放松训练及心理护理对输卵管妊娠保守治疗后再次异位妊娠病人的影响

Influence of relaxation training and psychological care on again ectopic pregnancy patients after tubal pregnancy conservative treatment

[目的]探讨放松训练及心理护理对输卵管妊娠保守治疗后再次异位妊娠病人的影响。[方法]输卵管妊娠保守治疗后再次异位妊娠病人70例,利用随机数字表分为观察组和对照组各35例,两组都采用腹腔镜下手术治疗与常规护理,在此基础上观察组采用放松训练与心理护理。[结果]观察组的有效率为97.1%,对照组有效率为80.0%,观察组的有效率明显高于对照组(P<0.05)。观察组食欲减退、恶心、呕吐、腹泻等不良反应发生率明显低于对照组(P<0.05)。两组干预前状态焦虑得分对比差异无统计学意义,干预后得分都明显降低(P<0.05),干预后观察组得分明显低于对照组(P<0.05)。干预后观察组主观支持、客观支持与对支持利用度评分均明显高于对照组(P<0.05)。[结论]积极的放松训练与心理护理能有效缓解输卵管妊娠保守治疗后再次异位妊娠病人的焦虑情况,改善预后,提高社会支持度。

Objective：To probe into the influence of relaxation training and psychological care on again ectopic pregnancy patients after tubal pregnancy conservative treatment .Methods：A total of 70 cases of again ectopic pregnancy patients after tubal pregnancy conservative treatment were divided into observation group and control group ,by using random number table 35 cases in each .Patients in both groups received laparoscopic operation and routine nursing .On the basis of it ,patients in observation group received relaxation training and psychologi‐cal care .Results：The effective rate in observation group was 97 .1% ,80 .0% in control group .The effective rate in observation group was higher than that in control group（P〈0 .05） .The incidences of adverse reactions in‐clnding anorexia ,nausea ,vomiting and diarrhea in observation group were significantly lower than that in con‐trol group（P〈0 .05） .There were no statistically significant differences in anxiety score between both groups before intervention .After intervention the anrieity score was significantly decreased（P〈0 .05） .After interven‐tion the anxiety score in observation group was significantly lower than that in control group（P〈0 .05） .The subjective support ,objective support and the utilization of support score in observation group were higher than that of control group（P〈 0 .05） .Conclusion：The positive relaxation training and psychological care can effec‐tively relieve anxiety of again ectopic pregnancy patients after tubal pregnancy conservative treatment ,and im‐prove prognosis and social support degree .