摘要
目的观察共情护理联合放松训练对先兆早产孕妇抑郁等负性情绪及妊娠结局的影响。方法选取2016年6月-2018年6月平凉市第二人民医院接受保胎治疗先兆早产孕妇200例,随机分为对照组和观察组,每组各100例。对照组接受常规治疗、护理及放松训练,观察组在对照组基础上增加共情护理,两组均干预至出院。观察两组干预期间负性情绪、心理韧性变化,比较两组妊娠结局及对护理工作满意度。结果观察组干预后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分较干预前下降,且明显低于对照组(P<0.05);同时观察组干预后心理弹性量表(CD-RISC)评分较干预前上升,且明显高于对照组(P<0.05);两组新生儿窒息率比较无明显差异(P>0.05),观察组早产率、胎膜早破率、产后出血率、感染率和低出生体重儿发生率均低于对照组(P<0.05);观察组满意度评分明显高于对照组(P<0.05)。结论共情护理联合放松训练干预先兆早产临床效果良好,可有效改善患者心理及情绪,减少妊娠不良反应发生率,提高患者满意度。
OBJECTIVE To observe the effects of empathic nursing combined with relaxation training on negative emotions such as depression and pregnancy outcome in pregnant women with threatened preterm labor. METHODS 200 pregnant women with threatened preterm labor in target hospital from June 2016 to June 2018 were selected and randomly divided into control group and observation group, 100 cases in each group. The control group was given routine treatment, nursing and relaxation training, the observation group increased empathic care on the basis of the control group, and both groups were intervened to discharge. The changes of negative emotion and psychological resilience during the intervention in the two groups were observed, the pregnancy outcomes and the satisfaction of nursing work of these two groups were compared. RESULTS After the intervention, the self-rating anxiety scale(SAS) and the selfrating depression scale(SDS) scores of the observation group were lower than those before the intervention, and significantly lower than those of the control group(P<0.05), at the same time, the psychological flexibility scale(CD-RISC) score of the observation group was higher than that before the intervention, and significantly higher than that of the control group(P<0.05);there was no significant difference in neonatal asphyxia rate between these two groups(P>0.05), the early yield, premature rupture of membranes,The incidence of postpartum hemorrhage, infection rate and low birth weight infants of the observation were lower than the control group(P<0.05), the satisfaction score of the observation group was significantly higher than the control group(P<0.05). CONCLUSION The combination of empathy nursing and relaxation training had a good clinical effect on intervening hreatened premature labor,which could effectively improve the patient’s psychology and mood, reduce the incidence of adverse reactions in pregnancy, and improve patient satisfaction.
作者
康红
何玉凤
吉翠琴
KANG Hong;HE Yu-feng;JI Cui-qin(Pingliang Second People’s Hospital,Pingliang,Gansu,744000,China)
出处
《中国初级卫生保健》
2020年第1期58-61,共4页
Chinese Primary Health Care
关键词
先兆早产
共情护理
放松训练
抑郁
妊娠结局
threatened premature delivery
empathic nursing
relaxation training
depression
pregnancy outcome
