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目的研究聚焦解决模式干预对初产孕妇产前焦虑、应对方式及分娩结局的影响。方法选取2013-09—2015-08间在湛江市第二人民医院产科定期进行产前检查怀孕满28周及以上的初产孕妇300例,采取随机抽样的方法,随机分为观察组和对照组各150例。对照组初产孕妇给予常规产科护理措施;观察组在对照组的基础上,接受3个月的聚焦解决模式干预。比较两组孕妇干预3个月后的焦虑(SAS)、抑郁(SDS)评分、应对方式评分及分娩结局。结果两组护理干预后,观察组SAS及SDS评分均低于对照组;干预后,观察组积极应对方式评分高于对照组,而消极应对方式评分低于对照组,两组差异有统计学意义;两组在分娩结局方面,观察组产后抑郁,产后出血及新生儿窒息等分娩结局均显著低于对照组。结论科学的聚焦解决模式在改善产前焦虑、应对方式及分娩结局方面效果显著。
Objective To study the effect of mode intervention on prenatal anxiety, coping style and delivery outcome of primiparous pregnant women. METHODS: A total of 300 primiparous pregnant women who were pregnant for 28 weeks and above were enrolled in the obstetrics department of the Second People’s Hospital of Zhanjiang City between September 2013 and August 2015. The randomized methods were randomly divided into observation group and control group 150 cases each. The control group of primiparous women given conventional obstetric care; observation group on the basis of the control group, to accept 3 months focused solution mode intervention. Anxiety (SAS), depression (SDS) scores, coping style scores and delivery outcomes were compared between the two groups after 3 months of intervention. Results After the two groups of nursing intervention, SAS and SDS scores of the observation group were lower than that of the control group; after the intervention, the score of the positive coping style in the observation group was higher than that of the control group, while the negative coping style score was lower than the control group ; The two groups in the delivery outcome, the observation group postpartum depression, postpartum hemorrhage and neonatal asphyxia other childbirth outcomes were significantly lower than the control group. Conclusion The scientific focus solution mode has a significant effect in improving prenatal anxiety, coping style and delivery outcome.