心理干预对妊娠高血压疾病患者不良情绪、生活质量以及分娩结局的影响

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摘要目的探讨心理干预对妊娠高血压疾病（HDP）患者不良情绪、生活质量以及分娩结局的影响。方法选取2018年3月至2021年4月江西省妇幼保健院妇产科收治的275 例待产HDP 患者作为研究对象进行回顾性分析，根据两组护理方法的不同，将其分为观察组（n=153）和对照组（n=122）。观察组患者住院过程中接受心理干预以及常规护理，对照组患者住院过程中仅接受常规护理。比较两组患者入院时、分娩前的汉密尔顿焦虑量表（HAMA）评分、汉密尔顿抑郁量表（HAMD）评分、生活质量综合评定问卷（GQOLI-74）各维度评分，比较两组产妇及围生儿的并发症总发生率。结果两组患者入院时的HAMA 评分、HAMD 评分比较，差异无统计学意义（P＞0.05）。两组患者分娩前的HAMA 评分、HAMD 评分均低于本组入院时，差异有统计学意义（P＜0.05）。观察组患者分娩前的HAMA 评分、HAMD 评分低于对照组，差异有统计学意义（P＜0.05）。两组患者入院时的心理功能、社会功能、躯体功能、物质生活等GQOLI-74 量表维度评分比较，差异无统计学意义（P＞0.05）。两组患者分娩前的心理功能、社会功能、躯体功能等GQOLI-74 量表维度评分均高于本组入院时，差异有统计学意义（P＜0.05）；两组患者分娩前的物质生活GQOLI-74 量表维度评分与本组入院时比较，差异无统计学意义（P＞0.05）。观察组患者分娩前的心理功能、社会功能、躯体功能等GQOLI-74 量表维度评分高于对照组，差异有统计学意义（P＜0.05）；两组患者分娩前的物质生活GQOLI-74 量表维度评分比较，差异无统计学意义（P＞0.05）。观察组产妇及围生儿的并发症总发生率均低于对照组，差异有统计学意义（P＜0.05）。结论 HDP 患者应用心理干预的效果良好，其在改善患者不良情绪、生活质量的同时，还可以降低产妇及围生儿的并发症发生率。

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	谢淑琴
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关键词 ：心理干预, 妊娠高血压疾病, 不良情绪, 生活质量, 分娩结局

Abstract：Objective To investigate the effect of psychological intervention on bad mood,quality of life and delivery outcome in patients with hypertensive disorders of pregnancy (HDP).Methods A total of 275 cases of patients with HDP awaiting delivery admitted into the Department of Obstetrics and Gynecology of Jiangxi Maternal and Child Health Hospital from March 2018 to April 2021 were selected as the study objects for retrospective analysis.These patents were divided into an observation group (n=153) and a control group (n=122) according to the nursing methods,and the observation group received psychological intervention and routine nursing during hospitalization,while the control group received routine nursing only.The scores of Hamilton anxiety scale (HAMA),scores of Hamilton depression scale(HAMD),scores of quality of life comprehensive assessment questionnaire (GQOLI-74) and total incidences of maternal and perinatal complications between the two groups were compared and analyzed.Results There were no significant differences in the HAMA score and HAMD score between the two groups at admission (P＞0.05).The HAMA score and HAMD score in the two groups before delivery were lower than those at admission,the differences were statistically significant (P＜0.05).The HAMA score and HAMD score in the observation group before delivery were lower than those in the control group,the differences were statistically significant (P＜0.05).There were no significant differences in the scores of psychological function,social function,physical function and material life of GQOLI-74 scale between the two groups at admission (P＞0.05).The scores of psychological function,social function and physical function of GQOLI-74 scale in the two groups before delivery were higher than those at admission (P＜0.05),while no significant difference was found in the score of material life of GQOLI-74 scale in the two groups before delivery and that at admission (P＞0.05).The scores of psychological function,social function and physical function of GQOLI-74 scale in the observation group were higher than those in the control group,the differences were statistically significant (P＜0.05),while there was no statistically significant difference in the material life score of GQOLI-74 scale between the two groups before delivery (P＞0.05).The total incidence rates of maternal and perinatal complications in the observation group were lower than those in the control group,the differences were statistically significant (P＜0.05).Conclusion The psychological intervention on HDP patients shows good effect,which can not only improve the patients′ bad mood and quality of life,but also reduce the incidence of maternal and perinatal complications.

Key words： Psychological intervention Hypertensive disorders of pregnancy Bad mood Quality of life Delivery outcome

基金资助:江西省卫生健康委科技计划项目（202130824）

引用本文:

谢淑琴；张赟；辛思明；欧阳安；郑九生. 心理干预对妊娠高血压疾病患者不良情绪、生活质量以及分娩结局的影响[J]. 中国当代医药, 2022, 29(3): 161-164转171.
XIE Shuqin ；ZHANG Yun； XIN Siming ；OUYANG An； ZHENG Jiusheng. Effect of psychological intervention on bad mood,quality of life and delivery outcome in patients with hypertensive disorders of pregnancy. 中国当代医药, 2022, 29(3): 161-164转171.

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https://www.dangdaiyiyao.com/CN/ 或 https://www.dangdaiyiyao.com/CN/Y2022/V29/I3/161

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