心理护理干预对异常妊娠患者分娩前后护理价值的体会

Psychological nursing intervention effect on patients with abnormal pregnancy before and after childbirth

目的:探讨对异常妊娠患者行针对性心理护理干预的临床价值。方法:将2015年11月至2016年11月本院收治的84例异常妊娠患者作为研究对象,随机分为心理组和常规组,各42例。心理组行针对性的心理护理干预,常规组行普通护理干预,观察并比较两组患者焦虑(SAS)和抑郁(SDS)评分的变化情况、总体满意度以及妊娠结果。结果:两组患者护理前的SAS评分和SDS评分均无显著差异(P>0.05),干预后心理组的SAS评分(66.8±1.5)分、SDS评分(63.6±1.9)分显著低于常规组的(74.8±1.7)分、(75.4±2.2)分;心理组的总体满意度42例(100.00%)显著高于常规组的34例(80.95%);心理组发生流产几率和早产几率均低于常规组,P<0.05,差异具有统计学意义。结论:对异常妊娠患者行针对性的心理护理干预,不仅能够满足患者对于护理服务的实际需求,同时,还能够有效减轻患者的焦虑和抑郁程度,妊娠结果十分理想。

Objective：To explore the clinical value of intervention in patients with abnormal pregnancy.Methods：84 patients with abnormal pregnancy from November 2015 to November 2016 were randomly divided into psychological group and routine group,42 cases were randomly divided into psychological group and routine group.（SAS）and depression（SDS）scores,the overall satisfaction and the pregnancy outcome were observed and compared between the two groups（P 0.05）.Results：There was no significant difference between SAS scores and SDS scores before and after treatment（P 0.05）.SAS score（66.8±1.5）and SDS score（63.6±1.9）in the psychological group were significantly lower than those in the conventional group（100.4%）was significantly lower than that in the conventional group（34.95%）.The risk of miscarriage and the risk of preterm birth in the psychological group were lower than those in the conventional group（74.4±1.7）and（75.4±2.2）,P 0.05 for the difference was statistically significant.Conclusion：The intervention of psychological care in patients with abnormal pregnancy can not only meet the actual needs of patients for nursing services,but also can effectively reduce the degree of anxiety and depression of pregnant women,pregnancy results are ideal.