低龄未婚先孕者人工流产负压吸引术后心理健康教育干预研究.docVIP

低龄未婚先孕者人工流产负压吸引术后心理健康教育干预的研究 　　[摘要] 目的 研究心理健康教育在低龄未婚先孕者人工流产负压吸引术中的临床效果。 方法 选择2014年4月～2015年4月在我院行人工流产负压吸引术的低龄未婚先孕患者184例，按照随机数字表法分为对照组和观察组，每组92例。对照组患者接受常规护理干预，观察组患者在常规护理的同时配合心理健康教育干预。观察并记录两组患者的焦虑、抑郁情况以及手术指标。 结果 观察组患者的手术操作时间、阴道持续出血时间显著短于对照组，阴道出血量显著少于对照组，差异有统计学意义（P0.05）；护理干预后，观察组的SAS、SDS评分分别为（35.03±4.16）、（38.73±5.99）分，显著低于对照组的（51.62±4.20）分、（55.78±6.52）分，差异有统计学意义（P0.05）。观察组术后并发症发生率显著低于对照组，差异有统计学意义（P0.05）。 结论 低龄未婚先孕患者行人工流产负压吸引术过程中开展心理健康教育干预，可明显提高手术疗效及安全性，缓解患者的不良心理情绪，减少术后并发症的发生，值得临床推广应用。 　　[关键词] 低龄未婚先孕；人工流产负压吸引术；心理健康教育 　　[中图分类号] R473.71 [文献标识码] A [文章编号] 1674-4721（2015）08（c）-0169-03 　　[Abstract] Objective To study the clinical effect of psychological health education in the young unmarried pregnancy with artificial abortion negative pressure suction. Methods 184 patients with young unmarried pregnancy who received artificial abortion negative pressure suction in our hospital from April 2014 to April 2015 were selected.They were divided into control group and observation group by random number table method，92 cases in each group.The control group was given routine nursing intervention，and observation group was given routine nursing combined with psychological health education intervention.The situation of anxiety ，depression and operation indicator in two groups was observed and recorded. Results The operation time，vaginal bleeding time in observation group was significantly shorter than that of control group，and vaginal bleeding volume was significantly less than that of control group.The difference was statistical significance （P0.05）.After nursing intervention，the SAS and SDS in observation group respectively was （35.03±4.16） and （38.73±5.99） marks，which was significantly lower than （51.62±4.20） and （55.78±6.52） marks in control group， and the difference was statistical significance（P 　　[Key words] Young unmarried pregnancy；Artificial abortion negative pressure suction；Psychological health education 　　人工流产术是临床终止妊娠最常用、最有效的措施，具有安全性高、疗程时间短、操作简单等优点[1-2]。但是，由于受传统伦理道德观念的