摘要
目的:探讨团体心理辅导结合同伴教育在改善多胎妊娠选择性减胎术孕妇负情绪中的作用。方法:选取2015年4月-2017年12月本院产前诊断中心接受选择性减胎术的多胎妊娠孕妇40例,以随机数字表法分为观察组20例和对照组20例。观察组孕妇除进行常规护理和产检外,在减胎术前1个月给予团体心理辅导结合同伴教育,对照组孕妇给予常规护理和产检。观察对比两组孕妇心理辅导前后的汉密尔顿焦虑量表(HAMA)评分,汉密尔顿抑郁量表(HAMD)评分,多伦多述情障碍量表(TAS-20)评分以及生活质量评定量表(SF-36)评分。结果:辅导后,观察组孕妇的HAMA总评分为(10.08±3.82)分,其中躯体性焦虑评分(3.82±1.08)分,精神性焦虑评分(6.26±1.18)分,观察组孕妇的HAMD评分为(12.46±4.17)分,TAS-20评分为(38.82±8.37)分;对照组的HAMA总评分(14.73±2.77)分,其中躯体性焦虑评分(6.31±1.39)分,精神性焦虑评分(8.42±1.38)分,对照组孕妇的HAMD评分为(17.53±3.44)分,TAS-20评分为(46.63±9.24)分。两组孕妇的HAMA总评分、躯体焦虑性评分、精神性焦虑评分、HAMD评分以及TAS-20评分在辅导后较辅导前均明显降低,且观察组较对照组降低更为明显,比较差异均有统计学意义(P<0.05)。观察组孕妇在辅导后的SF-36评分(69.74±8.83)分,对照组孕妇的SF-36评分(62.43±9.11)分,两组孕妇的SF-36评分在辅导后较辅导前均明显增高,且观察组较对照组增高更为明显,差异均有统计学意义(P<0.05)。结论:团体心理辅导结合同伴教育能够显著改善多胎妊娠选择性减胎术孕妇的焦虑和抑郁心理,并显著改善孕妇的抒情障碍,提高孕妇生活质量,值得推广应用。
Objective:To explore the clinical efficacy of group psychological counseling combined with peer education in improving negative emotions of pregnant women with selective fetal reduction in multiple pregnancy.Method:40 cases of pregnant women with multiple pregnancies undergoing selective reduction of fetuses from April 2015 to December 2017 were selected and randomly divided into observation group and control group,20 cases in each group.In addition to routine nursing and physical examination,the observation group was given group psychological counseling combined with peer education before 1 month of reduction,while the control group was given routine care and birth examination.The score of HAMA,HAMD,TAS-20 and SF-36 of two groups were observed.Restult:After counseling,The HAMA score of observation group were(10.08±3.82)points,including the somatic anxiety score(3.82±1.08)points and the mental anxiety score(6.26±1.18)points,the HAMD score and TAS-20 score of observation group was(12.46±4.17)points and(38.82±8.37)points.The total HAMA score of control group was(14.73±2.77)points,including the somatic anxiety score(6.31±1.39)points and the mental anxiety score(8.42±1.38)points,and the HAMD score and TAS-20 score of control group was(17.53±3.44)points and(46.63±9.24)points.The HAMA total score,including physical anxiety score and mental anxiety score,the HAMD score and TAS-20 score of two groups were significantly lower after counseling,and the observation group was more obvious than the control group(P<0.05).The SF-36 score of observation group were(69.74±8.83)points and the SF-36 score of control group were(62.43±9.11)points after the counseling,the SF-36 scores of two groups were significantly higher than those before the counseling,and the observation group of that was more obvious than the control group(P<0.05).Conclusion:Group psychological counseling combined with peer education can significantly improve the anxiety and depression of pregnant women with selective fetal reduction in multiple pregnancy,and significantly improve the senile disorder and improve the quality of life.It is worthy of clinical application.
作者
巫丽琼
陈咏莲
董兴盛
李丽群
WU Liqiong;CHEN Yonglian;DONG Xingsheng(Zhongshan Boai Hospital,Zhongshan 528400,China)
出处
《中国医学创新》
CAS
2019年第10期88-92,共5页
Medical Innovation of China
基金
中山市科技计划项目(2015B1171)
关键词
团体心理辅导
同伴教育
多胎妊娠
减胎术
焦虑
抑郁
抒情障碍
Group counseling
Peer education
Multiple pregnancy
Reduction of fetal surgery
Anxiety
Depression
