共情护理策略结合萨提亚沟通模式在高龄产妇围产期中的应用价值  

Application of empathy nursing combined with Satir model for elderly pregnant women in perinatal period

作　　者：范丽雯 赵海艳 FAN Liwen;ZHAO Haiyan(Delivery Room,the First Affiliated Hospital of Hebei North University,Hebei,Zhangjiakou 750000,China)

机构地区：[1]河北北方学院附属第一医院产房,河北省张家口市750000

出　　处：《河北医药》2024年第7期1103-1106,共4页Hebei Medical Journal

基　　金：张家口市科技局自筹经费项目(编号:2322065D)。

摘　　要：目的研究共情护理策略结合萨提亚沟通模式在高龄产妇围产期的应用及对产妇产前焦虑抑郁、产程及分娩结局的影响。方法将2022年7月至2023年7月入院分娩的98例≥35岁产妇作为研究对象,经简单化随机分为常规组和研究组,每组49例。常规组围产期给予常规护理,并加以共情护理策略干预,研究组在常规组基础上结合萨提亚沟通模式干预。比较干预前、产前焦虑自评量表(SAS)与抑郁自评量表(SDS)分数变化,产程,干预前后自我效能感[一般自我效能感量表(GSES)]变化,分娩结局以及护理满意度。结果干预后,2组SAS和SDS评分均下降(P<0.05),且研究组显著低于常规组(P<0.05);研究组第一、第二及总产程均显著低于常规组(P<0.05);干预后,2组的GSES评分均显著升高(P<0.05),且研究组高于常规组(P<0.05);干预后,2组分娩结局[围产儿情况(新生儿平均体重、新生儿5 min内Apgar评分、新生儿窒息情况与胎儿窘迫)和产妇情况(产后出血与胎盘早剥)]差异无统计学意义(P>0.05);干预后,研究组护理满意度显著高于常规组(P<0.05)。结论共情护理策略结合萨提亚沟通模式应用于高龄产妇围产期,可明显改善产妇产前焦虑抑郁情绪及自我效能,改善产程,提高护理满意度。Objective To observe the effect of empathy nursing combined with Satir model on prenatal anxiety depression,parturition process and birth outcomes of elderly pregnant women in the perinatal period.Methods Totally 98 pregnant women aged≥35 years who were admitted to hospital for delivery from July 2022 to July 2023 were divided into conventional group(n=49)and study group(n=49)by simple randomization method.All patients were managed by perinatal conventional nursing and empathy nursing intervention,and those in the study group were given Satir model.The pre-intervention and pre-delivery Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS),parturition process,pre-post intervention self-efficacy(General Self-Efficacy Scale[GSES]),birth outcomes and nursing satisfaction were compared.Results After intervention,the SAS and SDS scores in the both groups were significantly decreased(P<0.05),which decreased notably in the study group compared with the conventional group(P<0.05).The first stage of labor,second stage of labor,and total labor in the study group decreased significantly than those in the conventional group(P<0.05).After intervention,the GSES scores in the both groups were significantly increased(P<0.05),the increase in the study group was more common than the conventional group(P<0.05).The difference was not statistically significant in the birth outcomes including perinatal infants situation(average weight,5-min Apgar score,neonatal asphyxia,fetal distress)and maternal situation(postpartum hemorrhage,placental abruption)between groups(P>0.05).The nursing satisfaction in the study group was significantly increased than in the conventional group(P<0.05).Conclusion For elderly pregnant women in the perinatal period,the empathy nursing combined with Satir model can significantly improve maternal prenatal anxiety depression and self-efficacy,parturition process and nursing satisfaction.

关 键 词：共情护理策略 萨提亚沟通模式 产前焦虑 高龄产妇 

分 类 号：R248.3[医药卫生—中医临床基础]