心理护理对妊娠晚期孕妇心身状态、睡眠质量及分娩结局的改善作用  

Effects of Psychological Nursing on Psychosomatic State,Sleep Quality and Delivery Outcomes of Pregnant Women in the Third Trimester

作　　者：康明霞 KANG Mingxia(Department of Obstetrics and Gynecology,Hui′an Maternal and Child Health Hospital,Hui′an 362100,China)

机构地区：[1]惠安县妇幼保健院妇产科,惠安362100

出　　处：《世界睡眠医学杂志》2023年第12期2900-2902,共3页World Journal of Sleep Medicine

摘　　要：目的:分析心理护理对妊娠晚期孕妇心身状态、睡眠质量、分娩结局的改善作用。方法:选取2022年2月至2023年2月惠安县妇幼保健院收治的妊娠晚期孕妇96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48例。2组孕妇均给予常规产科护理,观察组孕妇在此基础上同时给予心理护理干预。结果:2组孕妇护理前的焦虑、抑郁、恐惧、敌对、偏执评分均相当,差异均无统计学意义(均P>0.05);观察组孕妇护理后的症状自评量表(SCL-90)评分均显著高于对照组,差异均有统计学意义(均P<0.05)。2组孕妇护理前的匹兹堡睡眠质量指数(PSQI)评分均相当,差异无统计学意义(P>0.05);观察组孕妇护理后的PSQI评分,显著低于对照组,差异有统计学意义(P<0.05)。观察组孕妇的剖宫产、胎盘早剥、胎儿窘迫、产后出血等发生率,均显著低于对照组,差异均有统计学意义(均P<0.05)。结论:心理护理可有效改善妊娠晚期孕妇的心身状态、睡眠质量和分娩结局。Objective:To analyze the effect of psychological nursing on the mental and physical status,sleep quality and delivery outcome of pregnant women in the third trimester.Methods:A total of 96 pregnant women in the third trimester admitted to Hui′an County Maternal and Child Health Hospital from February 2022 to February 2023 were selected as the research subjects,and were randomly divided into an observation group and a control group,with 48 cases in each group.Both groups of pregnant women were given routine obstetric nursing,on the basis of which the observation group of pregnant women were given psychological nursing intervention.Results:The scores of anxiety,depression,fear,hostility and paranoia of the two groups were the same before nursing,there was no significant difference between the two groups(P s>0.05).The Symptom Checklist-90(SCL-90)scores of the observation group were significantly higher than those of the control group after nursing,and the difference was statistically significant(P s<0.05).There was no significant difference between the two groups in the Pittsburgh Sleep Quality Index(PSQI)score before nursing,but the PSQI score after nursing in the observation group was significantly lower than that in the control group(P s<0.05).The incidences rates of cesarean section,placental abruption,fetal distress and postpartum hemorrhage in the observation group were significantly lower than those in the control group,and the differences were statistically significant(P s<0.05).Conclusion:Psychological nursing can effectively improve the psychosomatic status,sleep quality and delivery outcome of pregnant women in the third trimester of pregnancy.

关 键 词：心理护理 妊娠晚期 心身状态 睡眠质量 分娩结局 

分 类 号：R338.63[医药卫生—人体生理学] R473.71[医药卫生—基础医学]