以夫妻为中心心理干预在先兆早产妇女中的应用效果

Application of Psychological Intervention in Hypnotic Preterm Labor Women

目的：探究以夫妻为中心心理干预在缓解先兆早产孕妇负面情绪、提高保胎成功率方面的作用。方法：选取2016年1月至2017年7月在我院住院的先兆早产孕妇120例,根据随机数表法将患者分为实验组和对照组,每组60例。对照组采用常规护理方法,实验组在对照组基础上采用以夫妻为中心心理干预。分别记录两组分娩时孕周≥37周孕妇数量,计算孕妇保胎成功率;两组分别在干预前和干预3周后采用焦虑自评量表评估焦虑程度、使用抑郁自评量表评估抑郁程度;采用由THOMAS等人编制的纽卡斯尔护理满意度量表统计患者护理满意度。结果：实验组患者保胎成功率为95.67%,对照组保胎成功率为85.00%,组间数据差异具有统计学意义（χ^2=4.904,P=0.027）。干预后实验组患者焦虑、抑郁评分为（40.28±6.33）分、（42.06±7.13）分,明显低于对照组（56.25±6.82）分、（52.24±6.36）分,组间数据差异均具有统计学意义（t=13.294,8.253;P〈0.001）。实验组患者总体总体满意度为55例（91.67%）,明显高于对照组42例（70.00%）,组间数据差异具有统计学意义（χ^2=9.090,P=0.003）。结论：以夫妻为中心心理干预可以有效缓解先兆早产孕妇焦虑、抑郁情绪,提高保胎成功率,值得临床推广。

Objective：To explore the psychological intervention of couples as the center to alleviate the negative emotions of threatened premature pregnant women,improve the success rate of miscarriage.Methods：A total of 120 pregnant women with threatened preterm labor were enrolled in our hospital from January 2016 to July 2017.The patients were divided into experimental group and control group according to the random number table method,with 60 cases in each group.The control group using conventional nursing methods,the experimental group was given psychological intervention with the husband and wife as the center the basis of the control group.The number of pregnant women ≥37 weeks of gestational age at delivery was recorded respectively,and the success rate of miscarriage in pregnant women was calculated.Two groups were used to assess the degree of anxiety before and three weeks after intervention respectively,and the degree of depression was evaluated by using depression self-rating scale.The patient care satisfaction was calculated using the Newcastle Care Satisfaction Scale compiled by THOMAS et al.Results：The success rate of miscarriage in the experimental group was 95.67%,while that in the control group was85.00%.The difference between two groups was statistically significant（χ^2=4.904,P〈0.05）.After intervention,the scores of anxiety and depression in the experimental group were significantly lower than those in the control group（t=13.294,8.253;P〈0.05）.The overall satisfaction of the experimental group was 55 cases（91.67%）,which was significantly higher than that of the control group with 42 cases（70.00%）,the data between the two groups was statistically significant（χ^2=9.090,P〈0.05）.Conclusion：Taking husband and wife as the center,psychological intervention can effectively relieve the anxiety and depression of threatened premature pregnant women and improve the success rate of miscarriage.