摘要
目的 探讨出院后延续性护理模式在住院诊治的不孕症患者中的应用效果.方法选取108例不孕症患者按照随机数字表法随机分为试验组和对照组,每组54例.对照组给予常规护理干预,试验组在常规护理和治疗的基础上实施延续性护理干预,干预6个月后评价2组患者的焦虑、抑郁、生命质量及妊娠情况.结果试验组患者焦虑、抑郁程度在干预前分别为（48.32±11.28）、（50.62±11.20）分,干预后分别为（34.63±8.95）、（37.68±9.72）分,试验组干预前后比较差异有统计学意义（t=-5.478、-4.840,均P〈0.01或0.05）;对照组干预前焦虑、抑郁分别为（49.76±13.08）、（48.64±12.23）分,干预后分别为（41.18±12.84）、（40.31±10.12）分,对照组干预前后比较差异有统计学意义（t=-7.361、-5.473,均P〈0.01）,2组干预后焦虑、抑郁程度比较差异均有统计学意义（t=6.682、7.341,均P〈0.05或0.01）.实施延续护理干预后,试验组患者生命质量各维度生理领域、心理领域、社会关系领域、环境领域、总的生命质量、总的健康状况得分分别为（16.31±2.32）、（17.61±2.14）、（16.59±2.56）、（15.32±2.12）、（4.23±0.56）、（4.42±0.77）分,对照组分别为（13.32±2.04）、（12.10±2.22）、（13.88±2.23）、（11.64±2.67）、（3.21±0.47）、（3.13±0.39）分,2组比较差异均有统计学意义（P〈0.05）.干预后6个月内,试验组宫内妊娠率为44.4%（24/54）,对照组为22.2%（12/54）,2组比较差异有统计学意义（χ2=46.790,P〈0.05）.结论延续性护理干预可有效改善不孕症患者的焦虑、抑郁症状,提高患者的生命质量及妊娠率.
Objective To evaluate the application effect of continuity care model for hospitalized infertile patients after discharging from hospital. Methods Select 108 cases of infertility patients were randomly divided into trial group and control group, each group of 54 cases, control group given routine nursing intervention, intervention group in conventional nursing care and treatment on the basis of implementing continuity nursing intervention, intervention 6 months after the evaluation of two groups of patients with anxiety, depression, quality of life, and pregnancies. Results The scores of SAS and SDS were （48.32 ± 11.28）, （50.62 ± 11.20） points before in the intervention group, and after the intervention （34.63 ± 8.95）, （37.68 ± 9.72） points, and there were significant difference（t=-5.478, P〈0.05;t=-4.840, P〈0.05）;before in the intervention , the scores of SAS and SDS were （49.76±13.08）, （48.64±12.23） points in the control group, and after the intervention （41.18 ± 12.84）, （40.31 ± 10.12） points, and there were significant difference （t=-7.361, P〈0.05;t=-4.840, P〈0.05）, and there were significant differences in two group after intervention （t=6.682, P〈0.05;t=7.341, P〈0.05）. The scores of quality of life were significant differences after intervention in two group, and six months after the intervention, the experimental group intrauterine pregnancy rate is higher than the control group （χ2=46.790, P 〈 0.05）. Conclusions Applying continuity care model e for hospitalized infertile patients can improve the psychological state, reduce depression and anxiety, increase the quality of life and rate of pregnancy.
出处
《中国实用护理杂志》
2017年第17期1317-1321,共5页
Chinese Journal of Practical Nursing
关键词
焦虑
抑郁
生活质量
延续护理
不孕症
Anxiety
Depression
Quality of life
Continuing care
Infertility
