张树萍

【摘  要】目的：探讨整体护理对无痛分娩初产妇分娩结局与产后情绪、睡眠的影响。 方法：抽取2019年1月-2019年6月我院收治的84例初产妇，随机分为两组，每组42例。对照组采用常规整体护理，观察组采用整体护理结合无痛分娩，比较两组产妇的分娩结局异常率、焦虑评分、抑郁评分和睡眠质量评分。结果：观察组分娩结局异常率为4.76%，明显低于对照组的21.42%（P<0.05）;观察组SAS、SDS及PSQI评分，明显低于对照组（P<0.05）。结论：整体护理用于无痛分娩初产妇，有利于改善分娩结局，对产妇的情绪及睡眠质量具有良好的效果。

【关键词】整体护理;无痛分娩;初产妇;分娩结局;产后情绪;睡眠

【中图分类号】R473      【文献标识码】A      【文章编号】1672-3783（2020）06-0058-02

【Abstract】Objective： To explore the effect of holistic nursing on the childbirth outcome and the postpartum mood and sleep of primiparous women during painless childbirth. Methods： 84 cases of primiparous babies born in our hospital from January 2019 to June 2019. were randomly divided into two groups， 42 cases in each group. The control group received routine nursing， the observation group adopted holistic nursing. The abnormal rate of childbirth outcome， anxiety score， depression score and sleep quality score of were compared between the two groups. Results： The abnormal rate of childbirth outcome in the observation group was 4.76%， was significantly lower than that in the control group 21.42%（P<0.05）; the SAS， SDS， and PSQI scores of the observation group， were significantly lower than those of the control group （P<0.05）. Conclusion： Holistic nursing is used for painless delivery of primipara， which is beneficial to improve the outcome of childbirth， and has good effect on maternal mood and sleep quality.

【Key words】Holistic nursing; Painless childbirth; Primiparous women; Childbirth outcome; Postpartum mood; Sleep

无痛分娩是妇产科常见的方式，医学上也称之为“分娩镇痛”，是在产程中使用各种方法帮助产妇减轻疼痛感[1]。产妇在分娩时通常会出现剧烈疼痛，尤其现代产妇多数只生一胎，属于初产妇，相对缺乏生产经验，一到临产极易出现恐惧不安、不知所措等不良情绪，可能会因过激反应造成大量出血、胎儿窒息等情况，不利于分娩结局趋向，并且严重威胁产妇以及胎儿的生命安全[2]。因此临床上对于产妇的护理极为重要，产科针对产妇的护理普遍使用常护理，但此种方式护理效果并不够理想。研究表明，整体护理能够对产妇进行全方位的护理，在分娩过程中，使用无痛分娩，其护理效果更为理想。本文探讨整体护理干预对无痛分娩初产妇分娩结局与产后情绪、睡眠的影响。具体报告如下：

1.资料和方法

1.1一般资料

抽取2019年1月-2019年6月我院收治的84例初产妇，以自愿为原则，随机分为两组，每组42例。对照组，年龄19-38岁，平均（27.69±3.65）岁，孕周35-40周，平均（37.56±1.18）周，体重56-80kg，平均（69.61±8.58）kg。……