基于认知行为疗法的护理干预在胎儿异常引产产妇中的应用研究

doi:10.3761/j.issn.0254-1769.2023.14.002

摘要/Abstract

摘要：

目的探讨基于网络认知行为疗法的护理干预对胎儿异常引产产妇焦虑、抑郁及睡眠质量的影响。方法采用便利抽样法，选取2019年2月—2020年1月在杭州市某三级甲等妇产科医院确诊为胎儿发育异常需住院引产的95例产妇作为研究对象，随机分为试验组48例和对照组47例。试验组采用基于网络认知行为疗法的护理干预，对照组采用常规护理照护。比较两组焦虑、抑郁水平及睡眠质量方面的差异。结果试验组43例，对照组44例完成该研究。干预后试验组广泛性焦虑量表得分为（4.97±1.82）分、对照组为（7.09±3.54）分，两组比较，差异具有统计学意义（t=-2.312，P=0.019）；试验组的爱丁堡产后抑郁量表得分为（6.54±3.22）分、对照组为（9.07±5.29）分，两组比较，差异具有统计学意义（t=-3.124，P=0.004）；试验组匹兹堡睡眠质量指数量表得分为（6.76±3.54）分、对照组为（8.95±3.01）分，两组比较，差异具有统计学意义（t=4.908，P=0.032）。结论基于网络认知行为疗法的护理干预能有效缓解胎儿异常引产产妇焦虑、抑郁情绪，提高其睡眠质量。

关键词: 胎儿异常, 网络认知行为疗法, 焦虑, 抑郁, 睡眠质量, 产科护理

Abstract:

Objective To explore the effect of Internet-based Cognitive Behavior Therapy（ICBT） on anxiety，depression and sleep quality in women with abnormal fetal termination. Methods The convenience sampling method was adopted to select 95 pregnant women with abnormal fetal termination in a tertiary A-level women’s hospital in Hangzhou as the research subjects. They were randomly divided into an experimental group and a control group. The experimental group received the ICBT intervention，and the control group received the routine nursing intervention. The psychological status and sleep quality in 2 groups were compared and analyzed. Results 43 patients in the experimental group and 44 in the control group participated the study. After the intervention，the Generalized Anxiety Scale score was（4.97±1.82） points in the experimental group，and（7.09±3.54） points in the control group. The difference between 2 groups was statistically significant（t=-2.312，P=0.019）. The Edinburgh Postpartum Depression Scale score was（6.54±3.22） points in the experimental group，and （9.07±5.29） points in the control group. The difference between 2 groups was statistically significant（t=-3.124，P=0.004）. The Pittsburgh Sleep Quality Index score was （6.76±3.54） points in the experimental group，and （8.95±3.01） points in the control group. The difference between 2 groups was statistically significant（t=4.908，P=0.032）. Conclusion The ICBT intervention can effectively alleviate maternal anxiety and depression of women with abnormal fetal termination，and improve sleep quality.

Key words: Fetal Abnormalities, Internet-Based Cognitive Behavior Therapy, Anxiety, Depression, Sleep Quality, Obstetrical Nursing

周小莉, 钱嘉璐, 吴孟玮, 孙世文, 余晓燕. 基于认知行为疗法的护理干预在胎儿异常引产产妇中的应用研究[J]. 中华护理杂志, 2023, 58(14): 1676-1682.

ZHOU Xiaoli, QIAN Jialu, WU Mengwei, SUN Shiwen, YU Xiaoyan. Effect of Internet-based Cognitive Behavior Therapy in women with abnormal fetal termination[J]. Chinese Journal of Nursing, 2023, 58(14): 1676-1682.

图/表 4

表1 基于网络认知行为疗法的护理干预方案

Table 1 ICBT course content

表2 两组一般资料比较

Table 2 General information of the 2 groups of patients

表3 两组干预前后广泛性焦虑量表和爱丁堡产后抑郁量表得分比较（分，$\bar{x}±s$）

Table 3 Comparison of anxiety and depression scores between the 2 groups before and after intervention（scores，$\bar{x}±s$）

表4 两组干预前后匹兹堡睡眠质量指数量表得分比较（分，$\bar{x}±s$）

Table 4 Comparison of sleep quality between the 2 groups before and after intervention（scores，$\bar{x}±s$）

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