摘要
[目的]探讨焦虑、抑郁对孕早期先兆流产病人的影响及心理咨询干预研究对先兆流产保胎病人结局的影响。[方法]采用焦虑自评量表(SAS)和抑郁自评量表(SDS)在病人入院时进行测试,将100例有明显焦虑、抑郁症状孕早期先兆流产保胎病人分为对照组和研究组各50例。对照组采用传统健康宣教法;研究组采用心理咨询法,出院时运用SAS、SDS量表再次测定,并分析焦虑与抑郁相关程度。妊娠12周时B超观察胎儿情况,胎儿正常、无流产为保胎成功。[结果]出院时两组焦虑、抑郁总分均降低,但研究组焦虑、抑郁程度较对照组轻(P<0.01),且研究组保胎成功率高于对照组(P<0.05)。[结论]采用心理咨询可消除或减轻孕早期先兆流产保胎病人焦虑、抑郁情绪,提高保胎成功率。
Objective：To probe into the influence of anxiety and depression emotions on threatened abortion patients in the first trimester of pregnancy and the influence of psychological counselling intervention on the outcome of threatened abortion cases accepting tocolyis.Methods：A total of 100 threatened abortion patients in the first trimester of pregnancy with significant anxiety and depression symptoms were divided into control group and test group,50 cases each.All cases were evaluated by adopting SDS and SAS on their admission.Patients in test group were given conventional health education.And patients in test group were given psychological counseling.Then they were re-evaluated by adopting SDS and SAS on their discharge from hospital.And the correlation between anxity and depression was analyzed.At the 12th weeks of the pregnancy,B ultrasound found that fetus normal and no abortion occurred which mean successful tocolyis.Results：On discharge from hospital,the total anxiety and depression scores of both groups were decreased.However,test group cases were more significant than that of control group（P0.01）.And the success ratio in test group cases of tocolyis was higher than that of control group cases（P0.05）.Conclusion：Psychological counseling can eliminate or reduce the poor emotions of depression and anxiety of threatened abortion patients in the first trimester of pregnancy and enhance the success ratio of tocolysis for patients.
出处
《护理研究（中旬版）》
2011年第1期108-110,共3页
Chinese Nursing Researsh
基金
广西卫生厅科研课题
编号:Z2007062
关键词
孕早期
先兆流产
焦虑
抑郁
心理咨询
first trimester of pregnancy
threatened abortion
anxiety
depression
psychological counseling
