基于循证理念的人文关怀护理对多胎妊娠选择性减胎术孕妇焦虑抑郁情绪和妊娠结局的影响  

Effect of humanistic care nursing following evidencebased concept on anxiety-depression level and pregnancy outcome after selective multifetal pregnancy reduction

作　　者：蒋黎黎 杨洁 张路野 JIANG Lili;YANG Jie;ZHANG Luye(Department of Obstetrics,Shanghai First Maternity and Infant Hospital,Shanghai 201204,China)

机构地区：[1]上海市第一妇婴保健院产科,上海201204

出　　处：《临床与病理杂志》2023年第1期153-159,共7页Journal of Clinical and Pathological Research

摘　　要：目的:探究基于循证理念的人文关怀护理对多胎妊娠选择性减胎术孕妇焦虑、抑郁情绪和妊娠结局的影响。方法:选取2020年7月至2021年6月上海市第一妇婴保健院收治的156例多胎妊娠孕妇为研究对象,按随机数字表法随机分为对照组和观察组,每组78例。对照组予以常规护理,观察组予以基于循证理念的人文关怀护理。比较两组干预前后焦虑自评量表(Self-Rating Anxiety Scale,SAS)、抑郁自评量表(Self-Rating Depression Scale,SDS)评分及治疗依从性、妊娠结局。结果:观察组干预后SAS、SDS评分比较均明显低于对照组(均P<0.001)。观察组治疗依从性明显高于对照组(P=0.001)。观察组术后有69例分娩活婴,对照组有66例分娩活婴,组间比较差异无统计学意义(P>0.05)。观察组剖宫产率、新生儿窒息率及产妇产后出血率均明显低于对照组(均P<0.05);而两组分娩孕周、早产率、新生儿出生体重比较差异均无统计学意义(均P>0.05)。结论:基于循证理念的人文关怀护理可有效减轻多胎妊娠选择性减胎术孕妇的焦虑、抑郁情绪,提高其治疗依从性,改善母婴结局。Objective: To evaluate the function of humanistic care nursing following evidence-based concept on anxiety-depression level and pregnancy outcome after selective multifetal pregnancy reduction.Methods: A total of 156 pregnant women with multiple pregnancies admitted to Shanghai First Maternity and Infant Hospital from July 2020 to June 2021 were selected. According to the random number table method, they were equally assigned into 2 groups by the number of patients. The control group received routine nursing and the observation group received humanistic care nursing following evidence-based concept. Self-Rating Anxiety Scale(SAS) and Self-Rating Depression Scale(SDS) scores before and after intervention were analyzed. The treatment compliance and pregnancy outcomes of both groups were analyzed after intervention and childbirth.Results: After intervention, the scores of SAS and SDS in the observation group were significantly lower than those in the control group(all P<0.001). The treatment compliance of the observation group was significantly higher than that of the control group(P=0.001). There were 69 cases of live births in the observation group and 66 cases in the control group. There was no significant difference between the 2 groups(P>0.05). The cesarean section rate, neonatal asphyxia rate, and postpartum hemorrhage rate in the observation group were significantly lower than those in the control group(all P<0.05). There were no significant differences in gestational age, premature delivery rate, and neonatal birth weight between the 2 groups(all P>0.05).Conclusion: Humanistic care nursing following evidence-based concept can effectively reduce the anxiety-depression level of pregnant women undergoing selective multifetal pregnancy reduction, upgrade their treatment compliance, and improve maternal and infant outcomes.

关 键 词：循证理念 人文关怀护理 多胎妊娠 选择性减胎术 焦虑 抑郁 妊娠结局 

分 类 号：R473.71[医药卫生—护理学]