延续精准护理结合心理干预在先兆流产患者中的应用

目的 研究延续精准护理结合心理干预对先兆流产患者心理情绪与保胎成功率的影响。方法 选取2020年1月至2022年6月浙江大学医学院附属第二医院临平院区收治的先兆流产患者共150例为研究对象，根据随机数字表法将其分为试验组与对照组，每组各75例。对照组患者实施常规护理干预方案3个月，试验组患者在常规干预基础上实施延续精准护理结合心理干预方案3个月。比较两组患者的焦虑自评量表（self-rating anxiety scale，SAS）、抑郁自评量表（self-rating depression scale，SDS）、匹兹堡睡眠质量指数（Pittsburgh sleep quality index，PSQI）、一般自我效能感量表（general self-efficacy scale，GSES）评分及保胎成功率、护理满意度。结果 干预后3个月，两组患者的SAS、SDS、PSQI评分均显著低于本组干预前，GSES评分、幸福感得分均显著高于本组干预前（P<0.05），试验组患者的SAS、SDS、PSQI评分均显著低于对照组，GSES评分、幸福感得分、保胎成功率及护理满意度均显著高于对照组（P<0.05）。结论 延续精准护理结合心理干预可改善先兆流产患者的焦虑与抑郁症状，提高患者的睡眠质量、自我效能感、保胎成功率及护理满意度。

Application of continuous precision nursing combined with psychological intervention in patients with threatened abortion

Objective To study the influence of continuous precision nursing combined with psychological intervention on the psychological emotion and the success rate of fetal protection of patients with threatened abortion. Methods A total of 150 patients with threatened abortion admitted to Linping District, the Second Affiliated Hospital, Zhejiang University School of Medicine from January 2020 to June 2022 were selected as the study objects, and were divided into experimental group and control group according to random number table method, with 75 cases in each group. The control group implemented the routine nursing intervention program for 3 months, and the experimental group established the continuous precision nursing combined with psychological intervention program on the basis of routine intervention for 3 months. Self-rating anxiety scale (SAS) and self-rating depression scale (SDS), Pittsburgh sleep quality index (PSQI), general self-efficacy scale (GSES) score, success rate of fetal protection, nursing satisfaction were compared between the two groups. Results Three months after intervention, the scores of SAS, SDS and PSQI in both groups were significantly lower than before intervention, and the scores of GSES and happiness were significantly higher than before intervention (P<0.05). The scores of SAS, SDS and PSQI of experimental group were significantly lower than those of control group, while the scores of GSES, happiness, success rate of fetal protection and nursing satisfaction of experimental group were significantly higher than those of control group (P<0.05). Conclusion Continuous precision nursing combined with psychological intervention can improve the anxiety and depression symptoms of patients with threatened abortion, and improve their sleep quality, self-efficacy, success rate of fetal protection and nursing satisfaction.