先兆流产患者的心理因素分析及护理对策(1)
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【摘要】 目的：探讨先兆流产患者的心理状态及护理对策。方法：选取2005年1月-2010年12月于笔者所在医院进行治疗的300例先兆流产患者为研究对象，将其随机分为A组和B组各150例，A组进行常规的心理护理干预，B组采用循证模式进行心理护理干预，后将两组患者干预前后的SAS量表、SDS量表及SCL-90量表的评估结果进行比较。结果：干预前的评估结果显示两组患者均存在焦虑、抑郁、恐惧及其他明显的不良情绪，干预后B组的SAS量表、SDS量表及SCL量表的评估结果要明显优于A组，两组比较差异均有统计学意义(P<0.05)。结论：先兆流产患者普遍存在焦虑、抑郁、恐惧及其他不良情绪，循证护理可显著改善患者的这些不良情绪。
【关键词】 先兆流产； 心理因素； 护理对策
Nursing Strategy and Analysis on the Psychological Factors of Patients with Threatened Abortion/MI Ze-hua.//Medical Innovation of China，2012，9(9):43-44
【Abstract】 Objective：To study the nursing state and psychological factors of patients with threatened abortion. Methods： 300 patients with threatened abortion in the hospital from January 2005 to December 2010 were selected as research object， and were randomly divided into group A and group B with 150 cases in each groups. The group A was taken care with routine psychological nursing intervention， and the group B was taken care with psychological nursing intervention of evidence-based mode， then the results of SAS score， SDS score， and SCL-90 score of the two groups before and after the psychological nursing intervention were compared. Results： The evaluation results before the psychological nursing intervention showed that the patients of two groups all had anxiety， depression， fear and other obvious unhealthy emotion， the results of SAS score， SDS score， and SCL-90 score of group B after the psychological nursing intervention were all better than those of group A， there were significant differences between the two groups(P<0.05).Conclusion：The patients with threatened abortion have anxiety， depression， fear and other unhealthy emotionm， and the evidence-based nursing can significantly improve these unhealthy emotion.
【Key words】 Threatened abortion; Psychological factors; Nursing strategy
First-author’s address: Hunan Province Luxi County Maternity and Child Care Centers， Luxi 416100， China
doi:10.3969/j.issn.1674-4985.2012.09.025
先兆流产是指在妊娠早期出现的阴道少量出血，时下时止，伴有轻微下腹痛和腰酸的一种疾病，其可能导致流产，也有可能经过适当治疗后继续妊娠，因其可能导致流产，故孕妇多存在明显的不良情绪，而这种不良情绪的存在对孕妇极为不利[1]。本文就先兆流产患者的心理状态及护理对策进行研究，报道如下。
1 资料与方法
1.1 一般资料 选取2005年1月-2010年12月于笔者所在医院进行治疗的300例先兆流产患者为研究对象，将其随机分为A组和B组，每组各150例。A组年龄20～39岁，平均(28.9±4.4)岁，住院时间4.5～21.0 d，平均(10.2±3.7)d；有流产史者32例，无流产史者118例；初次妊娠101例，再次妊娠49例；文化程度：本科及以上10例，大专27例，高中52例，中专27例，初中34例。B组年龄20～38岁 ......
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