中医情志护理干预在产后出血患者中的护理效果及对心理波动的影响研究

Effect of Emotional Nursing Intervention on Patients with Postpartum Hemorrhage and Its Effect on Psychological Fluctuation

目的探讨中医情志护理干预在产后出血患者中的护理效果及对心理波动的影响。方法选择2016年5月—2018年5月该院收治的产后出血患者90例,采用简单随机化方法分为对照组(n=45)和观察组(n=45)。对照组采用常规护理,观察组在对照组基础上实施中医情志护理干预。采用抑郁自评量表(SDS)和焦虑自评量表(SAS)评估患者的心理状况,比较两组患者护理干预前、后心理波动情况;采用自拟满意度调查表评估护理质量,比较两组护理满意度。结果观察组和对照组干预后SDS评分和SAS评分均低于干预前,差异有统计学意义(P<0.05),其中观察组干预后抑郁和焦虑情绪改善情况优于对照组,差异有统计学意义(P<0.05);观察组总体护理满意率为95.56%,高于对照组的82.22%,差异有统计学意义(P<0.05)。结论中医情志护理干预能够有效改善产后出血患者的心理波动,提高护理满意率,值得推广应用。

Objective To explore the nursing effect of TCM emotional nursing intervention in postpartum hemorrhage patients and its effect on psychological fluctuation. Methods 90 cases of postpartum hemorrhage admitted in our hospital in May 2016 to May 2018 were divided into the control group(n=45) and the observation group(n=45) by simple randomization. The control group received routine nursing, while the observation group received emotional nursing intervention based on traditional Chinese medicine on the basis of the control group. The psychological status of patients was evaluated by self rating Depression Scale(SDS) and self rating Anxiety Scale(SAS), and the psychological fluctuation of the two groups before and after nursing intervention was compared. The nursing quality was evaluated by self-made satisfaction questionnaire and the nursing satisfaction of the two groups was compared. Results The SDS score and SAS score of the observation group and the control group were lower than those before the intervention,the difference was statstically significant(P<0.05), and the improvement of depression and anxiety in the observation group was better than that of the control group,the difference was statstically significant(P<0.05), and the total nursing satisfaction rate of the observation group was 95.56%, higher than that of the control group 82.22%,the difference was statstically significant(P<0.05). Conclusion TCM emotional nursing intervention can effectively improve the psychological fluctuation of patients with postpartum hemorrhage and improve the satisfaction rate of nursing, which is worthy of popularization and application.