护理干预对高龄产妇相关因素影响的临床研究(1)
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【摘要】目的:探讨以认知行为疗法、音乐疗法及松弛疗法相结合的护理干预对高龄产妇的影响，以积累经验，指导临床工作。方法:选取l60例高龄产妇，随机分为两组，对照组80例，进行常规护理；观察组80例，在常规护理基础上加用认知行为疗法、音乐疗法及松弛疗法相结合的护理干预：对两组高龄孕妇的焦虑、并发症、剖宫产率及患者满意度进行观察，比较其差别。结果护理干预后，观察组产前焦虑评分明显低于对照组，观察组并发症及剖宫产率明显低于对照组，观察组患者满意度高。结论高龄产妇临床应重点关注，以认知行为疗法、音乐疗法及松弛疗法相结合的护理干预能明显改善患者的焦虑情绪，降低并发症及剖宫产率，并能提高产妇的满意度，值得在临床护理中积极推广应用。
【关键词】护理干预；高龄产妇
Nursing intervention on the relative factors which affect women over the clinical research
YuanXiaoMan
【Abstract】 ObjectiveTo cognitive behavioral therapy, music therapy and relaxation therapy of combination of nursing intervention, the influence of women over to accumulate experience, guide clinical work. Methods Select women over l60 cases, randomly divided into two groups: control group, 80 cases of routine care; The observation group 80 cases in routine care basis, combined with cognitive behavioral therapy, music therapy and relaxation therapy combined in two groups nursing intervention: the anxiety of maternal age, complication, cesarean section rate and carries on the observation patient satisfaction to compare the difference. Results After the nursing intervention, the observation group antenatal anxiety scores significantly lower than those of the control group, the observation group complications and cesarean section rate obviously lower than those of the control group, the observation group patient satisfaction high. Conclusion Clinical should focus on women over to cognitive behavioral therapy, music therapy and relaxation therapy combination of nursing intervention can significantly improve patients with anxiety, reducing complications and cesarean section rate, and can improve the satisfaction, and maternal in clinical nursing actively in application
【Keywords】Nursing intervention; Women over
【中图分类号】R55+ 【文献标识码】B 【文章编号】1005-0515(2011)07-0265-02
由于近年结婚年龄和生育年龄推迟及助孕技术的发展，使高龄产妇逐年增加，产妇的负性情绪及相关并发症明显增加[1]。有研究显示[2]，护理干预可以减少高龄产妇并发症的发生，缓解其负性情绪。本研究关注以认知行为疗法、音乐疗法及松弛疗法相结合的护理干预对高龄产妇焦虑、并发症、剖宫产率及满意度的影响，探讨其效果.以期为临床合理治疗及护理提供理论依据。
1 资料与方法
1.1一般资料:收集我院2006年5月至2010年11月诊治的高龄产妇，共l60例，纳入标准：①年龄≥35岁；②临床观察及随访资料完整；③初中及以上文化程度，能正确回答问卷中的内容。排除标准：①合并妊高征的患者；②合并严重内脏病变的患者；③多胎妊娠的患者；④在干预期间分娩的患者(未完成干预的患者)。本组中产妇年龄35。42岁，平均37.2岁。其中初产妇103例，经产妇57例。本组l60例高龄产妇依随机数字表法分为观察组与对照组 ......
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