围手术期心理护理干预对剖宫产患者的临床影响分析

Analysis of clinical impact of perioperative mental nursing intervention on patients with cesarean section

目的:分析围手术期心理护理干预对剖宫产患者的临床影响。方法:采用统计盲法抽取如东县人民医院收治的初产妇60例作为研究对象,均自愿进行剖宫产手术,对患者进行随机分组,采取综合心理护理干预的观察组和常规护理的对照组,各30例。观察两组干预前后的心理状况评分(SAS、SDS),手术以及术后情况等。结果:观察组患者恐惧情况为轻度24例,占80%(24/30),重度1例,占3.3%(1/30),明显优于对照组的56.7%(17/30)和23.3%(7/30),差异具有统计学意义(P<0.05);护理干预后,观察组患者手术前焦虑、抑郁、自信心评分分别为(10.6±1.3)、(8.2±1.7)、(7.7±1.3)分,均明显优于对照组,差异均有统计学意义(P<0.05);手术后,两组患者以上指标均改善,但是观察组患者3项评分改善幅度较大,明显优于手术前和对照组手术后评分(P<0.05)。结论:有效的心理护理干预能减轻产妇在剖宫产孕程中的消极情绪,增强对剖宫产分娩的信心,提升预后。

Objective ： To analyze the clinical impact of perioperative mental nursing intervention on patients with cesarean section. Methods： 60 primiparas were chosen by statistical blind method as research objects, received cesarean section voluntarily. All of them were randomly divided into ob- servation group （comprehensive mental nursing intervention） and control group（routine nursing）, 30 cases in each. Mental status scores （SAS, SDS） before and after intervention, operation and postoperative conditions of two groups were observed. Results ： There were 24 cases （80%） with slight fear and 1 case （3.3%） with severe fear in observation group which were both obviously su- perior to control group with 17 cases （56.7%） and 7 cases （23.3 % ） respectively （ P 〈 0.05 ）. After nursing intervention, anxiety, depression, self-confidence scores before operation in observa- tion group were （ 10.6 ± 1.3 ）, （8.2 ± 1.7）, （7.7 ± 1.3 ） respectively, more superior than control group（P 〈 0.05） ; after operation, the above indicators of two groups were improved, but observation group was obviously superior to before operation and control group after operation （P 〈 0.05）. Conclusion： Effective mental nursing intervention could relieve negative feelings during process of cesarean section, increase their confidence in delivery and improve prognosis.