认知行为干预结合心理干预应用在药物预防孕产妇深静脉血栓期间的效果  

Effect of Cognitive Behavioral Intervention Combined with Psychological Intervention on the Prevention of Deep Venous Thrombosis in Pregnant Women

作　　者：李瑞瑞 陆小丽 LI Ruirui;LU Xiaoli(epartment of Obstetrics and Gynecology,Zhoukou Maternal and Child Health Hospital/Zhoukou Children's Hospital,Zhoukou 466000,Henan,China)

机构地区：[1]周口市妇幼保健院/周口市儿童医院,河南周口466000

出　　处：《中国药物滥用防治杂志》2024年第12期2222-2223,共2页Chinese Journal of Drug Abuse Prevention and Treatment

基　　金：河南省教育科学“十四五”规划2021年度一般课题立项(编号:2021YB0770)。

摘　　要：目的:探讨认知行为干预结合心理干预在预防孕产妇深静脉血栓用药期间的效果。方法:选择2021年2月—2024年4月在本院完成分娩的孕产妇106例作为研究对象,根据随机信封抽签原则把孕产妇分为联合组与对照组,每组53例。所有孕产妇都给予抗凝治疗,持续应用14d。对照组在用药期间给予常规护理,联合组在对照组护理基础上给予认知行为干预结合心理干预,比较两组用药依从性、深静脉血栓发生情况及疼痛情况。结果:联合组护理14 d期间的用药依从性为100.00%,高于对照组的86.79%(P<0.05);联合组护理14 d期间的深静脉血栓发生率为1.89%,低于对照组的13.21%(P<0.05);两组护理14 d后VAS评分低于护理前,且联合组低于对照组(P<0.05)。结论:认知行为干预结合心理干预在孕产妇的应用能提高用药依从性,缓解疼痛,有效预防深静脉血栓的发生。Objective:To explore the effect of cognitive behavioral intervention combined with psychological intervention on the prevention of maternal deep venous thrombosis during medication.Methods:A total of 106 pregnant women who completed delivery in our hospital from February 2021 to April 2024 were selected as the research objects.According to the principle of random envelope drawing,the pregnant women were divided into the combined group and the control group,with 53 pregnant women in each group.Anticoagulant therapy was given to all pregnant women for 14 days.The control group was given routine nursing during the medication,and the combined group was given cognitive behavioral intervention combined with psychological intervention on the basis of the control group.The medication compliance,deep vein thrombosis and pain were compared between the two groups.Results:The medication compliance of the combined group during 14 days of nursing was 100.00%,which was higher than 86.79%of the control group(P<0.05).The incidence of deep venous thrombosis during 14 days of nursing in the combined group was 1.89%,which was lower than 13.21%in the control group(P<0.05).The VAS score of the two groups after 14 days of nursing was lower than those before nursing,and that of the combined group was lower than that of the control group(P<0.05).Conclusion:The application of cognitive behavioral intervention combined with psychological intervention can improve medication compliance of pregnant women,relieve pain and effectively prevent the occurrence of deep vein thrombosis.

关 键 词：认知行为干预 心理干预 深静脉血栓 

分 类 号：R47[医药卫生—护理学]