摘要
目的 探讨综合护理干预措施对改善HIV阳性孕产妇负性情绪及生活质量的效果.方法 选取2015年1月~2017年3月该院收治的HIV阳性孕产妇162例,随机分为对照组和观察组,各81例.两组孕妇均于妊娠14周时进行母婴阻断治疗,在治疗的同时对照组给予常规妇产科护理,观察组给予综合护理干预,直至妊娠36周.采用汉密顿焦虑量表( Hamilton Anxiety Scale,HAMA)和汉密顿抑郁量表( Hamilton Depression Scale, HAMD)比较两组孕妇干预前后的情绪变化,并采用生活质量量表( SF-36)对两组孕妇产后的生活质量进行评价.结果 干预前两组孕妇的HAMA、HAMD评分比较,差异均无统计学意义(均P>0.05) ;干预后,两组孕妇的HAMA、HAMD评分均明显下降,且观察组明显低于对照组(均P<0.05).观察组孕妇产后生活质量、心理健康、情绪角色、躯体功能、躯体角色、机体疼痛、社会功能、活力及总体健康各项指标评分均明显高于对照组,差异有统计学意义(均P<0.05) .结论 对HIV阳性孕产妇采用综合护理干预能够有效改善孕妇的焦虑、抑郁状态,提高其生活质量.
Objective To explore the effect of comprehensive nursing intervention on improving neganve emo- tion and quality of life of HIV-positive pregnant women.Methods A total of 162 HIV-positive pregnant women admitted to the hospital from Januay 2015 to March 2017 were selected and were randomly divided into the control group and the observation group,81 cases of each group.The pregnant women in both goups were given maternal and infant block therapy at 14 weeks of gestation.The control group received conventional obstetrics and gynecology care at the same time of treatment,and the observation,group received comprehensive nursing intervention until 36 weeks of gestation. The emotional changes of pregnant women before and after intervention were compared using the Hamilton Anxiety Scale (HAMA)and the Hamilton Depression Scale (HAMD).Quality of life scale (SF-36)was used to evaluate the post- partum quality of life Of two groups of pregnant women.Results The comparison of HAMA and HAMD scores between the two .groups before intervention showed no statistical significance (P>0.05).After intervention,.the MAMA and HAMD scores of pregnant women in both groups were significantly decreased,and the observation group was significantly lower than the control group (P<0.05).Postpartum life quality,mental health,emotional role,somatic function, somatic role,body pain,social function,vitality and overall health of the pregnant women in the observation group were all significantly higher than those of the control group,and the differences were statistically significant (P<0,05). Conclusions Comprehensive nursing intervention for HIV-positive pregnant women can effeetively improve their anxiety and depression and improve their quality of life.
作者
邓杏燕
吴燕荣
李义青
Deng Xingyan;Wu Yanrong;Li Yiqing(Obstetrics and Cynecology Department,the Eighth People's Hospital of Guangzhou,Guangdong Province,Guangzhou 510440,China)
出处
《国际护理学杂志》
2018年第22期3100-3103,共4页
international journal of nursing
基金
广东省医学科学技术研究基金(B2017034).
关键词
人类免疫缺陷病毒
焦虑
抑郁
孕妇
Human immunodeficiency virus
Anxiety
Depression
Pregnant women
