impact of peer support nursing intervention led by nurses on post-traumatic stress disorder in primiparous women.Methods Sixty-eight primigravid women who gave birth in Jianyang First Hospital of Nanping City from August 2020 to August 2021 were selected as the control group,and conventional nursing interventions were used;Sixty-eight primiparous women who delivered between September 2021 and August 2022 were set up as the observation group and received mainly nurse-led peer support nursing interventions.Compare the levels of postpartum stress disorder,depression and anxiety levels,and maternal and infant knowledge awareness between two groups of postpartum women after 1 month and 3 months of nursing care.Results There was no difference in the level of postpartum PTSD between the two groups before nursing care(P>0.05),and both were lower than before nursing care after the nursing intervention,but the level of PTSD in the observation group was lower than that in the control group after 1 month and 3 months of nursing care(both P<0.05).Before the nursing intervention,there was no difference in the comparison of EPDS scores and SAS scores between the two groups of mothers(both P>0.05),and after the nursing intervention both groups'scores were lower than before the intervention,and the EPDS scores and SAS scores of the observation group were lower than those of the control group(both P<0.05).The rate of knowledge of mother and child in the observation group was higher than that of the control group(P<0.05).Conclusions Nurse led peer support nursing interventions can reduce the level of post-traumatic stress disorder after childbirth,effectively improve adverse emotions such as postpartum depression and anxiety,and increase the awareness rate of maternal and nfant knowledge.