5As模式对改善孕产妇妊娠结局及抑郁情况的效果评价

Effect evaluation of 5As mode on improving pregnancy outcome and depression in pregnant women

目的:研究新冠病毒肺炎疫情时期,5As护理模式对孕产妇妊娠结局及抑郁情况的影响。方法:收集2020年4月至2021年4月期间建册的孕产妇200名的临床资料进行分析。用随机数字表法将患者分为对照组和观察组各100名。在建册开始到妊娠结束期间,对照组进行定期电话随访(随访孕期不适及产检情况);观察组在对照组基础上采用微信群进行5As护理模式干预。对两组妊娠结局及产后哺乳情况进行评估。采用抑郁自评量表(SDS)和焦虑自评量表(SAS)分别评估两组的抑郁情况和焦虑情况。结果:干预后,两组SDS、SAS评分均降低,且观察组低于对照组(P<0.05)。观察组的自然分娩率高于对照组,产后出血发生情况少于对照组(P<0.05)。观察组的母乳喂养率高于对照组。结论:在疫情时期应用5As护理模式进行健康管理,可以优化孕产妇妊娠结局及改善孕产妇的心理状况及母乳喂养情况,值得推广。

Objective:To study the effect of 5As nursing mode on maternal pregnancy outcomes and depression during the outbreak of COVID-19.Methods:The clinical data of 200 pregnant women who were registered from April 2020 to April 2021 were collected and analyzed.The patients were divided into a control group and an observation group with 100 patients in each group by random number table method.During the period from the establishment of the book to the end of pregnancy,regular telephone follow-up was conducted in the control group(under the premise of follow-up discomfort during pregnancy and obstetric examination);on the basis of the control group,the observation group used WeChat group to carry out 5As nursing mode intervention.The pregnancy outcome and postpartum lactation of the two groups were evaluated.Self rating depression scale(SDS)and self rating anxiety scale(SAS)were used to evaluate the depression and anxiety of the two groups.Results:After the intervention,the scores of SDS and SAS in the two groups decreased,and the observation group was lower than the control group(P<0.05).The natural delivery rate of the observation group was higher than that of the control group,and the incidence of postpartum hemorrhage of the observation group was less than that of the control group(P<0.05).The breastfeeding rate of the observation group was higher than that of the control group. Conclusion: The application of the 5As nursing mode for health management during the epidemic period can optimize the pregnancy outcome of pregnant women and improve the psychological status and breastfeeding situation of pregnant women, which is worth popularizing.