结构式心理干预配合拓展式孕期健康教育在胎膜早破孕妇干预中的效果  

Effect of the constructional mental intervention combined with extended pregnancy health education model for interventing pregnant women with premature rupture of membranes

作　　者：赵娇娇 赵庆霞 查淑青 ZHAO Jiaojiao;ZHAO Qingxia;CHA Shuqing(Zhejiang University of Traditional Chinese Medicine,Hangzhou,Zhejiang Province,310053;Hangzhou Obstetrics and Gynecology Hospital(Hangzhou Maternal and Child Health Care Hospital),Hangzhou,Zhejiang Province;The Second Affiliated Hospital of Guilin Medical College,Guilin,The Guangri zhuang Autonomous Region)

机构地区：[1]浙江中医药大学,杭州310053 [2]杭州市妇产科医院(杭州市妇幼保健院) [3]桂林医学院第二附属医院

出　　处：《中国计划生育学杂志》2024年第12期2837-2840,共4页Chinese Journal of Family Planning

摘　　要：目的:探究结构式心理干预配合拓展式孕期健康教育模式在胎膜早破(PROM)孕妇干预中的应用效果。方法:纳入杭州市妇产科医院(杭州市妇幼保健院)2021年1月-2023年12月收治的PROM孕妇,随机从常规干预孕妇中抽取48例纳入对照组,从实施结构式心理干预配合拓展式孕期健康教育模式干预的孕妇中抽取48例纳入观察组。观察两组干预前后负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]变化情况,比较两组分娩方式、围生期母婴不良结局、护理满意度情况。结果:干预后,两组SAS、SDS评分均较干预前降低,且观察组(37.16±7.21分、35.14±6.17分)低于对照组(45.31±8.67分、44.06±8.86分),观察组自然分娩率(43.8%)高于对照组(16.7%),剖宫产率(31.3%)低于对照组(54.2%),围生期母婴不良结局总发生率(12.5%)低于对照组(33.3%),护理满意度(97.9%)高于对照组(83.3%)(均P<0.05)。结论:对PROM孕妇采用结构式心理干预配合拓展式孕期健康教育模式干预可缓解其负性情绪,降低剖宫产率,减少围生期母婴不良结局发生,提高护理满意度。Objective:To explore the application effect of the constructional mental intervention combined with extended pregnancy health education model for interventing pregnant women with premature rupture of membranes(PROM).Methods:The pregnant women with PROM admitted to the hospital from January 2021 to Dec 2023 were included in this study.Among these pregnant women,48 women who had received the routine intervention were randomly selected in control group,and 48 cases who had received the constructional mental intervention combined with extended pregnancy health education model intervention were randomly selected in observation group.The changes of the negative emotions scores evaluated by self-rating anxiety scale(SAS)and self-rating depression scale(SDS)before and after intervention of the women in the two groups were observed.The delivery modes,the perinatal maternal-infant adverse outcomes and the nursing satisfaction of the women were compared between the two groups.Results:The SAS and SDS scores of the women in the two groups after intervention had decreased significantly,and which(37.16±7.21 points and 35.14±6.17 points)of the women in the observation group were significantly lower than those(45.31±8.67 points and 44.06±8.86 points)of the women in the control group.The natural delivery rate(43.8%)of the women in the observation group was significantly higher than that(16.7%)of the women in the control group.The cesarean section rate(31.3%)of the women in the observation group was significantly lower than that(54.2%)of the women in the control group.The total incidence of the perinatal maternal and infant adverse outcomes(12.5%)of the women in the observation group was significantly lower than that(33.3%)of the women in the control group.The nursing satisfaction(97.9%)of the women in the observation group was significantly higher than that(83.3%)of the women in the control group(all P<0.05).Conclusion:The constructional mental intervention combined with the extended pregnancy health education model interventi

关 键 词：胎膜早破 结构式心理干预 拓展式孕期健康教育 负性情绪 剖宫产 母婴不良结局 

分 类 号：R473.71[医药卫生—护理学]