摘要
目的 探讨影响先兆流产保胎患者负性情绪的相关因素,为临床采取相关护理措施提供科学依据。方法 选取2020年1月—2022年12月医院收治的先兆流产保胎患者100例为调查对象,收集患者临床资料,并使用焦虑自评量表(SAS)、抑郁自评量表(SDS)评估其有无存在负性情绪,以多因素Logistic回归模型分析影响先兆流产保胎患者负性情绪的相关因素。结果 100例先兆流产保胎患者中,有67例患者SAS评分≥50分或SDS评分≥53分,即有67例患者有焦虑、抑郁情绪,占比为67.00%(67/100)。单因素分析显示,年龄、文化水平、孕次、产次、居住地与先兆流产保胎患者是否存有负性情绪无关(P>0.05);家庭人均月收入、有无不良妊娠史、受孕方式、丈夫是否异地、陪护家属心理状态、宫腔积液、社会支持、医疗费用支付方式与先兆流产保胎患者是否存有负性情绪有关(P<0.05)。多因素Logistic回归分析显示,家庭人均月收入<5000元、有不良妊娠史、受孕方式为试管婴儿、丈夫异地、陪护家属有负性情绪、宫腔积液≥2 cm、社会支持较少、医疗费用支付方式为自费是导致先兆流产保胎患者存有负性情绪的重要影响因素(P<0.05)。结论 先兆流产保胎患者多存有负性情绪,家庭人均月收入、有无不良妊娠史、受孕方式、丈夫是否异地、陪护家属心理状态、宫腔积液、社会支持、医疗费用支付方式是导致其出现负性情绪的重要影响因素,因此临床护理工作中针对以上影响因素制定相应护理措施有利于孕妇健康保胎。
Objective To explore the related factors that affect the negative emotions of patients with threatened abortion and provide scientific basis for relevant clinical nursing measures.Methods To selected 100 patients with threatened abortion admitted to the hospital from January 2020 to December 2022 as the subjects of investigation,collected the clinical data of the patients,by using the self-rating anxiety scale(SAS)and self-rating depression scale(SDS)to evaluate whether they had negative emotions,and then used multivariate Logistic regression model analyzed the related factors affecting negative emotions in patients with threatened abortion.Results Among 100 patients with threatened abortion,67 patients had SAS score≥50 points or SDS score≥53 points,that is,67 patients had anxiety and depression,accounting for 67.00%(67/100).Univariate analysis showed that the age,education level,times of pregnancy,times of delivery,and place of residence had nothing to do with whether patients with threatened abortion have negative emotions(P>0.05),the per capita monthly income of the family,whether there was a history of adverse pregnancy,the method of fertilization,whether the husband lived in a different place,the psychological state of accompanying family members,uterine effusion,social support,and medical expense payment methods were related to whether patients with threatened abortion have negative emotions(P<0.05).Multivariate Logistic regression analysis showed that the per capita monthly income of the family<5000 yuan,had a history of adverse pregnancy,the method of conception was in vitro fertilization,the husband lived in a different place,the accompanying family members had negative emotions,uterine effusion≥2 cm,less social support,and the method of payment of medical expenses was self-pay were the important influencing factors that lead to negative emotions in patients with threatened abortion(P<0.05).Conclusion Most patients with threatened abortion had negative emotions,the per capita monthly income of the family,whether there was a history of adverse pregnancy,the method of fertilization,whether the husband lived in another place,the psychological state of accompanying family members,uterine effusion,social support,and medical expense payment methods were the important influencing factors that lead to negative emotions in patients with threatened abortion,so formulating corresponding nursing measures based on the above influencing factors in clinical nursing work was beneficial to pregnant women’s health and preservation of pregnancy.
作者
白茹
王欣欣
卢恒
高五芝
孔孟
BAI Ru;WANG Xinxin;LU Heng;GAO Wuzhi;KONG Meng(Henan Provincal Hospital of Traditional Chinese Medicine,Zhengzhou 450002,China)
出处
《护理实践与研究》
2024年第4期543-548,共6页
Nursing Practice and Research
基金
河南省卫生健康委员会中医药科学研究专项课题(编号:2021JDZX2117)。
关键词
先兆流产
保胎
负性情绪
影响因素
护理
社会支持
受孕方式
Threatened abortion
Tocolyis
Negative emotion
Infl uencing factors
Nursing
Social support
Method of fertilization
