多方位心理干预对非意愿妊娠无痛人工流产者心理健康和术后生殖健康认知的影响

Effects of multi-directional psychological intervention of women with unwanted pregnancy after induced abortion on their mental health and postoperative cognitive status

目的:探究多方位心理干预对非意愿妊娠无痛人工流产者心理健康及术后认知的影响。方法:依据入院顺序将2022年3月-2023年3月于本院行无痛人工流产术非意愿妊娠女性62例分为观察组与对照组各31例,均予以常规护理干预,观察组在此基础上采用多方位心理干预。比较干预前后两组生殖健康知识、汉密尔顿抑郁量表(HAMD)评分、汉密尔顿焦虑量表(HAMA)评分、心理韧性量表(CD-RISC)评分、术后并发症及护理满意度。结果:干预后观察组组生殖健康知识认知总评分(79.15±7.27分)优于对照组(66.19±6.69分),CD-RISC各维度总评分(75.17±6.42分)及护理满意度(93.6%)高于对照组(61.07±7.29分、71.0%),HAMD评分(13.52±1.63分)、HAMA评分(12.37±1.48分)及术后并发症发生率(6.5%)低于对照组(18.29±1.53分、16.55±1.54分、25.8%)(均P<0.05)。结论:对非意愿妊娠无痛人工流产者术前进行多方位心理干预,可提高生殖健康知识,减轻不良情绪,增强心理韧性,降低并发症发生率,护理满意度提高。

Objective:To explore the effects of multi-directional psychological intervention of women with unwanted pregnancy after induced abortion on their mental health and postoperative cognitive status.Methods:According to the order of admission,62women with unwanted pregnancy who underwent painless artificial abortion in the hospital from March 2022to March 2023were divided into study group and control group(31cases in each group).The women in the control group were given routine nursing intervention,and 31women in the study group were given multi-directional psychological intervention combined with routine nursing intervention.The cognitive score of reproductive health knowledge,the scores of Hamilton depression scale(HAMD),Hamilton anxiety scale(HAMA)and Connor-davidson resilience scale(CD-RISC),the postoperative complications rate and the nursing satisfaction of the women before and after intervention were compared between the two groups.Results:After intervention,the total cognitive score of reproductive health knowledge(79.15±7.27points)of the women in the study group was significantly higher than that(66.19±6.69points)of the women in the control group,the total score of different dimensions of CD-RISC(75.17±6.42points)and the nursing satisfaction(93.6%)of the women in the study group were significantly higher than those(61.07±7.29points and 71.0%)of the women in the control group.The scores of HAMD(13.52±1.63points)and HAMA(12.37±1.48points),and the incidence of postoperative complications(6.5%)of the women in the study group were significantly lower than those(18.29±1.53points,16.55±1.54points and 25.8%)of the women in the control group(all P<0.05).Conclusion:Multi-directional psychological intervention for the women with induced abortion because of unwanted pregnancy can improve their cognitive status of reproductive health knowledge,reduce their adverse emotions,enhance their psychological resilience,reduce their incidence of complications and improve their nursing satisfaction.