郑彩须

摘要  目的：观察微信干预对剖宫产术后母婴同室产妇睡眠质量和心理状况的影响。方法：选取2017年1月至2018年3月厦门大学附属第一医院行剖宫产产妇84例为研究对象，按随机数字法分为对照组与观察组，每组42例。比较最终结果。结果：经护理干預后，2组产妇焦虑情绪均得到一定减少，但观察组减少程度明显优于对照组（ P <0.05）;且观察组护理满意度、生活水平及睡眠质量明显更高（ P <0.05）。结论：通过微信干预可更加理解产妇意愿、需求，减少产妇焦虑情绪，提高其生活品质及睡眠质量，临床护理效果显著。

关键词  微信干预;剖宫产;产妇;焦虑情绪;护理满意度;睡眠生命质量

中图分类号：R719.8 文献标识码：A  doi： 10.3969/j.issn.2095-7130.2018.10.011

To Observe the Effect of Wechat Intervention on Sleep Quality and Psychological  Status of Rooming-in Periods Puerpera After Cesarean Section

Zheng Caixv

（Department of Obstetrics and Gynecology，First Affiliated Hospital of Xiamen University，Xiamen，361022）

Abstract Objective： To observe the effect of WeChat intervention on sleep quality and psychological status of rooming-in periods puerpera after cesarean section. Methods： From January 2017 to March 2018，84 parturients with cesarean section in the First Affiliated Hospital of Xiamen University were selected as research subjects.They were divided into control group and observation group according to random number table，42 cases in each group.The final results were compared. Results： After nursing intervention，the anxiety of the two groups was reduced，but the reduction of the observation group was significantly better than that of the control group（p<0.05）.In addition，the nursing satisfaction，living standard and sleep quality of the observation group were significantly higher（p<0.05）.<0.05）. Conclusion： Through WeChat intervention，maternal intentions and needs can be better understood，anxiety can be reduced，life quality and sleep quality can be improved，and clinical nursing effect is remarkable.

Key Words  WeChat intervention;Cesarean section;Maternal;Anxiety;Nursing satisfaction

对于临床分娩中出现产力异常、产道异常、胎位异常、胎儿窘迫和妊娠合并心脏病，妊娠合并感染性疾病、前置胎盘、胎盘早剥等重症疾病，不适用自然分娩的产妇，可通过剖宫产代替阴道分娩[1]。剖宫产手术将对患者造成严重生理创伤，产妇因担心自身及胎儿安全，极易出现焦虑、恐惧情绪，影响手术效果[2]。据研究显示，微信干预在剖宫产产妇临床护理中对保证产妇生命质量有着显著效果。本次我院将微信干预运用到产妇临床护理中，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3月厦门大学附属第一医院行剖宫产产妇84例为研究对象，按随机数字法分为对照组与观察组，每组42例，对照组患者年龄22.6～34.7岁，平均年龄（27.54±2.35）岁，孕周39～41周，平均孕周（40.28±0.37）周;观察组患者年龄22.3～33.8岁，平均年龄（27.06±2.18）岁，孕周38～40周，平均孕周（39.67±0.24）周，2组一般资料比较，差异有统计学意义（ P >0.05），具有可比性。

1.2 护理方法 对照组给予常规护理方式。观察组行微信干预，包括1）护理培训：建立护理小组，通过医疗前沿的文献资料帮助护理人员正确认识、理解微信护理的重要意义[3]。2……