摘要
目的:评价中药汤剂联合综合干预对初产妇产后心理状况及睡眠质量的影响。方法:选择2016年2~12月沧州中西医结合医院产科收治的初产妇96例,随机分为观察组和对照组,均于产后给予补中益气汤治疗,对照组给予基础护理干预,观察组在对照组的基础上联合综合护理,比较2组初产妇护理干预前后焦虑情绪、抑郁情绪评分以及盆底康复依从性情况。结果:护理前,2组初产妇心理情绪评分比较,差异无统计学意义(P>0.05)。护理后,观察组初产妇焦虑、抑郁情绪评分均低于对照组,差异有统计学意义(P<0.05)。另外,观察组初产妇盆底康复护理总依从率明显高于对照组(P<0.05)。观察组初产妇PSQI评分较护理前明显降低,且显著低于对照组(P<0.05)。结论:综合护理干预联合中医汤剂治疗更符合初产妇所需,可以促进盆底康复,改善初产妇的负性心理状态、盆底康复护理依从性及睡眠质量。
Objective： To investigate the effect of traditional Chinese medicine decoction combined with comprehensive intervention on psychological status and sleep quality of Primipara postpartum. Methods： Ninety-six primiparas treated in obstetrics in 2016 were selected. They were randomly divided into the experimental group and the control group,all of them were given the Buzhong Yiqi Decoction after the postpartum treatment,while the control group was given basic nursing intervention,and the experimental group was combined with comprehensive nursing on the basis of the control group. Results： Before nursing,there was no significant difference between the two groups of primipara＇ s psychological and emotional scores（ P 〉0. 05）. After nursing,the scores of anxiety and depression of the primipara in the experimental group were all lower than those in the control group,and the difference was statistically significant（ P 〈 0. 05）. In addition,the total compliance rate of the pelvic floor rehabilitation nursing of the primipara in the experimental group was significantly higher than that of the control group（ P 〈 0. 05）. The PSQI score of the primipara in the experimental group was significantly lower than that before nursing,and which was significantly lower than that of the control group（ P 〈0. 05）. Conclusion： Comprehensive nursing intervention combined with traditional Chinese medicine treatment is more suitable for primiparas,which can promote pelvic floor rehabilitation,improve the negative psychological state of primipara,pelvic floor rehabilitation nursing compliance and sleep quality.
作者
刘志云
Liu Zhiyun(Hebei Cangzhou integrated traditional Chinese and Western Medicine Hospital,Cangzhou,061001)
出处
《世界睡眠医学杂志》
2018年第4期421-423,共3页
World Journal of Sleep Medicine
关键词
初产妇
盆底康复
依从性
心理状况
中药汤剂
睡眠质量
Primipara
Pelvic floor rehabilitation
Compliance
Psychological status
Traditional Chinese medicine decoction
Quality of sleep
