细节护理与认知干预在超声聚焦治疗子宫瘢痕妊娠中的应用效果  

Application effect of detailed nurse and cognitive intervention in the treatment of uterine scar pregnancy with focused ultrasound

作　　者：林加妹 陈建英 黄桂蓉 LIN Jia-mei;CHEN Jian-ying;HUANG Gui-rong(Department of Gynecology,Yangjiang Maternity and Child Health Hospital,Guangdong Province,Yangjiang529500,China)

机构地区：[1]广东省阳江市妇幼保健院妇科,广东阳江529500

出　　处：《中国当代医药》2021年第32期230-233,共4页China Modern Medicine

基　　金：广东省阳江市医疗卫生类科技计划项目(阳科通[2019]50号079)。

摘　　要：目的探讨细节护理与认知干预在超声聚焦治疗子宫瘢痕妊娠的应用效果。方法选择2020年1月至2021年1月广东省阳江市妇幼保健院收治的80例子宫瘢痕妊娠超声聚焦治疗患者,采用随机信封法分为对照组(n=40)与观察组(n=40)。对照组开展常规围手术期护理,观察组采用细节护理联合认知干预。比较两组护理前后的负面情绪,护理后评价治疗依从性及对护理服务满意程度。结果护理后两组的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于护理前,观察组的SAS及SDS评分低于对照组,差异均有统计学意义(P<0.05)。观察组的治疗依从性高于对照组,差异有统计学意义(P<0.05)。观察组的护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论围手术期细节护理联合认知干预可改善子宫瘢痕妊娠超声聚焦治疗患者负面情绪,提升其治疗依从性与护理满意度,值得应用与推广。Objective To discuss the application effect of detailed nurse and cognitive intervention in the treatment of uterine scar pregnancy with focused ultrasound.Methods 80 cases of uterine scar pregnancy ultrasound focused treatment patients admitted in Yangjiang Maternity and Child Health Hospital,Guangdong Province from January 2020 to January 2021 were selected and divided into the control group(n=40)and the observation group(n=40)by random envelope method.The control group carried out routine perioperative nursing,and the observation group used detailed nursing combined with cognitive intervention.Negative emotions before and after nursing were compared between the two groups,and treatment compliance and satisfaction with nursing service were evaluated after nursing.Results The self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores of the two groups after nursing were lower than those before nursing,and SAS and SDS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05);the treatment compliance of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05);the nursing total satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Perioperative detailed nursing combined with cognitive intervention can improving the negative emotion of patients with uterine scar pregnancy ultrasound focused treatment,and improving their treatment compliance and nursing satisfaction.It is worthy of application and promotion.

关 键 词：围手术期 细节护理 认知干预 瘢痕子宫 超声聚焦 负面情绪 治疗依从性 

分 类 号：R473.71[医药卫生—护理学]