认知重构护理对妊娠合并心力衰竭患者焦虑、抑郁情绪、睡眠质量、妊娠结局的影响

The Effect of Cognitive Reconstruction Nursing on Anxiety, Depression, Sleep Quality and Pregnancy Outcome in Pregnant Patients with Heart Failure

目的:分析妊娠合并心力衰竭(HF)患者行认知重构护理对焦虑、抑郁、睡眠质量、妊娠结局的影响。方法:选定本院2018年11月-2020年11月住院治疗的80例妊娠合并HF患者,根据单盲随机抽样法分组,参照组40例患者采纳传统护理,试验组40例患者在传统护理的基础上采纳认知重构护理,两组均在护理14 d后观察护理效果,对比两组SAS评分、SDS评分、PSQI评分、母婴并发症发生率。结果:护理后试验组SAS评分、SDS评分、PSQI评分均比参照组低,差异均有统计学意义(P<0.05)。母婴并发症发生率试验组(5.00%)低于参照组(22.50%),差异均有统计学意义(P<0.05)。结论:认知重构护理可有效减轻妊娠合并心力衰竭患者抑郁、焦虑等不良情绪,帮助其正确看待自身疾病,保持乐观、积极的心态,树立战胜疾病的信心和意志,改善睡眠质量,减少母婴并发症,提高护理安全性,最大限度保障母婴健康和生命安全,值得借鉴。

Objective:To analyze the effect of cognitive reconstruction nursing on anxiety and depression,sleep quality and pregnancy outcome in patients with pregnancy complicated with HF.Method:A total of 80 patients with pregnancy complicated with HF in our hospital from November 2018 to November 2020 were selected and divided into two groups according to the single blind random sampling method.40 patients in the reference group were given traditional nursing,while 40 patients in the experimental group were given cognitive reconstruction nursing on the basis of traditional nursing.The nursing effect of the two groups was observed after 14 days of nursing,and the SAS score,SDS score,PSQI score,maternal and infant complications of the two groups were compare.Result:After nursing,SAS score,SDS score and PSQI score of the experimental group were lower than those of the reference group,the differences were statistically significant (P<0.05).The incidence of maternal and infant complications in the experimental group (5.00%) was lower than that in the reference group (22.50%),the difference was statistically significant (P<0.05).Conclusion:Cognitive reconstruction nursing can effectively reduce the depression,anxiety and other negative emotions of patients with pregnancy complicated with heart failure,help them correctly treat their own diseases,maintain an optimistic and positive attitude,establish the confidence and will to overcome the disease,improve sleep quality,reduce maternal and infant complications,improve nursing safety,and maximize the protection of maternal and infant health and life safety.