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激励式心理护理对择期剖宫产初产妇生理和心理应激的影响研究

  • 须琼英,何晓艳,杨新,李倩

* 通信作者: 须琼英, 单位:广元市第四人民医院精神四科

摘要

【摘要】
目的 探讨激励式心理护理对于择期剖宫产初产妇生理和心理应激状况的影响。

方法 选取2016年1月至12月期间在我院妇产科择期行剖宫产术的初产妇90例,随机分为观察组与对照组各45例。对照组行常规护理,观察组行激励式心理护理。比较两组围手术期生理及心理应激状态变化。

结果 术前30min、术中关腹前观察组的心率(HR)、收缩压(SBP)、舒张压(DBP)较对照组平稳,组间比较差异显著(P<0.05);术前1d、术后2d,观察组的焦虑自评量表(SAS)、抑郁自评量表评分(SDS)显著低于对照组(P<0.05);术后2d,观察组的视觉疼痛模拟量表(VAS)程度显著低于对照组(P<0.05)。

结论 激励式心理护理有利于减轻择期剖宫产初产妇的生理和心理应激反应。

关键词:【关键词】初产妇;剖宫产;激励式心理护理;生理应激;心理应激

ABSTRACT

【Abstract】
Objective To investigate the effects of incentive psychological nursing on physiological and psychological stress for primipara undergoing elective cesarean section.

Methods 90 cases of primipara who undergoing elective cesarean section in our hospital from January to December of 2016 were enrolled.All primipara were randomly divided into observation group and control group,45 cases in each group. The control group received routine nursing,while the observation group received incentive psychological nursing on the basis of control group.The changes of physiological and psychological stress between the two groups during perioperative period were compared.

Results At the time of 30 minutes before surgery and before abdominal closure ,the HR, SBP and DBP in observation group was more stable than control group,the difference was significant (P<0.05);The scores of SAS and SDS were significantly lower than those in the control group at 1day before surgery and 2 days after surgery(P<0.05); 2 days after surgery,the grade of VAS in observation group was significantly lower than the control group (P<0.05).

Conclusion   Incentive psychological nursing is helpful to relieve the physiological and psychological stress for primipara undergoing elective cesarean section.

Key words: 【Key words】Primipara; Cesarean section; Incentive psychological nursing; Physiological stress; Psychological stress

引用本文 / How to Cite This Article

须琼英,何晓艳,杨新,李倩.激励式心理护理对择期剖宫产初产妇生理和心理应激的影响研究[J]. 国际精神病学杂志, 2019, 46(3): 551-554

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