妊娠期子宫颈机能不全行环扎术患者的综合护理干预研究

Comprehensive nursing intervention for pregnant women undergoing cervical cerclage for cervical incompetence

目的减轻妊娠期子宫颈机能不全行环扎术者的焦虑、抑郁情绪，延长妊娠时间和提高术后生活质量。方法将100例行宫颈环扎术患者按随机数字表法分为观察组和对照组，各50例。对照组给予常规护理措施，观察组在此基础上给予针对性的心理干预。采用SAS、SDS、自制孕妇调查问卷进行效果测评。结果观察组术前及术后3个月SAS、SDS评分显著低于对照组（均P〈0．05），术后3个月继续妊娠及生活质量显著高于对照组（P〈0．05，P〈0．01）。结论宫颈环扎术患者存在负性心理，有效的心理干预有助于减少甚至解除手术引起的焦虑、抑郁，且术后对治疗习惯性流产和改善孕期生活质量有明显的作用。

Objective To relieve anxiety and depression in pregnant women undergoing cervical cerclage, prolong pregnancy length, and improve postoperative quality of life. Methods 100 pregnant women undergoing cerical cerclage were evenly divided into study group and control group according to the random number table. The control group received conventional nursing care, while the study group received special mental intervention besides routine nursing care. The effects were assessed by SAS, SDS, and self-designed questionnaires for pregnancy. Results The scores on SAS and SDS were obviously lower in the study group than in the control group 3 months after the procedure（ P〈 0.05 for both comparisons ）; rate of pregnancy continuation was higher （ P〈 0.05 ） and quality of life were better （ P〈 0.01 ） in the study group than in the control group. Conclusions Effective mental intervention can reduce even relieve anxiety and depression associated with cervical cerclage. It plays a role in the treamtent of recurrent spontaneous abortion and the improvement of quality of life during pregnancy.