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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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