摘要
目的 分析探讨药物依赖性产妇围产期护理应用效果。方法 以我院2019.07~2021.07月收治的药物依赖性产妇50例为研究对象,并根据护理干预不同进行分组,护理II组(n=25)在护理I组(n=25)基础上开展围产期护理。对比观察两组产妇心理调节能力以及分娩效能与应对能力差异变化。结果 与护理干预前相比,经护理干预后产妇HAMA、HAMD评分有下降,心理弹性得分有升高,但护理II组改善幅度大于护理I组(P<0.05);与护理干预前相比,经护理干预后产妇自我效能感以及分娩应对能力有提升,但护理II组评分高于护理I组(P<0.05)。结论 针对药物依赖性产妇,予以围生期护理干预对策,能够提高产妇心理调节能力以及自我效能和分娩应对能力,有助于提高产妇的分娩质量,临床可进一步推广运用。
关键词: 药物依赖性;产妇;围产期护理;自我效能
Abstract
Objective: To analyze the application effect of perinatal nursing in drug-dependent puerperae. Methods: 50 drug-dependent puerperae admitted to our hospital from 2019.07 to 2021.07 were selected as the research objects, and were divided into groups according to different nursing interventions. Nursing group II (n=25) carried out perinatal care based on nursing group I (n=25). Prenatal care. The differences in psychological adjustment ability, delivery efficacy and coping ability of the two groups were compared and observed. Results: Compared with before nursing intervention, maternal HAMA and HAMD scores decreased and psychological resilience scores increased after nursing intervention, but the improvement in nursing group II was greater than that in nursing group I (P<0.05); compared with before nursing intervention, after nursing intervention, maternal self-efficacy and childbirth coping ability improved, but the score of nursing group II was higher than that of nursing group I (P<0.05). Conclusion : For drug-dependent mothers, perinatal nursing intervention measures can improve maternal psychological adjustment ability, self-efficacy and childbirth coping ability, and help to improve the quality of childbirth. It can be further popularized and applied in clinical practice.
Key words: drug dependence; maternal; perinatal care; self-efficacy
参考文献 References
[1] 郭慧, 赵森铭, 董凯,等. 药物依赖性预警平台开发可行性的探索[J]. 中国药物依赖性杂志, 2021, 30(5):379-381,386.
[2] 陈瑛, 李亮, 吉文岳,等. 生物胺系统抗抑郁药物依赖性评价研究进展[J]. 中国药物警戒, 2022, 19(1):113-116.
[3] 厉星, 赵蕊, 应苗法. 精神药物在妊娠期使用的安全性探讨[J]. 中国医院药学杂志, 2021, 41(8):860-866.
[4] 王向华, 樊莉萍. 围生期无缝隙的个性化护理干预措施对健康产妇及新生儿的临床研究[J]. 中国实用护理杂志, 2020, 36(9):674-678.
[5] 杨辛, 张俊清. 围产期规范化心理护理对初产妇分娩疼痛及心理状态的影响[J]. 河北医药, 2021, 43(3):471-473.
[6] 孙玉涛, 卢秀春, 刘彦彬. 不同抗精神病药物治疗对妊娠期精神分裂患者新生儿生长发育的影响[J]. 武警后勤学院学报:医学版, 2021, 30(10):67-68,71.
[7] 李琴琴, 张庆. 认知行为干预配合放松疗法对妊娠期抑郁症患者围产结局和精神状态的影响[J]. 甘肃医药, 2020, 39(1):56-57,62.
[8] 曲延丽. 社会支持和心理辅导及依赖性治疗对产妇抑郁症的影响[J]. 国际护理学杂志, 2019, 38(17):2749-2752.
[9] 赵会菊, 付晓芳, 王芳. 围产期保健对高龄孕产妇的效果及其心理状态的影响[J]. 国际精神病学杂志, 2021, 48(4):707-710.
[10] 王晓英, 高学军, 王欣. 围产期助产士整体护理对孕产妇分娩方式改善作用[J]. 河北医药, 2021, 43(14):2224-2226,2230.