聚焦解决模式心理护理干预在高龄初产妇中的应用价值

Application Value of Psychological Nursing Intervention with Focused Solution Mode in Elderly Primipara

目的:探讨聚焦解决模式心理护理干预在高龄初产妇中的应用效果。方法:回顾性分析2019年7月—2021年12月抚州市第一人民医院定期产检并生产的高龄初产妇68例的临床资料,按照护理方法的不同分为两组。对照组(34例)实施常规护理,观察组(34例)在对照组的基础上实施聚焦解决模式心理护理,均持续护理1个月。对比两组心理弹性、产程时间、母乳喂养情况、角色转换评分及护理满意度。结果:观察组护理后心理弹性量表(CD-RISC)中的精神影响、控制、接受变化、忍受消极情感及能力维度评分分别为(6.43±0.71)、(9.22±0.65)、(16.77±2.52)、(23.12±3.46)、(27.25±3.44)分,均高于对照组的(5.12±0.60)、(7.48±0.59)、(14.22±2.46)、(19.11±3.40)、(23.51±3.60)分,差异均有统计学意义(P<0.05);观察组第一产程、第二产程、第三产程时间分别为(402.17±32.16)、(35.36±5.02)、(8.25±1.24)min,均短于对照组的(445.42±36.17)、(48.47±5.11)、(12.17±1.56)min,差异均有统计学意义(P<0.05);观察组护理后母乳喂养知识及喂养技巧评分分别为(88.85±5.05)、(89.86±5.32)分,均高于对照组的(79.77±5.28)、(80.76±5.77)分,差异均有统计学意义(P<0.05);观察组护理后角色转换中的角色认同、亲子哺育照顾行为及亲子依附评分分别为(27.02±1.50)、(23.14±1.44)、(22.60±1.53)分,均高于对照组的(25.26±1.47)、(20.15±1.58)、(19.45±1.55)分,差异均有统计学意义(P<0.05);与对照组(76.47%)相比,观察组护理满意度(94.12%)较高(P<0.05)。结论:聚焦解决模式心理护理干预在高龄初产妇中具有较好的应用效果,利于改善其心理弹性,缩短产程时间,提升其母乳喂养相关知识,促进角色转换,取得较高护理满意度。

Objective:To explore the application effect of focused solution mode psychological nursing intervention in elderly primipara.Method:Retrospective analysis of the clinical data of 68 elderly primipara who underwent regular prenatal examinations and gave birth at First People's Hospital of Fuzhou from July 2019 to December 2021.They were divided into two groups according to different nursing methods.The control group(34 cases)received routine nursing,and the observation group(34 cases)received focused solution mode psychological nursing on the basis of the control group,and continued nursing for one month.The psychological resilience,labor process time,breast-feeding,role conversion score and nursing satisfaction were compared between the two groups.Result:The scores of mental influence,control,acceptance of change,tolerance of negative emotions and ability in mental resilience scale(CD-RISC)after nursing in the observation group were(6.43±0.71),(9.22±0.65),(16.77±2.52),(23.12±3.46),(27.25±3.44)scores respectively,which were higher than(5.12±0.60),(7.48±0.59),(14.22±2.46),(19.11±3.40),(23.51±3.60)scores in the control group(P<0.05).The time of the first stage of labor,the second stage of labor,and the third stage of labor in the observation group were(402.17±32.16),(35.36±5.02)and(8.25±1.24)min,respectively,which were shorter than(445.42±36.17),(48.47±5.11)and(12.17±1.56)min in the control group,the differences were statistical significance(P<0.05).The scores of breastfeeding knowledge and feeding skills in the observation group after nursing were(88.85±5.05)and(89.86±5.32)scores respectively,which were higher than(79.77±5.28)and(80.76±5.77)scores in the control group,the differences were statistical significance(P<0.05).The scores of role identity,parent-child feeding and care behavior and parent-child attachment in the observation group were(27.02±1.50),(23.14±1.44)and(22.60±1.53)scores respectively,which were higher than(25.26±1.47),(20.15±1.58)and(19.45±1.55)scores in the control group,the differences were statistical significance(P<0.05).Compared with the control group(76.47%),the nursing satisfaction of the observation group(94.12%)was higher(P<0.05).Conclusion:Focused solution mode psychological nursing intervention has a good application effect in the elderly primipara,which is conducive to improving their psychological resilience,shortening the labor process,improving their knowledge about breast feeding,promoting role transformation,and achieving higher nursing satisfaction.