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情绪管理及护理对无痛人工流产术后患者的影响

Effect of emotion management and nursing on patients with painless induced abortion after operation.

作者信息

Yang Jing, Yang Xiao, Xiong Zhuo-Ya

机构信息

Gynecological Clinic, Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongii Medical College, Huazhong University of Science & Technology, Wuhan 430000, Hubei Province, China.

出版信息

World J Psychiatry. 2024 Aug 19;14(8):1182-1189. doi: 10.5498/wjp.v14.i8.1182.

Abstract

BACKGROUND

With an estimated 121 million abortions following unwanted pregnancies occurring worldwide each year, many countries are now committed to protecting women's reproductive rights.

AIM

To analyze the impact of emotional management and care on anxiety and contraceptive knowledge mastery in painless induced abortion (IA) patients.

METHODS

This study was retrospective analysis of 84 patients with IA at our hospital. According to different nursing methods, the patients were divided into a control group and an observation group, with 42 cases in each group. Degree of pain, rate of postoperative uterine relaxation, surgical bleeding volume, and postoperative bleeding volume at 1 h between the two groups of patients; nursing satisfaction; and mastery of contraceptive knowledge were analyzed.

RESULTS

After nursing, Self-Assessment Scale, Depression Self-Assessment Scale, and Hamilton Anxiety Scale scores were 39.18 ± 2.18, 30.27 ± 2.64, 6.69 ± 2.15, respectively, 45.63 ± 2.66, 38.61 ± 2.17, 13.45 ± 2.12, respectively, with the observation group being lower than the control group ( < 0.05). Comparing visual analog scales, the observation group was lower than the control group (4.55 ± 0.22 3.23 ± 0.41; < 0.05). The relaxation rate of the cervix after nursing, surgical bleeding volume, and 1-h postoperative bleeding volumes were 25 (59.5), 31.72 ± 2.23, and 22.41 ± 1.23, respectively, 36 (85.7), 42.39 ± 3.53, 28.51 ± 3.34, respectively, for the observation group compared to the control group. The observation group had a better nursing situation ( < 0.05), and higher nursing satisfaction and contraceptive knowledge mastery scores compared to the control group ( < 0.05).

CONCLUSION

The application of emotional management in postoperative care of IA has an ideal effect.

摘要

背景

据估计,全球每年有1.21亿例意外怀孕后的人工流产,许多国家现在致力于保护妇女的生殖权利。

目的

分析情绪管理与护理对无痛人工流产(IA)患者焦虑及避孕知识掌握情况的影响。

方法

本研究对我院84例IA患者进行回顾性分析。根据不同的护理方法,将患者分为对照组和观察组,每组42例。分析两组患者的疼痛程度、术后子宫松弛率、手术出血量及术后1小时出血量;护理满意度;以及避孕知识掌握情况。

结果

护理后,观察组自我评估量表、抑郁自评量表及汉密尔顿焦虑量表评分分别为39.18±2.18、30.27±2.64、6.69±2.15,对照组分别为45.63±2.66、38.61±2.17、13.45±2.12,观察组低于对照组(P<0.05)。比较视觉模拟量表,观察组低于对照组(4.55±0.22比3.23±0.41;P<0.05)。护理后观察组宫颈松弛率、手术出血量及术后1小时出血量分别为25例(59.5%)、31.72±2.23、22.41±1.23,对照组分别为36例(85.7%)、42.39±3.53、28.51±3.34。观察组护理情况更好(P<0.05),与对照组相比,护理满意度及避孕知识掌握评分更高(P<0.05)。

结论

情绪管理在IA术后护理中的应用效果理想。

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Clin Obstet Gynecol. 2021 Sep 1;64(3):460-474. doi: 10.1097/GRF.0000000000000631.
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The Impact of Abortion Underreporting on Pregnancy Data and Related Research.流产漏报对妊娠数据及相关研究的影响。
Matern Child Health J. 2021 Aug;25(8):1187-1192. doi: 10.1007/s10995-021-03157-9. Epub 2021 Apr 30.

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