聚焦解决模式对乙型肝炎病毒母婴阻断孕产妇心理应激水平的影响

Effect of Focused Solution Mode on Mental Stress Level of Pregnant Women with Hepatitis B Virus Blocking Mother to Child

目的探讨聚焦解决模式对乙型肝炎病毒母婴阻断孕产妇心理应激水平的影响。方法选择2016年1月—2018年1月在医院妇产科分娩的86例乙型肝炎病毒(HBV)母婴阻断孕产妇为研究对象。按抽签随机方法分为两组,各43例,其中对照组予以常规护理干预,观察组在对照组干预基础上实施聚焦解决模式,干预时间均为住院期间至出院后3个月。分别于干预前及干预结束时,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、健康信念量表及SF-36简明健康调查量表评价两组焦虑、抑郁评分及健康信念、生活质量。结果观察组干预后SAS、SDS评分均显著低于干预前及对照组干预后(P<0.05)。观察组干预后健康信念各维度(个人健康信念、感到有资源利用、感到有控制力、感到有实施能力、感到有威胁)及总量表评分均显著高于干预前及对照组干预后(P<0.05)。两组干预后生理功能、生理职能、情感职能、社会功能、躯体疼痛、精神健康、活力、总体健康维度评分均显著高于干预前(P<0.05),且观察组护理干预后除社会功能外的其他各维度评分均显著高于对照组(P<0.05)。结论聚焦解决模式能缓解HBV母婴阻断孕产妇负性情绪,帮助其构建健康信念,改善心理应激水平,提高生活质量。

Objective To investigate the effect of focused solution mode on the psychological stress level of the maternal with hepatitis B virus(HBV)interruption of mother-infant transmission.Methods 86 cases of HBV mother-to-child interruption in Obstetrics and Gynecology Department of our hospital from January 2016 to January 2018 were included in the study and were randomly divided into two groups,with the 43 cases in each group.The control group was given routine nursing,while the observation group was given focused solution mode based on routine nursing.The intervention time was from hospitalization to 3 months after discharge.Before and after the intervention,self-rating anxiety scale(SAS),self-rating depression scale(SDS),health belief scale and SF-36 concise health survey scale were used to evaluate anxiety,depression score,health belief and quality of life before and after nursing.Results The scores of SAS and SDS in the observation group were significantly lower than those before intervention in the observation group and those after intervention in the control group(P<0.05).The scores of health belief dimensions(personal health belief,feeling having resource tilization,feeling in control,feeling implementation ability,feeling threat)and total scale in the observation group after intervention were significantly higher than those before intervention in the observation group and those after intervention in the control group(P<0.05).After nursing intervention,the scores of physiological function,physiological function,emotional function,social function,physical pain,mental health,vitality and overall health dimensions in the two groups were significantly higher than those before nursing(P<0.05),and the scores of other dimensions except social function in the observation group were significantly higher than those in the control group(P<0.05).Conclusion Focused solution mode can alleviate the negative maternal emotions of HBV interruption of mother-infant transmission,help them build healthy beliefs,improve the level of psychological stress and improve the quality of life.