积极心理疏导对子痫前期孕妇负面情绪、治疗依从性及分娩结局的影响
Effect of positive psychological counseling on negative emotion, treatment compliance and delivery outcomes of pregnant women with preeclampsia
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| DOI |
| 刊名 |
Journal of International Psychiatry
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| 年，卷(期) |
2019, 46(1) |
| 作者 |
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| 作者单位 |
河南省濮阳市人民医院产科 ;
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| 摘要 |
【摘要】目的：探讨积极心理疏导对子痫前期孕妇负面情绪、治疗依从性及分娩结局的影响。方法：选择我院2013年8月至2016年8月收治的子痫前期孕妇92例，按照随机数字表法分为对照组（n=46）和观察组（n=46），对照组给予常规护理措施，观察组在对照组护理基础上给予积极心理疏导。比较两组孕妇负面情绪、治疗依从性及分娩结局情况。结果：两组孕妇护理后对比护理前，焦虑、抑郁、敌对、恐怖、躯体化评分均显著降低，且观察组孕妇焦虑、抑郁、敌对、恐怖、躯体化评分评分下降幅度均显著大于对照组（P<0.05）；观察组孕妇治疗依从性好比例80.43%显著高于对照组60.87%（P<0.05）；观察组孕妇不良结局总发生率17.02%显著低于对照组36.96%（P<0.05），新生儿不良结局总发生率10.87%显著低于对照组28.26%（P<0.05），新生儿Apgar评分显著高于对照组（P<0.05）。结论：积极心理疏导可有效调节子痫前期孕妇负面情绪，提高其治疗依从性，改善母婴结局。
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| Abstract |
【Abstract】Objective: To explore the effect of positive psychological counseling on negative emotion, treatment compliance and delivery outcomes of pregnant women with preeclampsia. Methods: 92 pregnant women with preeclampsia treated in our hospital from August 2013 to August 2016 were selected and divided into the control group (n=46) and the observation group (n=46) by the random number table method. The control group were given routine nursing, and the observation group were given positive psychological counseling on the basis of nursing care of the control group. The negative emotions, treatment compliance and delivery outcomes were compared between the two groups. Results: After nursing, scores of anxiety, depression, hostility, fear and somatization were significantly decreased, and the deceased range in the observation group was significantly greater than that in the control group (P<0.05). The rate of good treatment compliance in the observation group (80.43%) was significantly higher than that in the control group (60.87%) (P<0.05). The total incidence rate of adverse outcomes in the observation group (17.02%) was significantly lower than that in the control group (36.96%) (P<0.05), the total incidence of adverse neonatal outcomes (10.87%) was also significantly lower than that in the control group (28.26%) (P<0.05), and Apgar score was significantly higher than that of the control group (P<0.05). Conclusion: Positive psychological counseling can effectively adjust the negative emotion of pregnant women with preeclampsia, improve their treatment compliance, and improve maternal and neonatal outcomes.
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| 关键词 |
积极心理疏导，子痫前期，负面情绪，治疗依从性，分娩结局
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| KeyWord |
Positive psychological counseling, Preeclampsia, Negative emotion, Treatment compliance, Delivery outcome
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| 基金项目 |
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| 页码 |
103-105 |
赵丽娟*.
积极心理疏导对子痫前期孕妇负面情绪、治疗依从性及分娩结局的影响 [J].
国际精神病学杂志.
2019; 46; (1).
103 - 105.