基于舒缓疗护理念的告别仪式在畸胎引产病人中的应用效果

目的]探讨基于舒缓疗护理念的胎体告别仪式对畸胎引产病人负面情绪及住院满意度的干预效果。方法]选择在本院妇科接受畸胎引产同时参加胎体告别仪式的病人30例作为观察组,另选在本院妇科接受畸胎引产但未参加胎体告别仪式的病人32例为对照组。在住院当天、出院当天、引产后30 d采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、爱丁堡产后抑郁量表(EPDS)对产妇进行评估;出院当天采用医院自制住院满意度调查表评估病人住院满意度。比较两组病人出院当天、引产后30 d SAS、SDS、EPDS评分及住院满意度评分。结果]观察组病人出院当天、引产后30d的SAS、SDS、EPDS评分均低于对照组,差异有统计学意义(P<0.05);观察组病人住院满意度高于对照组,差异有统计学意义(P<0.05)。结论]基于"舒缓疗护"理念的胎体告别仪式能缓解畸胎引产病人紧张、焦虑情绪,减轻病人痛苦,减少产后抑郁的发生,提高病人住院满意度。

Application effect of the farewell ceremony based on the palliative care concept in patients with labor induction of malformation fetus

Objective:To explore the intervention effect of the farewell ceremony based on the palliative care concept in patients with labor induction of malformation fetus.Methods:From March 2019 to February 2019,a total of 30 cases with labor induction of malformation fetus and attended the fetal farewell ceremony in the department of gynecology of our hospital were selected as the observation group,while 32 cases with labor induction of malformation fetus in the department of gynecology of our hospital did not attend the fetal farewell ceremony from November 2018 to February 2019 were selected as the control group.On the day of hospitalization,discharge,and 30 days after labor induction,the patients were evaluated by the Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),and Edinburgh Postpartum Depression Scale(EPDS).The self-made inpatient satisfaction questionnaire was used to evaluate the patients′ inpatient satisfaction on the day of discharge.The differences of SAS,SDS,and EPDS scores on the day of discharge and 30 days after labor induction,and inpatient satisfaction scores between the two groups were compared.Results:The SAS,SDS,and EPDS scores of the observation group on the day of discharge and 30 days after labor induction were lower than those of the control group,with statistically significant differences(P<0.05).Patients in the observation group were more satisfied with hospitalization than those in the control group,and the difference was statistically significant(P<0.05).Conclusions:The farewell ceremony based on the palliative care concept could relieve the tension and anxiety of patients with labor induction of malformation fetus,reduce the pain of patients,reduce the occurrence of postpartum depression,and improve the patients′ inpatient satisfaction.