住院孕妇高危妊娠Nesbitt评分、疾病不确定感和焦虑状态调查及相关性分析  

Relationship among Nesbitt score of high risk pregnancy, uncertainty in illness and anxiety level in pregnant patients

作　　者：彭玉娇[1] 林华[1] 易隽[1] 

机构地区：[1]四川省医学科学院·四川省人民医院妇产科,成都610072

出　　处：《中华现代护理杂志》2016年第33期4837-4840,共4页Chinese Journal of Modern Nursing

摘　　要：目的调查住院孕妇高危妊娠Nesbitt评分、疾病不确定感、焦虑状态，并分析其相关性。方法运用便利抽样法，采用高危妊娠Nesbitt评分、疾病不确定感和焦虑状态量表对158例住院孕妇进行问卷调查，并对调查结果进行分析。结果住院孕妇高危妊娠Nesbitt评分（62.69±18.21）分，疾病不确定感评分（61.11±13.71）分，总体处于中等水平；焦虑状态评分（43.96±9.86）分，总体处于中等水平；高危妊娠Nesbitt评分与疾病不确定感呈负相关（P〈0.05）；高危妊娠Nesbitt评分与焦虑状态无相关性；疾病不确定感与焦虑状态呈正相关（P〈0.05）。结论产科护士应依据住院孕妇高危妊娠Nesbitt评分情况，判断住院孕妇对疾病的认知情况；通过患者对病情的理解程度评估其所处焦虑状态水平，制定有效的健康教育方式，协助患者住院期间以最佳的心态面对治疗和妊娠结局。Objective To investigate and analyze the status and relation among Nesbitt score of high risk pregnancy, uncertainty in illness and anxiety level in pregnant patients. Methods Totally 158 pregnant patients were recruited and investigated with the general information questionnaire, Nesbitt score of high risk pregnancy, Mishel uncertainty in illness scale （MUIS） and state-trait anxiety inventory （SAI）. The results were analyzed. Results The Nesbitt score of high risk pregnancy in hospitalized pregnant women was （62. 69 ± 18.21 ） points; the score of MUIS was （ 61.11 ± 13.71 ） points, which was at a medium level ; the score of SAI was （43.96±9. 86） points, which was at a medium level. Negative correlation was found between Nesbitt score and MUIS score, and significant positive correlation was found between MUIS and SAI, while no significant positive correlation between Nesbitt score and SAI score. Conclusions According to the Nesbitt score of high risk pregnancy, nurses should judge the cognition of pregnant patients in disease, to evaluate their anxiety level; nurses should explore effective healthy education, to decrease the anxiety level of pregnant patients, so that they can have an optimal attitude to face the treatment and pregnancy outcomes.

关 键 词：高危妊娠Nesbitt评分 疾病不确定感 焦虑状态 住院孕妇 

分 类 号：R473.71[医药卫生—护理学]