个性化心理干预在剖宫产围手术期的应用效果及对自我效能的影响

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Abstract Objective To explore the effect of individualized psychological intervention in cesarean section perioperative period and its influence on self-efficacy. Methods From January 2019 to January 2020, 266 women who underwent cesarean section in Shandong Rizhao Maternal and Child Health Hospital were selected as the research objects, they were divided into control group and observation group by random number table method, with 133 cases in each group. The control group received routine perioperative nursing, while the observation group received individualized psychological intervention. Self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to evaluate and compare the psychological mood of the two groups before and after intervention, visual analogue scale (VAS) was used to compare the pain degree of the two groups at 12 and 24 h after intervention, general self-efficacy scale (GSES) was used to compare the self-efficacy of the two groups after intervention, operation time, postoperative exhaust time and hospital stay were compared between the two groups, the incidence of postoperative complications such as abdominal distention and urinary retention was compared between the two groups. Results After intervention, SAS and SDS scores of the two groups were lower than those before intervention, and observation group was lower than control group, and the differences were statistically significant (P ＜ 0.05). After intervention, VAS score of observation group was lower than that of control group, GESE score was higher than that of control group, and the differences were statistically significant (P ＜ 0.05); the operation time, postoperative exhaust time and hospital stay in the observation group were shorter than those in the control group, and the differences were statistically significant (P ＜ 0.05); after intervention, the total incidence of complications in the observation group was lower than that in the control group, and the difference was statistically significant (P ＜ 0.05). Conclusion Individualized psychological intervention during the perioperative period of cesarean section can enhance maternal self-efficacy, improve maternal bad mood, contribute to improve the recovery after childbirth and obstetrics, which is worthy of clinical reference.

Key words： Cesarean section Perioperative period Individualized psychological intervention Self-efficacy

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	MU Na1 SHI Xiaoli2 WANG Shihong3

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MU Na1 SHI Xiaoli2 WANG Shihong3. Effect of individualized psychological intervention in cesarean section perioperative period and its influence on self-efficacy#br#[J]. 中国医药导报, 2021, 18(33): 147-150.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I33/147

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