延续性护理干预对高龄初产妇产后抑郁、睡眠与生命质量的影响

The Effect of Continuous Nursing Intervention on Postpartum Depression,Sleep,and Quality of Life in Elderly Primiparous Women

目的:探讨在高龄初产妇群体中实施延续性护理干预对生命质量、睡眠、产后抑郁的改善作用。方法:选取2021年8月至2022年11月福建省宁化县总医院收治的高龄初产妇150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75例。对照组行常规护理干预,观察组行延续性护理干预,比较2组产后抑郁发生情况、睡眠质量和生命质量的改善情况。结果:相较于对照组患者,观察组患者出院后6周、3个月、6个月的产后抑郁(PPD)发生率明显更低,差异均有统计学意义(均P<0.05);干预后抑郁自评量表(SDS)、匹兹堡睡眠质量指数(PSQI)比较,观察组优于对照组,差异均有统计学意义(均P<0.05)。结论:通过延续性护理干预,高龄初产妇的产后抑郁发生率可得到有效控制,睡眠质量、生命质量、心理状况可得到良好改善,临床可将其作为理想的护理方案广泛应用。

Objective:To explore the improvement effect of continuous nursing intervention on quality of life,sleep,and postpartum depression in elderly primiparous women.Methods:A total of 150 elderly primiparous women in our hospital were selected as the experimental subjects,and the samples were collected from August 2021 to November 2022.They were divided into groups based on different nursing methods received.Among them,75 patients who received routine nursing intervention were named as the control group,and 75 patients who received continuous nursing intervention were named as the observation group.The incidence of postpartum depression,improvement in sleep quality,and quality of life between two groups were compared.Results:Compared with the control group patients,the incidence of postpartum depression(PPD)in the observation group patients was significantly lower at 6 weeks,3 months,and 6 months after discharge,and the difference was statistically significant(P s<0.05).The statistical data obtained from the observation group and the control group were compared,and the difference was statistically significant(both P<0.05).After intervention,the Self-rating Depression Scale(SDS)and Pittsburgh Sleep Quality Index(PSQI)were compared,and the observation group was better than the control group,with statistically significant differences(P s<0.05).Conclusion:Through continuous nursing intervention,the incidence of postpartum depression in elderly primiparous women can be effectively controlled,and sleep quality,quality of life,and psychological status can be improved.It can be widely used as an ideal nursing plan in clinical practice.