[1]吴芬萍.共情理念指导的照护策略对剖宫产初产妇心理状态及自我管理的影响[J].医学信息,2024,37(21):181-184.[doi:10.3969/j.issn.1006-1959.2024.21.043]
　WU Fenping.Effect of Nursing Strategy Guided by Empathy Concept on Psychological State and Self-management of Primiparas Undergoing Cesarean Section[J].Journal of Medical Information,2024,37(21):181-184.[doi:10.3969/j.issn.1006-1959.2024.21.043]
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共情理念指导的照护策略对剖宫产初产妇心理状态及自我管理的影响()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年21期
页码:
181-184
栏目:
护理研究
出版日期:
2024-11-01

文章信息/Info

Title:
Effect of Nursing Strategy Guided by Empathy Concept on Psychological State and Self-management of Primiparas Undergoing Cesarean Section
文章编号:
1006-1959（2024）21-0181-04
作者:
吴芬萍
上栗县妇幼保健院保健科，江西 上栗 337009
Author(s):
WU Fenping
Health Care Department of Shangli County Maternal and Child Health Hospital,Shangli 337009,Jiangxi,China
关键词:
共情理念指导的照护策略; 剖宫产; 初产妇; 心理状态; 自我管理
Keywords:
Nursing strategy guided by empathy concept; Cesarean section; Primiparas; Psychological status; Self-management
分类号:
R473
DOI:
10.3969/j.issn.1006-1959.2024.21.043
文献标志码:
A
摘要:
目的 研究共情理念指导的照护策略对剖宫产初产妇心理状态及自我管理的影响。方法 选取2020年1月-2023年1月我院行剖宫产术的64例初产妇为研究对象，采用随机数字表法分为对照组（n=32)和试验组（n=32）。对照组采用常规护理，试验组在对照组基础上开展以共情理念指导的照护策略，比较两组产妇心理状态（SCL-90）、自我管理水平、护理满意度、并发症发生率。结果 试验组干预后躯体化、抑郁、恐怖、人际关系敏感、焦虑各维度评分低于对照组（P＜0.05），而两组强迫症、敌对、偏执、精神病性、其他各维度评分比较，差异无统计学意义（P＞0.05）；试验组干预后内心活动、母乳喂养、健康教育掌握、技能掌握评分高于对照组（P＜0.05）；试验组护理满意度为96.88%，高于对照组的78.13%（P＜0.05）；试验组并发症发生率为6.25%，低于对照组的18.75%（P＜0.05）。结论 共情理念指导的照护策略可改善剖宫产初产妇心理状态，提升自我管理水平，提高护理满意度，降低并发症发生率，值得临床加以应用。
Abstract:
Objective To study the effect of nursing strategy guided by empathy concept on psychological state and self-management of primiparas undergoing cesarean section.Methods A total of 64 primiparas who underwent cesarean section in our hospital from January 2020 to January 2023 were selected as the research objects. They were divided into control group (n=32) and experimental group (n=32) by random number table method. The control group was given routine nursing, while the experimental group was given nursing strategy guided by empathy concept on the basis of the control group. The psychological state (SCL-90), self-management level, nursing satisfaction and incidence of complications were compared between the two groups.Results The scores of somatization, depression, terror, interpersonal sensitivity and anxiety in the experimental group were lower than those in the control group (P<0.05), there was no significant difference in the scores of obsessive-compulsive disorder, hostility, paranoia, psychosis and other dimensions between the two groups (P>0.05). After intervention, the scores of inner activity, breastfeeding, health education mastery and skill mastery in the experimental group were higher than those in the control group (P<0.05). The nursing satisfaction of the experimental group was 96.88%, which was higher than 78.13% of the control group (P<0.05). The incidence of complications in the experimental group was 6.25%, which was lower than 18.75% in the control group (P<0.05).Conclusion The nursing strategy guided by empathy concept can improve the psychological state of primiparas undergoing cesarean section, improve self-management level, improve nursing satisfaction and reduce the incidence of complications, which is worthy of clinical application.

参考文献/References:

[1]祖振朋.以共情理念为导向的照护策略对急性冠脉综合征患者心理弹性和应对积极性的影响[J].河南医学研究,2020,29(28):5351-5353.[2]李艳霞,方惠,樊少磊.群组孕期保健管理模式对初产妇自我管理能力及母婴结局的影响[J].广东医学,2020,41(5):506-510.[3]康彦霞,王华．叙事疗法对高龄剖宫产初产妇负性情绪、心理弹性的影响[J].医学临床研究,2021,38(11):1714-1717.[4]邢媛媛,曾媛媛,杨雪平,等.饮食指导结合心理干预对剖宫产产妇产后焦虑抑郁的影响[J].西部医学,2019,31(5):800-803. [5]宋玮钕,金珊,俞黎铭.跟踪联动自我管理教育对出院剖宫产妇女母乳喂养的影响[J].中国预防医学杂志,2019,20(5):368-370. [6]李彩月,张春兰,张芙萍.基于社会综合支持的护理干预对初产妇自我管理能力及不良妊娠结局的影响[J].检验医学与临床,2019,16(21):3197-3199. [7]汤敏彦,陈梦茜,杜米娜.基于SOR理论的护理干预对剖宫产初产妇产后抑郁和生活质量的影响[J].贵州医药,2022,46(7):1174-1175.[8]曾铁英,刘天昂,张可,等.感知觉信息支持干预对剖宫产初产妇术前不良情绪的影响[J].护理学杂志,2023,38(6):92-95.[9]Hajibabaee FA,Farahani M,Ameri Z,et al.The relationship between empathy and emotional intelligence among Iranian nursing students[J].Int J Med Educ,2018,9:239-243.[10]黄凌,樊雅静,丁瑾赟,等.护士主导下同伴支持对初产妇产后创伤后应激障碍的干预效果[J].中国实用护理杂志,2020,36(29):2279-2283.[11]须琼英,何晓艳,杨新,等.激励式心理护理对择期剖宫产初产妇生理和心理应激的影响[J].国际精神病学杂志,2019,46(3):551-554.[12]李奕莲,杨烜.Orem 自理模式对自然分娩产妇自我护理能力、心理状态及护理满意度的影响[J].海南医学,2019,30(2):137-139.[13]肖会能,吕德平.聚焦解决模式在剖宫产初产妇心理护理中的应用研究[J].川北医学院学报,2018,33(3):26-29.[14]阎蓓,欧阳俊.顺产、侧切产及剖宫产对初产妇产后阴道收缩力及性生活质量的影响[J].中国性科学,2019,28(2):76-79.[15]洪美云,聂香梅,杨晓敏.需要层次护理对剖宫产产妇自护能力及生活质量的影响[J].现代诊断与治疗,2019,30(17):195-196.[16]翟晓艳.奥瑞姆自理理论联合 Roy 适应模式对初产妇剖宫产分娩后 VAS 评分及生活质量的影响[J].黑龙江中医药,2019,48(4):179-180.[17]张彩虹,刘晓霞,丁玲,等.奥瑞姆自护模式在改善青年脑卒中患者自我管理行为及信心水平中的应用[J].齐鲁护理杂志,2018,24(22):8-11.[18]胡凤婵,胡爱丽,牛小群.共情护理对剖宫产产妇焦虑情绪及护理满意度的影响[J].昆明医科大学学报,2018,37(8):147-150.[19]张丽英,周倩,张月英,等.FCC模式的护理干预对初产妇剖宫产术后纯母乳喂养自我效能的影响[J].内蒙古医学杂志,2019,51(6):738-739．[20]吴薇薇.基于IMB模型的护理干预对初产妇剖宫产术后负性情绪及纯母乳喂养率的影响[J].河南医学研究,2019,28(20):3828-3829．

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更新日期/Last Update: 1900-01-01