CAJ | 학술논문

目的：探讨护理干预对母婴分离高危妊娠产妇身心状态造成的影响。方法选择母婴分离高危妊娠产妇100例，对照组实施常规护理，观察组给予针对性关爱护理联合中医乳房护理。采用状态-特质焦虑量表（STA-I）和爱丁堡产后抑郁量表对2组患者产后心理应激进行评测，并对2组患者生理应激指标对心率（HR）、收缩压（SBP）、空腹血糖以及术后3 d乳胀、6周母乳喂养情况进行统计分析。结果2组患者剖宫产术后1 d、7 d 和6周比较，焦虑程度均逐渐改善，差异均有统计学意义（P ＜0．01）；干预组不同时间点的焦虑程度与对照组比较差异均有统计学意义（P ＜0．01）；2组患者剖宫产术后6周抑郁程度与术后7 d 比较，均有不同程度改善，差异有统计学意义（P ＜0．01）；干预组不同时间点的抑郁程度与对照组比较差异均有统计学意义（P ＜0．01）；干预组 HR、SBP 等水平与对照组比较差异无统计学意义（P ＞0．05）；干预组干预后空腹血糖水平与对照组比较差异有统计学意义（P ＜0．01）；干预组剖宫产术后3 d 乳胀、6周母乳喂养例数与对照组比较差异有统计学意义（P ＜0．01）。结论护理干预对母婴分离高危妊娠产妇身心状态有积极作用，能够有效缓解母婴分离产妇的不良情绪，提高产妇对医疗、护理的配合程度，从而提高产科护理质量。
목적：탐토호리간예대모영분리고위임신산부신심상태조성적영향。방법선택모영분리고위임신산부100례，대조조실시상규호리，관찰조급여침대성관애호리연합중의유방호리。채용상태-특질초필량표（STA-I）화애정보산후억욱량표대2조환자산후심리응격진행평측，병대2조환자생리응격지표대심솔（HR）、수축압（SBP）、공복혈당이급술후3 d유창、6주모유위양정황진행통계분석。결과2조환자부궁산술후1 d、7 d 화6주비교，초필정도균축점개선，차이균유통계학의의（P ＜0．01）；간예조불동시간점적초필정도여대조조비교차이균유통계학의의（P ＜0．01）；2조환자부궁산술후6주억욱정도여술후7 d 비교，균유불동정도개선，차이유통계학의의（P ＜0．01）；간예조불동시간점적억욱정도여대조조비교차이균유통계학의의（P ＜0．01）；간예조 HR、SBP 등수평여대조조비교차이무통계학의의（P ＞0．05）；간예조간예후공복혈당수평여대조조비교차이유통계학의의（P ＜0．01）；간예조부궁산술후3 d 유창、6주모유위양례수여대조조비교차이유통계학의의（P ＜0．01）。결론호리간예대모영분리고위임신산부신심상태유적겁작용，능구유효완해모영분리산부적불량정서，제고산부대의료、호리적배합정도，종이제고산과호리질량。
Objective To investigate the effect of nursing intervention on mental state of maternal separation in high-risk puerperae.Methods 100 maternal separation maternal puerper-ae were divided into control group and observation group.The control group was given routine nursing,while the observation group was given concerning nursing and breast nursing with tradi-tional Chinese medicine method.Psychological stress of two groups was evaluated by the State Trait Anxiety Inventory (STA-I)and the Edinburgh postnatal depression scale.And physiologi-cal stress index in heart rate (HR),systolic blood pressure (SBP),fasting blood glucose,and breast swelling after 3 days and breast feeding of 6 weeks were statistical analyzed.Results The difference was statistically significant since anxious degree of the patients in the two groups after 1 days,7 days and 6 weeks improved in varying degrees (P <0.01).The difference was statistically significant in anxiety level at different time points in the intervention group compared with the con-trol group (P <0.01).The difference was statistically significant since depression of 6 weeks in patients in the two groups all improved than that of 7 days (P <0.01).The difference was statis-tically significant in depression at different time points in the intervention group than that of the control group (P <0.01).The difference was not significant in HR,SBP levels between the inter-vention group and the control group (P >0.05).The difference was significant in fasting blood glucose level in the intervention group than that in the control group (P <0.01).The difference was significant in breast swelling at the 3rd day and number of breast feeding after 6 weeks in the interventiongroupcomparedwiththecontrolgroup(P <0 .0 1 ).Conclusion Nursingintervention on mental state of maternal separation in high risk pregnant women has a positive effect,it can ef-fectively alleviate the adverse mood of maternal separation,improve cooperation degree of medical and nursing so as to improve the quality of obstetrics department.