家属协同认知干预联合心理支持在先兆流产孕妇中的应用效果

doi:10.3969/j.issn.1671-7171.2026.02.028

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摘要 【目的】 探讨家属协同认知干预联合心理支持在先兆流产孕妇中的应用效果。【方法】 采用前瞻性试验,选取2021年1月至2024年1月在本院诊治的386例先兆流产孕妇,采用随机数字表法分为对照组和观察组,每组193例。对照组采用家属协同认知干预,观察组采用家属协同认知干预联合心理支持。比较两组孕妇心理状态[焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分]、睡眠质量[匹兹堡睡眠质量指数(PSQI)评分]、临床症状发生情况及不良妊娠结局发生率。【结果】 干预后,两组孕妇SAS、SDS及PSQI评分均显著低于干预前(P<0.05),且观察组低于对照组(P<0.05)。观察组腰痛、小腹疼痛、阴道出血及血性分泌物等临床症状发生率显著低于对照组(P<0.05)。观察组不良妊娠结局发生率显著低于对照组(P<0.05)。【结论】 家属协同认知干预联合心理支持能有效改善先兆流产孕妇的心理状态、睡眠质量、临床症状,并降低不良妊娠结局的发生风险,对优化先兆流产孕妇的整体妊娠体验具有重要意义。

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	张惠霞
	丁孟霞
	张雯

关键词 ：流产,先兆, 孕妇, 护理, 认知, 临床试验

Abstract：【Objective】 To explore the application effect of family collaborative cognitive intervention combined with psychological support in pregnant women with threatened abortion. 【Methods】 A prospective trial was conducted. A total of 386 pregnant women with threatened abortion who were diagnosed and treated in our hospital from January 2021 to January 2024 were selected and divided into the control group and the observation group by random number table method, with 193 cases in each group. The control group received family collaborative cognitive intervention, while the observation group received family collaborative cognitive intervention combined with psychological support. The psychological status [Self-Rating Anxiety Scale (SAS) score, Self-Rating Depression Scale (SDS) score], sleep quality [Pittsburgh Sleep Quality Index (PSQI) score], occurrence of clinical symptoms and incidence of adverse pregnancy outcomes were compared between the two groups. 【Results】 After intervention, the SAS, SDS and PSQI scores of both groups were significantly lower than those before intervention (P<0.05), and the observation group was lower than the control group (P<0.05). The incidence of clinical symptoms such as lumbar pain, lower abdominal pain, vaginal bleeding and bloody secretion in the observation group was significantly lower than that in the control group (P<0.05). The incidence of adverse pregnancy outcomes in the observation group was significantly lower than that in the control group (P<0.05). 【Conclusion】 Family collaborative cognitive intervention combined with psychological support can effectively improve the psychological status, sleep quality and clinical symptoms of pregnant women with threatened abortion, and reduce the risk of adverse pregnancy outcomes, which is of great significance for optimizing the overall pregnancy experience of pregnant women with threatened abortion.

Key words： Abortion, Threatened Pregnant Women Nursing Care Cognition Clinical Trial

收稿日期: 2024-12-10

中图分类号:

R714.2

引用本文:

张惠霞, 丁孟霞, 张雯. 家属协同认知干预联合心理支持在先兆流产孕妇中的应用效果[J]. 医学临床研究, 2026, 43(2): 280-283.
ZHANG Huixia, DING Mengxia, ZHANG Wen. Application Effect of Family Collaborative Cognitive Intervention Combined with Psychological Support in Pregnant Women with Threatened Abortion. JOURNAL OF CLINICAL RESEARCH, 2026, 43(2): 280-283.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2026.02.028 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2026/V43/I2/280

[1] 李佳,王晓慧,马丽丽. 先兆流产孕妇血清HMGB1、NLRP3水平及与阴道微生态指标相关性[J].中国计划生育学杂志,2023,31(4):907-911.
[2] 王雪莲,刘海洋. 黄体功能不全型先兆流产不同药物治疗方案的疗效差异分析[J].宁夏医学杂志,2023,45(7):652-654.
[3] 郭莹莹,禹菡. 以微信为基础延续护理在伴有复发性流产史的先兆流产妇女中的应用[J].辽宁医学杂志,2023,37(1):96-99.
[4] 柳娜,柳芳利. 中医情志护理联合中药神阙穴贴敷对先兆流产孕妇心理状况的影响[J].吉林医学,2023,44(2):547-549.
[5] 叶建芬,把菊香,卢克瑛. 信任建立结合症状管理理论在早期先兆流产病人护理中的应用[J].循证护理,2023,9(16):3006-3009.
[6] 朱淑娟,李光辉,王攀姣,等. 家属同步阶段性认知干预对宫颈癌术后化疗孕妇的影响[J].齐鲁护理杂志,2023,29(16):56-58.
[7] 田竟,任莹,张杨,等. 心理护理联合健康教育对急性心肌梗死孕妇的效果[J].国际精神病学杂志,2023,50(2):360-363.
[8] 自然流产诊治中国专家共识编写组. 自然流产诊治中国专家共识(2020年版)[J].中国实用妇科与产科杂志,2020,36(11):1082-1090.
[9] 高丽娟,莫建英,蒋梦旻. 袋鼠式护理联合抚触护理对产妇泌乳、心理应激及产后照护能力的影响[J].齐鲁护理杂志,2023,29(4):65-67.
[10] 肖会美,司二冉. 鼓励性护理模式对肝癌孕妇介入术后PSQI评分的影响[J].国际护理学杂志,2020,39(16):2992-2994.
[11] 刘忠祥,夏青,刘声乐,等. 胚胎移植后早期先兆流产保胎结局影响因素分析[J].中国妇幼保健,2023,38(4):683-686.
[12] 王红亚,孙萌,吴芳芳. 妊娠合并子宫肌瘤孕妇发生先兆流产的影响因素调查分析[J].黑龙江医学,2025,49(5):600-603.
[13] 白茹,王欣欣,卢恒,等. 先兆流产保胎孕妇负性情绪状况及其影响因素[J].护理实践与研究,2024,21(4):543-548.
[14] 夏艳秋,唐雷,李安,等. 网络认知行为疗法对慢性失眠症孕妇睡眠质量及心理状态的影响研究[J].川北医学院学报,2022,37(1):124-128.
[15] 王新惠,曹晶,赵少琪,等. 个体化营养干预联合心理护理在妊娠期合并糖尿病孕期中的效果[J].贵州医药,2023,47(3):490-491.