摘要
目的探讨集束化护理策略对复发性流产(RSA)再次妊娠孕妇焦虑情绪、心理困扰的影响。方法将2021年9月至2023年4月江苏省中医院收治的86例RSA再次妊娠孕妇随机分为研究组和对照组,各43例。对照组实施常规护理干预,研究组实施集束化护理干预。采用汉密尔顿焦虑量表(HAMA)、凯勒斯心理困扰量表(K10)、感知压力量表(PSS)、生育生活质量量表(FertiQoL)分别评估孕妇干预前后焦虑情绪、心理困扰、自我感知压力、生育生活质量。结果干预4周后两组HAMA、K10评分均降低,且研究组均低于对照组(P<0.05)。干预4周后两组PSS总分及各维度评分均降低,且研究组均低于对照组(P<0.05)。干预4周后两组FertiQoL总分及各维度得分均升高,且研究组均高于对照组(P<0.05)。研究组保胎成功率高于对照组(86.05%vs.65.12%)(P<0.05)。结论集束化护理策略可缓解RSA再次妊娠孕妇的焦虑情绪和自我感知压力,减轻心理困扰,提高生育生活质量和保胎成功率。
Objective To explore the effect of cluster nursing strategy on the anxiety and psychological distress of pregnant women with recurrent spontaneous abortion(RSA).Methods A total of 86 pregnant women with RSA admitted to Jiangsu Hospital of Traditional Chinese Medicine from September 2021 to April 2023 were randomly divided into study group and control group,with 43 patients in each group.The control group was given routine nursing intervention,and the study group was given cluster nursing intervention.Hamilton anxiety scale(HAMA),Kellers psychological distress scale(K10),perceived stress scale(PSS)and fertility quality of life scale(FertiQoL)were used to evaluate the anxiety emotion,psychological distress,self-perceived stress and fertility quality of life of the two groups before and after intervention.Results After 4 weeks of intervention,the HAMA scores and K10 scores in the two groups were both decreased,and the HAMA scores and K10 scores in the study group were both lower compared with those in the control group(P<0.05).After 4 weeks of intervention,the total score of PSS and the scores of each dimension in the two groups were all decreased,and these scores in the study group were all lower compared with those in the control group(P<0.05).After 4 weeks of intervention,the total score of FertiQoL and the scores of each dimension in the two groups were all increased,and these scores in the study group were all higher compared with those in the control group(P<0.05).The success rate of fetal protection in the study group was higher compared with that in the control group(86.05%vs.65.12%)(P<0.05).Conclusions Cluster nursing strategy can alleviate the anxiety emotion and self-perceived stress of pregnancy women with RSA,reducing the psychological distress,and improving the quality of life and the success rate of fetal protection.
作者
张树云
邹奕洁
谈勇
ZHANG Shuyun;ZOU Yijie;TAN Yong(Department of Reproductive,Jiangsu Hospital of Traditional Chinese Medicine,Nanjing 210029,Jiangsu,China)
出处
《中国性科学》
2024年第8期95-99,共5页
Chinese Journal of Human Sexuality
基金
第七批全国老中医药专家学术经验继承项目。
关键词
集束化护理
复发性流产
焦虑
心理困扰
生育生活质量
Cluster nursing
Recurrent spontaneous abortion
Anxiety
Psychological distress
Fertility
Quality of life
