奥苏伯尔问题解决模式的心理干预在凶险性前置胎盘产妇中的应用效果  

Effect of psychological intervention of Ausubel problem solving model in pregnant women with dangerous placenta previa

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作  者:肖欣 张蒙蒙 陈莉莉 葛慧仙[2] XIAO Xin;ZHANG Mengmeng;CHEN Lili;GE Huixian(Zhengzhou University Second Affiliated Hospital,Obstetrics and Gynecology Ward 3,Zhengzhou 450000,China;Zhengzhou Maternal and Child Health Hospital,Obstetrics and Gynecology)

机构地区:[1]郑州大学第二附属医院产科三病区,450000 [2]郑州市妇幼保健院

出  处:《中国健康心理学杂志》2024年第10期1487-1490,共4页China Journal of Health Psychology

基  金:2020年河南省医学科技攻关计划联合共建项目(编号:LHGJ20200749)。

摘  要:目的:探究基于奥苏伯尔问题解决模式的心理干预在凶险性前置胎盘(PPP)产妇中的应用效果。方法:随机将126例某院于2021年1月至2023年12月收治的PPP产妇分为对照组(常规产科护理)、观察组(常规产科护理+基于奥苏伯尔问题解决模式的心理干预)各63例,比较两组围术期指标、情绪状态、护理满意度和并发症发生情况。结果:观察组围术期指标均明显优于对照组(手术时长:t=19.291,P<0.001;术中出血:t=17.592,P<0.001;住院时长:t=3.764,P<0.001);观察组干预后焦虑、抑郁自评量表(SAS、SDS)得分均低于对照组(SAS:t=16.412,P<0.001;SDS:t=13.033,P<0.001);观察组护理服务满意度(NSNS)显著高于对照组(t=2.701;P<0.05);观察组并发症发生(6.35%)较对照组(20.63%)更低(t=5.508;P<0.05)。结论:基于奥苏伯尔问题解决模式的心理干预能够有效改善PPP产妇的情绪状态,促进其术后恢复。Objective:To explore the effect of psychological intervention based on Ausubel problem solving model in pregnant women with dangerous placenta previa(PPP).Methods:A total of 126 PPP parturients admitted to our hospital from January 2021 to December 2023 were randomly divided into control group(routine obstetric care)and observation group(routine obstetric care+psychological intervention based on Ausubel problem solving model)with 63 cases each The perioperative indicators,emotional status,nursing satisfaction,and incidence of complications were compared between the two groups.Results:Perioperative indexes of the observation group were significantly better than those of the control group(operation duration:t=19.291,P<0.001;Intraoperative bleeding:t=17.592,P<0.001;Length of stay:t=3.764,P<0.001);The scores of self-rating anxiety and depression scales(SAS and SDS)in the observation group were lower than those in the control group after intervention(SAS:t=16.412,P<0.001;SDS:t=13.033,P<0.001);Nursing service satisfaction(NSNS)in observation group was significantly higher than that in control group(t=2.701;P<0.05);The incidence of complications in the observation group(6.35%)was lower than that in the control group(20.63%)(t=5.508;P<0.05).Conclusion:Psychological intervention based on the Ausubel's problem-solving model can effectively improve the emotional status of PPP puerperas and promote their postoperative recovery.

关 键 词:凶险性前置胎盘 奥苏伯尔问题解决模式 心理干预 情绪状态 术后恢复 

分 类 号:R395.5[哲学宗教—心理学] B844.5[医药卫生—医学心理学]

 

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