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目的:探讨综合性心理干预在未婚初次人工流产患者护理中的应用价值。方法:选取绍兴市柯桥区妇幼保健计划生育服务中心2014年3月-2016年5月初次行无痛人工流产手术的未婚患者94例为研究对象,经随机数字表法分为观察组47例,对照组47例。对照组给予常规护理,观察组在对照组基础上给予综合性心理护理,观察两组患者负性情绪变化、术后疼痛情况及护理满意度。结果:两组患者护理前情绪状况无明显差异(P>0.05),护理后均有改善,观察组护理后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均显著低于对照组,差异有统计学意义(P<0.05)。两组患者术后视觉模拟评分法(VAS)评分呈递减趋势,观察组患者术后各时间点VAS评分同对照组比较,均明显较低,差异有统计学意义(P<0.05)。观察组患者护理满意率达到95.74%,同对照组82.98%相比,差异有统计学意义(P<0.05)。结论:在未婚女性初次人工流产术中实施综合性心理护理,能有效改善其情绪状况,缓解术后疼痛,提高护理满意率。
Objective: To explore the value of comprehensive psychological intervention in the nursing of unmarried first-time abortion patients. Methods: 94 cases of unmarried patients with painless abortion were selected from March 2014 to May 2016 in Keqiao District Family Planning Service Center of Keqiao District, Shaoxing City, and divided into observation group (n = 47) by random number table method , Control group 47 cases. The control group was given routine nursing. The observation group was given the comprehensive psychological care on the basis of the control group. The changes of negative emotion, postoperative pain and nursing satisfaction were observed in both groups. Results: There was no significant difference in emotional status between the two groups before and after treatment (P> 0.05), and after the nursing care, the anxiety self-rating scale (SAS) and the depression self-rating scale (SDS) Control group, the difference was statistically significant (P <0.05). Visual acuity score (VAS) score of both groups showed decreasing trend. VAS score of observation group at each time point after operation was significantly lower than that of control group (P <0.05). The satisfaction rate of nursing in the observation group reached 95.74%, which was significantly different from that of the control group (82.98%) (P <0.05). Conclusion: The comprehensive psychological care in unmarried women during the first abortion can effectively improve their emotional status, relieve postoperative pain and improve nursing satisfaction.