摘要
目的了解孕产期血栓栓塞症患者的真实心理体验。方法选取医院收治的孕产期血栓栓塞症患者100例为研究对象,所有患者在入院第一天及出院前填写症状自评量表(SCL-90),了解住院管理前后患者的心理状态。采用质性研究方法,选取10名孕产妇进行半结构式访谈,了解患血栓栓塞症后的真实心理体验。结果住院管理后,SCL-90量表中躯体化、焦虑、抑郁、偏执、人际关系敏感性维度评分均较住院管理前降低,差异有统计学的意义(P<0.01)。质性访谈结果显示,孕产期血栓栓塞症患者对疾病知识缺乏认知;患者因对疾病的过度恐惧及对胎儿/婴儿产生影响的担忧而导致心理负担增加。结论应做好孕产期血栓栓塞症风险筛查,在探讨危险因素的同时,加大科普宣传和健康宣教力度,帮助孕产妇提升自我预防及管理能力。入院后提前实施针对性干预措施,加强患者心理护理,能够减少孕产妇行为的盲目性和被动性。
Objective To understand the psychological experience of patients with thrombo⁃embolism during pregnancy and after childbirth.Methods A total of 100 patients with thrombo⁃embolism during pregnancy or after delivery were selected as the research subjects.All patients completed the Symptom Check List-90(SCL-90)on the first day of admission and before dis⁃charge.Ten patients were randomly selected for a semi-structured qualitative interview to under⁃stand their psychological experience of and reaction to thromboembolism.Results The factor scores of somatization,anxiety,depression,paranoid ideation and interpersonal sensibility de⁃creased significantly after hospitalization management compared with those before hospitalization management(P<0.01).Qualitative findings were distilled into two major themes:low disease knowledge and awareness among patients with thromboembolism during pregnancy and after childbirth;increased psychological burden as excessive fear of disease and concerns about fetus and newborns.Conclusion Efforts such as risk assessment,risk factors analysis and health education should be made to enhance the non-hospitalized self-prevention and management in women during pregnancy and after childbirth.Early implementation of targeted interventions should also be mentioned to strengthen psychological care for pregnant women,in order to reduce the blind⁃ness and passivity of behavior.
作者
胡嘉丽
黄学芳
徐晓耘
孟雅
HU Jiali;HUANG Xuefang;XU Xiaoyun;MENG Ya(Department of Interventional Radiology,Affiliated Hospital of Nantong University,Nantong,Jiangsu,226001;Infection Management Office,Affiliated Hospital of Nantong University,Nantong,Jiangsu,226001;Outpatient Injection Room,Affiliated Hospital of Nantong University,Nantong,Jiangsu,226001)
出处
《中西医结合护理》
2022年第8期41-44,共4页
Chinese Journal of Integrative Nursing
关键词
孕妇
产妇
静脉血栓栓塞症
真实心理体验
健康宣教
风险筛查
心理护理
pregnant women
puerperal
thromboembolism
psychological experience
health education
risk assessment
psychological care
作者简介
第一作者:胡嘉丽,南通大学附属医院介入放射科主管护师,研究方向:静脉血栓栓塞症及外周动脉疾病的护理。;通信作者:黄学芳,E-mail:hxf20225@163.com。
