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刘雁贞.心理干预对复发性流产患者分娩结局的影响[J].中国医药科学,2021,(4):131-134        基金项目:[基金项目] 广东省佛山市科技计划项目(2017AB001165)
心理干预对复发性流产患者分娩结局的影响
Study on the influence of psychological intervention on delivery outcome of patients with recurrent abortion
  
DOI:
中文关键词:  [关键词] 心理测查量表评分;强化心理干预;妊娠结局;复发性流产
英文关键词:[Key words] Psychological test score; Psychological intervention; Pregnancy outcome; Recurrent abortion
作者单位
刘雁贞 广东省佛山市三水区妇幼保健院,广东佛山 528100 
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中文摘要:
      [摘要]目的 探讨心理干预对复发性流产患者分娩结局的应用效果。 方法 选取佛山市三水区妇幼保健院2017年7月至2018年9月收治的85例先兆流产安胎患者作为观察对象,所有患者均存在复发性流产病史,依照随机原则分为对照组(n=43)与观察组(n=42),其中对照组患者接受常规护理干预,而观察组患者则在常规护理的基础上给予心理干预,比较两组患者的心理状态及妊娠结局,并对其相关性进行分析。结果 两组患者在干预前的SAS、SDS评分比较,差异无统计学意义(P>0.05),治疗后,观察组患者的SAS、SDS评分均明显低于对照组患者,差异有统计学意义(P<0.05);在两组患者的妊娠结局中,观察组患者的活产妊娠率为85.7%,明显高于对照组患者的65.1%,且观察组患者的流产率(9.5%)也显著低于对照组(30.2%),差异有统计学意义(P<0.05);在Logistic回归分析中,患者的SAS与SDS评分与其流产率成正相关(β>0),且SAS>70分及SDS>73分均是造成患者流产的高危因素(P<0.05);通过调查与统计发现,抑郁、焦虑以及恐惧等心理因素与反复流产存在明显的正相关性(P<0.05)。 结论 将心理干预应用于反复流产的患者中,可有效调整其心理状态,对其妊娠结局的改善具有重要的临床意义。
英文摘要:
      [Abstract] Objective To explore the effect of psychological intervention on the delivery outcome of patients with recurrent abortion. Methods A total of 85 patients with threatened abortion admitted to Foshan Sanshui District Maternal and Child Health Hospital from July 2017 to September 2018 were selected as research subjects. All patients have history of recurrent abortion. Patients enrolled were randomly divided into control group (n=43) and observation group (n=42). Patients in control group received routine nursing intervention, while observation group was given psychological intervention on the basis of routine nursing. The psychological state and pregnancy outcome of the two groups were compared, and the correlation was analyzed. Results There was no significant difference in SAS and SDS scores between the two groups before intervention (P > 0.05). After treatment, the SAS and SDS scores of the patients in the observation group were significantly lower than those in the control group, and the difference was statistically significant (P<0.05). The live birth rate in the observation group was 85.7%, which was significantly higher than that in the control group (65.1%). The abortion rate of patients in the observation group (9.5%) was significantly lower than that in the control group (30.2%), and the difference was statistically significant (P<0.05). In addition, in Logistic regression analysis, the scores of SAS and SDS were positively correlated with the abortion rate (β>0), and SAS >70 and SDS>73 were the high-risk factors of patients' abortion (P<0.05). Through investigation and statistics, it was found that psychological factors such as depression, anxiety and fear were positively correlated with recurrent abortion (P < 0.05). Conclusion Psychological intervention can effectively improve the psychological state of patients with repeated abortion, which is of great clinical significance to improve their pregnancy outcome.
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