心理护理对哺乳期瘢痕子宫无痛人工流产患者不良情绪及护理满意度的影响.docVIP

心理护理对哺乳期瘢痕子宫无痛人工流产患者不良情绪及护理满意度的影响 　　[摘要] 目的 探讨心理护理措施对哺乳期瘢痕子宫无痛人工流产患者不良情绪以及护理满意度的影响。 方法 选择2014年1月～2015年6月我院妇科收治的哺乳期瘢痕子宫行无痛人工流产的妇女120例，随机将其分为观察组和对照组，每组60例。对照组患者实施常规护理方法，观察组患者在对照组护理方法的基础上给予心理护理干预，采用焦虑自评量表（SAS）和抑郁自评量表（SDS）评价两组患者护理前后的不良情绪，并比较两组护理满意度、手术时间以及术后人工流产综合征的发生率。 结果 干预前，两组患者SAS和SDS评分比较，差异均无统计学意义（P0.05）；干预后，观察组患者的SAS和SDS评分较干预前明显下降，且较对照组干预后降低显著，差异均有统计学意义（P0.05）。 结论 对哺乳期瘢痕子宫无痛人工流产患者实施心理护理干预措施，可以有效减轻患者焦虑、抑郁的不良情绪，提高护理满意度，值得在临床上推广。 中国论文网 /6/view-7221710.htm 　　[关键词] 心理护理；哺乳期；瘢痕子宫；无痛人工流产；不良情绪；护理满意度 　　[中图分类号] R473 [文献标识码] A [文章编号] 1674-4721（2016）1（c）-0195-03 　　[Abstract] Objective To investigate the effect of psychological nursing care in bad mood and nursing satisfaction on the patients with induced abortion with scar uterus in lactation. Methods 120 patients with induced abortion with scar uterus in lactation from January 2014 to June 2015 were randomly divided into observation group and control group，60 cases in each group.The control group received routine nursing care.The observation group used psychological nursing intervention on the base of the control group.The bad mood of the two groups of patients was evaluated by anxiety self rating anxiety scale （SAS） and self rating depression scale （SDS）. Results There was no significant difference in SAS and SDS scores between the two groups （P0.05）.The SAS and SDS scores in the observation group were significantly lower than those in the control group （P0.05）. Conclusion The nursing intervention measures for the patients with painless induced abortion in uterine scar can effectively reduce the anxiety and depression of patients，improve nursing satisfaction.It is worthy of extensive promotion in clinical practice. 　　[Key words] Psychological nursing；Nursing；Scar uterus；Painless artificial abortion；Bad mood；Nursing satisfaction 　　瘢痕子宫指的是既往曾经有过子宫修复史，或在子宫修复的过程中形成瘢痕的子宫，多见于子宫手术、剖宫产术后等，其中以剖宫产术最为多见。研究表明，剖宫产术后形成瘢痕子宫后，最佳的受孕时期为术后2～3年，哺乳期内受孕随着胎儿的逐渐发育，容易子宫撕裂[1-2]。哺乳期瘢痕子宫行人工流产术的难度以及手术风险均较大，患者心理往往比较紧张，导致强烈的生理反应，影响手术的顺利进行以及人工流产综合征的发生