动机性访谈技术在无创产前基因检测阳性孕妇随访和心理辅导中的应用

Application of motivational interview technique in follow-up and psycholo gical counseling of pregnant women with positive prenatal genetic test

目的:探讨对进行无创产前基因检测(NIPT)结果呈阳性的孕妇在随访和心理辅导中应用动机性访谈技术的效果。方法:选取2018年1月至2019年12月期间在广东省佛山市南海区妇幼保健院进行NIPT且检查结果呈阳性的134例孕妇作为研究对象。根据随机数表法将这些孕妇分为观察组和对照组。对两组孕妇均进行常规随访和心理辅导。在此基础上,为观察组产妇在随访和心理辅导中应用动机性访谈技术。然后观察两组孕妇回到医院进行复诊的情况、进行羊膜腔穿刺检查的情况、焦虑自评量表(SAS)的评分及抑郁自评量表(SDS)的评分。结果:护理后,观察组孕妇回到医院进行复诊的几率及进行羊膜腔穿刺检查的几率均高于对照组孕妇,其SAS评分及SDS评分均低于对照组孕妇,P<0.05。结论:对进行NIPT结果呈阳性的孕妇在随访和心理辅导中应用动机性访谈技术可提高其回到医院进行复诊及进行羊膜腔穿刺检查的几率,减轻其焦虑及抑郁的情绪。

Objective:To explore the effect of motivational interview technique in follow-up and psychological counseling of pregnant women with positive results of noninvasive prenatal genetic testing(NIPT).Methods:134 pregnant women who underwent NIPT in Maternal and Child Health Hospital of Nanhai District,Foshan City,Guangdong Province from January 2018 to December 2019 and tested positive for NIPT were selected as the study subjects.These pregnant women were divided into observation group and control group according to random number table method.Routine follow-up and psychological counseling were carried out for pregnant women in both groups.On this basis,motivational interview technique was applied in follow-up and psychological counseling for the observation group.Then the two groups of pregnant women returned to the hospital for followup,amniocentesis examination,self-rating anxiety Scale(SAS)score and self-rating depression scale(SDS)score.Results:After nursing,the rate of returning to hospital and amniocentesis of pregnant women in the observation group were higher than those in the control group,and SAS and SDS scores were lower than those in the control group,P<0.05.Conclusion:The use of motivational interviewing technique in follow-up and ps ychological counseling for pregnant wom en with positive NIP T results can improve the probability of returning to hospital for follow-up and amniocentesis,and relieve their anxiety and depression.