观察家属陪伴联合萨提亚沟通模式对高龄产妇的护理效果  

Nursing effect of family companion combined with Satir communication model on elderly parturient women

作　　者：赵海艳 杨博 范丽雯 崔颖楠 王献花[1] ZHAO Haiyan;YANG Bo;FAN Liwen(Delivery Room,the First Affiliated Hospital of Hebei North University,Hebei,Zhangjiakou 075000,China)

机构地区：[1]河北北方学院附属第一医院产房,河北省张家口市075000

出　　处：《河北医药》2025年第2期346-349,共4页Hebei Medical Journal

基　　金：张家口市科技局自筹经费项目(编号:2322065D)。

摘　　要：目的研究家属陪伴联合萨提亚沟通模式对高龄产妇的护理效果。方法选取2023年1~7月河北北方学院附属第一医院收治的高龄产妇60例为研究对象,按随机数字表法分为对照组(常规护理模式)和观察组(在对照组基础上增加家属陪伴联合萨提亚沟通模式),每组30例。比较2组产妇干预前后心理状态[焦虑自评量表(SAS)与抑郁自评量表(SDS)],社会支持度[社会支持量表(SSRS)],自我效能[简化分娩自我效能量表(CBSEI-32)]和生活质量[生活质量评价量表(SF-36)]水平差异。结果干预后,2组心理状态(SAS和SDS)评分均下降(P<0.05),且观察组低于对照组(P<0.05)。干预后,2组社会支持度(客观支持、对社会支持利用度和主观支持)评分均升高(P<0.05),且观察组高于对照组(P<0.05)。干预后,2组自我效能(自我效能期望和结果期望)评分均升高(P<0.05),且观察组高于对照组(P<0.05)。干预后,2组生活质量(社会功能、生理职能、情感功能、生理功能、精神健康、疼痛、活力和总体健康)评分均升高(P<0.05),且观察组高于对照组(P<0.05)。结论家属陪伴联合萨提亚沟通模式应用于高龄产妇围产期,能够有效改善高龄产妇围产期焦虑情绪,提高产妇社会支持度,增强自我效能和生活质量水平。Objective To observe the nursing effect of family companion combined with Satir communication model on elderly parturient women.Methods A total of 60 elderly parturient women admitted to the First Affiliated Hospital of Hebei North University from January 2023 to July 2023 were selected as research subjects.They were randomly divided into control group(routine nursing model)and observation group(family companion combined with Satir communication model and routine nursing)according to the random number table method,with 30 cases per group.The psychological state assessed by the Self-rating Anxiety Scale(SAS),and Self-rating Depression Scale(SDS),social support assessed by the Social Support Rating Scale(SSRS),self-efficacy assessed by the Childbirth Self-Efficacy Inventory-32(CBSEI-32)and quality of life assessed by the 36-Item Short-Form Health Survey(SF-36)were compared between the two groups of patients before and after intervention.Results After intervention,the scores of psychological state(SAS and SDS)in both groups were significantly decreased(P<0.05),which were significantly lower in the observation group than the control group(P<0.05).The scores of social support(objective support,utilization of social support and subjective support)in both groups were significantly increased after intervention(P<0.05),which were significantly higher in the observation group than the control group(P<0.05).After intervention,the scores of self-efficacy(self-efficacy expectation and outcome expectation)were significantly elevated in both groups(P<0.05),which were significantly higher in the observation group than the control group(P<0.05).The scores of quality of life(social function,role physical,emotional function,physiological function,mental health,pain,vitality and overall health)in both groups were significantly increased after intervention(P<0.05),which were significantly higher in the observation group than the control group(P<0.05).Conclusion The application of family companion and Satir communication model during

关 键 词：家属陪伴 萨提亚沟通模式 高龄产妇 焦虑 自我效能 

分 类 号：R714.7[医药卫生—妇产科学]