摘要
目的探讨心理护理干预在改善孕产妇妊娠结局中的应用效果。方法选取2017年3月～2018年3月我院收治的200例孕产妇作为研究对象,按照随机数字表法分为对照组(n=100)与观察组(n=100)。对照组孕产妇接受产科常规护理干预,观察组孕产妇在常规护理干预的基础上加用心理护理干预。比较两组孕产妇护理干预前后的焦虑、忧郁改善情况以及护理满意度,并追踪两组的妊娠结局情况。结果两组孕产妇护理干预后的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均明显低于干预前,差异有统计学意义(P<0.05);观察组孕产妇护理干预后的SAS、SDS评分均明显低于对照组,差异有统计学意义(P<0.05);观察组的剖宫产率、新生儿窒息发生率、产后抑郁发生率以及产后出血发生率均明显低于对照组,差异有统计学意义(P<0.05);观察组的自然分娩率明显高于对照组,差异有统计学意义(P<0.05);观察组的护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论产科开展心理护理,可有效缓解孕产妇的焦虑、忧郁心理,有利于降低剖宫产率,减少新生儿窒息、产后出血、产后抑郁等不良妊娠结局的发生,提高产妇满意度,效果显著,可在临床大力推广和进一步应用。
Objective To explore the application effect of psychological nursing intervention in improving the pregnancy outcome in pregnancy women and puerpera. Methods A total of 200 pregnant women and puerpera who were admitted to our hospital from March 2017 to March 2018 were selected as the subjects, and divided into control group (n=100) and observation group (n=100) according to the random number table method. The pregnant women and puerpera in the control group was given routine obstetric nursing intervention. The pregnant women and puerpera in the observation group were given psychological nursing intervention based on routine nursing intervention. The anxiety and depression improvement and nursing satisfaction before and after maternal nursing intervention were compared between the two groups, and the pregnancy outcomes of the two groups were followed. Results The self-rating anxiety scale (SAS) and self-rating depressive scale (SDS) scores in the two groups of pregnant women and puerpera after nursing intervention were significantly lower than those before the intervention, and the differences were statistically significant (P<0.05). The SAS and SDS scores in the observation group after nursing intervention were significantly lower than those in the control group, and the differences were statistically significant (P<0.05). The cesarean section rate, the incidence rate of neonatal asphyxia, the incidence rate of postpartum depression and the incidence rate of postpartum hemorrhage in the observation group were significantly lower than those in the control group, and the differences were statistically significant (P<0.05). The natural childbirth rate in the observation group was significantly higher than that in the control group, and the difference was statistically significant (P<0.05). The total nursing satisfaction in the observation group was significantly higher than that in the control group, and the difference was statistically significant (P<0.05). Conclusion Psychological nursing care in the department of obstetrics can effectively alleviate maternal anxiety and depression, which is conducive to reducing the rate of cesarean section, reducing the occurrence of adverse pregnancy outcomes such as neonatal asphyxia, postpartum hemorrhage and postpartum depression, and improving puerpera′s satisfaction. The effect is significant, and it can be widely promoted and further applied in clinical practice.
作者
张萍
罗佳
夏宇杰
ZHANG Ping;LUO Jia;XIA Yu-jie(Department of Nursing, Women and Children′s Hospital of Jiujiang City in Jiangxi Province, Jiujiang 332000, China)
出处
《中国当代医药》
2019年第4期214-216,共3页
China Modern Medicine
基金
江西省九江市科技计划项目(201402009)
关键词
产科
心理护理
孕产妇
妊娠结局
护理效果
Obstetrics
Psychological nursing
Pregnant women and puerpera
Pregnancy outcomes
Nursing effects
