摘要
目的探讨互动式健康教育联合心理支持对稽留流产(MA)患者负性情绪及再次受孕情况的影响。方法选取广东省湛江市第一中医医院妇科2019年1月至2020年7月收治的MA患者84例,按随机数字表法将入组患者分为干预组(n=42)和对照组(n=42)。对照组行常规健康教育,在此基础上,干预组行互动式健康教育联合心理支持干预。比较两组负性情绪、生活质量、再次受孕情况。结果出院时两组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均低于入院时,且干预组评分低于对照组,差异有统计学意义(P<0.05);出院时两组健康调查简表(SF-36)评分均高于入院时,且干预组评分高于对照组,差异有统计学意义(P<0.05);干预组再次MA比例较对照组低,再次受孕胚胎正常比例较对照组高,差异有统计学意义(P<0.05)。结论互动式健康教育联合心理支持可改善MA患者负性情绪,提高生活质量,降低再次MA比例,提高再次受孕胚胎正常比例。
Objective To explore the effects of interactive health education combined with psychological support on negative emotions and repregnancy of patients with delayed abortion(MA).Methods A total of 84 MA patients admitted to the Department of Gynecology of the First Hospital of Traditional Chinese Medicine in Zhanjiang,Guangdong Province from January 2019 to July 2020 were selected and divided into the intervention group(n=42)and the control group(n=42)according to the random number table method.The control group received routine health education,and on this basis,the intervention group received interactive health education and psychological support intervention.The negative emotions,quality of life,and reconception were compared between the two groups.Results At discharge,the scores of self-rating anxiety Scale(SAS)and selfrating depression Scale(SDS)in the two groups were lower than those in the admission,and the scores in the intervention group were lower than those in the control group,the differences were statistically significant(P<0.05).At discharge,the SF-36 score of the two groups was higher than that of the admission,and the score of the intervention group was higher than that of the control group,with statistical significance(P<0.05).The proportion of MA in the intervention group was lower than that in the control group,and the proportion of normal embryos in the intervention group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Interactive health education combined with psychological support can improve the negative emotion,improve the quality of life,reduce the rate of re-conception of MA patients,and increase the normal rate of re-conception embryos.
作者
张玉到
王燕兰
莫小余
吴凤
陈小娜
ZHANG Yudao;WANG Yanlan;MO Xiaoyu;WU Feng;CHEN Xiaona(Department of Gynecology,the First Hospital of Traditional Chinese Medicine of Zhanjiang,Guangdong,Zhanjiang 524043,China)
出处
《中国医药科学》
2022年第7期135-138,共4页
China Medicine And Pharmacy
关键词
稽留流产
互动式健康教育
心理支持
负性情绪
受孕
Retained abortion
Interactive health education
Psychological support
Negative emotions
Conception