基于阅读疗法的心理重建结合知信行健康教育对产前胎心监护异常孕妇恐惧情绪及自我效能感的影响  

Effects of psychological reconstruction based on reading therapy combined with knowledge-attitude-practice health education on fear and self-efficacy of pregnant women with abnormal prenatal fetal heart rate monitoring

作　　者：秦选维 梁蕾 李春英 QIN Xuanwei;LIANG Lei;LI Chunying(Fetal Heart Rate Monitoring Room,Northwest Women's and Children's Hospital,Xi'an 710061;Obstetrics Department,the First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061;Gynecology and Obstetrics Department,Shangzhou District Maternal and Child Health Care Hospital,Shangluo 726000,China)

机构地区：[1]西北妇女儿童医院胎心监护室,陕西西安710061 [2]西安交通大学第一附属医院产科,陕西西安710061 [3]商洛市商州区妇幼保健院妇产科,陕西商洛726000

出　　处：《临床医学研究与实践》2024年第33期195-198,共4页Clinical Research and Practice

摘　　要：目的探讨基于阅读疗法的心理重建结合知信行健康教育对产前胎心监护异常孕妇恐惧情绪及自我效能感的影响。方法选取2021年6月至2022年8月于医院进行产前胎心监护并显示异常的120例孕妇为研究对象,以随机数字表法将其分为对照组和观察组,各60例。对照组接受常规护理干预,观察组在对照组基础上实施基于阅读疗法的心理重建结合知信行健康教育。比较两组的干预效果。结果干预后,观察组的分娩恐惧量表(CAQ)各维度评分低于对照组(P<0.05)。干预后,观察组的一般自我效能感量表(GSES)、心理弹性评分高于对照组(P<0.05)。观察组的配合度明显高于对照组,差异具有统计学意义(P<0.05)。观察组的剖宫产率、不良妊娠结局总发生率低于对照组,差异具有统计学意义(P<0.05)。结论基于阅读疗法的心理重建结合知信行健康教育可缓解产前胎心监护异常孕妇的恐惧情绪,提高自我效能感与心理弹性,使其积极配合医护人员,减少剖宫产与不良妊娠事件发生,值得推广。Objective To explore the effects of psychological reconstruction based on reading therapy combined with knowledge-attitude-practice health education on fear and self-efficacy of pregnant women with abnormal prenatal fetal heart rate monitoring.Methods A total of 120 pregnant women who underwent prenatal fetal heart rate monitoring and showed abnormalities in the hospital from June 2021 to August 2022 were selected as the research objects.The pregnant women were divided into control group and observation group by random number table method,with 60 cases in each group.The control group received routine nursing intervention,and the observation group implemented psychological reconstruction based on reading therapy combined with knowledge-attitude-practice health education on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the scores of each dimension of Childbirth Attitudes Questionnaires(CAQ)in the observation group were lower than those in the control group(P<0.05).After intervention,the General Self-Efficacy Scale(GSES)and psychological resilience scores of the observation group were higher than those of the control group(P<0.05).The cooperation degree of the observation group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).The cesarean section rate and the total incidence of adverse pregnancy outcomes in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Psychological reconstruction based on reading therapy combined with knowledge-attitude-practice health education can relieve the fear of pregnant women with abnormal prenatal fetal heart rate monitoring,improve self-efficacy and psychological resilience,make them actively cooperate with medical staff,and reduce cesarean section and adverse pregnancy events,which is worthy of promotion.

关 键 词：阅读疗法 心理重建 知信行健康教育 产前胎心监护异常 恐惧情绪 自我效能感 

分 类 号：R473[医药卫生—护理学]