摘要
目的:探讨舒适护理对多胎妊娠早期行经阴道选择性减胎术患者焦虑、抑郁状态的影响。方法:将128例多胎妊娠行经阴道选择性减胎术患者随机分为观察组与对照组各64例,对照组采用常规护理,观察组在此基础上采用舒适护理,包括全程心理舒适以舒缓患者紧张情绪,手术前后采用行为松弛训练、内心意象法、触觉分散法分散患者注意力。两组于入院时(干预前)及出院时(干预后)分别采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评定患者情绪状态。结果:干预后观察组SAS、SDS评分较干预前降低(P<0.05)。结论:舒适护理可有效缓解患者焦虑、抑郁程度,有助于提高患者舒适度及满意度,促进患者早日康复,提高护理质量。
Objective：To study the impact of comfort nursing care on anxiety and depression of the pregnant women with multiple pregnancies treated with elective embryo reduction by transvaginal technique.Methods：One hundred and twenty eight pregnant women divided into observation group（n=64） and control group （n=64） at random.Routine nursing care was taken in control group and in addition comfort nursing care was applied in observation group based on routine nursing care,including the whole course psychological nursing care,relanation training before and after operation,etc.SAS and SDS were used to assess the status of mood of those pregnant women in both groups before and after intervention.Results：The scores of SAS and SDS were lower after intervention than that before intervention in observation group（P〈0.05）.Conclusion：Comfort nursing care can relieve anxiety and depression of the pregnant women so as to increase the quality of nursing care as well as patients＇ satisfaction.
关键词
多胎妊娠
减胎术
舒适护理
焦虑
抑郁
Multiple pregnancies
Embryo reduction
Comfort nursing care
Anxiety
Depression
