集束化护理对先兆流产患者生活质量及心理状态的影响

Effect of Cluster Care on the Psychological State and Quality of Life of Patients with Threatened Abortion

目的探讨集束化护理对先兆流产患者生活质量及心理状态的影响.方法选择先兆流产患者92例,随机分为对照组和观察组.对照组采取常规护理方式,观察组在此基础上采用集束化护理,分别于入院1周后行SF-36简明健康状况调查表、症状自评量表SCL-90评分并评价对护理满意度.结果在采用集束化护理后,观察组较采用常规护理的对照组GH、VT、MH 3个维度有显著改善(P<0.05),对照组患者1周后GH、VT、SF、RE、MH较常模仍有显著下降(P<0.05).观察组躯体化、抑郁、焦虑较对照组显著下降(P<0.05),对照组躯体化、抑郁、焦虑较中国常模显著升高(P<0.05);对照组23例对护理评价为良好,21例为一般,观察组38例评价为良好,9例为一般,显著优于对照组(P<0.05).结论集束化护理可以有效改善先兆流产患者生活质量,降低不良心理反应的发生.

Objective To investigate the effect of cluster care on the psychological state and quality of life of patients with threatened abortion. Methods 92 patients with threatened abortion were randomly divided into control group and observation group. The control group accepted routine care , the observation group accepted cluster care, the two groups were evaluated by SF-36 health survey, symptom checklist SCL-90 score and evaluation of nursing satisfaction one week later. Results After using cluster care, GH, VT, MH three dimensions in observation group improved significantly in comparison to the control group （P 〈0.05） , GH, VT, SF, RE, MH in the control group after 1 week significantly decreased in comparison to the norm （P〈0.05） . In observation group, the incidence of somatization, depression, anxiety significantly decreased in comparison to the control group （P〈 0.05） , in the control group, the incidence of somatization, depression, anxiety increased significantly （P〈 0.05） in comparison to Chinese norm . 23 patients in the control group were evaluated as good care, 21 cases of general observation group, 38 cases were rated as good, 9 cases in general, significantly better than the control group （P〈O.05） . Conclusion Cluster care can improve the quality of life of threatened abortion patients, and reduce the incidence of adverse psychological reactions_