综合性护理干预对超重及肥胖患者焦虑抑郁情绪及妊娠结局的影响(1)
【摘要】 目的：研究綜合性护理干预对超重及肥胖患者焦虑抑郁情绪及妊娠结局的影响。方法：选取2016年1月-2017年1月本院收治的192例超重及肥胖孕妇。使用计算机将其随机分为观察组和对照组，各96例。对照组给予常规护理干预，观察组给予综合性护理干预。比较两组焦虑(HAMA评分)及抑郁(HAMD评分)情绪、妊娠情况、分娩方式、妊娠结局、新生儿情况。结果：干预6个月后，观察组HAMA和HAMD评分、体重及血糖水平、孕期中重度卵巢过度刺激综合征和糖尿病发病率均低于对照组，比较差异均有统计学意义(P<0.05);观察组自然分娩率高于对照组，早产、羊水过多、胎膜早破发生率均低于对照组，比较差异均有统计学意义(P<0.05);观察组巨大儿、新生儿窘迫症、高胆红素症、低体质量儿发生率均低于对照组，比较差异均有统计学意义(P<0.05)。结论：对超重及肥胖孕妇实施综合性护理干预能够有效促进孕妇焦虑和抑郁情绪的改善，同时降低孕期不良情况的发生率，有助于妊娠结局和新生儿情况的改善。
【关键词】 超重; 肥胖; 焦虑抑郁情绪; 综合性护理干预; 妊娠结局
【Abstract】 Objective：To study the effect of comprehensive nursing intervention on anxiety，depression and pregnancy outcome of overweight and obese patients.Method：A total of 192 cases of overweight and obese pregnant women admitted to our hospital from January 2016 to January 2017 were selected.According to the computer，they were randomly divided into observation group and control group，96 cases in each group.The control group was given routine nursing intervention，while observation group was given comprehensive nursing intervention.The anxiety(HAMA score)and depression(HAMD score)，pregnancy，mode of delivery，pregnancy outcome and neonatal status between two groups were compared.Result：After intervention 6 months，the HAMA and HAMD scores，body weight and blood sugar levels，the incidence of moderate to severe ovarian hyperstimulation syndrome and diabetes of observation group were lower than those of control group，the differences were statistically significant(P<0.05).The natural delivery rate in observation group was higher than that of control group，the incidence of premature delivery，polyhydramnios and premature rupture of membranes of observation group were lower than those of control group，the differences were statistically significant(P<0.05).The incidence of macrosomia，neonatal distress，hyperbilirubinemia and low birth weight infants of observation group were lower than those of control group，the differences were statistically significant(P<0.05).Conclusion：Comprehensive nursing intervention for overweight and obese pregnant women can effectively improve pregnant women’s anxiety and depression，reduce the incidence of adverse conditions during pregnancy，and help improve pregnancy outcomes and neonatal conditions.
【Key words】 Overweight; Obesity; Anxiety and depression; Comprehensive nursing intervention;Pregnancy outcome
First-author’s address：First People’s Hospital of Foshan，Foshan 528000，China
doi：10.3969/j.issn.1674-4985.2019.03.021, 百拇医药(陈红梅)
【关键词】 超重; 肥胖; 焦虑抑郁情绪; 综合性护理干预; 妊娠结局
【Abstract】 Objective：To study the effect of comprehensive nursing intervention on anxiety，depression and pregnancy outcome of overweight and obese patients.Method：A total of 192 cases of overweight and obese pregnant women admitted to our hospital from January 2016 to January 2017 were selected.According to the computer，they were randomly divided into observation group and control group，96 cases in each group.The control group was given routine nursing intervention，while observation group was given comprehensive nursing intervention.The anxiety(HAMA score)and depression(HAMD score)，pregnancy，mode of delivery，pregnancy outcome and neonatal status between two groups were compared.Result：After intervention 6 months，the HAMA and HAMD scores，body weight and blood sugar levels，the incidence of moderate to severe ovarian hyperstimulation syndrome and diabetes of observation group were lower than those of control group，the differences were statistically significant(P<0.05).The natural delivery rate in observation group was higher than that of control group，the incidence of premature delivery，polyhydramnios and premature rupture of membranes of observation group were lower than those of control group，the differences were statistically significant(P<0.05).The incidence of macrosomia，neonatal distress，hyperbilirubinemia and low birth weight infants of observation group were lower than those of control group，the differences were statistically significant(P<0.05).Conclusion：Comprehensive nursing intervention for overweight and obese pregnant women can effectively improve pregnant women’s anxiety and depression，reduce the incidence of adverse conditions during pregnancy，and help improve pregnancy outcomes and neonatal conditions.
【Key words】 Overweight; Obesity; Anxiety and depression; Comprehensive nursing intervention;Pregnancy outcome
First-author’s address：First People’s Hospital of Foshan，Foshan 528000，China
doi：10.3969/j.issn.1674-4985.2019.03.021, 百拇医药(陈红梅)