心理干预对重度子痫前期患者心理状态及生活质量的影响

Effect of psychological intervention on psychological state andquality of life in patients with severe preeclampsia

目的:探讨心理干预对重度子痫前期患者心理状态及生活质量的影响。方法:选择2017年2月至2019年2月经本院确诊的重度子痫前期患者共118例,采用随机对照法将患者分为传统组和教育组各59例。传统组患者采用常规护理干预,教育组患者在常规护理基础上给予心理教育和放松训练等心理干预。观察并对比两组患者妊娠压力、症状自评量表评分和妊娠结局(剖宫产、子痫和新生儿窒息率)。结果:经心理干预后,教育组患者的妊娠压力评分明显低于传统组(P<0.05);在抑郁、人际关系及焦虑等症状自评方面教育组患者评分也明显低于传统组(P<0.05);教育组患者的剖宫产、子痫和新生儿窒息率均明显低于传统组(P<0.05)。结论:对重度子痫前期患者进行心理教育等心理干预能有效减轻患者妊娠压力,缓解患者焦虑并改善妊娠结局。

Objective:To explore the effect of psychological intervention on psychological state and quality of life in patients with severe preeclampsia.Methods:A total of 118 patients with severe preeclampsia diagnosed in our hospital from February 2017 to February 2019 were selected,and the patients were divided into traditional group and education group with 59 cases in each group by random control method.Patients in the traditional group were treated with routine nursing intervention,while patients in the education group were given psychological intervention including psychoeducation and relaxation training on the basis of usual care.The pregnancy-related stress,symptom checklist 90-revised score and pregnancy outcome(cesarean section rate,eclampsia rate and neonatal asphyxia rate)were observed and compared between two groups.Results:After psychological intervention,the pregnancy stress score of the education group was significantly lower than that of the traditional group(P<0.05);the scores of the education group were also significantly lower than those of the traditional group in terms of self-assessment of symptoms such as depression,interpersonal relationships and anxiety(P<0.05);the rates of cesarean section,eclampsia and neonatal asphyxia in the education group were significantly lower than those in the traditional group(P<0.05).Conclusion:Psychological interventions such as psychoeducation for patients with severe preeclampsia can effectively reduce pregnancy stress,relieve anxiety and improve pregnancy outcomes.