基于聚焦解决模式的心理干预对剖宫产初产妇心理健康及产后恢复的影响

Influence of psychological intervention based on focused solution model on mental health and postpartum recovery of primipara during cesarean section

目的分析与探讨基于聚焦解决模式的心理干预对剖宫产初产妇心理健康及产后恢复的影响。方法选取2019年1—12月于福建省立医院行剖宫产的120例初产妇为研究对象,采用随机数字表法将产妇分为对照组和干预组,每组各60例。两组产妇均接受常规护理,干预组在此基础上接受基于聚焦解决模式的心理护理干预。比较两组产妇护理前后的心理健康状态、产后恢复情况、护理后的满意度。结果护理后,干预组的汉密顿焦虑量表和汉密顿抑郁量表评分均明显低于对照组(P<0.05);干预组的住院时间、首次下床活动时间、首次排气时间及24 h阴道出血量均明显低于对照组(P<0.05);干预组产妇的总护理满意度为93.33%,明显高于对照组的73.33%(χ^(2)=8.64,P<0.001)。结论基于聚焦解决模式的心理干预可有效改善剖宫产初产妇的心理健康状态,降低产妇的心理压力,加速产后恢复,亦可提高产妇的护理满意度,值得临床推广。

Objective To explore the effects of psychological intervention based on the focused solution model on the mental health and postpartum recovery of primiparas during cesarean section.Methods Totally 120 primiparas who underwent cesarean section in Fujian Provincial Hospital from January to December 2019 were recruited.They were divided into control group and intervention group by random number method,with 60 cases in each group.Women in control group received routine nursing care,and the intervention group received psychological nursing intervention based on the focused solution model plus routine care.The differences of mental health pre and post nursing,postpartum recovery and satisfaction after nursing care were compared between two groups.Results After nursing,the Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)scores of the intervention group were significantly lower than those of the control group(P<0.05).Hospital stay,first time to get out of bed,first time to exhaust and the amount of vaginal bleeding within 24 hours of the intervention group were significantly lower than those of the control group(P<0.05).Overall nursing satisfaction of the intervention group was 93.33%,which was significantly higher than that of the control group(73.33%)(χ^(2)=8.64,P<0.001).Conclusion Psychological intervention based on the focused solution model can significantly alleviate mental health of the primipara,reduce their psychological pressure,accelerate postpartum recovery,and improve their nursing satisfaction.It is worthy of clinical promotion.