首页|情志干预结合生姜内关穴贴敷改善妊娠剧吐的效果及对孕妇心理状态、睡眠质量的影响

情志干预结合生姜内关穴贴敷改善妊娠剧吐的效果及对孕妇心理状态、睡眠质量的影响

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目的:分析情志干预结合生姜内关穴贴敷改善妊娠剧吐的效果及对孕妇心理状态、睡眠质量的影响.方法:选取阜阳市妇女儿童医院接收的孕妇107例为分析对象,采集时间为2021年11月到2023年09月,其中54例实施常规护理干预,归为对照组,另53例于常规护理干预基础上给予情志干预结合生姜内关穴贴敷,归为观察组,记录两组妊娠剧吐的改善效果,分别评估[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、睡眠质量匹兹堡睡眠质量指数(PSQI)]干预前后的变化,并随访统计各组对本次研究的满意度.结果:观察组妊娠剧吐改善总有效率为94.34%(50/53),对照组为81.48%(44/54),两组相比差异有统计学意义(P<0.05);干预前两组HAMA评分、HAMD评分、PSQI各项目得分及总分比较无明显差异(P>0.05),干预后各组各项指标均得到明显改善(P<0.05),且干预后相比观察组HAMA评分、HAMD评分、PSQI各项目得分及总分均低于对照组,差异有统计学意义(P<0.05);随访调查孕妇满意度可知,观察组总满意度为96.23%,显著高于对照组的83.33%(P<0.05).结论:通过情志干预结合生姜内关穴贴敷干预后,发现此种干预模式较常规护理而言,临床效果更显著,不仅能有效减轻孕妇剧吐症状,还能从侧面缓解其焦虑、抑郁情绪,确保其良好的睡眠质量,孕妇满意度也较高,具有较高的临床使用价值.
Effect of emotional intervention combined with ginger application at Neiguan in improving hyperemesis gravidarum and the impact on pregnant women's psychological states and sleep quality
Objective:To analyze the effect of emotional intervention combined with ginger application at Neiguan in impro-ving hyperemesis gravidarum and the impact on pregnant women's psychological states and sleep quality.Methods:A total of 107pregnant women admitted to Fuyang Women and Children's Hospital from November 2021to September 2023were selected as the subjects.Among them,54women(control group)were given routine nursing intervention,and 53women(observation group)were given emotional intervention combined with ginger application at Neiguan on the basis of routine nursing intervention.The im-provement effect on hyperemesis gravidarum was recorded.The changes in psychological states[Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)]and sleep quality[Pittsburgh Sleep Quality Index(PSQI)]before and after inter-vention were evaluated.Satisfaction of each group was evaluated.Results:The total effective rates of improving hyperemesis gravi-darum in the two groups were 94.34%(50/53)and 81.48%(44/54),with a significant difference between groups(P<0.05).There was no significant difference in HAMA score,HAMD score,scores for items in PSQI and total score between the two groups before intervention(P>0.05).After intervention,above scores were significantly improved(P<0.05),and scores of the obser-vation group were lower(P<0.05).The total satisfaction rate in the observation group(96.23%)was significantly higher,com-pared with that in the control group(83.33%)(P<0.05).Conclusion:Emotional intervention combined with ginger application at Neiguan can not only effectively alleviate hyperemesis gravidarum but also relieve pregnant women's anxiety and depression,and improve their sleep quality and satisfaction.

Emotional interventionGinger application at NeiguanHyperemesis gravidarumPsychological stateSleep quality

孙敬敬

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阜阳市妇女儿童医院产科,安徽阜阳 236000

情志干预 生姜内关穴贴敷 妊娠剧吐 心理状态 睡眠质量

2024

四川中医
四川省中医药学会,四川省中西医结合学会,四川省针灸学会,四川省中医药科学院

四川中医

CSTPCD
影响因子:0.522
ISSN:1000-3649
年,卷(期):2024.42(5)
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