心理弹性支持结合预见性护理对初产妇产后恢复、心理状况及生活质量的影响

目的:研究心理弹性支持结合预见性护理对初产妇产后恢复、心理状况及生活质量的影响。方法:将2020年1月至2023年3月本院接诊的60例初产妇展开研究,随机(根据随机数表法)分为对照组、观察组各30例。对照组给予常规护理,观察组给予心理弹性支持结合预见性护理。比较两组护理前后的盆底状况(盆底肌力、盆底疼痛、阴道静息压力)、心理状况(焦虑、抑郁评分)和生活质量(角色、认知、躯体、社会功能),以及护理满意度。结果:护理前,两组盆底肌力、盆底疼痛、阴道静息压力无明显差异(P>0.05);护理后观察组的盆底肌力评分、阴道静息压力均显著高于对照组,盆底疼痛评分显著低于对照组(P<0.05)。护理前,两组焦虑、抑郁评分无明显差异(P>0.05);护理后观察组焦虑、抑郁评分均显著低于对照组(P<0.05)。护理前,两组患者的角色、认知、躯体和社会功能评分无明显差异(P>0.05);护理后,观察组患者的以上评分均显著高于对照组(P<0.05)。观察组满意度(93.33%)明显高于对照组(70.00%,P<0.05)。结论:心理弹性支持结合预见性护理能够促进初产妇产后恢复,改善其心理状况及生活质量,且初产妇的满意度较高,值得临床上应用及推广。

Objective:To study the impact of psychological resilience support combined with predictive care on the recovery,psychological status,and quality of life of primiparous women after childbirth.Method:A study was conducted on 60 primiparous women admitted to our hospital from January 2020 to March 2023.They were randomly divided into a control group and an observation group,with 30 cases in each group,based on the random number table method.The control group received routine care,while the observation group received psychological resilience support combined with predictive care.The pelvic floor condition(pelvic floor muscle strength,pelvic floor pain,vaginal resting pressure),psychological status(anxiety and depression scores),quality of life(role,cognition,body,social function),and nursing satisfaction between the two groups before and after nursing care were compared.Result:Before nursing,there was no significant difference in pelvic floor muscle strength,pelvic floor pain,and vaginal resting pressure between the two groups(P>0.05);after nursing,the pelvic floor muscle strength score and vaginal resting pressure in the observation group were significantly higher than those in the control group,while the pelvic floor pain score was significantly lower than that in the control group(P<0.05).Before nursing,there was no significant difference in anxiety and depression scores between the two groups(P>0.05);after nursing,the anxiety and depression scores of the observation group were significantly lower than those of the control group(P<0.05).Before nursing,there was no significant difference in the role,cognitive,physical,and social function scores between the two groups of patients(P>0.05);after nursing,the above scores of the observation group patients were significantly higher than those of the control group(P<0.05).The satisfaction of the observation group(93.33%)was significantly higher than that of the control group(70.00%,P<0.05).Conclusion:The combination of psychological resilience support and predictive care can promote the recovery of primiparous women after childbirth,improve their psychological status and quality of life,and the satisfaction of primiparous women is high,which is worthy of clinical application and promotion.