聚焦解决模式对瘢痕子宫孕妇分娩期心理状态及自我护理能力的影响

目的探讨聚焦解决模式对瘢痕子宫孕妇分娩期负性情绪及自我护理能力的影响。方法选择2018年12月至2019年3月我院产科病房收治的瘢痕子宫二胎孕妇74例作为研究对象,随机分为对照组38例和试验组36例。对照组采用常规护理,试验组采用聚焦解决模式干预,分别于干预前、孕39~40周和出院时采用焦虑自评量表(SAS)、抑郁自评量表(SDS)评估,比较孕妇的焦虑抑郁情况,比较两组孕妇的阴道试产率(TOLAC)、剖宫产后阴道分娩率(VBAC)、分娩后早期下床活动时间。结果两组孕妇孕39~40周和出院时的SAS和SDS评分均低于干预前(P<0.05),试验组低于对照组(P<0.05);试验组的TOLAC和VBAC均高于对照组(P<0.05),分娩后早期下床活动时间早于对照组(P<0.05)。结论对瘢痕子宫孕妇实施聚焦解决模式护理,可缓解孕妇的焦虑、抑郁情绪,提高ToLAC和VBAC,促进产妇分娩后早期下床活动,值得临床推广应用。

Effect of applying focused solution model to the psychological status and self-care ability of pregnant women with scar pregnancy during the delivery period

Objective To explore the effect of focused solution model to the negative emotion and self-care ability of pregnant women with scar pregnancy during the delivery period.Methods To select 74 cases of pregnant women with scar pregnancy who were admitted to the obstetrics ward of our hospital from December 2018 to March 2019 as the study objects,and they were randomly divided into a control group of 38 cases and a test group of 36 cases.The control group used routine nursing,and the test group used focused solution mode intervention.They were evaluated by self-rating anxiety scale(SAS)and self-rating depression scale(SDS)before intervention,at 39-40 weeks of pregnancy and at the time of discharge.The anxiety and depression of pregnant women were compared,as well as the trial of labor after cesarean(TOLAC)rate and vaginal birth after cesarean(VBAC)rate of pregnant women and the time to get out of bed early after delivery were compared between the two groups.Results The SAS and SDS scores of pregnant women at 39 to 40 weeks of pregnancy and discharge from both groups were lower than those before intervention(P<0.05),and the scores in the test group were lower than those in the control group(P<0.05).The TOLAC and VBAC in the test group were higher than those in the control group(P<0.05).The time to get out of bed early after delivery in the test group was earlier than that in the control group(P<0.05).Conclusion The application of focused solution mode nursing can alleviate the anxiety and depression of pregnant women with scar pregnancy,improve the ToLAC and VBAC,and promote the early out-of-bed activities after delivery.It was worthy of clinical promotion and application.