卡介菌多糖核酸治疗反复性自然流产患者心理护理对临床转归影响.docVIP

卡介菌多糖核酸治疗反复性自然流产患者心理护理对临床转归影响[摘要] 目的：探讨心理护理对反复性自然流产患者临床转归的影响。方法：采用单盲法随机将2004年1月～2006年12月期间住院治疗的反复性自然流产的患者分为实验组及对照组并施以不同护理措施，观察组间治愈率的差异。结果：实验组30例，治愈26例(86.7%)，治疗失败4例(13.3%)；对照组30例，治愈21例(70.0%)，治疗失败9例(30.0%)；两组比较有显著性差异(χ2=4.02，P0.05)。结论：实行适当的心理护理对反复性自然流产的临床转归是必要的。 [关键词] 反复性自然流产；心理护理；临床转归 [中图分类号] R473.71[文献标识码]C [文章编号]1673-7210（2008）08（b）-152-02 The influence of psychological care on therecurrent spontaneous abortion patient’s clinical prognosis by polysaccharide nucleicacid fraction of Bacillus Calemette-Guerin(BCG-PSN ) LIN Cui－hong (Department of Obstetrics and Gynecology， Huiyang District MCH Hospital of Huizhou City, Huizhou516001，China) [Abstract] Objective：To probe into the influence of psychological care in women with recurrent spontaneous abortion（RSA）.Methods：Recurrent spontaneous abortion in patients in our hospital between January 2004 and December 2006， were divided into the experiment group and the control group， using the single-blind method. The two groups received different care strategies. Then the cure rate in hospital of each group were taken as the comparative criterion. Results：Experiment group of 30 cases，cured 26 cases(86.7%)， treatment failure 4 cases(13.3%)；control group of 30 cases cured in 21 cases(70.0%)， treatment failure 9 cases (30.0%). There was significant difference (χ2=4.02， P0.05).The experiment group receiving a psychological care were superior to those in the control group. Conclusion：A psychological care is necessary for the threatened abortion patients in order to improve their clinical prognosis in patients with recurrent spontaneous abortion. [Key words] Recurrent spontaneous abortion；Psychological care；Clinical prognosis 反复性自然流产（RSA）的患者由于多次流产的发生，其心理压力比较大，长期处于一种心理应激状态，可产生较多的心理问题，影响了疾病的发生、发展和转归[1]。本研究针对这一现状，以现代心理应激理论为指导，探讨该类患者在反复流产的应激下，心理健康状况和心理护理患者临床转归的影响。 1对象与方法 1.1研究对象 选择2004年1月～2006年12月期间就诊于我院妇科门诊的反复性自然流产患者60例。入选标准：①连续自然流产2次或2次以上，无活产史。②年龄、职业不限，小学以上文化程度。③有严重躯体疾病及精神病的患者除外。按护理方法不同分为：实验组30例和对照组3