基于随访的认知行为护理干预对异常妊娠引产孕妇心理睡眠及生活质量的改善作用  

The Improvement Effect of Cognitive Behavioral Nursing Intervention Based on Follow-Up on the Psychology,Sleep and Quality of Life of Pregnant Women Accepting Abortion due to Abnormal Pregnancy

作　　者：王曦然 WANG Xiran(Obstetrics Ward 4,Dalian Women and Children's Medical Center/Group,Dalian 116083,Liaoning Province,China)

机构地区：[1]大连市妇女儿童医疗中心(集团)产科四病房,辽宁大连116083

出　　处：《中国实用乡村医生杂志》2024年第4期28-31,共4页Chinese Practical Journal of Rural Doctor

摘　　要：目的探讨基于随访的认知行为护理干预对异常妊娠引产孕妇心理、睡眠及生活质量的改善作用。方法收集2021年1月—2022年12月大连市妇女儿童医疗中心(集团)收治的异常妊娠引产的孕妇50例,随机分为对照组与干预组各25例。对照组接受常规护理干预;干预组接受基于随访的认知行为护理干预。比较两组干预后的心理、睡眠及生活质量。结果干预1个月后,干预组孕妇中文版产后抑郁症筛查量表各维度评分及总分均低于对照组,差异有统计学意义(P<0.05);干预组孕妇兹堡睡眠质量指数各维度评分及总分均低于对照组,差异有统计学意义(P<0.05);干预组孕妇生活质量综合评定问卷-74各维度评分及总分均高于对照组,差异有统计学意义(P<0.05)。结论相比于常规护理干预,基于随访的认知行为护理干预能够提高引产后孕妇的心理、睡眠及生活质量,值得临床推广应用。Objective To explore the improvement effect of follow-up based cognitive behavioral nursing intervention on the psychological,sleep,and quality of life of pregnant women accepting abortion due to abnormal pregnancy.Methods Fifty pregnant women accepting abortion due to abnormal pregnancy admitted to Dalian Women and Children's Medical Center(Group)from January 2021 to December 2022 were randomly divided into a control group and an intervention group,with 25 cases in each group.The control group received routine nursing intervention,while the intervention group received follow-up based cognitive behavioral nursing intervention.The psychological,sleep,and quality of life of two groups after intervention were compared.Results After one month of intervention,the scores of various dimensions and total scores of the postpartum depression screening scale(Chinese version)in the intervention group were significantly lower than those in the control group(P<0.05).The scores of various dimensions and total scores of Pittsburgh sleep quality index in the intervention group were significantly lower than those in the control group(P<0.05).The scores of various dimensions and total scores of generic quality of life inventory-74 in the intervention group were significantly higher than those in the control group(P<0.05).Conclusion Compared with conventional nursing interventions,follow-up based cognitive behavioral nursing interventions can improve the psychological,sleep,and quality of life after induced abortion,and it is worthy of clinical promotion and application.

关 键 词：异常妊娠 引产 护理 认知行为疗法 心理 睡眠 生活质量 

分 类 号：R743.71[医药卫生—神经病学与精神病学]