创新护理医务社工联动干预模式对不良妊娠结局妇女心理的影响

Influence of innovative nursing-medical social worker joint intervention mode on the psychology of women with adverse pregnancy outcomes

目的了解创新护理医务社工联动对不良妊娠结局妇女心理的影响。方法选取不良妊娠结局孕产妇44例,随机分为对照组和实验组。对照组予常规护理,实验组予创新护理医务社工联动干预。患者分别在入院后3 d内及产后42 d进行访谈、问卷调查及心理干预。结果干预后,实验组患者围产期悲伤情绪明显优于对照组(P<0.05),PHQ-9评分低于干预前(P<0.05);对照组干预前后PHQ-9评分差异无统计学意义(P>0.05)。两组患者家庭关怀指数测量表评分干预前后比较差异均有统计学意义(P<0.05),但两组干预后比较差异无统计学意义(P>0.05)。结论创新护理医务社工联动模式能有效缓解不良妊娠结局妇女的焦虑,降低负性心理影响。

Objective To investigate the influence of innovative nursing-medical social worker joint intervention mode on the psychology of women with adverse pregnancy outcomes.Methods A total of 44 pregnant women with adverse pregnancy outcome were randomly divided into the Control Group(18 cases)and Experimental Group(26 cases).The Control Group was given routine nursing while the Experimental Group was given innovative nursing-medical social worker joint intervention.The patients received interview,questionnaire survey and psychological intervention within 3 d after admission and 42 d after delivery,respectively.Results After intervention,the perinatal sadness in the Experimental Group was significantly improved than that in the Control Group(P<0.05),and the PHQ-9 score in the Experimental Group was lower than that before intervention(P<0.05).There was no significant difference in PHQ-9 score before and after intervention in the Control Group(P>0.05).There were statistical significances in the APGAR scores before and after the intervention in both groups(P<0.05),but there was no statistical difference between the two groups after intervention(P>0.05).Conclusion The innovative nursing-medical social worker joint intervention mode can effectively alleviate the anxiety of women with adverse pregnancy outcomes and reduce their negative psychological effects.