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| 标准化健康教育对医源性多胎妊娠患者孕早期情绪的影响 |
| Influence of standardized health education on the emotion of patients with iatrogenic multiple pregnancy in early pregnancy stage |
| 投稿时间：2018-04-04 |
| DOI：10.3969/j.issn.1000-0399.2019.01.027 |
| 中文关键词: 医源性多胎妊娠 焦虑 抑郁 健康教育 |
| 英文关键词: Iatrogenic multiple pregnancy Anxiety Despondent Health education |
| 基金项目:国家重点研发计划（项目编号：2016YFC1000204） |
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| 中文摘要: |
| 目的 通过对医源性多胎妊娠患者孕早期进行标准化健康教育，改善患者焦虑、抑郁等负面情绪，提高患者对多胎妊娠的认知，从而积极应对、改善妊娠结局。方法 采用整群随机法选取2015年5月至2017年12月安徽医科大学第一附属医院生殖中心就诊的孕早期医源性多胎妊娠患者212例作为观察组，选取同期妇产科门诊就诊的计划内自然妊娠的孕早期单胎孕妇208例作为对照组，采用自编的一般情况调查表及焦虑自评量表（SAS）、ZUNG氏抑郁量表（SDS）对两组人群进行调查，制定标准化多胎妊娠健康教育手册，发放给医源性多胎妊娠的观察组患者，同时对其实施标准化健康教育。观察组患者进行自身干预前后的比较研究。用EpiData3.1、SPSS16.0进行数据库的建立、数据的整理及统计分析。结果 两组患者一般资料调查显示，在年龄、职业、文化程度和对腹中胎儿性别的渴望方面，差异有统计学意义（P<0.05），而在既往生育子女个数、体质指数、家庭人均月收入、婚姻状况和既往怀孕次数方面，差异无统计学意义（P>0.05）；两组患者SAS、SDS评分差异有统计学意义（P<0.05），医源性多胎妊娠患者焦虑抑郁检出率较自然妊娠的单胎孕妇高。标准化健康教育干预后，观察组患者的焦虑、抑郁状况改善，与干预前的SAS、SDS评分相比，差异有统计学意义（P<0.05）。结论 医源性多胎妊娠的患者较自然妊娠的单胎孕妇有更严重的心理健康问题。通过对其进行标准化健康教育，可有效改善患者焦虑、抑郁等心理问题。 |
| 英文摘要: |
| Objective To release the negative emotion of the patients with iatrogenic multiple pregnancy and improve their acknowledge of the multiple pregnancy through the standardized health education on the patients in early pregnancy stage.Methods 212 cases of iatrogenic multiple pregnancy patients were selected from reproductive medicine center of the First Affiliated Hospital of Medical University, and the control group was 208 cases of natural singleton pregnancy women. Investigate the two groups in cohort studies and compare the difference of patients before and after self-intervention. Collect the materials through using self-designed general condition questionnaire, Self-Rating Anxiety Scale(SAS) and Self-rating Depression Scale(SDS), make manuals of standardized health education and provide to patients with iatrogenic multiple pregnancy. Establish the database, classify and analyze the data through EpiData3.1 andSPSS16.0 software.Results The general condition questionnaire of the two groups showeda statistical significance in the age,profession,education level, and desire for the sex of the fetus(P<0.05). While the two groups had no statistical significance in the numbers of children gave birth to before, body mass index, the household income, marital status and previous pregnancies(P>0.05). The two groups had statistical significance in the score of SAS scale and SDS scale(P<0.05), the patients of iatrogenic multiple pregnancy had a higher detection rates of anxiety and depression than the natural singleton pregnant women. After intervention with the standardized health education, the anxiety and depression of the patient group had been improved, showing a statistical significance in score of SAS scale and SDS scale before and after intervention(P<0.05).Conclusion The Iatrogenic multiple pregnancy women has more serious psychological stress than the natural singleton pregnancy women. The standardized health education can effectively improve the psychological problems of patients including anxiety and depression. |
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