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导乐分娩对初产妇产后情绪状态及睡眠状态的影响研究

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龙源期刊网 http://www.qikan.com.cn 导乐分娩对初产妇产后情绪状态及睡眠状态 的影响研究 作者:王力 来源:《世界睡眠医学杂志》2019 年第 04 期 摘要 目的:分析导乐分娩对初产妇产后焦虑抑郁心理及其睡眠质量的影响。方法:选取 2017 年 5 月至 2018 年 10 月攀枝花市妇幼保健院收治的初产妇 92 例作为研究对象,采用随机 方法随机分为观察组和对照组,每组 46 例,对照组产妇给予常规护理,观察组产妇在常规护 理的基础上施行导乐分娩护理,比较 2 组产妇护理前后的情绪状态和睡眠质量。结果:护理 后,观察组产妇的 SDS、SAS 量表评分分别为(34.81±9.66)分、(31.83±11.60)分,与对照 组比较,差异有统计学意义(P<0.05);观察组睡眠质量各维度评分以及 PSIQ 总分均显著低于 对照组,差异有统计学意义(P<0.05);产后 2 周内,观察组产妇抑郁症发生率为 2.17%,对照 组初产妇产后抑郁发生率 6.52%,2 组产后抑郁发生率比较,差异有统计学意义(P<0.05)。 结论:导乐分娩能明显缓解初产妇的不良情绪状态,提高产后的睡眠质量。 关键词 导乐;焦虑抑郁;睡眠质量 Abstract Objective:To analyze the effect of guided delivery on postpartum emotional state and sleep state of primipara.Methods:A total of 92 primiparas who hospitalized in our hospital were randomly divided into the observation group and the control group,and 46 cases in each group.The control group was given with routine nursing,while the observation group was taken with guided 龙源期刊网 http://www.qikan.com.cn care delivery on the basis of routine nursing.The emotional state and quality of sleep before and after treatment of the two groups were compared.Results:After nursing,the scores of SDS and SAS of the observation group were(34.81±9.66)points and(31.83±11.60)points,which were with statistical significance compared with the control group(P<0.05).The scores of sleep quality and the total score of PSIQ in the observation group were significantly lower than those in the control group(P<0.05).The incidence of maternal depression was 2.17% in the observation group and 6.52% in the primipara of the control group.The differences were significant for the incidence of postpartum depression compared in the two groups(P<0.05).Conclusion:Guided delivery can significantly alleviate the negative emotional state of primipara and improve the quality of postpartum sleep. Key Words Guided delivery; Anxiety and depression; Sleep quality 中图分类号:R714.3;R338.63 文献标识码:Adoi:10.3969/j.issn.2095-7130.2019.04.025 由于初产妇在分娩前后将经历较大的心理变化,还承担着角色转变、社会、经济、家庭等 各种精神负担,产后 2 周易出现焦虑抑郁[1]。产妇产后体内激素水*的改变加之产痛,身体极 度不适和心理的不良情绪,都会影响其睡眠质量[2]。产后的焦虑抑郁情绪状态和失眠不仅会 对产妇的身心健康造成影响,还会影响新生儿的认知能力和情绪的正常发育[3]。本研究对本 院分娩的初产妇采用导乐分娩,以探讨其对初产妇产后的情绪和睡眠状态的影响,现将结果报 道如下。 1 资料与方法 1.1 一般资料 选取 2017 年 5 月至 2018 年 10 月攀枝花市妇幼保健院产科住院阴道分娩的初 产妇 92 例作为研究对象,采用随机方法随机分为观察组和对照组,每组 46 例,观察组患者年 龄 20~35 岁,*均年龄(26.48±2.51)岁,孕周 37~40 周,*均孕周(37.53±1.18)周,文化 程度:大专及以上 27 例,高中及以下 19 例;对照组患者年龄 20~37 岁,*均年龄 (26.71±2.25)岁,孕周 37~40 周,*均孕周(37.18±1.42)周,文化程度:大专及以上 26 例,高中及以下 20 例。一般资料经统计学分析,差异无统計学意义(P>0.05),具有可比 性。 1.2 纳入标准 所有产妇均为初次分娩



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