心理护理对先兆流产患者的心理影响分析

Impact analysis of psychological nursing on threatened miscarriage

目的:探讨先兆流产患者的心理应激反应,根据心理评价结果进行个体化的心理护理,提高先兆流产患者的治愈率.方法:选取我院2011-01/2012-03住院的先兆流产患者696例,随机分为观察组(n=348)与对照组(n=348),比较两组患者入院时和出院时SAS和SDS量表的评分及12周妊娠流产率.结果:两组孕早期先兆流产病人入院时SAS和SDS总分均较高,进行个体化心理护理治疗的安胎患者SAS和SDS评分降低比对照组更显著,12周妊娠流产率更低,差异均有统计学意义(P<0.05).结论:先兆流产患者普遍存在焦虑、抑郁、恐惧及其他不良情绪,个体化的心理护理可显著改善患者的这些不良情绪,减少流产,增加保胎的成功率.

AIM: To investigate the psychological stress response of patients with threatened miscarriage and improve the curative rate by personalized psychological nursing based on psychological assessment. METHODS: A total of 696 cases of threatened miscarriage hospitalized in our hospital were selected and randomly divided into observation group and control group. Self?rating anxiety scale ( SAS) and self?evaluation of depression symptoms ( SDS ) on admission and at discharge, as well as miscarriage rate in the 12th week were compared. RESULTS:SAS and SDS on admission and at discharge of both groups were high. After personalized nursing, SAS and SDS of the observation group decreased more than those of the control group, and the miscarriage rate in the 12th week was lower. The differences were statistically significant ( P<0. 05 ) . CONCLUSION: Anxiety, depression, fear, etc. are common in patients with threatened miscarriage. Personalized psychological nursing can relieve the negative emotions, decrease the miscarriage rate, and increase the success rate of fetus protection.