健康教育对凶险性前置胎盘患者愈后影响的分析  

Effect of health education on prognosis of patients with pernicious placenta previa

作　　者：郑彩霞[1] 主改侠[1] 董水滢 雷盼[1] 

机构地区：[1]西安交通大学第二附属医院妇产科,陕西西安710004

出　　处：《中国妇幼健康研究》2015年第6期1151-1153,共3页Chinese Journal of Woman and Child Health Research

摘　　要：目的探讨影响凶险性前置胎盘愈后的临床因素,为制定干预措施提供可靠依据。方法选择凶险性前置胎盘患者78例,其中18例患者则属于急诊住院治疗,未能得到系统性的健康教育及心理辅导,为调查一组;另有60例患者均属于提前住院治疗,接受了系统性、针对性的个体化健康教育及心理辅导,为调查二组。观察每位患者焦虑抑郁标准分、并发症发生情况、术后感染情况、手术平均出血量、手术时间、住院时间及其新生儿Apgar评分,并对各指标进行分析。结果调查二组患者术后均无感染发生;调查二组手术平均出血量、手术时间及住院时间均明显低于调查一组患者,新生儿Apgar评分则高于调查组一患者,两组比较差异均具有统计学意义(t值分别为32.7949、22.5196、5.4447、4.0589,均P<0.05)。调查二组患者出院时焦虑及抑郁标准分均明显低于调查一组患者(t值分别为2.7108、4.1772,均P<0.05)。结论对凶险性前置胎盘患者围手术期及早进行系统性、有针对性的健康教育及心理辅导,可以明显改善患者的焦虑抑郁情绪,有助于减少并发症发生,值得临床推广使用。Objective To investigate the clinical factors affecting the healing of pernicious placenta previa （PPP） and to provide reliable basis for intervention measures. Methods In the study 78 cases of PPP were recruited, including 18 cases in group one hospitalized for emergency without systematic health education and psychological guidance, and another 60 patients in group two hospitalized in advance and accepting systematic health education and psychological guidance to individuals. The standard score of anxiety and depression, incidence of complications, postoperative infection, bleeding volume, operation time, hospitalization length and neonatal Apgar score were observed and analyzed in two groups. Results No infection occurred in group two. The average bleeding volume, operation duration and hospitalization length of group two were significantly lower than those of group one, but the Apgar score of newborns was higher with statistical significance （ t value was 32. 7949, 22. 5196, 5. 4447 and 4. 0589, respectively, all P 〈 0.05）. The standard scores of anxiety and depression in group two were significantly lower than those in group one （t value was 2. 7108 and 4. 1772, respectively, both P 〈 0.05 ）. Conclusion Timely systemic health education and individualized psychological guidance at perioperative period for patients with PPP can improve the depression and anxiety emotion significantly and reduce the incidence of complications, so it is worthy of clinical use.

关 键 词：凶险性前置胎盘 围手术期 健康教育 心理辅导 

分 类 号：R714[医药卫生—妇产科学]