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胎儿畸形孕妇围引产期心理健康远程管理APP的构建与应用

Construction and application of a remote management APP for mental health of pregnant women with fetal abnormalities during pregnancy termination
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摘要 目的 :构建胎儿畸形孕妇围引产期心理健康远程管理APP,并进行可用性及应用效果评价,以期为孕妇提供延续性心理社会支持,缓解其负面情绪。方法 :以胎儿畸形引产孕妇的心理社会干预方案为指导,将干预方案中的心理、社会、信息支持内容进行线上APP转化。采用焦点小组访谈法和系统可用性量表分别进行形成性可用性评价和总结性可用性评价,并分析使用该APP的干预组和采用常规护理的对照组患者抑郁及社会支持水平。结果 :该APP以分期测评、心理支持、同伴支持、信息支持模块为核心,总结性可用性评价为好,干预组患者使用APP后抑郁及社会支持水平优于对照组,差异有统计学意义(P<0.05)。结论 :该APP以用户为中心,实现了延续护理智能化,有效改善了胎儿畸形孕妇围引产期的抑郁状态,提升了孕妇的社会支持水平,促进了孕妇的心理健康管理。 Objective:Design a remote management APP for mental health of pregnant women with fetal abnormalities during pregnancy termination,and evaluate its usability and application effect,in order to provide continuous psychological and social support and alleviate their negative emotions.Methods:Based on psychosocial intervention program for women undergoing termination of pregnancy for fetal abnormalities,the psychological,social,and information support in the intervention program was transformed into an APP.Formative and summative usability evaluations were conducted by using focus group discussion and System Usability Scale.Measure the levels of depression and social support of the intervention group and control group.Results:The main parts of the APP include stage assessment,psychological support,peer support,and information support.The summative usability evaluation is good,and the levels of depression and social support in the intervention group after using the APP were significantly improved than the control group(P<0.05).Conclusion:The APP is user centered,and realizes intelligent continuous care,which helps to effectively reduce pregnant women's depression,improve social support level,and promote the mental health management of pregnant women with fetal abnormalities during pregnancy termination.
作者 王瑶菡 王颖 曾利红 谢佳颖 李星星 秦春香 WANG Yaohan;WANG Ying;ZENG Lihong;XIE Jiaying;LI Xingxing;QIN Chunxiang(Xiangya Nursing School of Central South University,Changsha,410013,China)
出处 《中国护理管理》 CSCD 北大核心 2024年第1期68-73,共6页 Chinese Nursing Management
基金 国家自然科学基金面上项目(72074225) 湖南省哲学社科基金(22YBA004) 湖南省重点研发计划项目(2021SK2024) 中南大学研究生自主探索创新项目(2023ZZTS0893)。
关键词 胎儿畸形 引产 孕妇 心理健康管理 应用程序 远程医疗 fetal abnormality induced labour pregnant women psychological health management application telemedicine
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