摘要
目的探讨情志干预和渐进性放松训练对先兆流产患者不良情绪、自我效能及妊娠结局的影响。方法选择2016年7月至2019年1月新乡医学院第三附属医院收治的147例先兆流产患者为研究对象,根据护理措施将患者分为观察组(n=73)和对照组(n=74)。对照组患者实施常规护理,观察组患者在常规护理基础上给予情志干预和渐进性放松训练,均干预1个月。分别于干预前和干预后采用Zung′s焦虑自评量表(SAS)、Zung′s抑郁自评量表(SDS)、一般自我效能感量表(GSES)对2组患者进行评定,并随访观察2组患者的妊娠结局。结果干预前2组患者SAS评分、焦虑程度比较差异无统计学意义(P>0.05),2组患者干预后SAS评分、焦虑程度显著低于干预前(P<0.05);干预后,观察组患者SAS评分、焦虑程度显著低于对照组(P<0.05)。干预前2组患者SDS评分、抑郁程度比较差异无统计学意义(P>0.05),2组患者干预后SDS评分、抑郁程度显著低于干预前(P<0.05);干预后,观察组患者SDS评分、抑郁程度显著低于对照组(P<0.05)。干预前2组患者GSES评分比较差异无统计学意义(P>0.05),2组患者干预后GSES评分显著高于干预前(P<0.05);干预后,观察组患者GSES评分显著高于对照组(P<0.05)。对照组患者足月妊娠率、产后出血率、流产率、胎膜早破率、早产率分别为43.24%(32/74)、10.81%(8/74)、16.22%(12/74)、18.92%(14/74)、10.81%(8/74);观察组患者足月妊娠率、产后出血率、流产率、胎膜早破率、早产率分别为78.08%(57/73)、4.11%(3/73)、6.85%(5/73)、9.59%(7/73)、1.37%(1/73);观察组患者足月妊娠率显著高于对照组,胎膜早破、流产、早产及产后出血发生率显著低于对照组(P<0.05)。结论情致干预联合渐进性放松训练有助于缓解先兆流产患者的焦虑、抑郁等负面情绪,降低不良妊娠结局发生率。
Objective To investigate the effect of emotional intervention combined with progressive relaxation training on the negative emotion,self-efficacy and pregnancy outcome of pregnant women with threatened abortion.Methods A total of 147 patients with threatened abortion admitted to the Third Affiliated Hospital of Xinxiang Medical University from July 2016 to January 2019 were selected as the research subjects,and the patients were divided into observation group(n=73)and control group(n=74)according to the nursing measures.The patients in the control group were given routine nursing,while the patients in the observation group were given emotional intervention and progressive relaxation training on the basis of routine nursing,all the patients were intervened for 1 month.The patients in the two groups were evaluated by Zung′s self-rating anxiety scale(SAS),Zung′s self-rating depression scale(SDS)and general self-efficacy scale(GSES)before and after intervention,and the pregnancy outcomes of the patients were followed up.Results There was no significant difference in the SAS score and the degree of anxiety between the two groups before intervention(P>0.05).The SAS score and the degree of anxiety after intervention were significantly lower than those before intervention in the two groups(P<0.05).After the intervention,the SAS score and the degree of anxiety in the observation group were significantly lower than those in the control group(P<0.05).There was no significant difference in the SDS score and the degree of depression between the two groups before intervention(P>0.05).The SDS score and the degree of depression after intervention were significantly lower than those before intervention in the two groups(P<0.05).After the intervention,the SDS score and the degree of depression in the observation group were significantly lower than those in the control group(P<0.05).There was no significant difference in the GSES score between the two groups before intervention(P>0.05).The GSES score after intervention was significantly higher than that before intervention in the two groups(P<0.05).The GSES score in the observation group was significantly higher than that in the control group after intervention(P<0.05).In the control group,the incidences of full-term pregnancy,postpartum hemorrhage,abortion,premature rupture of membranes and premature delivery were 43.24%(32/74),10.81%(8/74),16.22%(12/74),18.92%(14/74)and 10.81%(8/74),respectively.In the observation group,the incidences of full-term pregnancy,postpartum hemorrhage,abortion,premature rupture of membranes and premature delivery were 78.08%(57/73),4.11%(3/73),6.85%(5/73),9.59%(7/73)and 1.37%(1/73),respectively.Compared with the control group,the incidence of full-term pregnancy was higher,and the incidences of premature rupture of membranes,abortion,premature delivery and postpartum hemorrhage were lower in the observation group(P<0.05).Conclusion Emotional intervention combined with progressive relaxation training can help relieve the anxiety and depression,and reduce the incidence of adverse pregnancy outcomes of the patients with threatened abortion.
作者
买存玉
何全中
杜敏霞
MAI Cunyu;HE Quanzhong;DU Minxia(Department of Obstetrics and Gynecology,the Third Affiliated Hospital of Xinxiang Medical University,Xinxiang 453003,Henan Province,China;Nursing College of Xinxiang Medical University,Xinxiang 453003,Henan Province,China)
出处
《新乡医学院学报》
CAS
2020年第12期1182-1185,1189,共5页
Journal of Xinxiang Medical University
基金
河南省教育厅教育科学“十三五”规划课题项目(编号:2016-JKGHB-0231)。
关键词
先兆流产
护理
情致干预
渐进性放松训练
妊娠结局
threatened abortion
nursing
emotional intervention
progressive relaxation training
pregnancy outcome
