首页|全覆盖式强化心理支持护理对高危产妇不良情绪及应激反应的影响

全覆盖式强化心理支持护理对高危产妇不良情绪及应激反应的影响

Effects of full coverage enhanced psychological support nursing on adverse emotions and stress response of high risk pregnant women

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目的 探讨全覆盖式强化心理支持护理对高危产妇不良情绪及应激反应的影响.方法 选取2020 年 2月至2022年2月收治的150 例高危产妇作为研究对象,应用随机数字表法将其分为对照组与观察组,每组75例.对照组实施常规护理,观察组在对照组护理基础上实施全覆盖式强化心理支持护理.比较两组的干预效果.结果 观察组的住院时间短于对照组,产后 2h出血量少于对照组,剖宫产率低于对照组(P<0.05);观察组的第一、二、三产程时间短于对照组(P<0.05).护理后,两组的困惑、活力、疲劳、抑郁、生气及紧张评分均降低,且观察组低于对照组(P<0.05).分娩后,两组的肾上腺素(ADR)、去甲肾上腺素(NE)、皮质醇(COR)、促肾上腺皮质激素(ACTH)水平均升高,但观察组低于对照组(P<0.05).结论 全覆盖式强化心理支持护理能够缩短高危产妇产程时间,减少产后2h出血量,降低剖宫产率,减轻负面心理状态及应激反应.
Objective To explore the effects of full coverage enhanced psychological support nursing on adverse emotions and stress response of high risk pregnant women.Methods A total of 150 high risk pregnant women admitted from February 2020 to February 2022 were selected as research objects and divided into control group and observation group by random number table method,with 75 cases in each group.The control group received routine nursing,and the observation group received full coverage enhanced psychological support nursing on the basis of the control group.The intervention effects of the two groups were compared.Results The hospital stay in the observation group was shorter than that in the control group,the postpartum 2 h blood loss was less than that in the control group,and the cesarean section rate was lower than that in the control group(P<0.05);the first,second and third stages of labor in the observation group were shorter than those in the control group(P<0.05).After nursing,the scores of confusion,vitality,fatigue,depression,anger and tension in both groups decreased,and those in the observation group were lower than the control group(P<0.05).After delivery,the levels of adrenaline(ADR),norepinephrine(NE),cortisol(COR)and adrenocorticotropic hormone(ACTH)in both groups increased,but those in the observation group were lower than the control group(P<0.05).Conclusion Full coverage enhanced psychological support nursing can shorten the time of labor,reduce postpartum 2 h blood loss and the cesarean sectionrate,and relieve negative psychological state and stress response.

full coverage enhanced psychological support nursinghigh risk pregnant womendeliverystress response

李静敏、王洁、赵亚宁

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咸阳市妇幼保健院,陕西 咸阳,712000

陕西中医药大学,陕西 咸阳,712046

全覆盖式强化心理支持护理 高危产妇 分娩 应激反应

2018年度卫生健康科研项目

2018D086

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(7)
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