摘要
目的:探究无痛暗示护理干预对产后出血患者睡眠质量及疼痛程度的影响。方法:选取2020年3月至2021年9月福建省惠安县总院崇武分院妇产科产后出血患者76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38例。对照组产后接受常规护理,观察组实施无痛暗示护理。比较2组产妇睡眠质量[匹兹堡睡眠质量指数量表(PSQI)]、疼痛程度[视觉模拟评分(VAS)]、产后出血量及恢复期间心理状态[抑郁自评量表(SDS)、焦虑自评量表(SAS)评分]变化。结果:干预前2组产后PSQI总分及各单项评分差异无统计学意义(P>0.05),干预后观察组PSQI总分及各单项评分均低于对照组(均P<0.05)。干预前2组疼痛VAS评分差异无统计学意义(P>0.05),观察组干预后1、3 d疼痛VAS均低于对照组(P<0.05)。观察组产后2、24 h出血量均低于对照组(P<0.05)。干预前2组SDS、SAS评分差异无统计学意义(P>0.05),干预后观察组SDS、SAS评分均低于对照组(P<0.05)。结论:对产后出血患者进行护理时开展无痛暗示护理干预,可以提升患者睡眠质量,降低患者产后疼痛程度,减少出血量,改善恢复期间心理状态,有助于产妇恢复。
Objective:To explore the role of painless suggestion nursing intervention on sleep quality and the degree of pain in postpartum hemorrhage patients.Methods:Seventy-six patients with postpartum hemorrhage in Department of Obstetrics and Gynecology,Huian County General Hospital Chongwu Branch,Fujian Province from March 2020 to April 2021 were enrolled as the study subjects.They were randomly divided into a control group and an observation group using a random number table method,with 38 cases in each group.The control group received routine care after delivery,while the observation group received painless suggestion care.The sleep quality(Pittsburgh Sleep Quality Index[PSQI],pain degree(visual analogue scale[VAS],postpartum hemorrhage,and psychological state during recovery(Self-Rating Anxiety/Depression Scale[SAS/SDS]were included as comparisons between the two groups.Results:Before intervention,there were no significant difference in PSQI,sleep quality,sleep time,sleep duration and sleep time score between the two groups(P>0.05).After intervention,the total score and individual scores of PSQI in the observation group were lower than those in the control group(P<0.05).There was no statistically significant difference in pain VAS scores between the two groups before intervention(P>0.05).The pain VAS of the observation group was lower than that of the control group on day 1 and 3 after intervention(P<0.05).The amounts of bleeding at 2 and 24 h after delivery in the observation group were significantly lower than those in the control group(P s<0.05).There was no significant difference in SDS and SAS scores between the two groups before intervention(P>0.05).After intervention,the SDS and SAS scores of the observation group were lower than those of the control group(P<0.05).Conclusion:For patients with postpartum hemorrhage,the application of painless suggestion nursing intervention can improve the sleep quality of patients,relieve the degree of postpartum pain,reduce the amount of bleeding,and improve the psychologica
作者
黄清华
张惠萍
黄敏慧
HUANG Qinghua;ZHANG Huiping;HUANG Minhui(Department of Obstetrics and Gynecology,Huian County General Hospital Chongwu Branch,Fujian Province,Huian 362100,China)
出处
《世界睡眠医学杂志》
2023年第7期1552-1554,1558,共4页
World Journal of Sleep Medicine
关键词
无痛暗示护理干预
产后出血
疼痛程度
睡眠质量
Painless suggestive nursing intervention
Postpartum hemorrhage
Degree of pain
Sleep quality
