摘要
目的:探讨分析聚焦解决模式在剖宫产初产妇心理护理中的应用效果。方法:选取剖宫产初产妇200例作为研究对象,依据随机数字表法分对照组和干预组,每组各100例。对照组产妇采用常规护理,干预组产妇在常规护理的基础上实施聚焦解决模式进行心理护理,对比两组产妇产后恢复情况、护理前后心理状态(SAS、SDS)、产后泌乳状况以及产后并发症。结果:干预组产妇下床活动时间、平均阴道出血量、肛门排气时间、平均住院时间、血液β-HCG恢复正常时间均低于对照组,差异有统计学意义(P<0.05)。实施护理干预前,两组消极情绪(SDS、SAS)差异无统计学意义(P>0.05);干预后,两组产妇不良心理状态(SDS、SAS)指标均改善,且干预组低于对照组,差异有统计学意义(P<0.05)。干预组产妇初乳时间短于对照组,且24 h内哺乳次数高于对照组,差异有统计学意义(P<0.05);干预组产妇术后妊娠期高血压疾病、产褥感染、胎膜早破等发病率2.7%(2/74)低于对照组的17.6%(13/74),差异有统计学意义(P<0.05)。结论:对于产妇剖宫产后应用聚焦解决模式,可缓解初产妇剖宫产后的焦虑、抑郁情绪,帮助患者正确面对剖宫产手术,对促进产妇产后恢复、减轻不良情绪的影响等具有重要的作用,同时促进了产后早期的泌乳,在临床应用中具有较好的推广价值。
Objective：To explore the application of Solution Focused Nursing mode in the psychological care of women at the beginning of cesarean section. Methods：200 cases of uterine maternal as research subjects. All the women were divided into control group and intervention group according to the random number table method,100 cases in each group. The maternal women in the control group used routine care,and the maternal women in the intervention group performed Solution Focused Nursing mode based on routine care.The postpartum recovery,psychological status（ SAS,SDS）,postpartum lactation status and postpartum complications were compared between the two groups. Results：The time of ambulation,average vaginal bleeding,anal exhausting time,average length of hospital stay and normal blood β-HCG return time of the intervention group were lower than those of the control group,the differences were statistically significant（ P〈0. 05）. Before nursing intervention,there was no significant difference in negative emotions（ SDS,SAS） between the two groups（ P〉0. 05）. After intervention,the two groups of maternal adverse psychological status（ SDS,SAS） indicators improved,and the intervention group was lower than the control group,the difference was statistically significant（ P〈0. 05）. Maternal colostrum in the intervention group was shorter than the control group,and the number of breast-feeding within 24 hours was higher than that in the control group,the difference was statistically significant（ P〈0. 05）. The incidence of postoperative gestational hypertension,puerperal infection and premature rupture of membranes in the intervention group was 2. 7%（ 2/74） lower than that in the control group（17. 6%）（13/74）,the differences were statistically significant（ P〈0. 05）. Conclusion：For the postpartum cesarean section with scar pregnancy,the Solution Focused Nursing mode can relieve the postpartum anxiety and depression after cesarean section,help the patient to face the cesarean s
作者
肖会能
吕德平
XIAO Hui-neng;LV De-ping(Department of Obstetrics and Gynecology,Affiliated Hospital of North Sichuan Medical College;Operation Room,Nanchong Central Hospital,Nanchong 637000,Sichuan,China)
出处
《川北医学院学报》
CAS
2018年第3期320-323,共4页
Journal of North Sichuan Medical College
基金
四川省南充市科技局应用技术研究与开发项目(15A0036)
四川省南充市社会科学研究"十三五"规划课题(NC2016B042)
关键词
聚焦解决模式
心理状态
剖宫产
产后恢复
焦虑
抑郁
Solution Focused Nursing Mode
Mental status
Cesarean section
Postpartum recovery
Anxiety
Depression
