心理护理临床路径对妊娠高血压综合征患者心理状态、并发症及母乳喂养情况的影响分析

Analysis of the effects of clinical pathway of psychological nursing on mental state,complications and breastfeeding of patients with pregnancy-induced hypertension

目的探讨心理护理临床路径对妊娠高血压综合征患者心理状态、并发症及母乳喂养情况的影响。方法选取2016年4月至2019年4月该院收治的79例妊娠高血压综合征患者为研究对象,根据入院日期单双号,将研究对象分为对照组40例及研究组39例。对照组患者接受传统产科护理,研究组在对照组的基础上采用心理护理临床路径进行护理。比较干预前后两组患者的治疗依从性、心理状态、母乳喂养自信心以及产后并发症发生率、泌乳始动时间、母乳喂养情况以及护理满意度。结果与干预前相比,干预后两组患者的治疗依从性和母乳喂养自我效能量表(BSES)评分均明显升高(P<0.05);两组患者的焦虑自评量表(SAS)和抑郁自评量表(SDS)评分明显降低(P<0.05),且研究组显著优于对照组(P<0.05)。与对照组相比,研究组患者产后并发症发生率更低(P<0.05),泌乳始动时间显著缩短(P<0.05),护理总满意度更高(P<0.05)。产后随访1个月,研究组纯母乳喂养率显著高于对照组(P<0.05)。结论心理护理临床路径可有效改善患者的心理状态,提高治疗依从性及母乳喂养自信心,促进乳汁分泌,减少产后并发症,对提高纯母乳喂养率、促进母婴健康具有积极意义。

Objective To explore the effect of clinical pathway of psychological nursing on mental state,complications and breastfeeding of patients with pregnancy-induced hypertension.Methods A total of 79 pregnant patients with pregnancy-induced hypertension syndrome in our hospital were selected as research objects from April 2016 to April 2019.The subjects were divided into 40 cases in the control group and 39 cases in the study group according to the number of admission.Patients in the control group received traditional obstetric care,while patients in the study group received psychological care clinical pathway on the basis of traditional obstetric care.The treatment compliance,psychological state,breast-feeding confidence,postpartum complications rate,lactation initiation time,breast-feeding status and nursing satisfaction were compared between the two groups before and after the intervention.Results Compared with before the intervention,the treatment compliance and breast feeding self-efficacy scale(BSES)scores of the two groups of patients were significantly higher after the intervention(P<0.05),and the self-rating anxiety scale(SAS)and self-rating depression scale(SDS)of the two groups were significantly lower(P<0.05),and the scores of research group were significantly better than the control group(P<0.05).Compared with the control group,the incidence of postpartum complications in the study group was significantly lower than that of control group(P<0.05).The starting time of lactation in the study group was significantly lower than that in the control group(P<0.05).Postpartum follow-up was one month,the rate of exclusive breastfeeding in the study group was significantly higher than that in the control group(P<0.05),the total satisfaction of maternal nursing was higher(P<0.05).Conclusion Psychological nursing clinical pathway could effectively improve the psychological state of patients,improve treatment compliance and breast-feeding self-confidence,promote milk secretion,reduce postpartum complications,and it has positive significance in improving the rate of exclusive breastfeeding and maternal and child health promotion.