谢竹林

摘 要 目的：探討心理护理在多囊卵巢综合征患者孕期宫颈环扎术围术期的应用效果。方法：收集2016年3月至2017年3月收治的多囊卵巢综合征行孕期宫颈环扎术患者58例，均分为观察组和对照组各29例。对照组围术期给予常规护理，观察组在此基础上实施针对性心理护理，比较两组患者干预前后心理状态评分、妊娠结局和护理满意度。结果：观察组干预后SAS评分和SDS评分分别为（41.15±4.02）分和（44.03±4.10）分，对照组分别为（46.52±4.09）分和（47.92±4.23）分，组间差异有统计学意义（P<0.05）。观察组中5例（17.24%）发生不良预后，低于对照组的12例（41.38%）；足月产24例（82.76%），高于对照组的19例（65.52%），组间差异均有统计学意义（P<0.05）。观察组患者总满意度高于对照组（89.66%比65.52，P<0.05）。结论：在妊娠期多囊卵巢综合征患者宫颈环扎术围术期实施针对性心理护理有利于改善患者心理状态，降低不良预后发生风险，提高护理满意度。

关键词 多囊卵巢综合征；孕期；宫颈环扎术；心理护理

中图分类号：R711.75 文献标志码：A 文章编号：1006-1533（2018）20-0030-03

Application of psychological nursing in patients with polycystic ovary syndrome during perioperative period

XIE Zhulin

（Obstetrics and Gynecology Department of Peoples Hospital of Shangli County， Pingxiang， Jiangxi 337009， China）

ABSTRACT Objective： To explore the effect of psychological nursing on the perioperative period of cervical cerclage during pregnancy in patients with polycystic ovary syndrome. Methods： Fifty-eight patients with polycystic ovary syndrome who were admitted from March 2016 to March 2017 and underwent cervical ligation during pregnancy were collected and divided into an observation group and a control group with 29 cases each. The control group was given routine nursing during the perioperative period， on this basis， the observation group implemented targeted psychological nursing， and the psychological status， pregnancy outcome and nursing satisfaction of the two groups before and after intervention were compared. Results： The SAS score and SDS score of the observation group were （41.15±4.02） and （44.03±4.10） points， respectively， those of the control group was （46.52±4.09） and （47.92±4.23） points， respectively， and the difference between the two groups was statistically significant（P<0.05）. In the observation group， 5 cases（17.24%） had poor prognosis， which was lower than 12 cases （41.38%） in the control group； 24 cases（82.76%） of full-term birth in the observation group were higher than 19 cases（65.52%） in the control group， and the difference between the groups was statistically significant（P<0.05）. The overall satisfaction in the observation group was higher than that in the control group（89.66% to 65.52， P<0.05）. Conclusion： The implementation of targeted psychological nursing during perioperative period of cervix replacement in polycystic ovary syndrome is beneficial to improve the mental state of the patients， reduce the risk of bad prognosis and improve the satisfaction of nursing.

KEY WORDS polycystic ovary syndrome； pregnancy； cervix cerclage； psychological nursing

多囊卵巢综合征在育龄期女性中发病率较高，严重影响女性生育功能。手术是治疗多囊卵巢综合征的有效手段，但妊娠期患者具有生理和心理特殊性，需要谨慎对待[1]。有文献报道不良心理状态可能对多囊卵巢综合征手术预后产生负面效应，不利于患者康复[2]。本文报道对多囊卵巢综合征患者孕期宫颈环扎术中实施针对性心理护理的效果。

1 资料与方法

1.1 一般资料

将2016年3月至2017年3月上栗县人民医院妇产科收治的妊娠期多囊卵巢综合征行孕期宫颈环扎术患者58例，均经常规B超检查确诊为多囊卵巢综合征且符合宫颈环扎术适应症。将患者均分为观察组和对照组各29例。观察组年龄为24～37岁，平均（28.26±3.33）岁，孕周为16～26周，平均（20.10±3.15）周，孕次1～5次，平均（2.64±0.71）次。对照组年龄为24～37岁，平均（28.29±3.41）岁，孕周为16～26周，平均（20.12±3.23）周，孕次1～5次，平均（2.66±0.69）次。两组患者的年龄、孕周、孕次等资料差异无统计学意义（P>0.05）。……