研究延续性干预在改善产妇母乳喂养行为及睡眠质量中的作用

To Study the Effect of Continuous Intervention on Improving Maternal Breastfeeding Behavior and Sleep Quality

目的:分析延续性干预在改善产妇母乳喂养行为及睡眠质量中的应用效果。方法:选取2021年6月至2023年1月厦门大学附属第一医院妇产科收治的产妇100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50例。对照组给予常规护理干预,观察组在常规护理基础上联合给予延续性干预。采用爱丁堡产后抑郁量表(EPDS)评价2组产妇干预前后的抑郁程度,采用阿森斯失眠量表(AIS)评价2组产妇干预前后的睡眠质量,微信或电话随访产妇产后6个月,统计2组产妇产后1个月、产后3个月、产后6个月母乳喂养率、失眠发生率。结果:干预后,观察组抑郁量表EPDS评分、失眠量表AIS评分均显著低于对照组,观察组产后母乳喂养率高于对照组,观察组产后不同时间点失眠发生率显著低于对照组,差异均有统计学意义(均P<0.05)。结论:延续性干预可缓解产妇产后负性情绪,提升睡眠质量,改善母乳喂养行为,降低失眠发生率,值得临床推广应用。

Objective:To analyze the effect of continuous intervention in improving maternal breastfeeding behavior and sleep quality.Methods:A total of 100 parturients admitted to the Department of Obstetrics and Gynecology of the First Affiliated Hospital of Xiamen University from June 2021 to January 2023 were selected as research objects and divided into control group and observation group according to random number table method,with 50 cases in each group.The control group was given routine nursing intervention,and the observation group was given continuous intervention on the basis of routine nursing.Edinburgh Postpartum Depression Scale(EPDS)was used to evaluate the degree of depression before and after the intervention,and Athens Insomnia Scale(AIS)was used to evaluate the sleep quality of the two groups before and after the intervention.The mothers were followed up by WeChat or phone at 6 months after the intervention,and the rates of breastfeeding and insomnia in the 2 groups at 1 month,3 months and 6 months after the postpartum were analyzed.Results:After intervention,the EPDS score of depression scale and AIS score of insomnia scale in observation group were significantly lower than those in control group,the postpartum breastfeeding rate in observation group was higher than that in control group,and the incidence of insomnia at different postpartum time points in observation group was significantly lower than that in control group,with statistical significance between the two groups(P<0.05).Conclusion:Continuous intervention can alleviate postpartum negative emotions,improve sleep quality,improve breastfeeding behavior,and reduce the incidence of insomnia,which is worthy of clinical application.