叙事心理护理对前置胎盘孕妇负性情绪分娩结局的影响  

Influence on the Negative Emotional Delivery Outcome of Pregnant Women with Placenta Previa by Narrative Nursing

作　　者：熊颖 江彩虹[1] XIONG Ying;JIANG Caihong(Department of Obstetrics,Jiangxi Maternal and Child Health Hospital,Nanchang 330000,China)

机构地区：[1]江西省妇幼保健院,江西南昌330000

出　　处：《中国医药指南》2022年第17期127-129,共3页Guide of China Medicine

基　　金：江西省卫生健康委科技计划(20203645)。

摘　　要：目的探讨叙事心理护理对前置胎盘孕妇负性情绪分娩结局的影响。方法选择2019年1月至2020年12月在江西省妇幼保健院分娩的124例前置胎盘产妇作为研究对象,以随机数字表法分为对照组(62例)和观察组(62例)。对照组予以常规护理,观察组在此上施以叙事心理护理,干预后评估两组的护理效果,比较两组护理前后孕妇负性情绪情况,比较两组妊娠结局及产后不良事件发生率。结果护理后,观察组HAMD、HAMA评分均低于对照组(P<0.05);观察组孕妇产前出血率、产后出血率、剖宫产率及胎盘植入率均低于对照组(P<0.05),新生儿出生Apgar评分高于对照组(P<0.05);观察组发生产后感染、产后贫血、产后大出血,新生儿窒息的总发生率低于对照组(P<0.05)。结论将叙事心理护理用于前置胎盘孕妇的护理过程中能够有效改善孕妇的负性情绪和不良妊娠结局,降低不良事件发生率。Objective To explore the influence on the narrative psychological nursing on negative emotional delivery outcome of pregnant women with placenta previa.Methods A total of 124 parturients with placenta previa who gave birth in Jiangxi Maternal and Child Health Hospital from January 2019 to December 2020 were selected as subjects,and were randomly divided into control group(n=62)and observation group(n=62).The control group was given routine nursing,while the observation group was given narrative psychological nursing.After intervention,the nursing effects of the two groups were evaluated.The negative emotions of pregnant women before and after nursing were compared,and the pregnancy outcomes and the incidence of postpartum adverse events were compared between the two groups.Results After nursing,the scores of HAMD and HAMA in the observation group were lower than those in the control group(P<0.05).In the observation group,the rates of antenatal hemorrhage,postpartum hemorrhage,cesarean section and placenta implantation were lower than those in the control group(P<0.05),while the Apgar score of newborn was higher than that in the control group(P<0.05).The total incidence of postpartum infection,postpartum anemia,postpartum hemorrhage and neonatal asphyxia in the observation group was lower than that in the control group(P<0.05).Conclusion The application of narrative psychological nursing in nursing care of pregnant women with placenta previa can effectively improve the negative emotions and adverse pregnancy outcomes of pregnant women,and reduce the incidence of adverse events.

关 键 词：前置胎盘 孕妇 叙事心理护理 负性情绪 分娩结局 

分 类 号：R714.56[医药卫生—妇产科学]