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聚焦解决模式护理在产前焦虑护理中的应用效果 被引量:13

Application of focus solving model of care in prenatal anxiety
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摘要 目的探讨聚焦解决模式在产前焦虑孕妇心理护理中的应用。方法选择孕期保健的孕妇60例为研究对象,焦虑评分≥50分。随机分为研究组和对照组各30例。研究组给予产前聚焦解决模式心理护理,对照组给予常规产前护理。比较两组孕产妇干预后焦虑评分、分娩方式、妊娠结局。结果干预后,研究组SAS评分显著低于对照组(P<0.01)。研究组剖宫产率显著低于对照组(P<0.05);研究组剖宫产指征主要是医学因素,对照组主要是社会因素,差异有统计学意义(P<0.05)。研究组产后出血量显著少于对照组,新生儿出生时阿氏评分显著高于对照组,初次母乳时间显著早于对照组,产后2d疼痛评分显著低于对照组,差异均有统计学意义(P<0.01)。干预后,研究组自评结果显著低于对照组(P<0.01)。结论聚焦解决模式能够有效患者孕妇产前焦虑情况,降低剖宫产率,改善妊娠结局。 Objective To discuss effect of focus solving model on prenatal anxiety. Methods 60 cases of health care during pregnancy with SAS t〉 50 were selected.All cases were divided into study group and control group randomly,each of 30 cases.Study group was nursed with focus solving model of care,and control group was nursed with routine care.After intervention,SAS,delivery and pregnancy outcome of two groups were compared. Results After intervention,SAS of study group was lower than control group(P 〈 0.01).Cesarean section rate of study group was lower than control group(P 〈 0.05);The reason of cesarean section of study group mainly was medical fact0rs,but control group mainly was social factors,which showed significant difference(P 〈 0.05).Postpartum hemorrhage of study group was less,Apgar score at birth was higher,initial breastfeeding time was significantly earlier,and pain scores 2d after labor was lower than control group,which showed significant difference(P 〈 0.05).After intervention, IES-R score of study group was lower than control group(P 〈 0.01). Conclusion Focus solving model of care in prenatal anxiety can release SAS,reduce cesarean section rate,and improve pregnancy outcome.
作者 韩彩红
出处 《中国医药科学》 2016年第2期98-100,共3页 China Medicine And Pharmacy
关键词 聚焦解决模式 产前 焦虑 孕妇 心理护理 Focus solving model Prenatal Anxiety Pregnant woman Psychological care
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