护理干预对高危妊娠产妇负性情绪及妊娠结局的影响

Effects of Nursing Intervention on the Negative Emotions and Pregnancy Outcomes of Pregnant Women with High Risks

目的:探讨护理干预对高危妊娠产妇负性情绪及妊娠结局的影响,降低高危妊娠对母体及胎儿的影响。方法:选取高危妊娠产妇80例,随机分为观察组和对照组各40例,对照组实施常规护理,观察组加用护理干预,比较两组产妇焦虑、抑郁及妊娠结局等。结果:两组高危妊娠产妇入院时SDS及SAS测评结果比较,差异无统计学意义(P>0.05);临产前,两组高危妊娠产妇SDS及SAS评分较检查前均降低(P<0.05),但是观察组下降幅度更大(P<0.05)。观察组高危妊娠产妇妊娠结局明显优于对照组,差异存在统计学意义(P<0.05)。结论:高危妊娠产妇实施护理干预,可以有效缓解或消除其不良情绪,提高产妇分娩的安全性,促进产妇和胎儿健康,值得临床推广应用。

Objective： To investigate the effects of nursing intervention on the negative emotions and pregnancy outcomes of pregnant women with high risks and to decrease the effects of high risk pregnancy on the mothers and fetuses. Method： 80 pregnant women with high risks were selected and randomly divided into observation group and control group, 40 women each group; the control group was given with usual care, while the observation group given with nursing intervention, and the anxiety and depression scores and the pregnancy outcomes of the two groups were compared. Result： The differences in self-rating depression scale （SDS） and self-rating anxiety scale （SAS） scores when admission between the pregnancy women of the two groups were statistically insignificant （ P〉0. 05 ） ; before in labor, the SDS and SAS scores of the pregnant women with high risks of both groups were decreased when compared with those before examinations { P〈0.05 ）, but those of the observation group decreased more significantly { P〈0.05 ）. The pregnancy out- comes of the pregnant women with high risks of the observation group were significantly better than those of the control group, and the difference was statistically significant （ P〈0.05 }. Conclusion： Implementation of nursing intervention in pregnant women with right risks can effectively release or eliminate the negative emotions, elevate the safety of partal women, promote the health of parturient and fetuses, and consequently is worthy of clinical application.