先兆流产孕妇心理护理干预研究

Research on Mental Nursing Intervention of Pregnancy Women with Threatened Abortion

目的分析先兆流产孕妇的心理状况,探讨实施心理护理干预对先兆流产孕妇心理状态的影响和护理效果。方法将2016年6月—2017年5月该院妇产一科收治的53例先兆流产孕妇,随机分为干预组和对照组。对照组(26例)给予妇产科常规护理,干预组(27例)在对照组基础上实施心理干预。对照焦虑自评量表(SAS)和抑郁自评量表(SDS),观察评价两组孕妇干预前后焦虑与抑郁负性心理状态、保胎情况和对护理服务的满意度。结果干预前,干预组和对照组孕妇SAS评分[(59.44±7.90)分、(59.81±7.79)分,SDS评分(55.85±7.14)分、(57.81±7.73)分],差异无统计学意义(P>0.05)。干预后,两组孕妇SAS评分[(36.68±7.92)分、(47.19±8.01)分,SDS评分(32.74±7.13)分、(45.86±5.53)分],均低于干预前,且干预组孕妇显著降低,差异有统计学意义(P<0.001)。干预组保胎成功率92.29%(25/27),高于对照组的69.23%(18/26)(χ~2=4.722,P=0.030)。干预组孕妇对护理服务工作满意度为96.30%(26/27),而对照组仅为76.92%(20/26),两组比较差异有统计学意义(χ~2=4.337,P=0.037)。结论心理护理干预能有效缓解先兆流产孕妇焦虑与抑郁负性心理状态,提高保胎成功率,提升孕妇对护理服务的满意度,值得推广应用。

Objective To analyze the mental status of pregnancy women with threatened abortion and study the effect of mental nursing intervention on the mental state of pregnancy women with threatened abortion. Methods 53 cases of pregnancy women with threatened abortion in our hospital from June 2016 to May 2017 were selected and randomly divided into two groups, the control group with 26 cases used the routine nursing in the department of gynecology and obstetrics, while the intervention group with 27 cases used the mental intervention on the basis of the control group,and the SAS and SDS scores of the two groups were compared, and the anxiety and depression negative mental states,fetus preservation condition and satisfactory degree to the nursing services of the two groups were observed and evaluated. Results Before intervention, the SAS scores and SDS scores in the intervention group and in the control group were respectively [（59.44±7.90）points,（59.81±7.79）points and（55.85±7.14）points,（57.81±7.73）points], and the differences were not statistically significane（P〉0.05）, after intervention, the SAS score and SDS score in the two groups were lower than those before intervention, which were respectively [（36.68±7.92）points,（47.19±8.01）points and（32.74±7.13）points,（45.86±5.53）points], and the decrease in the intervention group was more obvious, and the differences were statistically significant P0.001, and the successful rate of tocolysis in the intervention group was higher than that in the control group, [92.29%（25/27） vs 69.23%（18/26）（χ^2=4.722, P=0.030））, and the satisfactory degree of delivery women to the nursing service work in the intervention group and in the control group was respectively 96.30%（26/27） and76.92%（ 20/26）, and the difference between the two groups was statistically significant（χ^2=4.337, P=0.037）. Conclusion The mental nursing intervention can effectively relieve the anxiety and depression negative mental states of delivery women with threatened abortion and improve the successful rate of tocolysis and satisfactory degree of delivery women to the nursing services, and it is worth clinical promotion and application.