特需病房陪伴式情感护理对产妇焦虑、抑郁及护理不良事件的影响  

Effect of Accompanied Emotional Nursing in Special Ward on Anxiety,Depression and Adverse Events of Nursing Care

作　　者：宫睿[1] GONG Rui(Jiamusi Maternal and Child Health Hospital,Jiamusi 154000,China)

机构地区：[1]黑龙江省佳木斯市妇幼保健院,黑龙江佳木斯154000

出　　处：《中国医学创新》2019年第9期98-101,共4页Medical Innovation of China

摘　　要：目的:探讨特需病房产妇采用陪伴式情感护理方法对产妇的焦虑、抑郁及护理不良事件的改善作用。方法:选取2016年3月-2017年2月本院产科特需病房的86例产妇作为主要研究对象,采用随机数字表法将产妇分为护理组及对照组,各43例。对照组采用常规产科护理,护理组在常规护理基础上采用陪伴式情感护理,比较两组产妇护理前和产后42 d焦虑评分、抑郁量表评分、护理不良事件发生率及产妇产前和产后7 d疲乏程度。结果:两组产妇护理前状态焦虑量表(state anxiety inventory,S-AI)与爱丁堡产后抑郁量表(edinburgh postpartum depression scale,EPDS)评分,差异均无统计学意义(P>0.05);护理组产后42 d S-AI、EPDS评分均明显低于对照组,差异均有统计学意义(P<0.05);护理组护理不良事件发生率显著低于对照组,差异有统计学意义(P<0.05);护理组产后7 d脑力疲乏评分和总分均低于护理前,差异均有统计学意义(P<0.05);护理组产后7 d的躯体疲乏评分、脑力疲乏评分及总分均显著低于对照组,差异均有统计学意义(P<0.05)。结论:特需病房陪伴式情感护理较常规产科护理,具有进一步降低产妇产后抑郁程度、减少护理不良事件、改善产妇产后疲乏程度的效果,具有一定的临床借鉴意义。Objective:To explore the effect of accompanied emotional nursing on anxiety,depression and nursing adverse events of parturient in special ward.Method:86 parturients in the special maternity ward of our hospital from March 2016 to February 2017 were selected as the main research objects.The pregnant women were divided into nursing group and control group by random digital table,43 cases in each group.The control group was given routine obstetric care,the nursing group was given accompanied emotional nursing on the basis of routine nursing.The scores of pre-nursing anxiety,post-nursing depression scale,the incidence of nursing adverse events and the degree of postpartum fatigue were compared between the two groups.Result:There were no significant difference in S-AI and EPDS score before nursing between the two groups(P>0.05).The scores of S-AI and EPDS in the postpartum 42 d in the nursing group were significantly lower than those in the control group(P<0.05).The incidence of nursing adverse events in the nursing group was significantly lower than that in the control group(P<0.05).The mental fatigue and total score on the 7 d postpartum in the nursing group were lower than those of before nursing(P<0.05).The scores of somatic fatigue,mental fatigue and total score in the nursing group were significantly lower than those in the control group on the 7 d postpartum(P<0.05).Conclusion:Compared with conventional obstetrical nursing,accompanied emotional nursing in special wards can further reduce the degree of postpartum depression,reduce adverse events and improve the degree of postpartum fatigue,which has a certain clinical reference significance.

关 键 词：特需病房 陪伴式情感护理 产妇 焦虑 抑郁 护理不良事件 

分 类 号：R473.71[医药卫生—护理学]