前瞻性精准干预策略对高龄剖宫产产妇睡眠质量及产后抑郁的影响

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AbstractObjective：To explore the effect of prospectiveprecision intervention strategies on sleepqualityand postpartum depression in elderly women undergoing cesarean section.Methods：A total of 68 elderly puerperae who underwentcesarean section in Xiamen Xinglin Hospitalfrom December2023 to December2O24 wereselectedandrandomlydividedintoacontrol groupand anobservation group，with34cases ineach group.Thecontrol groupreceivedroutineinterventions，whilethebservationgroupreceived prospectiveprecisioninterventions.Changes inthe Insomnia SeverityIndex（IS），Pitsburgh Sleep QualityIndex（PSQ）， Self-rating AnxietyScale（SAS），Self-rating DepressionScale（SDS），andEdinburgh PostnatalDepresson Scale（EPDS）were comparedbetweenthetwogroupsbeforeandaftertheinterventionResults：Afterintervention，theIS，SQI，SAS，SD，ndE scoresintheobservationgroupweresignificantlylowerthanthoseinthecontrolgroup，withstatisticallysignificantdierences （ P<0.05 ）. Conclusion：Prospective precision intervention strategies can efectively improve sleepqualityand psychological state in elderly women after cesarean section，thereby reducing the risk of postpartum depression.

KeywordsElderlypuerperae；Cesareansection；Prospective intervention；Slepquality；ISI；PSQI；Postpartumdepression中图分类号：R338.63 文献标识码：A doi：10.3969/j. issn.2095 -7130.2025.08.056

随着教育水平提升、职业发展需求以及个人观念转变等因素影响，越来越多女性选择推迟生育年龄[1]。（剩余5727字）