特殊化心理护理对二次剖宫产焦虑抑郁患者心理健康水平的影响  

Effect of special psychological nursing on mental health level of second cesarean section patients with anxiety and depression

作　　者：伍玉华[1] 邹雪芹[1] 张安平[1] WU Yu-hua;ZOU Xue-qin;ZHANG An-ping(Operating Room,Sichuan Maternal and Child Health Hospital,Chengdu 610045,China)

机构地区：[1]四川省妇幼保健院手术室

出　　处：《中国当代医药》2019年第20期195-198,共4页China Modern Medicine

摘　　要：目的探讨特殊化心理护理对二次剖宫产焦虑抑郁患者心理健康水平的影响。方法选取2017年1月~2018年6月在我院行二次剖宫产的300例焦虑抑郁患者,采用随机数字表法分为常规护理组(C组)和特殊护理组(S组),每组各150例。C组给予产科常规护理,S组在常规护理的基础上给予一整套特殊心理护理干预。采用自制焦虑、抑郁原因调查表对二次剖宫产产妇进行原因调查;采用汉密尔顿抑郁量表(HAMD)评价产妇护理前(入院时)及护理后(出院时)的焦虑和郁量程度;采用世界卫生组织生活质量评定量表(WHOQOL-100)评价产妇护理前、后的生活质量;采用护理满意度调查表评估两组护理满意度。结果护理后,两组的HAMD评分低于护理前,差异有统计学意义(P<0.05),S组护理后HAMD评分低于C组,差异有统计学意义(P<0.05)。护理后,两组的心理、生理、环境及社会关系评分高于护理前,差异有统计学意义(P<0.01),S组护理后心理、生理、环境及社会关系评分高于C组,差异有统计学意义(P<0.01)。护理后,S组护理满意度优于C组,差异有统计学意义(P<0.01)。结论心理护理干预可有效改善二次剖宫产焦虑抑郁患者的心理健康水平,提高其生活质量。Objective To explore the effect of special psychological nursing on mental health level of second cesarean section patients with anxiety and depression.Methods Totals of 300 second cesarean section patients with anxiety and depression in our hospital from January 2017 to June 2018 were selected and divided into the routine nursing group (group C) and the special nursing group (group S) according to random number table method,150 cases in each group.Group C was given routine obstetric nursing,while group S was given a set of special psychological nursing intervention on the basis of routine nursing.The causes of anxiety and depression of parturients were investigated by self-made questionnaire;the anxiety and depression degree of the parturients before nursing (admission) and after nursing (discharge) was evaluated by Hamilton depressive scale (HAMD) scale;the quality of life before and after nursing was evaluated by WHOQOL-100 which made by the WHO.The nursing satisfaction was evaluated by nursing satisfaction survery.Results The scores of HAMD in the two groups after nursing were lower than those before nursing,and the difference was statistically significant (P<0.05).The scores of HAMD in group S after nursing were lower than those in group C,and the difference was statistically significant (P<0.05).The scores of psychological, physiological, environmental and social relations of C and S groups after nursing were higher than those of before nursing, and the differences were statistically significant (P<0.01).The scores of psychological,physiological,environmental and social relations in group S after nursing were higher than those in group C,and the differences were statistically significant (P<0.01).After nursing,the satisfaction rate of the group S was better than that of the group C,the difference was statistically significant (P<0.01).Conclusion The psychological nursing intervention can improve mental health and quality of life of patients undergoing second cesarean section with anxiety and depression.

关 键 词：特殊心理护理 二次剖宫产术 抑郁 焦虑 

分 类 号：R473.71[医药卫生—护理学]