健康教育联合阶段性心理疏导对实施减胎术孕妇负面情绪、述情障碍及生活质量的作用

Effects of Health Education Combined with Psychological Counseling on Negative Emotions,Alexithymia and Quality of Life of Pregnant Women Undergoing Fetal Reduction Surgery

目的:探讨健康教育联合阶段性心理疏导在多胎妊娠行减胎术孕妇负面情绪、述情障碍及生活质量中的作用。方法:选取厦门大学附属妇女儿童医院2017年1月-2020年1月收治的70例接受减胎术的孕妇,以数字表法随机分为试验组及对照组,每组35例。对照组给予常规护理和产检;试验组在对照组基础上,于减胎术前、术中、术后进行健康教育联合阶段性心理疏导。对比两组在减胎术干预前后的汉密尔顿焦虑量表(HAMA)评分,多伦多述情障碍量表(TAS-20)评分及生活质量评定量表(SF-36)评分。结果:干预前两组的焦虑情况、述情障碍程度及生活质量比较,差异无统计学意义(P>0.05)。干预后,两组的焦虑情况、述情障碍程度及生活质量评分均有显著改善,且试验组焦虑情况、述情障碍程度及生活质量评分均显著优于对照组(P<0.05)。结论:健康教育联合阶段性心理疏导能够显著改善减胎术孕妇的焦虑情绪及述情障碍,并显著提高孕妇生活质量,在临床上可广泛应用。

Objective:To explore the effect of health education combined with phased psychological counseling in the negative emotions,alexithymia and quality of life of pregnant women with multiple pregnancy undergoing fetal reduction surgery.Method:A total of 70 pregnant women who underwent fetal reduction surgery in the Women’s and Children’s Hospital Affiliated to Xiamen University from January 2017 to January 2020 were selected and randomly divided into experimental group and control group by digital table method,with 35 cases in each group.The control group was given routine nursing care and obstetric examination.On the basis of the control group,the experimental group was given health education combined with phased psychological counseling before,during and after fetus reduction surgery.The scores of hamilton anxiety scale(HAMA),Toronto alexithymia scale(TAS-20)and quality of life scale(SF-36)were compared between the two groups before and after fetus reduction surgery.Result:There were no significant differences between the experimental group and the control group in terms of anxiety,degree of alexithymia and quality of life before the intervention(P>0.05).After interventions,the anxiety,alexithymia and quality of life in the control group were significantly improved and the anxiety,the degree of alexithymia and the improvement of the quality of life scores in the experimental group were significantly better than those in the control group(P<0.05).Conclusion:Health education combined with phased psychological counseling can significantly improve the anxiety and alexithymia of pregnant women undergoing fetal reduction surgery,and significantly improve the quality of life of pregnant women,which can be widely used in clinical practice.