摘要
目的:聚焦解决模式(SFA)心理干预对急危重症孕产妇焦虑抑郁情绪、妊娠结局的影响。方法:非同期对照研究,选择符合急危重症标准的孕产妇为研究对象,其中2021年9月-2022年6月本院收治的51例为常规组,实施常规护理;2022年7月-2023年8月收治的53例为观察组,在常规组基础上开展SFA心理干预。比较两组情绪状态、应对方式、妊娠结局及对护理的满意度。结果:干预后,两组2项情绪状态评分及消极应对评分均低于干预前且观察组(42.2±3.9分、43.6±3.5分、12.9±3.5分)均低于常规组(47.4±4.6分、49.3±4.3分、16.6±3.8分),两组积极应对评分均高于干预前且观察组(24.8±5.5分)高于常规组(21.4±5.0分),观察组剖宫产率(28.3%)、产后出血率(7.6%)、早产率(3.8%)、新生儿窒息率(5.7%)均低于常规组(49.0%、21.6%、17.7%、19.6%),护理满意度(96.2%)高于常规组(80.4%)(均P<0.05)。结论:应用SFA心理干预,可有效调节急危重症孕产妇情绪状态,改善其应对方式,降低不良妊娠结局发生率,提升了孕产妇对护理满意度。
Objective:To investigate the impacts of the psychological intervention based on solution-focused approach(SFA)for critically ill pregnant women or puerperas.Methods:This study is a non-synchronous control study.The pregnant women or puerperas who met the criteria of critical care were selected as the study objects.51 critically ill pregnant women or puerperas admitted to the hospital from September 2021 to June 2022 were selected in the control group and were given routine nursing.53 critically ill pregnant women or puerperas admitted to the hospital from July2022 to August 2023 were selected in the study group and were given psychological intervention based on SFA combined with the routine nursing.The emotional status,the coping strategies,the pregnancy outcomes and the satisfaction of nursing of the critically ill pregnant women or puerperas were compared between two groups.Results:The scores of two items of the emotional states and the negative coping of the critically ill pregnant women or puerperas in both groups after intervention had decreased significantly,and which(42.2±3.9 points,43.6±3.5 points and 12.9±3.5points)of the critically ill pregnant women or puerperas in the study group were significantly lower than those(47.4±4.6 points,49.3±4.3 points and 16.6±3.8 points)of the critically ill pregnant women or puerperas in the control group.The positive coping score of the critically ill pregnant women or puerperas in both groups after intervention had increased significantly,and which(24.8±5.5 points)of the critically ill pregnant women or puerperas in the study group was significantly higher than that(21.4±5.0 points)of the critically ill pregnant women or puerperas in the control group.The rates of the cesarean section(28.3%),the postpartum hemorrhage(7.6%),the preterm birth(3.8%),and the neonatal asphyxia(5.7%)of the critically ill pregnant women or puerperas in the study group were all significantly lower than those(49.0%,21.6%,17.7%and 19.6%)of the critically ill pregnant women or puerperas i
作者
高文婷
吕红
GAO Wenting;LV Hong Nanjing(Hospital Affiliatedto Nanjing Medical University(Nanjing First Hospital),Nanjing,Jiangsu Province,210006)
出处
《中国计划生育学杂志》
2024年第8期1864-1868,共5页
Chinese Journal of Family Planning
关键词
急危重症孕产妇
聚焦解决模式
心理干预
负面情绪
妊娠结局
满意度
Critically ill pregnant women or puerperas
Solution-focused approach
Psychological intervention
Negative emotion
Pregnancy outcomes
Satisfaction
