[1]买存玉,何全中,杜敏霞.情志干预联合渐进性放松训练对先兆流产孕妇不良情绪及妊娠结局的影响[J].新乡医学院学报,2020,37(12):1182-1185.[doi:10.7683/xxyxyxb.2020.12.018]
　MAI Cunyu,HE Quanzhong,DU Minxia.Effect of emotional intervention combined with progressive relaxation training on the negative emotion and pregnancy outcome of pregnant women with threatened abortion[J].Journal of Xinxiang Medical University,2020,37(12):1182-1185.[doi:10.7683/xxyxyxb.2020.12.018]
点击复制

情志干预联合渐进性放松训练对先兆流产孕妇不良情绪及妊娠结局的影响
分享到：

《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
37
期数:
2020年12
页码:
1182-1185
栏目:
护理研究
出版日期:
2020-12-05

文章信息/Info

Title:
Effect of emotional intervention combined with progressive relaxation training on the negative emotion and pregnancy outcome of pregnant women with threatened abortion
作者:
买存玉1; 何全中1; 杜敏霞2
（1.新乡医学院第三附属医院妇产科，河南　新乡　453003；2.新乡医学院护理学院，河南　新乡　453003）
Author(s):
MAI Cunyu1; HE Quanzhong1; DU Minxia2
（1.Department of Obstetrics and Gynecology，the Third Affiliated Hospital of Xinxiang Medical University，Xinxiang 453003，Henan Province，China；2.Nursing College of Xinxiang Medical University，Xinxiang 453003，Henan Province，China）
关键词:
先兆流产; 护理; 情致干预; 渐进性放松训练; 妊娠结局
Keywords:
threatened abortion; nursing; emotional intervention; progressive relaxation training; pregnancy outcome
分类号:
R714
DOI:
10.7683/xxyxyxb.2020.12.018
文献标志码:
A
摘要:
目的　探讨情志干预和渐进性放松训练对先兆流产患者不良情绪、自我效能及妊娠结局的影响。方法　选择2016 年 7 月至2019 年1月新乡医学院第三附属医院收治的147例先兆流产患者为研究对象，根据护理措施将患者分为观察组（n=73）和对照组（n=74）。对照组患者实施常规护理，观察组患者在常规护理基础上给予情志干预和渐进性放松训练，均干预1个月。分别于干预前和干预后采用Zung′s焦虑自评量表（SAS）、Zung′s抑郁自评量表（SDS）、一般自我效能感量表（GSES）对2组患者进行评定，并随访观察2组患者的妊娠结局。结果　干预前2组患者SAS评分、焦虑程度比较差异无统计学意义（P>0.05），2组患者干预后SAS评分、焦虑程度显著低于干预前（P<0.05）；干预后，观察组患者SAS评分、焦虑程度显著低于对照组（P<0.05）。干预前2组患者SDS评分、抑郁程度比较差异无统计学意义（P>0.05），2组患者干预后SDS评分、抑郁程度显著低于干预前（P<0.05）；干预后，观察组患者SDS评分、抑郁程度显著低于对照组（P<0.05）。干预前2组患者GSES评分比较差异无统计学意义（P>0.05），2组患者干预后GSES评分显著高于干预前（P<0.05）；干预后，观察组患者GSES评分显著高于对照组（P<0.05）。对照组患者足月妊娠率、产后出血率、流产率、胎膜早破率、早产率分别为43.24%（32/74）、10.81%（8/74）、16.22%（12/74）、18.92%（14/74）、10.81%（8/74）；观察组患者足月妊娠率、产后出血率、流产率、胎膜早破率、早产率分别为78.08%（57/73）、4.11%（3/73）、6.85%（5/73）、9.59%（7/73）、1.37%（1/73）；观察组患者足月妊娠率显著高于对照组，胎膜早破、流产、早产及产后出血发生率显著低于对照组（P<0.05）。结论　情致干预联合渐进性放松训练有助于缓解先兆流产患者的焦虑、抑郁等负面情绪，降低不良妊娠结局发生率。
Abstract:
Objective　To investigate the effect of emotional intervention combined with progressive relaxation training on the negative emotion，self-efficacy and pregnancy outcome of pregnant women with threatened abortion.Methods　A total of 147 patients with threatened abortion admitted to the Third Affiliated Hospital of Xinxiang Medical University from July 2016 to January 2019 were selected as the research subjects，and the patients were divided into observation group （n=73） and control group （n=74） according to the nursing measures.The patients in the control group were given routine nursing，while the patients in the observation group were given emotional intervention and progressive relaxation training on the basis of routine nursing，all the patients were intervened for 1 month.The patients in the two groups were evaluated by Zung′s self-rating anxiety scale （SAS），Zung′s self-rating depression scale （SDS） and general self-efficacy scale （GSES） before and after intervention，and the pregnancy outcomes of the patients were followed up.Results　There was no significant difference in the SAS score and the degree of anxiety between the two groups before intervention （P>0.05）.The SAS score and the degree of anxiety after intervention were significantly lower than those before intervention in the two groups （P<0.05）.After the intervention，the SAS score and the degree of anxiety in the observation group were significantly lower than those in the control group （P<0.05）.There was no significant difference in the SDS score and the degree of depression between the two groups before intervention （P>0.05）.The SDS score and the degree of depression after intervention were significantly lower than those before intervention in the two groups （P<0.05）.After the intervention，the SDS score and the degree of depression in the observation group were significantly lower than those in the control group （P<0.05）.There was no significant difference in the GSES score between the two groups before intervention （P>0.05）.The GSES score after intervention was significantly higher than that before intervention in the two groups （P<0.05）.The GSES score in the observation group was significantly higher than that in the control group after intervention （P<0.05）.In the control group，the incidences of full-term pregnancy，postpartum hemorrhage，abortion，premature rupture of membranes and premature delivery were 43.24% （32/74），10.81% （8/74），16.22% （12/74），18.92% （14/74） and 10.81% （8/74），respectively.In the observation group，the incidences of full-term pregnancy，postpartum hemorrhage，abortion，premature rupture of membranes and premature delivery were 78.08% （57/73），4.11% （3/73），6.85% （5/73），9.59% （7/73） and 1.37% （1/73），respectively.Compared with the control group，the incidence of full-term pregnancy was higher，and the incidences of premature rupture of membranes，abortion，premature delivery and postpartum hemorrhage were lower in the observation group （P<0.05）.Conclusion　Emotional intervention combined with progressive relaxation training can help relieve the anxiety and depression，and reduce the incidence of adverse pregnancy outcomes of the patients with threatened abortion.

参考文献/References:

［1］　TURGAL M，AYDIN E，OZYUNCU O.Effect of micronized progesterone on fetal-placental volume in first-trimester threatened abortion［J］.J Clin Ultrasound，2017，45（1）：14-19.
［2］　邓玉娥，杜小利.先兆流产的临床研究进展［J］.中国民族民间医药，2016，25（15）：55-57.
［3］　周雪妃，陶芳标，高莉，等．护士妊娠相关焦虑与先兆流产的关系研究［J］.护理研究，2013，27（9A）：2703-2705.
［4］　孙玉燕.先兆流产孕妇的心理因素分析及护理体会［J］.临床护理，2015，13（17）：216.
［5］　蔡惠琼.先兆流产患者的心理弹性现状及其与社会支持和应对方式的相关性分析［J］.护理实践与研究，2020，17（6）：99-101.
［6］　ZHOU J，HUANG Z S，PAN X Y，et al.New thoughts in exploring the pathogenesis，diagnosis，and treatment of threatened abortion［J］.Biosci Trends，2019，13（3）：284-285.
［7］　CHEN J，QIAN M C，SUN C H，et al.Clinical effectiveness of cognitive behavioural therapy on alcohol-dependent patients：an observation with the WeChat platform［J］.Gen Psychiatr，2019，32（5）：e100087.
［8］　CRANDALL A，RAHIM H F，YOUNT K M.Validation of the general self-efficacy scale among qatari young women［J］.East Mediterr Health J，2016，21（12）：891-896.
［9］　黄春梅，区少心，潘秀丽.250例早期先兆流产病人妊娠结局及其影响因素分析［J］.护理研究，2013，27（2A）：319-321.
［10］　罗芳，张燕芳，陈雅莉.先兆流产影响因素与妊娠结局的关系［J］.中国当代医药，2016，23（11）：75-77.
［11］　李红艳，辛红菊，王娜，等.音乐放松疗法对老年患者失眠状态的影响［J］.现代临床护理，2008，8（8）：41-42
［12］　COOK J D.Music as an intervention in the oncology setting［J］.Cancer Nurs，1986，9（1）：23-28.
［13］　BECK S L.The therapeutic use of musicfou cancerrelated pain［J］.Oncol Nurs Forum，1991，18（8）：1327-1337.
［14］　AKSU N T，ERDOGAN A，OZGUR N.Effects of progressive muscle relaxation training on sleep and quality of life in patients with pulmonary resection ［J］.Sleep Breath，2018，22（3）：695-702.

相似文献/References:

[1]李素芬,柴学海,焦兰芬.冠状动脉内支架置入术的护理[J].新乡医学院学报,2000,17(06):473.
[2]孙　毅,王文菊,吴铭辉,等.小儿急性白血病强化疗后并发症的综合防治与护理[J].新乡医学院学报,2000,17(06):474.
[3]武素军,姜淑英,侯秀珍.尿激酶静脉溶栓治疗急性脑梗塞的护理[J].新乡医学院学报,2000,17(03):227.
[4]李全英.爱维治治疗糖尿病神经膀胱的观察及护理[J].新乡医学院学报,2000,17(01):070.
[5]李培兰。扬瑞民,董启梅.CT引导下介入治疗卵巢囊肿l5例护理体会[J].新乡医学院学报,2001,18(02):152.
[6]段春青,王文秀,李桂香.腹水超滤环注术治疗顽固性腹水的护理[J].新乡医学院学报,2001,18(06):453.
[7]崔春,李海香.胚宝与硫酸舒喘灵联合应用治疗先兆流产早产56例[J].新乡医学院学报,2001,18(06):413.
[8]武伟琦,陈默.急性心肌梗死的护理体会[J].新乡医学院学报,2001,18(03):226.
[9]陆志红,王红艳,话玲.支气管动脉灌注化疗治疗肺癌158例的护理[J].新乡医学院学报,2001,18(03):227.
[10]孙建梅,伦夸祝.急性出血坏死性胰腺炎围手术期护理[J].新乡医学院学报,2001,18(04):303.

更新日期/Last Update: 2020-12-05