基于网络的长期心理护理干预对复发性流产患者心理健康、家庭功能的影响

来源:用户上传      作者:陶莉萧 肖兰 舒小妹 钟兴明

　　[摘要]目的^察分析复发性流产（RSA）患者给予基于网络的长期心理护理干预的方法及对患者心理健康、家庭功能的影响。方法选取2019年2月至2020年6月广东省生殖医院240例RSA患者为研究对象，随机数字表法分为两组，对照组120例给予常规护理干预，观察组120例给予基于网络的沟通建设、健康宣教、心理引导、家庭干预、健康跟踪等长期心理护理干预，观察比较两组患者入选时和护理干预6个月后心理健康、家庭功能及护理满意度差异。结果干预6个月后，观察组焦虑自评量表（SAS）和抑郁自评量表（SDS）评分低于对照组，家庭关怀指数量表（PAGAR）各维度评分及总分高于对照组，差异有统计学意义（P<0.05）。观察组护理满意率为100.00%，高于对照组的90.00%，差异有统计学意义（P<0.05）。结论基于网络的长期针对性干预，方法简单易行，效果长远，能够有效改善RSA患者心理健康水平，提高其家庭功能和支持，对患者远期的生存质量和护患关系有着重要的价值。
　　[关键词]复发性流产;心理健康;家庭功能;护理干预
　　[中图分类号]R472[文献标识码]A[文章编号]2095-0616（2022）13-0139-05
　　Effects of the Web-based long-term psychological nursing intervention on mental health and family function in patients with recurrent spontaneous abortion
　　TAO LiXIAO XiaolanSHU XiaomeiZHONG Xingming
　　NHC Key Laboratory of Male Reproduction and Genetics，Guangdong Provincial Reproductive Science Institute （Guangdong Provincial Fertility Hospital），Guangdong，Guangzhou 510600，China
　　[Abstract] Objective To observe and analyze the effects of the Web-based long-term psychological nursing intervention on mental health and family function in patients with recurrent spontaneous abortion （RSA）. Methods A total of 240 patients with RSA in the Guangdong Provincial Fertility Hospital from February 2019 to June 2020 were selected as study subjects，and were divided into two groups by the random number table method. 120 patients in the control group were given conventional nursing intervention，while the other 120 patients in the observation group were given Web-based long-term psychological nursing intervention such as communication construction，health education，psychological instruction，family intervention，and health tracking，etc. The differences in mental health，family function and nursing satisfaction were observed at the time of inclusion and after 6 months of nursing intervention and were compared between the two groups. Results After 6 months of intervention，the self-rating anxiety scale （SAS）and self-rating depression scale （SDS）scores in the observation group were lower than those in the control group，and the scores in all dimensions as well as the total score of the family APGAR scale （PAGAR）in the observation group were higher than those in the control group，with statistically significant differences （P<0.05）. The nursing satisfaction in the observation group （100.00%）was higher than that in the control group （90.00%），with statistically significant differences （P<0.05）. Conclusion The Web-based long?term targeted intervention is feasible with long-term effect，which can effectively improve the mental health level and enhance the family function and support of patients with RSA，and is of significance for patients' long-term survival quality and the nurse-patient relationship.

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