孕期补充铁剂联合心理护理干预对孕妇妊娠贫血、不良妊娠结局、心理状态及健康管理质量的影响

Influence of iron supplementation combined with psychological nursing intervention during pregnancy on pregnancy anemia,adverse pregnancy outcome,psychological status and quality of health management

目的探讨孕期补充铁剂联合心理护理干预在孕妇妊娠贫血中的预防效果及对孕妇妊娠贫血、不良妊娠结局、心理状态及健康管理质量的影响。方法选择2019年8月至2021年6月于巴彦淖尔市医院进行产检并建册的102例孕妇作为研究对象,按随机数字表法分为对照组(n=51例)和观察组(n=51例)。对照组孕期补充铁剂干预,观察组在对照组基础上联合心理护理,护理3个月后对两组的效果进行评估,比较两组孕妇妊娠期贫血发生率、不良妊娠结局、心理状态及健康管理质量。结果观察组孕妇的贫血发生率及胎膜早破、胎儿窘迫、产后出血等不良妊娠结局总发生率低于对照组,差异有统计学意义(P<0.05)。两组护理后广泛性焦虑障碍量表(GAD7)和抑郁症筛查量表(PHQ9)评分低于护理前,差异有统计学意义(P<0.05);观察组护理后GAD7和PHQ9评分低于对照组,差异有统计学意义(P<0.05)。两组护理后健康管理质量、健康知识掌握度及依从性评分高于护理前,差异有统计学意义(P<0.05);观察组护理后健康管理质量、健康知识掌握度及依从性评分高于对照组,差异有统计学意义(P<0.05)。结论孕期补充铁剂联合心理护理干预能降低孕妇妊娠贫血发生率,有助于降低不良妊娠结局发生率,减轻并缓解孕妇不良情绪,提高孕妇健康管理质量,值得推广应用。

Objective To explore the preventive effect of iron supplementation combined with psychological nursing intervention during pregnancy in pregnant women with anemia and their influence on pregnancy anemia,adverse pregnancy outcomes,psychological status and quality of health management.Methods From August 2019 to June 2021,102 cases of pregnant women who underwent maternity check-ups in Bayannur Hospital were selected as the research objects.They were divided into the control group(n=51)and the observation group(n=51)according to the random number table method.The control group was given iron supplementation during pregnancy,and the observation group was combined with psychological nursing on the basis of the control group.The women’s effect was evaluated after 3 months of nursing,and the incidence of anemia,adverse pregnancy outcome,mental state and health management quality of the two groups were compared.Results The incidence of anemia and the total incidence of adverse pregnancy outcomes such as premature rupture of membranes,fetal distress,and postpartum hemorrhage in the observation group were lower than thos e in the control group,and the differences were statistically significant(P<0.05).The scores of the generalized anxiety disorder-7(GAD7)and patient health questionnaire-9(PHQ9)after nursing in the two groups were lower than those before nursing,and the differences were statistically significant(P<0.05).After nursing,the GAD7 and PHQ9 scores of the observation group were lower those of the control group,the differences were statistically significant(P<0.05).The health management quality,health knowledge mastery and compliance scores of the two groups after nursing were higher than those before nursing,and the differences were statistically significant(P<0.05).The health management quality,health knowledge mastery and compliance scores of the observation group after nursing were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Iron supplementation combined with psychological nursing intervention during pregnancy can reduce the incidence of pregnancy anemia in pregnant women,help reduce the incidence of adverse pregnancy outcomes,reduce and alleviate the unhealthy emotions of pregnant women,and improve the quality of pregnant women’s health management.It is worthy of popularization and application.