精神关怀在复发性流产患者中应用的研究进展

doi:10.3761/j.issn.0254-1769.2022.24.006

摘要/Abstract

摘要：

精神关怀指医护人员为恐惧和脆弱的患者提供温柔且充满爱的关怀。该文对精神关怀在复发性流产患者中的研究现状进行综述，重点关注其内容、支持时机及形式，深入分析探讨了精神关怀的应用效果，并提出相关建议，以期为护理人员对精神关怀的进一步研究和实践提供借鉴与参考。

关键词: 复发性流产, 支持性护理, 精神护理, 产科护理

Abstract:

Spiritual concern refers to the gentle and loving spiritual care provided by health care providers to fearful and vulnerable patients. This article reviews the research progress on spiritual concern in patients with recurrent spontaneous abortion. Contents，timing，intervention methods，and the effects of the implementation were mainly explained. The article also made relevant recommendations in order to provide references for further research and practice in China.

Key words: Recurrent Spontaneous Abortion, Supportive Care, Mental Health Care, Obstetrical Nursing

刘思雨, 于丽玲, 中塚幹也. 精神关怀在复发性流产患者中应用的研究进展[J]. 中华护理杂志, 2022, 57(24): 2985-2990.

LIU Siyu, YU Liling, NAKATSUKA Mikiya. Research progress on spiritual concern for couples with recurrent spontaneous abortion[J]. Chinese Journal of Nursing, 2022, 57(24): 2985-2990.

参考文献 36

[1]	中华医学会妇产科学分会产科学组. 复发性流产诊治的专家共识[J]. 中华妇产科杂志, 2016, 51(1):3-9.
	Obstetrics Subgroup,Chinese Society of Obstetrics and Gynecology,Chinese Medical Association. Chinese expert consensus on the diagnosis and treatment of recurrent spontaneous abortion[J]. Chin J Obstet Gynecol, 2016, 51(1):3-9.
[2]	乔杰. 复发性流产孕前管理[J]. 中国实用妇科与产科杂志, 2018, 34(12):1309-1314. DOI
	Qiao J. Preconception care for recurrent spontaneous abortion[J]. Chin J Pract Gynecol Obstet, 2018, 34(12):1309-1314.
[3]	Green DM, O’Donoghue K. A review of reproductive outcomes of women with two consecutive miscarriages and no living child[J]. J Obstet Gynaecol, 2019, 39(6):816-821. DOI PMID
[4]	Kolte AM, Olsen LR, Mikkelsen EM, et al. Depression and emotional stress is highly prevalent among women with recurrent pregnancy loss[J]. Hum Reprod, 2015, 30(4):777-782. DOI URL
[5]	Stray-Pedersen B, Stray-Pedersen S. Etiologic factors and subsequent reproductive performance in 195 couples with a prior history of habitual abortion[J]. Am J Obstet Gynecol, 1984, 148(2):140-146. PMID
[6]	Liddell HS, Pattison NS, Zanderigo A. Recurrent miscarriage:outcome after supportive care in early pregnancy[J]. Aust N Z J Obstet Gynaecol, 1991, 31(4):320-322. DOI URL
[7]	Clifford K, Rai R, Regan L. Future pregnancy outcome in unexplained recurrent first trimester miscarriage[J]. Hum Reprod, 1997, 12(2):387-389. PMID
[8]	Hennessy M, Dennehy R, Meaney S, et al. Clinical practice guidelines for recurrent miscarriage in high-income countries:a systematic review[J]. Reprod Biomed Online, 2021, 42(6):1146-1171. DOI PMID
[9]	包金莲, 谢琴, 郑吟燕, 等. 个体化心理干预在复发性流产继发不孕患者中的应用[J]. 齐鲁护理杂志, 2017, 23(12):109-111.
	Bao JL, Xie Q, Zheng YY, et al. Individualized psychological intervention in patients with infertility secondary to recurrent miscarriage[J]. J Qilu Nurs, 2017, 23(12):109-111.
[10]	席矫健, 赵敏慧, 吴娜, 等. 多次复发性早期自然流产患者一例的护理[J]. 解放军护理杂志, 2014, 31(23):50-52.
	Xi JJ, Zhao MH, Wu N, et al. Care of a patient with early recurrent spontaneous abortion[J]. Nurs J Chin PLA, 2014, 31(23):50-52.
[11]	李玲. 曼陀罗绘画疗法对复发性流产患者孕早期焦虑抑郁情绪的干预效果研究[D]. 成都: 成都中医药大学, 2020.
	Li L. Intervention effect research of mandala drawing therapy on anxiety and depression in early pregnancy of patients with recurrent spontaneous abortion[D]. Chengdu: Chengdu University of TCM, 2020.
[12]	Camis I. Tender loving care[J]. Dent Surv, 1966, 42(12):62. PMID
[13]	Kendrick KD, Robinson S. ‘Tender loving care’ as a relational ethic in nursing practice[J]. Nurs Ethics, 2002, 9(3):291-300. PMID
[14]	Krasuska ME, Stanisławek A, Mazurkiewicz M, et al. Palliative care:transiting old tradition and values into the modern health care practice[J]. Ann Univ Mariae Curie Sklodowska Med, 2002, 57(2):186-193.
[15]	Rasmark Roepke E, Hellgren M, Hjertberg R, et al. Treatment efficacy for idiopathic recurrent pregnancy loss-a systematic review and meta-analyses[J]. Acta Obstet Gynecol Scand, 2018, 97(8):921-941. DOI URL
[16]	Stirrat GM. Recurrent miscarriageⅡ:clinical associations,causes,and management[J]. Lancet, 1990, 336(8717):728-733. PMID
[17]	Musters AM, Taminiau-Bloem EF, van den Boogaard E, et al. Supportive care for women with unexplained recurrent miscarriage:patients’ perspectives[J]. Hum Reprod, 2011, 26(4):873-877. DOI URL
[18]	Musters AM, Koot YE, van den Boogaard NM, et al. Supportive care for women with recurrent miscarriage:a survey to quantify women’s preferences[J]. Hum Reprod, 2013, 28(2):398-405. DOI URL
[19]	Hada K, Kuse E, Nakatsuka M. Women with recurrent pregnancy loss:their psychology during late pregnancy and the supportive behavior of their partners[J]. Acta Med Okayama, 2018, 72(4):387-394.
[20]	Koert E, Malling GMH, Sylvest R, et al. Recurrent pregnancy loss:couples’ perspectives on their need for treatment,support and follow up[J]. Hum Reprod, 2019, 34(2):291-296. DOI
[21]	du Fossé NA, Lashley EELO, Treurniet TT, et al. Exploring gender differences among couples with unexplained recurrent pregnancy loss regarding preferences for supportive care[J]. BMC Pregnancy Childbirth, 2021, 21(1):796. DOI URL
[22]	Elsharkawy NB, Mohamed SM, Awad MH, et al. Effect of happiness counseling on depression,anxiety,and stress in women with recurrent miscarriage[J]. Int J Womens Health, 2021, 13:287-295. DOI PMID
[23]	Chang SC, Kuo PL, Chen CH. Effectiveness of empathic caring on stress and depression for women with recurrent miscarriage:a randomized controlled trial[J]. Complement Ther Clin Pract, 2021, 43:101367. DOI URL
[24]	Meaney S, Corcoran P, Spillane N, et al. Experience of miscarriage:an interpretative phenomenological analysis[J]. BMJ Open, 2017, 7(3):e011382. DOI URL
[25]	刘颖, 赵敏慧. 对围产期丧失胎儿或新生儿家庭进行悲伤支持的研究进展[J]. 中华护理杂志, 2019, 54(1):125-130.
	Liu Y, Zhao MH. Caring for families experiencing perinatal loss:a literature review[J]. Chin J Nurs, 2019, 54(1):125-130.
[26]	Quenby S, Gallos ID, Dhillon-Smith RK, et al. Miscarriage matters:the epidemiological,physical,psychological,and economic costs of early pregnancy loss[J]. Lancet, 2021, 397(10285):1658-1667. DOI URL
[27]	Public Health Agency(Northern Ireland). Recurrent pregnancy loss care pathway for Northern Ireland. Public health agency belfast,2020[EB/OL]. (2020-02)[2021-10-30]. https://www.publichealth.hscni.net/sites/default/files/2020-02/RPL%20care%20pathway%201019.pdf.
[28]	Wang DN, Weng XL, Gao LL. Mindfulness-based intervention in Chinese pregnant women with recurrent miscarriage:a non-randomized controlled study[J]. Midwifery, 2021, 103:103152. DOI URL
[29]	Jensen KHK, Krog MC, Koert E, et al. Meditation and mindfulness reduce perceived stress in women with recurrent pregnancy loss:a randomized controlled trial[J]. Reprod Biomed Online, 2021, 43(2):246-256. DOI URL
[30]	van den Berg MM, Vissenberg R, Goddijn M. Recurrent miscarriage clinics[J]. Obstet Gynecol Clin North Am, 2014, 41(1):145-155. DOI URL
[31]	Habayeb OMH, Konje JC. The one-stop recurrent miscarriage clinic:an evaluation of its effectiveness and outcome[J]. Hum Reprod, 2004, 19(12):2952-2958. PMID
[32]	自然流产诊治中国专家共识编写组. 自然流产诊治中国专家共识(2020年版)[J]. 中国实用妇科与产科杂志, 2020, 36(11):1082-1090. DOI
	Writing Group of Chinese Expert Consensus on Diagnosis,Abortion TOS. Chinese expert consensus on diagnosis and treatment of spontaneous abortion(2020 edition)[J]. Chin J Pract Gynecol Obstet, 2020, 36(11):1082-1090.
[33]	曹癸兰, 梁静, 陶宝明, 等. 医院-社区-家庭联动管理方案的制订及其在冠心病患者二级预防中的应用研究[J]. 中华护理杂志, 2018, 53(10):1157-1162.
	Cao GL, Liang J, Tao BM, et al. Application of linkage management model in the secondary prevention of coronary heart disease[J]. Chin J Nurs, 2018, 53(10):1157-1162.
[34]	Sugiura-Ogasawara M, Nakano Y, Ozaki Y, et al. Possible improvement of depression after systematic examination and explanation of live birth rates among women with recurrent miscarriage[J]. J Obstet Gynaecol, 2013, 33(2):171-174. DOI PMID
[35]	张嘉欣, 郑乔木, 周菁鑫, 等. 同伴支持在早产儿父母中的研究进展[J]. 中华护理杂志, 2022, 57(2):245-251. DOI
	Zhang JX, Zheng QM, Zhou JX, et al. Research progress on peer support for parents of premature infants[J]. Chin J Nurs, 2022, 57(2):245-251. DOI
[36]	Salgado HO, Andreucci CB, Gomes ACR, et al. Correction to:the perinatal bereavement project:development and evaluation of supportive guidelines for families experiencing stillbirth and neonatal death in Southeast Brazil-a quasi-experimental before-and-after study[J]. Reprod Health, 2021, 18(1):144. DOI URL