以聚焦解决模式为基础的心理干预策略对突发胎儿窘迫孕产妇心理影响

Psychological effects of psychological intervention based on solution-focused model on pregnant women with sudden fetal distress

目的:探讨以聚焦解决模式为基础的心理干预策略对突发胎儿窘迫孕产妇心理影响。方法:选择200例突发胎儿窘迫的孕产妇,随机分为观察组与对照组,每组100例,对照组采用常规的心理护理,观察组则采取聚焦解决模式的护理干预措施。结果:入院第1 d,两组焦虑、抑郁评分比较差异无统计学意义(P>0.05),入院3 d后、出院时,两组评分均降低,且观察组焦虑、抑郁评分均低于对照组(P<0.05)。此外,观察组患者的整体满意度高于对照组(P<0.05)。结论:聚焦解决模式的心理护理干预方式对降低突发胎儿窘迫孕产妇心理的不利影响,提高孕产妇心理承受能力有重要的促进作用,值得临床应用推广。

Objective ： To discuss the psychological effects of psychological intervention strategies based on solution - focused model on pregnant women with sudden fetal distress. Methods： 200 cases of pregnant women with sudden fetal distress were randomly divided into observation group and control group, 100 cases in each group. The patients in control group received conventional psychological nursing, and those in observation group received nursing intervention based on solution -focused model. Results： There were no differences in anxiety and depression scores in the two groups on the 1st day of hospitalization （ P 〉 0.05 ）. Anxiety and depression scores decreased in both groups on the 3rd day and the day of hospital discharge, and anxiety and depression scores in observation group were lower than those in control group （ P 〈 0.05 ）. In addition, the o- verall satisfaction of patients in observation group was higher than that in control group （ P 〈 0.05 ）. Conclusion ： Psychological intervention based on solution - focused model plays an important role in reducing psychological adverse effects of pregnant women with sudden fetal distress and in im- proving their psychological endurance. It is worth popularizing in clinical application.