实施强化心理护理对无痛人流受术者焦虑情绪及满意度的影响  

Effect of psychological nursing on the anxiety and satisfaction of patients with pain free abortion

作　　者：顾惠芳[1] 顾晓铃 蒋兰芳[2] 

机构地区：[1]无锡市妇幼保健院计划生育科,江苏无锡214001 [2]无锡市妇幼保健院临产室

出　　处：《中华全科医学》2016年第10期1696-1698,1706,共4页Chinese Journal of General Practice

基　　金：上海市卫生局科研课题(2012118)

摘　　要：目的探究强化心理护理应用于无痛人流受术者对其焦虑情绪及满意度的影响,并为这类特殊群体的优质护理积累经验。方法选取2013年2月—2015年3月无锡市妇幼保健院收治的86例无痛人流受术者,利用随机数字表法进行分组,分别设研究组和对照组,每组各43例。其中对照组开展传统护理措施,研究组则在对照组基础上实施强化心理护理,分别为术前情感疏导、个体化健康宣教、放松训练、术中情感关怀及术后心理关怀。2组受术者于术前2 h接受SAS量表测评,并记录其术中疼痛程度及护理满意度。结果研究组术前轻度焦虑14例,中度焦虑23例,重度焦虑6例,对照组轻度焦虑7例,中度焦虑21例,重度焦虑15例,研究组焦虑程度轻于对照组差异有统计学意义(P<0.05)。研究组Ⅰ级疼痛21例,Ⅱ级疼痛8例,Ⅲ级疼痛14例,对照组Ⅰ级疼痛13例,Ⅱ级疼痛9例,Ⅲ级疼痛21例,研究组疼痛程度轻于对照组,差异有统计学意义(P<0.05)。研究组在术前告知、术中关怀、需求应对、服务态度、术后关怀及健康教育方面的满意度均高于对照组,差异有统计学意义(P<0.05)。结论强化心理护理干预应用于无痛人流受术者,能有效减轻其焦虑情绪,且能提高机体满意度,取得较为满意的临床成效。Objective To explore the effect of psychological nursing on the anxiety and satisfaction of patients with pain free abortion, and to accumulate experience for this kind of special group. Methods Total 86 patients with pain free abortion in our hospital from February 2013 to March,2015 were divided into study group and control group with 43 cases in each group. The control group carried out the traditional nursing measures, while the research group underwent the strengthening psychological nursing on the basis of the traditional measures. All the patients received the SAS scale evaluation 2 hours before the operation, and the degree of pain and nursing satisfaction were evaluated. Results Before the operation,there were 14 cases of mild anxiety,23 cases of moderate anxiety and 6 cases of severe anxiety in the study group; there were 7 cases of mild anxiety,21 cases of moderate anxiety and 15 cases of severe anxiety in the study group;the mean anxiety degree in the study was light than that in the control group （P 〈 0.05 ）. In the study,21 cases were with grade 1 pain,8 eases with grade 2 and 14 eases with grade 3 ,while in the control group,13 eases with grade 1,9 eases with grade 2 and 21 eases with grade 3. The degree of pain in the study group were less than those of the control group, the differenee was statistically signifieant （ P 〈 0.05 ）. The difference in the satisfaction with the preoperative, intraoperative and postoperative care, service attitude, postoperative care and health education was significant between the two groups （ P 〈 0.05 ）. Conclusion The strengthening psychological nursing intervention in patients with pain free abortion can effectively reduce the anxiety, improve the body satisfaction and achieve more satisfactory clinical results.

关 键 词：强化心理护理 无痛人流 焦虑 并发症 

分 类 号：R169.42[医药卫生—公共卫生与预防医学] R471