摘要
目的:分析产前规律性保健检查联合睡眠管理对孕产妇妊娠结局及睡眠质量的影响。方法:选取2022年4月至2023年5月建瓯市总医院小桥分院进行产检的孕产妇60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30例,对照组给予常规产前保健护理干预,观察组给予规律性保健检查联合睡眠管理。采用自拟标准评分表对孕产妇的遵医行为、自我防护行为、胎儿监测行为等3个维度进行评估,采用匹兹堡睡眠质量指数(PSQI)比较2组孕产妇干预前后睡眠质量的变化,统计比较2组孕产妇的妊娠结局。结果:干预后,观察组孕产妇自我保健管理水平评分显著高于对照组,观察组PSQI评分显著低于对照组,观察组孕产妇的自然分娩率明显高于对照组,不良妊娠结局发生率明显低于对照组,差异有统计学意义(P<0.05)。结论:产前规律性保健检查联合睡眠管理在改善孕产妇的自我保健管理水平、睡眠质量以及妊娠结局方面具有积极作用。联合干预方案的应用有助于提供个性化的孕期保健指导,促进孕产妇的健康行为,从而在一定程度上降低了不良妊娠结局的风险。
Objective:To analyze the impact of regular prenatal health examinations combined with sleep management on pregnancy outcomes and sleep quality in pregnant and postpartum women.Methods:Sixty pregnant and postpartum women who underwent prenatal examinations at Xiaoqiao Branch of Jian′ou General Hospital from April 2022 to May 2023 were selected as the study subjects.They were randomly divided into an observation group(n=30) and a control group(n=30) using a random number table method.The study subjects were divided into two groups using the number table method.The control group received routine prenatal care intervention,while the observation group received regular health examinations combined with sleep management.We used a self-designed standard scoring table to evaluate the compliance behavior,self-protection behavior,and fetal monitoring behavior of pregnant and postpartum women in three dimensions.We used the Pittsburgh Sleep Quality Index(PSQI) to compare the changes in sleep quality before and after intervention between two groups of patients,and statistically compared the pregnancy outcomes of the two groups of patients.Results:After intervention,the self-care management level score of the observation group was significantly higher than that of the control group,the PSQI score of the observation group was significantly lower than that of the control group,the natural delivery rate of the observation group was significantly higher than that of the control group,and the incidence of adverse pregnancy outcomes was significantly lower than that of the control group.The difference between the two groups was statistically significant(P<0.05).Conclusion:Regular prenatal health examinations combined with sleep management have a positive effect on improving the self-care management level,sleep quality,and pregnancy outcomes of pregnant women.The application of joint intervention programs helps to provide personalized prenatal care guidance,promote healthy behaviors of pregnant women,and thus reduce the risk of adv
作者
陆木英
董维秀
LU Muying;DONG Weixiu(Xiaoqiao Branch of Jian′ou General Hospital in Fujian Province,Nanping 353131,China;Nanping Maternal and Child Health Hospital in Fujian Province,Nanping 353099,China)
出处
《世界睡眠医学杂志》
2023年第11期2621-2624,共4页
World Journal of Sleep Medicine
关键词
产前保健
睡眠管理
孕产妇
妊娠结局
睡眠质量
自我管理
Prenatal care
Sleep management
Pregnant and postpartum women
Pregnancy outcome
Sleep quality
Self management