硫酸镁静脉滴注配合支持性心理治疗对重度妊娠高血压综合征患者的影响  

Effect of magnesium sulfate intravenous drip combined with supportive psychotherapy on patients with severe pregnancy-induced hypertension syndrome

作　　者：杜英妮 刘星 朱新娜 DU Yinni;LIU Xing;ZHU Xinna(Department of Obstetrics and Gynecology,Juxian Hospital of Traditional Chinese Medicine,Rizhao City,Rizhao 276500,China)

机构地区：[1]日照市莒县中医医院妇产科,山东日照276500

出　　处：《心理月刊》2022年第10期159-161,共3页

摘　　要：目的探讨硫酸镁静脉滴注配合支持性心理治疗对重度妊娠高血压综合征患者的影响。方法2020年6月~2021年6月,选取本院80例重度妊娠高血压综合征患者为研究对象,采用随机数字表法将其分为对照组及观察组,每组40例。对照组采用硫酸镁静脉滴注方案,在对照组基础上,观察组采用支持性心理治疗方案,对比两组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、依从性评分、血压水平、纯母乳喂养率、不良妊娠结局率、健康调查简表(SF-36)评分。正态计量资料采用t检验,计数资料采用x^(2)检验。结果治疗前,两组SAS评分、SDS评分差异不显著(P>0.05);治疗后,观察组SAS评分、SDS评分显著低于对照组(P<0.05)。治疗前,两组依从性评分差异不显著(P>0.05);治疗后,观察组依从性评分显著高于对照组(P<0.05)。治疗前,两组血压水平差异不显著(P>0.05);治疗后,观察组血压水平显著低于对照组(P<0.05)。观察组纯母乳喂养率显著高于对照组(P<0.05)。观察组不良妊娠结局率显著低于对照组(P<0.05)。治疗前,两组SF-36评分差异不显著(P>0.05);治疗后,观察组SF-36评分显著高于对照组(P<0.05)。结论针对临床收治的重度妊娠高血压综合征患者,在采用硫酸镁静脉滴注方案的基础上,给予支持性心理治疗,可减少患者负性情绪,提高遵医依从性,降低血压水平,改善母乳喂养状况,降低新生儿不良结局率,提高生活质量。Objective To investigate the effect of magnesium sulfate intravenous drip combined with supportive psychotherapy on patients with severe pregnancy-induced hypertension syndrome.Methods From June 2020 to June 2021,80 patients with severe pregnancy-induced hypertension in our hospital were selected as the research objects,and divided into the control group and the observation group by random number table method,with 40 cases in each group.The control group was given intravenous drip of magnesium sulfate,and on the basis of the control group,the observation group was given the supportive psychotherapy program.The self-rating anxiety scale(SAS)score,self-rating depression scale(SDS)score,compliance score,blood pressure level,exclusive breastfeeding rate,adverse pregnancy outcome rate,and short form of health survey(SF-36)score were compared between the two groups.The t test was used for normal measurement data,and the x^(2) test was used for count data.Results Before treatment,there was no significant difference in SAS and SDS scores between the two groups(P>0.05);after treatment,the SAS and SDS scores in the observation group were significantly lower than those in the control group(P<0.05).Before treatment,there was no significant difference in the compliance score between the two groups(P>0.05);after treatment,the compliance score in the observation group was significantly higher than that in the control group(P<0.05).Before treatment,there was no significant difference in blood pressure between the two groups(P>0.05);after treatment,the blood pressure in the observation group was significantly lower than that in the control group(P<0.05).The rate of exclusive breastfeeding in the observation group was significantly higher than that in the control group(P<0.05).The adverse pregnancy outcome rate in the observation group was significantly lower than that in the control group(P<0.05).Before treatment,there was no significant difference in SF-36 score between the two groups(P>0.05);after treatment,the SF-36 score in t

关 键 词：重度妊娠高血压综合征 硫酸镁 支持性心理治疗 生活质量 

分 类 号：R473.71[医药卫生—护理学]