Effect of individualized psychological interventions on the psychological state and pregnancy outcomes of patients with recurrent spontaneous abortion.

IF 1.2 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Yanan Yang, Chong Liu, Na Han, Guohui Wang, Wei Zhao, Jiayin Shen
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引用次数: 0

Abstract

Objective: To investigate the effects of individualized psychological interventions on the psychological state and pregnancy outcomes of patients experiencing recurrent spontaneous abortion (RSA).

Methods: This was a retrospective study. Eighty-eight patients with RSA treated at Langfang TCM Hospital from December 2022 to December 2023 were selected as study subjects. They were randomly divided into a control group, which received standard nursing care, and an intervention group, which underwent individualized psychological interventions. The psychological states and pregnancy outcomes of patients in both groups were compared through assessments of anxiety and depression scores, quality of life, recurrence rate of miscarriage, newborn Apgar scores, and patient satisfaction.

Results: Before the intervention, no significant difference was observed in the baseline characteristics between the two groups(P>0.05). After the intervention, the Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) scores in the intervention group were significantly lower than those in the control group, respectively. The quality of life scores were all higher in the intervention group than in the control group. The recurrence rate of miscarriage in the intervention group (4.55%) was significantly lower than that in the control group (18.18%). The Apgar scores of newborns at birth, one minute after birth, and five minutes after birth were all higher in the intervention group. The satisfaction rate of the intervention group was significantly higher than that of the control group, with all differences being statistically significant(P<0.05).

Conclusion: Individualized psychological interventions can effectively improve the psychological state and pregnancy outcomes of patients with recurrent spontaneous abortion.

个体化心理干预对复发性自然流产患者心理状态及妊娠结局的影响。
目的:探讨个体化心理干预对复发性自然流产(RSA)患者心理状态及妊娠结局的影响。方法:回顾性研究。选择2022年12月至2023年12月廊坊市中医院收治的RSA患者88例作为研究对象。随机分为对照组和干预组,对照组接受标准护理,干预组接受个性化心理干预。通过评估两组患者的焦虑抑郁评分、生活质量、流产复发率、新生儿Apgar评分、患者满意度,比较两组患者的心理状态和妊娠结局。结果:干预前,两组患者基线特征比较,差异无统计学意义(P < 0.05)。干预后,干预组焦虑自评量表(SAS)和抑郁自评量表(SDS)得分均显著低于对照组。干预组的生活质量评分均高于对照组。干预组流产复发率(4.55%)明显低于对照组(18.18%)。新生儿出生时、出生后1分钟和出生后5分钟的阿普加评分在干预组都更高。干预组满意率显著高于对照组,差异均有统计学意义(p)结论:个体化心理干预能有效改善复发性自然流产患者的心理状态和妊娠结局。
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来源期刊
Pakistan Journal of Medical Sciences
Pakistan Journal of Medical Sciences 医学-医学:内科
CiteScore
4.10
自引率
9.10%
发文量
363
审稿时长
3-6 weeks
期刊介绍: It is a peer reviewed medical journal published regularly since 1984. It was previously known as quarterly "SPECIALIST" till December 31st 1999. It publishes original research articles, review articles, current practices, short communications & case reports. It attracts manuscripts not only from within Pakistan but also from over fifty countries from abroad. Copies of PJMS are sent to all the import medical libraries all over Pakistan and overseas particularly in South East Asia and Asia Pacific besides WHO EMRO Region countries. Eminent members of the medical profession at home and abroad regularly contribute their write-ups, manuscripts in our publications. We pursue an independent editorial policy, which allows an opportunity to the healthcare professionals to express their views without any fear or favour. That is why many opinion makers among the medical and pharmaceutical profession use this publication to communicate their viewpoint.
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