积极心理学理论对高危产妇心理状态及护理工作质量的影响

Influence of the Theory of Positive Psychology at High risk of Maternal Psychological State and the Nursing Work Quality

目的:探讨积极心理学理论对高危产妇心理状态及护理工作质量的影响。方法:选择2013年7月-12月在我院待产的高危产妇60例为观察组,选择2016年1月-6月在我院待产的高危产妇60例为对照组,对照组采用常规护理,观察组在对照组的基础上实施积极心理学理论护理模式。于入院时及临产前对两组高危产妇的心理状态评分、心理舒适感进行评价,同时对产妇剖宫产率、护理工作质量的满意度以及医患纠纷发生情况进行对比分析。结果:临产前,观察组高危产妇SCL-90总均分以及SAS、SDS评分较入院时明显降低(t值分别为9.234、11.856、13.923,P<0.01),且明显低于对照组(t值分别为6.160、7.670、8.034,P<0.01);观察组高危产妇心理舒适感三个方面肯定回答所占比例均较入院时明显升高(χ2值分别为12.150、13.889、12.478,P<0.01),且明显高于对照组(χ2值分别为5.910、5.400、6.136,P<0.05);观察组剖宫产率明显低于对照组,差异有统计学意义(χ2=4.062,P=0.044);观察组产妇对护理工作五个方面满意度评分均明显高于对照组,差异均有统计学意义(t值分别为9.497、7.231、12.111、12.516、7.094,P<0.01);另外,观察组医患纠纷发生率明显低于对照组,差异有统计学意义(χ2=3.927,P=0.048)。结论:积极心理学理论护理模式不仅能明显改善高危产妇产前不良心理状态,提高心理舒适感,降低剖宫产率,而且对提高护理工作质量和产妇满意度也具有重要价值。

Objective To explore influence of the theory of positive psychology at high risk of maternal psychological state and the nursing work quality. Methods 60 patients from July to December 2013 in our hospital to give women were selected as observation group, 60 patients from January to June 2013 in our hospital to give women were selected as control group, control group using conventional care, observation group in the control group on the basis of the theory of positive psychology nursing mode. Before on admission and labor on two groups at high risk of maternal psychologi- cal state score, psychological comfort evaluation, as well as the maternal cesarean delivery rate, the quality of nurs- ing work satisfaction and doctor-patient dispute occurrence were analyzed. Results Before birth, observation group at high risk of maternal SCL - 90 total split and SAS, SDS score is significantly lower on admission （ t=9.234,11.856, 13.923, P〈0.01 ）, and significantly lower than the control group （ t-6.160,7.670,8.034, P〈0.01 ） ;Observation group at high risk of maternal psychological comfort three aspects must answer proportion is obviously higher on admis- sion （X^2=12.150,13.889,12.478, P〈0.01 ）, and significantly higher than the control group （X^2=5.910,5.400,6.136, P〈0.05 ） ;Cesarean section rate of observation group was obviously lower than the control group, the difference was statistically significant （X^2=g.062, P=0.044 ） ;Observation group of women in five aspects of nursing work satisfac- tion scores were significantly higher than that of control group, difference has statistical significance （ t=9.497,7.231, 12.111,12.516,7.094, P〈0.01 ） ;The incidence of medical disputes between medical observation group was obviously lower than the control group, the difference was statistically significant （Z2=3.927, P=0.048 ）.Conclusion Positive psychology nursing mode not only can obviously improve the poor women at antenatal psychological state, improve the mental comfort, reduce cesarean section rate, but also to improve the quality of nursing work and maternal satisfaction has important value.