罗森塔尔效应对住院孕早期流产风险妇女心理状况的影响

The influence of Rosenthal effect on the psychological status of pregnant women at risk of miscarriage in early pregnancy

目的 探究罗森塔尔效应对住院孕早期流产风险妇女心理状况的影响.方法 选取2014年1月至2015年6月收治的151例住院孕早期流产风险妇女为对照组,采用常规心理干预,方便抽样选取2015年7月至2016年12月收治的135例住院孕早期流产风险妇女为观察组,在常规心理干预的基础上接受基于罗森塔尔效应的干预.比较2组妇女干预前后的抑郁自评量表（SDS）和焦虑自评量表（SAS）评分、内向性激惹和外向性激惹评分和对干预的满意度.结果 干预前2组妇女的SDS和SAS评分、内向性激惹和外向性激惹评分比较差异无统计学意义（P〉0.05）,干预后观察组妇女的SDS评分和SAS评分分别为（41.45±4.26）分和（40.34±5.82）分,对照组分别为（47.22±3.93）分和（47.18±7.04）分,干预后观察组妇女的内向性激惹和外向性激惹评分分别为（4.76±1.03）分和（5.55±1.26）分,对照组分别为（5.39±1.12）分和（6.43±1.86）分,干预后2组妇女的SDS和SAS评分、内向性激惹和外向性激惹评分较干预前均显著改善,且观察组妇女的SDS和SAS评分、内向性激惹和外向性激惹评分低于对照组妇女,差异有统计学意义（t=2.215~2.573,P〈0.05）.干预后观察组和对照组妇女的满意率分别为93.32%（126/135）和74.17%（112/151）,差异有统计学意义（χ2=5.921,P〈0.05）.结论 住院孕早期流产风险妇女在常规心理干预的基础上接受基于罗森塔尔效应的干预能够有效缓解焦虑和抑郁等负面情绪,提高对院内干预的满意率.

Objective To explore the influence of Rosenthal effect on the psychological status of pregnant women at risk of miscarriage in early pregnancy. Methods From January 2014 to June 2015 151 cases of early pregnancy abortion risk women were set as the control group, and was given conventional psychological intervention.From July 2015 to December 2016 135 cases of early pregnancy abortion risk women were named as the observation group by convenient sampling selection, which was given interventionbased on Rosenthal effect on the basis of routine psychological intervention. The Self-rating Depression Scale （SDS） and the Self-rating Anxiety Scale （SAS） score, the introversion and extroversion scores and the satisfaction degree with intervention were compared between the two groups before and after the intervention. Results There was no significant difference in SDS and SAS scores, inotropic challenge and extroversion challenge between the two groups before treatment （P 〉0.05）. The scores of SDS and SAS, the inotropic challenge and extroversion challenge scores were 41.45 ± 4.26, 40.34 ± 5.82,4.76 ± 1.03,5.55 ± 1.26 in the observation group after intervention,and 47.22 ± 3.93,47.18 ± 7.04,5.39 ± 1.12, 6.43 ± 1.86 respectively in the control group. There were significant difference in scores of SDS and SAS, the inotropic challenge and extroversion challenge （t=2.215-2.573, P 〈0.05）. The satisfaction rates of the observation group and the control group were 93.32%（126/135）and 74.17% （112/151） respectively, the difference was statistically significant （χ2=5.921, P〈0.05）. Conclusions The intervention based on Rosenthal effect on the basis of conventional psychological intervention for early pregnancy abortion risk women can relieve negative emotions such as anxiety and depression, besides it can also improve satisfaction degree of inpatients with intervention.