孕妇课堂结合心理指导对孕早期阴道流血黄体酮保胎治疗的影响

The classroom with psychological guidance effect on pregnant women in early pregnancy vaginal bleeding progesterone treatment

目的研究探讨孕妇课堂结合心理指导对孕早期先兆流产阴道流血行黄体酮保胎治疗患者的影响,总结其临床应用价值。方法选择孕早期先兆流产行黄体酮保胎治疗的患者72例,按照随机数字表抽取的方法将其分成两组,各36例,以常规护理干预作为对照组,观察组在常规护理干预基础上增加孕妇课堂健康教育及专业心理指导,观察对比两组护理干预前后患者焦虑情绪(SAS)评分及睡眠质量评分(PSQI)的改变。结果观察组患者护理后第3~7 d的SAS及PSQI评分均比较护理前明显降低,差异有统计学意义(P<0.05);对照组患者护理后第3~7 d SAS及PSQI评分虽与护理前比较有所下降,但差异无统计学意义。结论孕妇课堂结合心理指导对孕早期先兆流产阴道流血行黄体酮保胎治疗患者可起到积极的作用,有助患者的消极情绪,改善睡眠质量,提高保胎成功率。

Objective To study the combination of classroom psychological guidance to the pregnant women of early treatment of patients with threatened abortion vaginal bleeding for progesterone,summarize its clinical application value.Methods Early pregnancy,threatened abortion by progesterone treatment in patients with72cases,according to the method of random number table extraction will be divided into2groups,each of36cases,with conventional nursing intervention as the control group,the observation group in the conventional nursing intervention based on the increase of pregnant classroom health education and professional psychological guidance,and were compared between the two groups nursing intervention for patients with anxiety(SAS)score and sleep quality score(PSQI)change.Results The patients in the observation group after nursing third to7th day SAS and PSQI scores were compared before treatment significantly decreased,the difference was statistically significant(P<0.05);the control group patients after third to7th day SAS and PSQI score was compared with before treatment decreased,but the difference was not statistically significant.Conclusion Pregnant women with positive classroom psychological guidance for early pregnancy treatment of threatened abortionvaginal bleeding for progesterone can play a role,can help patients with negative emotions,improve sleep quality,improve the success rate of miscarriage.