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目的:探讨孕期健康教育对瘢痕子宫再次妊娠产妇负性情绪、自我效能及分娩结局的影响。方法:将120例瘢痕子宫再次妊娠产妇随机分为观察组和对照组各60例。对照组给予常规性护理,观察组在对照组基础上进行健康教育,分别于干预前后应用焦虑自评量表(SAS)、抑郁自评量表(SDS)及自我效能量表对两组产妇负性情绪及自我效能进行评估,观察两组产妇分娩结局差异。结果:观察组干预后自我效能评分高于对照组(P<0.05),观察组干预后SAS评分、SDS评分显著低于对照组(P<0.05)。观察组会阴撕裂、会阴侧切、剖宫产、胎吸助产、子宫剖裂发生率低于对照组,而自然分娩率高于对照组(P<0.05)。结论:孕期健康教育能有效提高瘢痕子宫再次妊娠产妇自我效能,减轻产妇焦虑、抑郁情绪,降低产妇不良妊娠结局发生率,提高产妇自然分娩率。
Objective: To investigate the effects of pregnancy health education on the negative emotions, self-efficacy and delivery outcomes of pregnant women with uterine scar pregnancy. Methods: 120 cases of uterine pregnancy again pregnant women were randomly divided into observation group and control group of 60 cases. The control group was given routine nursing. The observation group was given health education on the basis of the control group. The anxiety self-rating scale (SAS), depression self-rating scale (SDS) and self-efficacy scale Sexual Emotion and Self-Efficacy, and observed differences in delivery outcomes between the two groups. Results: After the intervention, the scores of self-efficacy in the observation group were higher than those in the control group (P <0.05). The scores of SAS and SDS in the observation group were significantly lower than those in the control group after intervention (P <0.05). The incidence of perineal tear, episiotomy, cesarean section, midwifery, and uterine rupture in observation group were lower than those in control group, while the rate of natural delivery was higher than that in control group (P <0.05). Conclusion: Health education during pregnancy can effectively improve maternal self-efficacy of scar pregnancy and relieve maternal anxiety and depression, reduce the incidence of maternal adverse pregnancy outcomes and improve the rate of maternal spontaneous delivery.