个性化心理干预对复发性流产患者心理健康程度及妊娠结局的影响

The Influence of Individualized Psychological Intervention on the Mental Health and Pregnancy Outcome of Patients with Recurrent Miscarriage

目的探讨个性化心理干预对复发性流产患者心理健康程度及妊娠结局的影响。方法选择2017年3月—2018年3月收治的有复发性流产史的100例孕妇作为研究对象,根据就诊顺序编号,采用随机数字表法将其分为观察组与对照组,每组50例。对照组孕妇采用常规护理方法,在就诊后1 d所有患者采用焦虑自评量表(SAS)及抑郁自评量表(SDS)进行心理状态评估;根据评估结果,观察组孕妇在对照组护理基础上增加个性化心理干预,比较2组患者就诊后1 d及孕20周时的SAS评分、SDS评分,同时比较2组的妊娠结局。结果孕20周时观察组的SDS评分及SAS评分均显著低于对照组,差异具有统计学意义(P<0.05),孕20周时观察组孕妇的人际关系、偏执、抑郁、焦虑、敌对、其他及总分均显著低于对照组,差异具有统计学意义(P<0.05),观察组的正常分娩率显著高于对照组,差异具有统计学意义(P=0.03,χ^(2)=4.57)。结论在常规护理基础上增加个性化心理干预能够改善RSA孕妇的负性情绪,对其妊娠结局具有积极意义。

Objective To explore the influence of personalized psychological intervention on the mental health of patients with recurrent miscarriage and pregnancy outcome.Methods 100 pregnant women with a history of recurrent miscarriage admitted to our hospital from March 2017 to March 2018 were selected as the research objects,and they were divided into observation group and control group by random number table according to the serial number of their visits.There were 50 cases in each group.The pregnant women in the control group were treated with conventional nursing methods.All patients were assessed with the self-rating anxiety scale(SAS)and the self-rating depression scale(SDS)score scale 1 day after treatment.According to the evaluation results,the pregnant women in the observation group added personalized psychological intervention based on the nursing of the control group.The SAS and SDS scores of the two groups were compared at 1 day after visiting the doctor and at 20 weeks of pregnancy,and the pregnancy outcomes of the two groups were compared.Results The SDS and SAS scores of the observation group at 20 weeks gestation were significantly lower than those of the control group,and the difference was statistically significant(P<0.05).At 20 weeks gestation,interpersonal relationships,paranoia,depression,anxiety,hostility,other and total scores of the observation group were significantly lower than those of the control group,and the difference was statistically significant(P<0.05).The normal delivery rate of the observation group was significantly higher than that of the control group,and the difference was statistically significant(P=0.03,χ^(2)=4.57).Conclusion Adding personalized psychological intervention on the basis of routine nursing care can improve the negative emotions of pregnant women with RSA,and has positive significance for the pregnancy outcome.