双主体三步法护理模式对减胎孕妇焦虑状态及妊娠结局的影响  

The effect of two-subject three-step nursing model on the psychologic and pregnant outcomes in women with multifetal pregnancy reduction

作　　者：黄芳[1] 赖玉娥[1] 秦雯文 吴华敏[1] 李慧 黎艳梅 韦川妹 李丽菊 Huang Fang;Lai Yu'e;Qin Wenwen;Wu Huamin;Li Hui;Li Yanmei;Wei Chuanmei;Li Liju(Nursing Department,Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region,Nanning 530000,Guangxi,China;Obstetrics Department,Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region,Nanning 530000,Guangxi,China;Out-patient Department,Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region,Nanning 530000,Guangxi,China;Pediatric Intensive Care Unit,Maternal and Child Health Hospital of Guangxi Zhuang Autonomous Region,Nanning 530000,Guangxi,China)

机构地区：[1]广西壮族自治区妇幼保健院护理部,广西南宁530000 [2]广西壮族自治区妇幼保健院产科,广西南宁530000 [3]广西壮族自治区妇幼保健院门诊,广西南宁530000 [4]广西壮族自治区妇幼保健院儿童重症医学科,广西南宁530000

出　　处：《中国医学前沿杂志（电子版）》2022年第3期48-52,共5页Chinese Journal of the Frontiers of Medical Science(Electronic Version)

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题基金资助项目(Z20190701)。

摘　　要：目的探讨双主体三步法护理模式对减胎孕妇心理及妊娠结局的影响。方法选取2019年3—12月及2020年3—12月在广西壮族自治区妇幼保健院胎儿医学科接受减胎术的孕妇69例,2019年3—12月的36例作为对照组,2020年3—12月的33例作为干预组,对照组给予常规护理,干预组在对照组常规护理基础上,实施双主体三步法护理干预。比较两组孕妇干预前后焦虑评分、产检依从性、妊娠结局、护理满意度的差异。结果干预前两组孕妇焦虑评分差异无统计学意义(P>0.05),干预后干预组焦虑评分与流产、早产、低出生体重儿发生率较对照组低,产检依从性、护理满意度得分较对照组高,差异均有统计学意义(P<0.05)。结论双主体三步法护理模式能够有效改善减胎孕妇焦虑心理状况,提高产检依从性,改善妊娠结局,提高孕妇及家属的满意度。Objective To explore the effect of two-subject three-step nursing model on the psychologic and pregnant outcomes in women with multifetal pregnancy reduction(MFPR).Method A total of 69 women who received MFPR in the Department of Fetal Medicine in our hospital from March 2019 to December 2020 were enrolled.From March 2019 to December 2019,36 cases were selected as the control group,and from March 2020 to December 2020,33 cases were selected as the intervention group.The control group was given routine nursing,while the intervention group was given two-subject three-step nursing intervention on the basis of the routine nursing.The differences of anxiety score before and after intervention,prenatal examination compliance,pregnant outcomes and nursing satisfaction were compared between the two groups.Result Before intervention,there was no significant difference in anxiety scores between the two groups(P>0.05).Compared with the control group,anxiety score,incidence of abortion,premature delivery and low birth weight infants were significant lower in the intervention group,while prenatal examination compliance and nursing satisfaction scores were significant higher in the intervention group(P<0.05).Conclusion The two-subject three-step nursing model can effectively improve the psychological status of MFPR women,improve the compliance of prenatal examination,pregnancy outcomes,and increase the satisfaction of pregnant women and their families.

关 键 词：双主体三步法护理 多胎妊娠减胎术 心理护理 依从性 妊娠结局 

分 类 号：R473.71[医药卫生—护理学]