章丹　胡寿涓

[摘要] 目的 探讨强化健康教育对前置胎盘孕妇情绪状态及保胎结局的影响。 方法 选取2017年1月至2019年1月新余市妇幼保健院收治的62例前置胎盘孕妇作为研究对象，按照随机数字表法将其分为观察组与对照组，每组各31例。对照组采用常规护理，观察组在对照组的基础上采用强化健康教育。比较两组孕妇的健康知识掌握度评分、情绪状态、孕妇产后出血量、新生儿Apgar评分及护理满意度。 结果 干预后观察组孕妇健康知识掌握度评分高于对照组，焦虑自评量表（SAS）、抑郁自评量表（SDS）低于对照组，差异有统计学意义（P<0.05）;观察组新生儿Apgar评分高于对照组，孕妇产后出血量少于对照组，差异有统计学意义（P<0.05）;观察组护理总满意度高于对照组，差异有统计学意义（P<0.05）。 结论 强化健康教育对前置胎盘孕妇的健康知识掌握度和情绪状态有明显改善效果，有利于改善保胎结局，减少孕妇产后出血量，提高护理满意度，临床应用价值较高。

[关键词] 强化健康教育;前置胎盘孕妇;情绪状态;保胎结局

[中圖分类号] R473.71          [文献标识码] B          [文章编号] 1673-9701（2021）04-0180-04

The effect of intensive health education on the emotional state of pregnant women with placenta previa and the outcome of fetal preservation

ZHANG Dan1   HU Shoujuan2

1.Department of Component，Xinyu Central Blood Station in Jiangxi Province， Xinyu   338000， China; 2.Department of Obstetrics， Maternity and Child Care Center of Xinyu City in Jiangxi Province， Xinyu   338000， China

[Abstract] Objective To explore the effect of intensive health education on the emotional state of pregnant women with placenta previa and the outcome of fetal preservation. Methods A total of 62 pregnant women with placenta previa admitted to the Maternity and Child Care Center of Xinyu City from January 2017 to January 2019 were selected as the research subjects. They were divided into the observation group and the control group according to the random number table method， with 31 cases in each group. The control group received routine care， and the observation group received intensive health education based on the treatment of the control group. The pregnant women's health knowledge mastery score， emotional state， pregnant women's postpartum hemorrhage， newborn Apgar score， and nursing satisfaction between the two groups were compared. Results After the intervention， the health knowledge mastery scores of the observation group were higher than those in the control group， and the self-rating anxiety scale（SAS） and depression self-rating scale（SDS） were lower than those in the control group. The difference was statistically significant（P<0.05）. The Apgar score of the newborns in the observation group was higher than that of the control group， and the postpartum hemorrhage of pregnant women was less than that of the control group. The difference was statistically significant（P<0.05）. The total nursing satisfaction of the observation group was higher than that of the control group， and the difference was statistically significant（P<0.05）. Conclusion Intensive health education can significantly improve the knowledge and emotional state of pregnant women with placenta previa， which is beneficial to improve the outcome of fetal preservation， reduce the amount of postpartum hemorrhage of pregnant women， and improve nursing satisfaction. It has a high application value.

[Key words] Intensive health education; Pregnant women with placenta previa; Emotional state; The outcome of fetal preservation

前置胎盘是临床常见的病理性妊娠情况之一，主要是指孕妇在怀孕28周后胎盘发生异位附着的情况，是妊娠期常见并发症，危害较大[1]。临床可将前置胎盘分为边缘线、部分性和完全性三大类。一般研究认为，阴道大出血是前置胎盘的常见临床表现，会增加孕妇失血、产褥感染、羊水栓塞的风险，同时还会造成胎儿发育不全、早产、胎儿窘迫等风险[2]。现阶段，对于前置胎盘尚无特效的治疗方案[3]。有专家指出，前置胎盘孕妇往往因情绪紧张而无理由阴道出血入院，对母婴均不利，因此开展有效的护理干预对孕妇进行健康教育，积极改善孕妇的心理状况有利于改善孕妇的各方面状况，对提高妊娠结局具有重要意义[4-5]。新余市妇幼保健院开展了强化健康教育对前置胎盘孕妇情绪状态及保胎结局的影响研究，现报道如下。……