聚焦式护理对存在产前焦虑抑郁的初产妇干预效果的研究

Study on the effect of solution-focused nursing on primiparous women with prenatal anxiety and depression

目的探讨聚焦式护理干预对产前具有焦虑、抑郁状态初产妇的临床疗效。方法将120例产前焦虑、抑郁的初产妇随机分为观察组与对照组,各60例。对照组开展常规护理,观察组开展聚焦式护理干预,比较两组干预前后Zung焦虑自评量表(SAS)、抑郁自评量表(SDS)评分、简易应对方式问卷(SCSQ)评分及分娩结局。结果干预后观察组的SAS、SDS评分及SCSQ量表中消极应对评分均显著低于对照组,而SCSQ量表积极应对评分显著高于对照组(P<0.05);观察组的试产率、顺产率及新生儿1min Apgar评分显著高于对照组,产后出血量、VAS评分及产后泌乳始动时间显著低于对照组(P<0.05)。结论聚焦式护理有利于减轻初产妇产前焦虑抑郁状态,改善分娩结局。

Objective To investigate the effect of solution-focused nursing on primiparous women with prenatal anxiety and depression. Methods A total of 120 primiparous women with prenatal anxiety and depression were enrolled and were randomly divided into the observation group and the control group(60 cases for each group). The control group received conventional nursing,while the observation group received solution-focused nursing. The Zung Selfrating Anxiety Scale(SAS),Self-rating Depression Scale(SDS),Simple Coping Style Questionnaire(SCSQ)scores and the outcome of delivery were compared between the two groups. Results After nursing,the scores of SAS,SDS and negative coping of SCSQ in the observation group were significantly lower than those in the control group,while the positive coping score of SCSQ scale was significantly higher(P<0.05);The rate of choose trial-produce,natural delivery,neonatal Apgar score at 1 minute in the observation group were significantly higher than those in the control group,while the postpartum bleeding,VAS score and initial time of lactation were significantly lower(P<0.05). Conclusion Solution-focused nursing can alleviate the prenatal anxiety and depression of primiparous women,which can also improve the outcome of delivery.