护理干预对母婴分离高危妊娠产妇身心状态的效果研究

The effect of nursing intervention on mental state of maternal separation in high risk puerperae

目的探讨护理干预对母婴分离高危妊娠产妇身心状态造成的影响。方法选择母婴分离高危妊娠产妇100例,对照组实施常规护理,观察组给予针对性关爱护理联合中医乳房护理。采用状态-特质焦虑量表(STA-I)和爱丁堡产后抑郁量表对2组患者产后心理应激进行评测,并对2组患者生理应激指标对心率(HR)、收缩压(SBP)、空腹血糖以及术后3 d乳胀、6周母乳喂养情况进行统计分析。结果2组患者剖宫产术后1 d、7 d和6周比较,焦虑程度均逐渐改善,差异均有统计学意义(P<0.01);干预组不同时间点的焦虑程度与对照组比较差异均有统计学意义(P<0.01);2组患者剖宫产术后6周抑郁程度与术后7 d比较,均有不同程度改善,差异有统计学意义(P<0.01);干预组不同时间点的抑郁程度与对照组比较差异均有统计学意义(P<0.01);干预组HR、SBP等水平与对照组比较差异无统计学意义(P>0.05);干预组干预后空腹血糖水平与对照组比较差异有统计学意义(P<0.01);干预组剖宫产术后3 d乳胀、6周母乳喂养例数与对照组比较差异有统计学意义(P<0.01)。结论护理干预对母婴分离高危妊娠产妇身心状态有积极作用,能够有效缓解母婴分离产妇的不良情绪,提高产妇对医疗、护理的配合程度,从而提高产科护理质量。

Objective To investigate the effect of nursing intervention on mental state of maternal separation in high-risk puerperae.Methods 100 maternal separation maternal puerperae were divided into control group and observation group.The control group was given routine nursing,while the observation group was given concerning nursing and breast nursing with traditional Chinese medicine method.Psychological stress of two groups was evaluated by the State Trait Anxiety Inventory （STA-Ⅰ）and the Edinburgh postnatal depression scale.And physiological stress index in heart rate （HR）,systolic blood pressure （SBP）,fasting blood glucose,and breast swelling after 3 days and breast feeding of 6 weeks were statistical analyzed.Results The difference was statistically significant since anxious degree of the patients in the two groups after 1 days,7 days and 6 weeks improved in varying degrees （P 〈0.01）.The difference was statistically significant in anxiety level at different time points in the intervention group compared with the control group （P〈0.01）.The difference was statistically significant since depression of 6 weeks in patients in the two groups all improved than that of 7 days （P〈0.01）.The difference was statistically significant in depression at different time points in the intervention group than that of the control group （P 〈0.01）.The difference was not significant in HR,SBP levels between the inter-vention group and the control group （P〈0.05）.The difference was significant in fasting blood glucose level in the intervention group than that in the control group （P 〈0.01）.The difference was significant in breast swelling at the 3rd day and number of breast feeding after 6 weeks in the intervention group compared with the control group（P 〈0 .0 1 ）.Conclusion Nursingintervention on mental state of maternal separation in high risk pregnant women has a positive effect,it can effectively alleviate the adverse mood of maternal separation,improve cooperation degree of medical and nursing so as to improve the quality of obstetrics department.