心理干预联合集束化护理对妊娠合并宫颈功能不全孕妇的影响效果分析

Effect analysis of psychological intervention combined with cluster nursing on pregnant women with cervical dysfunction

目的研究心理干预联合集束化护理对妊娠合并宫颈功能不全孕妇妊娠结局的影响。方法选取100例妊娠合并宫颈功能不全的孕妇,将其随机分为对照组与观察组,每组50例。对照组采取集束化护理,观察组采取集束化护理联合心理干预,比较两组应用效果。结果观察组足月产率明显高于对照组(P<0.05)。两组分娩方式比较,差异无统计学意义(P>0.05),观察组产后出血率、感染率比对照组低(P<0.05)。观察组新生儿Apgar评分高于对照组,ICU转科率明显低于对照组(P<0.05),两组新生儿出生平均体重比较,差异无统计学意义(P>0.05)。两组干预后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分明显低于干预前,且观察组低于对照组(P<0.05)。结论心理干预联合集束化护理可改善妊娠合并宫颈功能不全孕妇的妊娠结局,具有临床推广价值。

Objective To study the effect of psychological intervention combined with cluster nursing on the pregnancy outcome of pregnant women with cervical dysfunction.Methods 100 pregnant women with cervical dysfunction were randomly divided into control group and observation group,with 50 cases in each group.The control group took cluster nursing,the observation group took cluster nursing combined with psychological intervention,and compared the application effect of the two groups.Results The term yield of the observation group was significantly higher than that of the control group(P<0.05).There was no significant difference in delivery mode between the two groups(P>0.05).The postpartum hemorrhage rate and infection rate in the observation group were lower than those in the control group(P<0.05).The Apgar score of newborns in the observation group was higher than that in the control group,and the ICU transfer rate was significantly lower than that in the control group(P<0.05).There was no significant difference in average birth weight between the two groups(P>0.05).The scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)after intervention were significantly lower than those before intervention,and the observation group was lower than the control group(P<0.05).Conclusion Psychological intervention combined with cluster nursing can improve the pregnancy outcome of pregnant women with cervical dysfunction,which has clinical value.