目的 探讨分析评判性思维对剖宫产妇女健康教育及心理状况的影响效果.方法将我院收治的1200 例剖宫产妇女随机分为观察组与对照组,每组600 例,观察组妇女进行评判性思维的健康教育,对照组妇女进行常规的健康教育,对比分析两组妇女健康教育效果以及心理状况表现情况.结果 观察组经评判性思维的健康教育后,焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分分别为(39.4±13.0)分、(42.5±14.3)分,均显著低于对照组的(51.3±13.9)分、(52.1±11.7)分,差异具有统计学意义(P〈0.05);观察组护理满意优良率为99.17%,对照组护理满意优良率为89.00%,两组妇女护理满意优良率对比差异具有统计学意义(P〈0.05);观察组视觉模拟疼痛评分(VAS)和生活质量评分(QOL)分别为(1.9±0.8)分、(3.7±0.5)分,与对照组(4.9±1.0)分、(4.2±0.5)分相比,差异具有统计学意义(均P〈0.05).结论对剖宫产妇女进行评判性思维的健康教育,能够缓解抑郁、焦虑等不良情绪,有效改善妇女产后的生活质量,并进一步提高妇女的护理满意度,值得临床上进一步推广应用.
Objective To discuss and analyze the influence of critical thinking to cesarean delivery women's health education and psychologic status. Methods A total of 1 200 cases of pregnant women with cesarean section in our hospital were randomly divided into observation group and control group, 600 cases in each group. The women of observation group were treated with health education with critical thinking for treatment, while those of control group were treated with conventional health education. The effects of health educatio and psychologic status of two groups were compared and analyzed. Results After health education of critical thinking, the self-evaluation of anxiety scale (SAS) score and depression self rating scale (SDS) score of observation group were (39.4±13.0) scores and (42.5±14.3) scores, which were significantly lower than(51.3_±13.9) scores and (52.1±11.7) scores of control group. The differences had statistical significance (P〈0.05). The rate of good nursing satisfaction in the observation group and the control group were 99,17% and 89.00% respectively. And the comparison rate of good nursing satisfaction between the two groups had statistical significance (P〈0.05).The visual analog pain score (VAS) and quality of life scores (QOL) in the observation group were (1.9±0.8) scores and (3.7±0.5) scores, while those of control group were (4.9±1.0) scores and (4.2±0.5) scores. The difference of comparation between two groups was statistically significant (P all 〈 0.05). Conclusion Utilization of the health education with critical thinking in the cesarean delivery women can alleviate the adverse emotions, such as depression and anxiety. It can improve the postoperative quality of life effectively, and improve the nursing satisfaction of women. It is worth further clinical application.