异位妊娠患者焦虑发生危险因素分析及护理对策

Analysis of risk factors of anxiety of patients with ectopic pregnancy and its nursing countermeasures

目的:分析异位妊娠患者焦虑发生危险因素,提出针对性护理对策。方法:选取2020年9月-2022年9月本院收治的异位妊娠患者200例,通过调查问卷测定焦虑自评量表(SAS)评分,获取人口学资料、既往妇科病史、孕产资料、经济情况等,采用单因素及多因素分析患者出现焦虑的危险因素,总结护理对策。结果:200例中SAS得分54.74±10.46分,未婚、无分娩史、流产≥2次、医疗费自费的患者SAS得分高于已婚、分娩≥2次、流产≥2次、医保支付患者(均P<0.05);logistic回归分析,未婚、无分娩史、流产≥2次及、自费医疗为异位妊娠患者发生焦虑的独立危险因素(P<0.05)。结论:异位妊娠患者焦虑发生率较高,且未婚、无分娩史、流产≥2次、自费医疗患者焦虑发生风险更高,应关注上述因素患者,开展针对性心理护理,改善心理状态,提高治疗效果。

Objective:To investigate the risk factors of the anxiety of patients with ectopic pregnancy,and to summa rize the targeted nursing countermeasures.Methods:200 patients with ectopic pregnancy admitted to hospital were se lected as research objects to measure their self-rating anxiety scale(SAS)score from September 2020 to September 2022.The demographic data,previous gynecological history,maternity data,and economic conditions of the patients were counted.Single factor and multi-factor analysis were used to analyze the risk factors of the anxiety of the patients,and the nursing countermeasures were summarized.Results:The SAS score of the 200 patients was 54.74±10.46 points.The SAS score of the patients with unmarried,without history of childbirth,with≥2 times of abortion,or with the paid for medical expenses by themselves was significantly higher than that of the patients with married,with≥2 times of births,with≥2 times of abortion,or the paid for medical expenses by medical insurance(all P<0.05).Logistic regression analysis showed that unmarried,no history of childbirth.≥2 miscarriages,or the paid for medical expenses by themselves of the patients with ectopic pregnancy were the independent risk factors of their anxiety(P<0.05).Conclusion:The patients with ectopic pregnancy have a high incidence of anxiety.The patients with unmarried,without history of childbirth,with abortion≥2 times,or with the paid for medical expenses by themselves have the higher risk of anxiety,so these patients should be paid more attention to and the targeted psychological nursing should be carried in these patients for improve their psychological state and their therapeutic effect.