加强家庭支持在高龄产妇初次分娩护理中的应用

doi:10.20047/j.issn1673-7210.2023.23.40

Abstract
Figure/Table
References (25)
Related Citation (3)

Download: PDF (617 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To analyze the application of strengthening family support in nursing for the first delivery of advanced maternal age. Methods A total of 120 elderly parturients admitted to Nantong Maternal and Child Health Hospital in Jiangsu Province from January 2019 to January 2022 were selected, and they were divided into control group and experimental group, with 60 cases in each group. The control group received basic nursing countermeasures, and the experimental group received family support on this basis. The mental and psychological state of the elderly parturients during their first delivery were analyzed, and the mental resilience, adverse mood and adverse pregnancy vibration outcome before and after one month of nursing between the two groups were compared. Results According to the different mental state of the first delivery, the proportion of worry about the health of the fetus was the highest, accounting for 95.00%; the complication of cesarean section was the second concern, accounting for 85.00%; the fear of obstructed labor accounted for the lowest proportion, accounting for 41.67%. The scores of self-rating anxiety scale and self-rating depression scale in the two groups were lower than those before nursing, and those of the experimental group were lower than those of the control group, the differences were statistically significant (P＜0.05). The scores of tenacity, optimism, and self-reliance in the two groups were higher than that those before nursing, and those of the experimental group were higher than those of the control group, the differences were statistically significant (P＜0.05). The total incidence of adverse pregnancy outcome in experimental group was lower than that in control group, and the difference was statistically significant (P＜0.05). Conclusion Strengthening family support can improve mental resilience, reduce social function defects, and improve negative emotions in the nursing of the first delivery of the elderly parahernalia, which is worth promoting.

Key words： Advanced maternal age Mental state Strengthening family support First delivery

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	XIE Ye CHEN Jia ZHAO Ling▲

Cite this article:

XIE Ye CHEN Jia ZHAO Ling▲. Application of strengthening family support in nursing for the first delivery of advanced maternal age[J]. 中国医药导报, 2023, 20(23): 182-185.

URL:

https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2023.23.40 OR https://www.yiyaodaobao.com.cn/EN/Y2023/V20/I23/182

[1] 陈柔珊.全程人性化护理对无痛分娩足月产妇分娩结局的影响[J].中国医药科学，2020，10（18）：138-140，156.
[2] 何惠言，杨碧霞，胡楚霞，等.孕产妇晚断脐与新生儿血氧含量变化水平的影响效果[J].中国医药科学，2021，11（3）：127-129，163.
[3] 田晓艳，乔宠，刘彩霞，等.心理疏导对患有焦虑和抑郁单胎高龄初产妇分娩方式的影响[J].中国实用护理杂志，2020，36（21）：1607-1611.
[4] 鲁国香，李月琴，赵春莲.结构式心理干预配合健康教育对高龄产妇产后抑郁患者社会功能、应对方式及生活质量的影响[J].中国医药导报，2021，18（31）：189-192.
[5] 苏淑伶，赵晓慧，王美，等.血清锌-α2-糖蛋白水平与高龄孕妇妊娠期糖尿病妊娠结局及新生儿结局的相关性分析[J].临床和实验医学杂志，2022，21（3）：281-284.
[6] 马晓.高龄孕妇妊娠期抑郁症对其体质量和妊娠结局的影响[J].国际精神病学杂志，2020，47（3）：553-556.
[7] 朱丽恬，董丽媛.家庭支持对母乳喂养依从性影响的研究进展[J].护理研究，2022，36（4）：687-690.
[8] 谢幸，苟文丽.妇产科学[M].8版.人民卫生出版社，2013：45-47.
[9] 王汝展，刘兰芬，葛红敏，等.ZUNG氏抑郁自评量表（SDS）作为外科住院患者抑郁障碍常规筛查工具的可行性研究[J].精神医学杂志，2009，22（4）：3.
[10] 陶明，高静芳.修订焦虑自评量表（SAS-CR）的信度及效度[J].中国神经精神疾病杂志，1994，20（5）：3.
[11] 梁宝勇，程诚.心理健康素质测评系统·中国成年人心理弹性量表的编制[J].心理与行为研究，2012，10（4）：269-277.
[12] 林海燕，陈南耀，韩毓.自我效能干预对二孩高龄孕妇妊娠风险认知以及妊娠结局的影响[J].解放军预防医学杂志，2019，37（9）：72-73.
[13] 李芳，戴姜，董慧，等. 生物反馈电刺激联合产后康复治疗延伸服务在产褥期高龄产妇中的应用研究[J].现代中西医结合杂志，2019，28（35）：3960-3963.
[14] 王颖，白桦，张凤芝，等.基于IMB模型的小组个性化护理干预在妊娠期糖尿病高危人群中的应用[J].中华现代护理杂志，2020，26（21）：2837-2842.
[15] 曹祝萍，葛文利，马莉，等.二胎高龄妇女孕前体重指数及孕期增重与新生儿结局的关系[J].中华围产医学杂志，2020，23（10）：702-708.
[16] 任春丽，唐兴国，张玉芳，等.二孩后瘢痕子宫高龄孕妇再妊娠并发症发生情况分析[J].河北医学，2020，26（11）：1919-1923.
[17] 康彦霞，王华.叙事疗法对高龄剖宫产初产妇负性情绪、心理弹性的影响[J].医学临床研究，2021，38（11）：1714-1717.
[18] 沈佳丽，韦榕榕.聚焦解决模式对高龄初产妇焦虑抑郁状态及应对方式的影响[J].医学临床研究，2021，38（6）：954-956.
[19] 田志强，丁玲，张俊俊，等.高龄产妇产后早期盆底功能状况及其影响因素[J].护理研究，2021，35（7）：1262-1266.
[20] 姚瑞，安晓妤，张阔亮，等.高龄孕产妇心理健康状况及妊娠结局调查分析[J].贵州医科大学学报，2021，46（2）：185-189.
[21] 杨凡.自我效能干预对高龄产妇妊娠结局及心理状况的影响[J].中华现代护理杂志，2017，23（31）：4024-4027.
[22] 于雪娟，戴姜，董慧，等.延续性干预对高龄产妇产褥期自理能力及焦虑、抑郁的影响[J].现代中西医结合杂志，2020，29（2）：203-205，209.
[23] 咸保花，陈建梅.高龄产妇不良妊娠结局200例影响因素分析[J].蚌埠医学院学报，2020，45（6）：792-794，798.
[24] 李颜苗，赵娜，赵培峰.家庭支持对老年高血压患者希望的影响：焦虑和抑郁的链式中介效应[J].中国健康心理学杂志，2022，30（6）：839-843.
[25] 徐一刚，梅芳，李朝光.全程硬膜外分娩镇痛对高龄产妇自然分娩的影响[J].中国医药科学，2022，12（22）：85-88.