李海燕

摘要目的：探究以家庭为中心的产科优质护理（FCMC）模式对初产妇产后抑郁症及睡眠质量的影响。方法：选取2017年5月至2019年3月泉州市光前医院收治的初产妇300例作为研究对象，随机分为对照组和观察组，每组150例。对照组进行传统流程下的护理，观察组则进行以家庭为中心的产科优质护理。比较2组患者护理前后的焦虑程度[焦虑自评量表（SAS量表）]、抑郁程度[抑郁自评量表（SDS量表）]和睡眠质量[匹兹堡睡眠质量指数（PSQI）]。结果：护理后观察组的SAS评分、SDS评分及PSQI评分均显著低于对照组，差异有统计学意义（P<005）。结论：FCMC模式可有效缓解初产妇产后的焦虑、抑郁情况及睡眠质量，值得进一步推广。

关键词以家庭为中心;优质护理;初产妇;焦虑抑郁;睡眠质量

Influence of Familycentered Quality Obstetric Nursing for Postpartum Depression and Sleep of Primipara

LI Haiyan

（Guangqian Hospital of Quanzhou City in Fujian Province，Quanzhou 362000，China）

AbstractObjective：To investigate the influence of familycentered quality obstetric care（FCMC）for postpartum depression and sleep quality of primiparaMethods：From May 2017 to March 2019，300 primiparas in Guangqian Hospital of Quanzhou City from May 2017 to March 2019 were randomly divided into traditional group and highquality group with 150 cases in each groupThe traditional group were with traditional nursing，the highquality group were with familycentered highquality obstetric careThen anxiety degree[selfrating anxiety scale（SAS scale）]，depression degree[selfrating /depression scale（SDS scale）] and sleep quality[Pittsburgh sleep quality index（PSQI）]of two groups before and after the nursing were comparedResults：The SAS score，SDS score and PSQI score of highquality group were significantly lower than those of traditional group，there were statistically significant differences（P<005）Conclusion：The FCMC mode can effectively alleviate the anxiety，depression and sleep quality of primipara，so it is worthy of further promoted.

KeywordsFamilycentered;Highquality nursing;Primipara;Anxiety and depression;Sleep quality

中图分类号：R7146;R33863文献标识码：Adoi：10.3969/j.issn.2095-7130.2020.06.029

《中华人民共和国母婴保健法》要求保障母婴的健康及安全，提高新生的人口质量，优化妇婴保健机构的服务流程，提供科学的服务[1]。在此背景下，完善产妇和儿童保健服务体系，提供优质妇幼保健服务是不可避免的趋势，研究服务模式的变化方向是目前妇幼保健工作发展的主题。因而本文在本院生产的初产妇中随机抽取300例，以此分析以家庭为中心的产科优质护理（FCMC）对于初产妇产后抑郁及睡眠质量的影响，现报道如下。

1资料与方法

11一般资料选取2017年5月至2019年3月泉州市光前医院收治的初产妇300例作为研究对象，随机分为对照组和觀察组，每组150例。对照组产妇年龄23～35岁，平均年龄（2603±491）岁，孕周37～42周，平均孕周（3994±103）周，文化程度：大专及以上62例，大专以下88例。观察组产妇年龄22～36岁，平均年龄（2576±211）岁，孕周38～42周，平均孕周（4012±105）周，文化程度：大专及以上65例，大专以下85例。……