研究聚焦解决模式改善产妇产后不良情绪和睡眠质量及泌乳的效果

Research Focuses on Improving Postpartum Negative Emotions,Sleep Quality,and Lactation in Postpartum Women Through Problem-solving Models

彭雪珍 ¹廖丽明 ¹曾黄珺¹

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作者信息

1. 厦门大学附属第一医院,厦门,361000
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摘要

目的:探讨聚焦解决模式对产妇产后不良情绪、睡眠质量及泌乳的效果.方法:选取2022年1月至2023年1月厦门大学附属第一医院产科收治的产妇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.对照组给予常规护理干预,观察组给予聚焦解决模式护理干预.采用疲乏评定量表(FAI)评估2组产妇的疲劳程度,采用匹兹堡睡眠质量指数(PSQI)比较2组产妇的睡眠质量,使用主观幸福感量表评估2组产妇干预前后的幸福感评分,并比较2组产妇泌乳发动时间、最早喂养时间及48 h泌乳量.结果:干预后,观察组FAI评分、PSQI评分显著低于对照组,观察组主观幸福感量表评分显著高于对照组,观察组泌乳发动时间、最早喂养时间均显著短于对照组,且48 h泌乳量显著高于对照组,差异有统计学意义(P＜0.05).结论:对产妇开展聚焦解决模式护理干预,能有效改善其不良情绪与睡眠质量,提高泌乳效果,值得推广应用.

Abstract

Objective:To explore the effect of a focused solution model on postpartum adverse emotions,sleep quality,and lacta-tion in postpartum women.Methods:A total of 76 postpartum women admitted to the Obstetrics and Gynecology Department of the First Affiliated Hospital of Xiamen University from January 2022 to January 2023 were selected as the research subjects.They were randomly divided into control and observation groups using a random number table method,with 38 cases in each group.The control group received routine nursing intervention,while the observation group received focused problem-solving nursing interven-tion.The fatigue assessment instrument(FAI)was used to evaluate the fatigue level of two groups of patients.The Pittsburgh Sleep Quality Index(PSQI)was used to compare the sleep quality of the two groups of patients.The subjective well-being scale was used to evaluate the happiness score of the two groups of patients before and after intervention,and the lactation initiation time,earliest feeding time,and 48-hour lactation volume of the two groups of patients were compared.Results:After intervention,the FAI score and PSQI score of the observation group were significantly lower than those of the control group,and the subjective well-being scale score of the observation group was significantly higher than that of the control group.The lactation initiation time and earliest feeding time of the observation group were significantly shorter than those of the control group,and the lactation volume at 48 hours was significantly higher than that of the control group.The difference between the two groups was statistically significant(P＜0.05).Conclusion:Focused problem-solving nursing interventions for postpartum women can effectively improve their nega-tive emotions and sleep quality,enhance lactation efficiency,and are worthy of promotion and application.

关键词

产妇/不良情绪/睡眠质量/聚焦解决模式/泌乳效果/主观幸福感/匹兹堡睡眠质量指数

Key words

Parturient/Negative emotions/Sleep quality/Focusing on solution models/Lactation effect/Subjective well-being/Pittsburgh Sleep Quality Index

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出版年

2024

世界睡眠医学杂志

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