以家庭为单位的心理干预治疗复发性流产的效果分析

Analysis of the effect of family-based psychological intervention on recurrent spontaneous abortion

目的探索以家庭为单位的复发性流产(RSA)管理模式,为临床心理干预治疗复发性流产提供有效的参考依据。方法选取2016年1月~2017年9月广州市妇女儿童医疗中心就诊的150例RSA患者,采用随机数字表法将其分为对照组、观察组,每组75例。对照组采用常规的干预方法,观察组采用以家庭为单位的干预模式,比较两组患者抑郁自评量表评分以及焦虑自评量表评分,并进行干预效果分析。结果干预前,两组患者的SAS、SDS评分平均得分均显著高于正常人常模,差异均有统计学意义(P<0.001),但两组患者干预前SAS、SDS评分之间的比较,差异无统计学意义(P>0.05)。观察组患者的干预后SAS、SDS评分低于对照组,差异有统计学意义(P<0.01);两组患者干预后SAS、SDS评分均低于干预前,差异有统计学意义(P<0.05)。观察组的总治疗有效率高于对照组,差异有统计学意义(P<0.05)。结论以家庭为单位的干预模式能显著改善RSA患者的心理健康水平,成功提高总有效妊娠率,值得推广应用。

Objective To explore the management mode of family-based recurrent spontaneous abortion（RSA） and to provide an effective reference for clinical psychological intervention in the treatment of RSA.Methods A total of 150 RSA patients who visited Guangzhou Women′ s and Children′ s Medical Center from January 2016 to September 2017 were selected and randomly divided into control group and observation group,with 75 cases in each group.The control group adopted conventional intervention methods,and the observation group adopted family-based intervention model,the scores of self-rating depression scale and self-rating anxiety scale of patients in the two groups were compared,and the intervention effect was analyzed.Results Before intervention,the average scores of SAS and SDS in the two groups were significantly higher than those of normal people,and the differences were statistically significant（P 〈0.001）.However,there was no statistical difference between SAS and SDS scores before intervention in the two groups（P〉0.05）.SAS and SDS scores of patients in the observation group were lower than those in the control group after intervention,and the differences were statistically significant（P〈0.01）.SAS and SDS scores of two groups of patients after intervention were lower than those before intervention,and the differences were statistically significant（P〈0.05）.The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant（P〈0.05）.Conclusion The family-based intervention mode can evidently improve the mental health of RSV patients and successfully increase the total effective rate of pregnancy,which is worthy of extensive promotion.