健康教育对早期先兆流产者负面情绪、自我效能及保胎成功率的影响

Effect of health education on negative emotions, self-efficacy and the rate of continuing pregnancy in women with early threatened abortion

目的:探究健康教育对早期先兆流产患者负面情绪、自我效能及保胎成功率的影响。方法:选择2018年2月-2019年5月在本院接受治疗的120例早期先兆流产患者,根据护理方式不同分为常规护理组和健康宣教组各60例。常规护理组给予常规护理措施,健康宣教组在常规护理基础上给予健康教育。对比两组患者负面情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)],自我效能,临床疗效,护理满意度及保胎成功率。结果:护理干预后,两组SAS评分、SDS评分均降低且健康宣教组(34.2±3.0分、37.1±3.0分)低于常规护理组(44.4±3.4分、43.6±3.7分),GSES评分均升高且健康宣教组(35.4±3.6分)高于常规护理组(28.3±2.6分)(均P<0.05)。健康宣教组保胎成功率(85.0%)、治疗有效率(93.3%)、护理满意度(96.7%)高于常规护理组(66.7%、71.7%、81.7%)(均P<0.05)。结论:健康宣教用于早期先兆流产可有效改善患者抑郁、焦虑等负面情绪,提高自我效能、护理满意度及保胎成功率。

Objective: To explore the effect of health education on negative emotions, self-efficacy, and the rate of continuing pregnancy in women with early threatened abortion. Methods: 120 women with early threatened abortion were selected and divided into group A(60 women with health education and routine nursing) and group B(60 women with routine nursing) according to different nursing treatment. The scores of negative emotions by self-rating anxiety scale(SAS) and self-rating depression scale(SDS), self-efficacy, clinical efficacy, nursing satisfaction, and the success rate of pregnancy protection of the women were compared between the two groups. Results: After intervention, the SAS score and SDS score of the women in both groups had decreased significantly, and which(34.2±3.0 points and 37.1±3.0 points) of the women in group A were significant lower than those(44.4±3.4 points and 43.6±3.7 points) of the women in group B, GSES score of the women in both groups had increased significantly, and which(35.4±3.6 points) of the women in group A was significant higher than that(28.3±2.6 points) of the women in group B(all P<0.05). The success rate(85.0%) of pregnancy protection, treatment effective rate(93.3%), and nursing satisfaction(96.7%) of the women in group A were significant higher than those(66.7%, 71.7%, and 81.7%) of the women in group B(all P<0.05). Conclusion: Health education for the women with early threatened abortion can effectively improve their depression, anxiety, and other negative emotions, can enhance self-efficacy, nursing satisfaction, and the rate of continuing pregnancy.