分析呼吸法结合分娩安全护理在自由体位分娩对产妇心理弹性及睡眠质量的影响  

Analyzing the Impact of Breathing Combined with Delivery Safety Nursing on Pregnant Women′s Psychological Resilience and Sleep Quality during Free Position Delivery

作　　者：吴斌 梁翠瑛[1] 邓小霞 WU Bin;LIANG Cuiying;DENG Xiaoxia(Sanming First Hospital,Sanming,Fujian Province,Sanming 365000,China)

机构地区：[1]福建省三明市第一医院,三明365000

出　　处：《世界睡眠医学杂志》2024年第8期1763-1766,共4页World Journal of Sleep Medicine

摘　　要：目的:分析呼吸法结合分娩安全护理在自由体位分娩对产妇心理弹性及睡眠质量的影响。方法:选取2019年1月至2022年12月福建省三明市第一医院收治的采用自由体位分娩的产妇102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51例。对照组给予常规护理干预,观察组在对照组基础上给予拉玛泽呼吸法结合分娩安全护理干预。采用心理弹性量表(CD-RISC)中文版评估产妇心理韧性水平,采用匹兹堡睡眠质量指数(PSQI)比较2组产妇睡眠质量的差异,并比较2组不良妊娠结局发生率。结果:护理干预后,观察组产妇心理弹性量表CD-RISC评分、睡眠质量量表PSQI评分显著低于对照组,观察组产妇不良妊娠结局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:拉玛泽呼吸法结合分娩安全护理提高了采用自由体位分娩产妇的心理弹性和睡眠质量,减少了分娩疼痛,降低了不良妊娠结局发生率,为母婴安全提供保障,值得推广应用。Objective:To analyze the impact of breathing combined with delivery safety nursing on the psychological resilience and sleep quality of pregnant women during free position delivery.Methods:A total 102 pregnant women who underwent free position delivery and were admitted to the First Hospital of Sanming City,Fujian Province,from January 2019 to December 2022,were selected as the study subjects.They were randomly divided into control and observation groups using a random number table method,with 51 cases in each group.The control group received routine nursing intervention,while the observation group received the Lamaze breathing method combined with delivery safety nursing intervention based on the control group.The Chinese version of the Psychological Resilience Scale(CD-RISC)was used to evaluate the level of psychological resilience in pregnant women.The Pittsburgh Sleep Quality Index(PSQI)was used to compare the differences in sleep quality between two groups of patients,and the incidence of adverse pregnancy outcomes was compared between the two groups.Results:After the nursing intervention,the observation group′s psychological resilience scale(CD-RISC)score and sleep quality scale(PSQI)score were significantly lower than those of the control group.The incidence of adverse pregnancy outcomes in the observation group was significantly lower than that of the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion:The combination of the Lamaze breathing method and delivery safety nursing has improved the psychological resilience and sleep quality of pregnant women who use free position delivery,reduced labor pain,and reduced the incidence of adverse pregnancy outcomes,assuring mother and baby safety,and is worthy of promotion and application.

关 键 词：分娩 睡眠质量 自然分娩 妊娠结局 不良妊娠结局 心理弹性 

分 类 号：R714.3[医药卫生—妇产科学] R338.63[医药卫生—临床医学]