渐进性放松训练联合个体化护理模式对先兆流产孕妇心理压力与社会支持的影响

Effect of Progressive Relaxation Training Combined with Individualized Nursing Model on Psychological Stress and Social Support of Pregnant Women with Threatened Abortion

目的:探讨渐进性放松训练联合个体化护理模式对先兆流产孕妇心理压力与社会支持的影响。方法:选择2016年1月1日-2018年12月31日间本院收治的614例先兆流产孕妇为研究对象,采用随机数字表法将所有患者分为观察组和对照组,每组各307例。对照组患者接受常规护理,观察组在对照组的基础上辅以渐进性放松训练联合个体化护理模式进行精心干预。应用社会支持评定量表(social support rating scale,SSRS)、压力感知量表(perceived stress scale,PSS)分析孕妇的社会支持及心理压力。统计两组前后心理压力和社会支持的评分情况,进行评估和对比。结果:护理后,观察组患者保胎胎率为98.04%,高于对照组保胎成功率92.83%(P<0.05);护理后两组患者负性情绪和心理压力均较治疗前改善,观察组患者SAS评分显著低于对照组,PSS得分显著低于对照组,两组比较差异均有统计学意义(P<0.05);护理后两组患者自我效能水平均升高,观察组患者GSFS得分显著高于对照组;护理后两组患者社会支持评分SSRS均上升,观察组显著优于对照组,差异均有统计学意义(P<0.05)。结论:针对先兆流产孕妇采取渐进性放松训练联合个体化护理模式护理效果显著,能够明显提高降低孕妇的心理压力,提高孕妇的社会支持,临床上值得继续推广。

Objective:To explore the effect of progressive relaxation training combined with individualized nursing mode on psychological stress and social support of threatened abortion pregnant women.Method:A total of 614 cases of threatened abortion pregnant women admitted to our hospital from January 1,2016 to December 31,2018 were selected as the study subjects.All patients were divided into observation group and control group by random number table method,307 cases in each group.The patients in the control group received routine nursing care,while the patients in the observation group were carefully intervened by progressive relaxation training combined with individualized nursing mode on the basis of the control group.The social support rating scale(SSRS)and perceived stress scale(PSS)were used to analyze the social support and psychological stress of pregnant women.The scores of psychological stress and social support before and after the two groups were evaluated and compared.Result:After nursing,the pregnancy rate of the observation group was 98.04%,which was higher than that of the control group(92.83%)(P<0.05).After nursing,the negative emotion and psychological pressure of the two groups were improved,the SAS score of the observation group was significantly lower than that of the control group,the PSS score of the observation group was significantly lower than that of the control group,and the psychological pressure was significantly lower than that of the control group,the differences were statistically significant(P<0.05).After nursing,the self-efficacy of the two groups were improved,the GSFS score of the observation group was significantly higher than that of the control group(P<0.05).After nursing,the social support score of the two groups increased,and the observation group was significantly better than that the control group,the differences were statistically significant(P<0.05).Conclusion:For threatened abortion pregnant women,the intervention effect of gradual relaxation training combined with individualized nursing mode is remarkable,which can significantly improve the psychological pressure of pregnant women,improve the social support of pregnant women,and is worthy of further promotion in clinic.