正念护理干预联合社会支持在产褥期产妇中的应用

Application of positive nursing intervention combined with social support in puerperal mothers

目的探讨正念护理干预联合社会支持对初产妇心理状态及康复效果的影响。方法选择2021年9月—2022年12月枣庄市妇幼保健院收治的87例初产妇作为研究对象,按照组间基线资料均衡可比的原则分为对照组44例和观察组43例。对照组进行常规护理干预,观察组在对照组的基础上进行正念护理联合社会支持干预。两组产妇均在干预8周后进行评估。比较两组产妇干预后的心理状态、睡眠质量、社会支持功能及恢复效果。结果干预前,两组产妇焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、匹兹堡睡眠质量指数(PQIS)各维度评分及总分比较,差异均无统计学意义(P>0.05)。干预后,观察组产妇SAS和SDS评分低于对照组;PSQI评分除睡眠药物维度外,其他各维度评分及总分观察组均低于对照组,差异均有统计学意义(P<0.05)。干预后,观察组产妇社会支持功能(SSRS)各维度评分及总分均高于对照组,泌乳始动时间、血性恶露持续时间、住院时间短于对照组,子宫收缩疼痛评分低于对照组,差异均有统计学意义(P<0.05)。结论在初产妇的产后护理中,进行正念护理干预联合社会支持能够提高产妇睡眠质量,缓解产后焦虑、抑郁情绪,改善社会支持功能,从而提高产后康复质量,使产妇尽快回归社会。

Objective To explore the influence of positive nursing intervention combined with social support on the psychological state and rehabilitation effect of primiparous women.Methods 87 cases of primigravid women admitted to Zaozhuang Maternal and Child Health Hospital from September 2021 to December 2022 were selected as the study subjects,they were divided into 44 cases of the control group and 43 cases of the observation group according to the principle of balanced and comparable baseline data between the groups.The control group carried out conventional nursing interventions,and the observation group carried out positive thinking nursing combined with social support interventions on the basis of the control group.Both groups were assessed after 8 weeks of intervention.The psychological state,sleep quality,social support function and recovery effect of the two groups were compared after the intervention.Results Before the intervention,the Self-rating Anxiety Scale(SAS)scores,Self-rating Depression Scale(SDS)scores,Pittsburgh Quality of Sleep Index(PQIS)scores and total scores were compared between the two groups,and the differences were not statistically significant(P>0.05).After the intervention,maternal SAS and SDS scores in the observation group were lower than those in the control group;PSQI scores,except for the sleep medication dimension,the scores of all dimensions and total scores in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the intervention,the maternal Social Support Rating Scale(SSRS)scores of all dimensions and total scores of the observation group were higher than those of the control group,the time of lactation initiation,the duration of bloody discharge,and the length of hospitalisation were shorter than those of the control group,and the uterine contraction pain score was lower than that of the control group,and the differences were all statistically significant(P<0.05).Conclusion In the postpartum care of primiparous women,positive thinking nursing intervention combined with social support can improve the quality of maternal sleep,alleviate postpartum anxiety and depression,and improve the social support function,so as to improve the quality of postpartum recovery,and enable the mothers to return to society as soon as possible.