妊娠合并子宫肌瘤患者孕期加强综合护理干预对分娩认知度提升的影响

Efficacy of comprehensive nursing intervention during pregnancy in improving women’s perceptions of delivery in pregnant women with hysteromyoma

目的探讨妊娠合并子宫肌瘤患者孕期加强综合护理干预的效果及价值。方法选取2016年3月至2019年3月间陕西省西电集团医院收治的60例妊娠合并子宫肌瘤患者,根据采用的护理方法不同进行分组,其中,孕期行常规护理的30例子宫肌瘤患者纳入对照组,孕期行综合护理干预的30例子宫肌瘤患者纳入观察组。比较两组患者的焦虑和抑郁评分,选用自拟知识问卷表评估两组患者疾病知识认知度并进行比较,选用自拟护理质量评估表评估护理质量等情况并进行比较。结果干预前,两组患者焦虑、抑郁情绪评估结果比较,差异无统计学意义(P>0.05)。护理后,两组患者的焦虑、抑郁评分较干预前均降低,且观察组低于对照组,差异均有统计学意义(均P<0.05)。护理后,观察组患者疾病知识、分娩知识认知评分及相关护理质量评分均比对照组高,差异均有统计学意义(均P<0.05)。观察组患者相关并发症总发生率为10.0%,低于对照组患者的33.3%,观察组患者对护理工作的满意度为93.3%,高于对照组患者的73.3%,差异均有统计学意义(均P<0.05)。结论妊娠合并子宫肌瘤患者孕期加强综合护理干预,可有效帮助患者改善心理状态,提高其疾病知识认知度,减少并发症,整体护理质量有效提高。

Objective To evaluate the efficacy of comprehensive nursing intervention during pregnancy in improving women’s perceptions of delivery in pregnant women with hysteromyoma.Methods Sixty pregnant women with hysteromyoma treated at Xi’an XD Group Hospital from March 2016 to March 2019 were randomly divided into two groups.Thirty women who received comprehensive nursing care during pregnancy were included in an observation group and 30 women who received conventional nursing during pregnancy were included in a control group.Scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were compared between the two groups.Women’s perceptions of delivery as well as disease were compared between the two groups using self-designed knowledge questionnaire.Self-designed nursing quality assessment scale was used to evaluate the quality of nursing care.Results Before the intervention,there was no significant difference in scores of SAS and SDS between the two groups(P>0.05).After the intervention,scores of SAS and SDS decreased in both groups with the observation group lower than the control group(all P<0.05).Moreover,the scores of disease knowledge and delivery knowledge were significantly higher in the observation group than in the control group(all P<0.05).The overall incidence of complications was 10.0%in the observation group which was lower than 33.3%of the control group(P<0.05).Patient satisfaction with nursing was 93.3%,which was significantly higher than 73.3%of the control group(P<0.05).Conclusion Comprehensive nursing intervention should be strengthened in pregnant women with hysteromyoma because it can effectively improve mental state and knowledge of disease,reduce incidence of complications and improve the overall quality of care.