李子芳

摘要  目的：探究人文關怀对剖宫产妇女产前焦虑抑郁与睡眠状态的影响，旨在为临床护理剖宫产妇女提供相应的经验及建议。方法：选取2017年1月至2018年1月山东省费县人民医院收治的剖宫产妇女86例，采用随机数表法将患者随机分为对照组和观察组。对照组采用常规的护理方法，观察组采用人文关怀护理，观察比较干预前后2组患者的心理状况及睡眠情况。患者的心理状况采用焦虑自评量表（SAS）和抑郁自评量表（SDS）进行评价，睡眠情况采用匹兹堡睡眠质量指数量表（Pittsburgh Sleep Quality Index，PSQI）进行评价。结果：干预前2组患者的SAS、SDS数据比较，差异无统计学意义（ P >0.05）;干预后观察组患者的SAS、SDS评分分别为（27.37±4.72）分、（30.41±4.55）分，对照组患者的SAS、SDS评分分别为（44.18±4.36）分、（46.47±4.16）分，对照组的SAS、SDS评分高于观察组，差异有统计学意义（ P <0.05）;2组患者在护理前的PSQI的分值分别是（5.41±1.76）分、（4.73±1.15）分，2组数据比较，差异无统计学意义（ P >0.05），护理后观察组与对照组PSQI的分值分别为（6.52±1.87）分、（12.85±3.55）分，观察组低于对照组（ P <0.05）。结论：人文关怀能够缓解剖宫产妇女产前焦虑抑郁情绪，提升患者的睡眠质量，值得临床推广。

关键词  人文关怀;剖宫产妇女;焦虑抑郁;睡眠状态

中图分类号：R719.8 文献标识码：A  doi： 10.3969/j.issn.2095-7130.2018.10.008

Effect of Humanistic Care on Prenatal Anxiety Depression and  Sleep Status in Cesarean Section Women

Li Zifang

（People′s Hospital of Feixian，Shandong Province，Linyi，273400）

Abstract Objective： To explore the influence of humanistic care on prenatal anxiety depression and sleep status in cesarean section women，aiming to provide relevant experience and recommendations for clinical nursing cesarean section women. Methods： A total of 86 women undergoing cesarean section who were treated in People′s Hospital of Feixian of Shandong Province from January 2017 to January 2018 were randomly divided into control group and experimental group by random number table method.The control group used conventional nursing methods.The experimental group used humane care to observe and compare the psychological status and sleep status of the two groups before and after the intervention.The psychological status of the patients was assessed using the Self-rating Anxiety Scale（SAS）and the Self-rating Depression Scale（SDS）.Sleep status was assessed using the Pittsburgh Sleep Quality Index（PSQI）. Results： The SAS and SDS data of the two groups before the intervention had no statistical significance（ P >0.05）; after the intervention，the SAS and SDS scores of the experimental group were （27.37±4.72），（30.41±4.55），respectively，and the SAS and SDS of the control group patients.The scores were （44.18±4.36） and （46.47±4.16），respectively.The scores of SAS and SDS in the control group were higher than those in the experimental group.The difference was statistically significant（ P <0.05）.The scores of PSQI before nursing in the two groups were （5.41±1.76） and （4.73±1.15），respectively.The data were not statistically significant（ P >0.05）.After nursing，the PSQI scores of the experimental and control groups were 6.52，respectively.（6.52±1.87），（12.85±3.55），lower in the experimental group than in the control group（ P <0.05）. Conclusion： Humanistic care can slow down the antenatal anxiety and depression of women in uterine delivery and improve the quality of sleep of patients.It is worthy of clinical promotion.

Key Words  Ropivacaine; Drug concentration; Breast cancer; Analgesic effect

近年来，剖宫产术是产科领域中的重要手术，随着手术方式、手术缝合材料的改进和控制感染等措施的进步，其已成为解决难产和某些产科并发症，挽救产妇和围产儿生命的有效手段[1-2]。研究表明，临床中剖宫产妇女常伴有产前焦虑抑郁，不仅会影响患者的睡眠质量，还会严重影响患者的生命质量[3]。本次实验探究人文关怀对剖宫产妇女产前焦虑抑郁与睡眠状态的影响，现报道如下。

1 资料与方法

1.1 一般资料 选取2017年1月至2018年1月我院接治的剖宫产妇女86例，采取随机数字表法随机分为对照组和观察组，每组43例。年龄……