先兆早产保胎期间孕妇心理特点及护理干预效果分析  

Analysis of psychological characteristics of pregnant women and effect of nursing intervention during fetal protection of threatened preterm labor

作　　者：翟梅秀 Zhai Mei-xiu(Department of Gynecology and Obstetrics,Qinzhou City Maternal and Child Health Hospital,Qingzhou 535000,China)

机构地区：[1]钦州市妇幼保健院妇产科,钦州市535000

出　　处：《妇产与遗传(电子版)》2024年第2期24-28,共5页Obstetrics-Gynecology and Genetics (Electronic Edition)

摘　　要：目的 分析先兆早产保胎期间孕妇的心理特点,并观察护理干预的实施效果。方法 选择2022年1月到2022年12月在钦州市妇幼保健院因先兆早产实施保胎治疗的400例规律参加产检的单胎孕妇作为保胎组、同期在钦州市妇幼保健院定期进行产检的400例孕妇作为正常组,对所有的孕妇进行心理问卷调查,比较两组孕妇的焦虑和抑郁评分、焦虑症和抑郁症的发生情况。随后将400例先兆早产的孕妇按照随机数字表法分成观察组和对照组,每组均纳入200例。对照组实施常规护理干预措施,观察组则实施完善后的护理干预措施,并就两组孕妇护理后的焦虑和抑郁评分、焦虑症和抑郁症的发生情况、保胎效果等指标展开比较。结果 比较早产组和正常组孕妇,早产组孕妇抑郁自评量表(Self-Rating Depression Scale, SDS评分)、焦虑自评量表(Self-Rating Anxiety Scale, SAS评分)结果分别为(46.92±4.36)分、(47.51±4.32)分,高于正常组的(40.81±3.65)分、(42.64±3.93)分;抑郁症、焦虑症发生率分别为16%、20.75%,均高于正常组的7.25%、8.75%,组间差异存在统计学意义(P<0.05)。比较观察组和对照组护理效果发现,观察组孕妇的SDS评分、SAS评分分别为(38.47±3.51)分、(39.26±3.59)分,低于对照组的(42.95±3.96)分、(43.73±4.04)分,观察组早产率为8.00%,低于对照组的27.50%,妊娠延长时间为(24.27±2.09)d,长于对照组的(17.38±1.40) d,护理总满意率为93%,高于对照组的80.5%,组间差异存在统计学意义(P <0.05)。结论 先兆早产孕妇更容易发生焦虑、抑郁等不良情绪,如及时实施科学、有效的护理干预,能更好地改善患者的不良情绪,延长妊娠的时间,对减少早产率发挥出积极的效果,值得在临床广泛应用和推广。Objective To analyze the psychological characteristics of pregnant women with threatened premature birth and observe the implementation effects of nursing interventions.Method 400 singleton pregnant women who received tocolytic treatment for threatened preterm labor and regularly participated in prenatal check ups at the Qinzhou Maternal and Child Health Hospital from January 2022 to December 2022 were selected as the prenatal protection group,and 400 pregnant women who regularly underwent prenatal check ups at the Qinzhou Maternal and Child Health Hospital during the same period were selected as the normal group.Psychological questionnaires survey were conducted on all pregnant women to compare the anxiety and depression scores,as well as the incidence of anxiety and depression between the two groups of pregnant women. Subsequently,400 pregnant women with threatened preterm birth were randomly divided into an observation group and a control group using a random number table method,with 200 cases included in each group. The control group received routine nursing interventions,while the observation group received improved nursing interventions. The anxiety and depression scores, incidence of anxiety and depression, and effectiveness of fetal protection were compared between the two groups of pregnant women after nursing care. Results Comparing the premature birth group and the normal group,the Self‐Rating Depression Scale(SDS) score and Self‐Rating Anxiety Scale (SAS) score of the premature birth group were(46.92 ± 4.36)and(47.51 ± 4.32), respectively,which were higher than those of the normal group [(40.81 ± 3.65) and (42.64 ± 3.93), respectively];the incidence rates of depression and anxiety were 16% and 20.75%, respectively, both higher than than those of the normal group(7.25% and 8.75%, respectively), and the difference between the groups was statistically significant (P < 0.05). Comparing the nursing effects between the observation group and the control group, it was found that the SDS score and SAS

关 键 词：先兆早产 保胎 孕妇 心理特点 护理干预 效果 

分 类 号：R714.4[医药卫生—妇产科学]