摘要
目的探究个性化心理干预在剖宫产围手术期的应用效果及对自我效能的影响。方法选取2019年1月至2020年1月山东省日照市妇幼保健院行剖宫产手术的产妇266例为研究对象,采用随机数字表法将其分为对照组和观察组,每组各133例。对照组实施常规围手术期护理,观察组则给予个性化心理干预。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)评估两组干预前后心理情绪并进行比较,采用视觉模拟评分法(VAS)对两组干预后12、24 h的疼痛程度进行比较,采用自我效能感量表(GSES)对两组干预后自我效能进行比较,比较两组手术时间、术后排气时间、住院时间,比较两组术后发生腹胀、尿潴留等并发症的发生率。结果干预后两组SAS、SDS评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05);干预后观察组VAS评分低于对照组、GESE评分高于对照组,差异有统计学意义(P<0.05);观察组手术时间、术后排气时间、住院时间均短于对照组,差异有统计学意义(P<0.05);干预后观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论对行剖宫产的产妇围手术期给予个性化心理干预,可增强产妇的自我效能,改善产妇的不良情绪,有助于提升产妇术后的恢复,值得临床借鉴。
Objective To explore the effect of individualized psychological intervention in cesarean section perioperative period and its influence on self-efficacy.Methods From January 2019 to January 2020,266 women who underwent cesarean section in Shandong Rizhao Maternal and Child Health Hospital were selected as the research objects,they were divided into control group and observation group by random number table method,with 133 cases in each group.The control group received routine perioperative nursing,while the observation group received individualized psychological intervention.Self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were used to evaluate and compare the psychological mood of the two groups before and after intervention,visual analogue scale(VAS)was used to compare the pain degree of the two groups at 12 and 24 h after intervention,general self-efficacy scale(GSES)was used to compare the self-efficacy of the two groups after intervention,operation time,postoperative exhaust time and hospital stay were compared between the two groups,the incidence of postoperative complications such as abdominal distention and urinary retention was compared between the two groups.Results After intervention,SAS and SDS scores of the two groups were lower than those before intervention,and observation group was lower than control group,and the differences were statistically significant(P<0.05).After intervention,VAS score of observation group was lower than that of control group,GESE score was higher than that of control group,and the differences were statistically significant(P<0.05);the operation time,postoperative exhaust time and hospital stay in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05);after intervention,the total incidence of complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Individualized psychological intervention during the perioperative period of cesarean section can enhance maternal self-efficacy,improve maternal bad mood,contribute to improve the recovery after childbirth and obstetrics,which is worthy of clinical reference.
作者
牟娜
史晓丽
王世红
MU Na;SHI Xiaoli;WANG Shihong(Department of Nursing,Shandong Rizhao Maternal and Child Health Care Hospital,Shandong Province,Rizhao276800,China;Department of Obstetrics,Shandong Rizhao Maternal and Child Health Care Hospital,Shandong Province,Rizhao276800,China;Department of Gynaecology,Shandong Rizhao Maternal and Child Health Care Hospital,Shandong Province,Rizhao276800,China)
出处
《中国医药导报》
CAS
2021年第33期147-150,共4页
China Medical Herald
基金
国家卫生健康委医药卫生科技发展研究中心项目(W2016CWSD12)。
关键词
剖宫产
围手术期
个性化心理干预
自我效能
Cesarean section
Perioperative period
Individualized psychological intervention
Self-efficacy
