A study of the psychological experience of patients with thromboembolism during pregnancy and after childbirth (孕产期血栓栓塞症患者真实心理体验的研究)

Objective To understand the psychological experience of patients with thromboembolism during pregnancy and after childbirth. Methods A total of 100 patients with thromboembolism during pregnancy or after delivery were selected as the research subjects. All patients completed the Symptom Check List...

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Main Authors: HU Jiali (胡嘉丽), HUANG Xuefang (黄学芳), XU Xiaoyun (徐晓耘), MENG Ya (孟雅)
Format: Article
Language:zho
Published: Journal of International Translational Medicine Limited 2022-08-01
Series:中西医结合护理
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Online Access:http://www.zxyjhhl.hk/thesisDetails#10.55111/j.issn2709-1961.202206067
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author HU Jiali (胡嘉丽)
HUANG Xuefang (黄学芳)
XU Xiaoyun (徐晓耘)
MENG Ya (孟雅)
author_facet HU Jiali (胡嘉丽)
HUANG Xuefang (黄学芳)
XU Xiaoyun (徐晓耘)
MENG Ya (孟雅)
author_sort HU Jiali (胡嘉丽)
collection DOAJ
description Objective To understand the psychological experience of patients with thromboembolism during pregnancy and after childbirth. Methods A total of 100 patients with thromboembolism during pregnancy or after delivery were selected as the research subjects. All patients completed the Symptom Check List-90 (SCL-90) on the first day of admission and before discharge. Ten patients were randomly selected for a semi-structured qualitative interview to understand their psychological experience of and reaction to thromboembolism. Results The factor scores of somatization, anxiety, depression, paranoid ideation and interpersonal sensibility decreased significantly after hospitalization management compared with those before hospitalization management(P<0. 01). Qualitative findings were distilled into two major themes: low disease knowledge and awareness among patients with thromboembolism during pregnancy and after childbirth; increased psychological burden as excessive fear of disease and concerns about fetus and newborns. Conclusion Efforts such as risk assessment, risk factors analysis and health education should be made to enhance the non-hospitalized self-prevention and management in women during pregnancy and after childbirth. Early implementation of targeted interventions should also be mentioned to strengthen psychological care for pregnant women, in order to reduce the blindness and passivity of behavior. (目的 了解孕产期血栓栓塞症患者的真实心理体验。方法 选取医院收治的孕产期血栓栓塞症患者100例为研究对象, 所有患者在入院第一天及出院前填写症状自评量表(SCL-90), 了解住院管理前后患者的心理状态。采用质性研究方法, 选取10名孕产妇进行半结构式访谈, 了解患血栓栓塞症后的真实心理体验。结果 住院管理后, SCL-90量表中躯体化、焦虑、抑郁、偏执、人际关系敏感性维度评分均较住院管理前降低, 差异有统计学的意义(P<0. 01)。质性访谈结果显示, 孕产期血栓栓塞症患者对疾病知识缺乏认知; 患者因对疾病的过度恐惧及对胎儿/婴儿产生影响的担忧而导致心理负担增加。结论 应做好孕产期血栓栓塞症风险筛查, 在探讨危险因素的同时, 加大科普宣传和健康宣教力度, 帮助孕产妇提升自我预防及管理能力。入院后提前实施针对性干预措施, 加强患者心理护理, 能够减少孕产妇行为的盲目性和被动性。)
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publisher Journal of International Translational Medicine Limited
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series 中西医结合护理
spelling doaj-art-0bb0a334de074371bfdb11fd09a4d1912025-01-02T23:46:42ZzhoJournal of International Translational Medicine Limited中西医结合护理2709-19612022-08-0188414410.55111/j.issn2709-1961.202206067T202206067A study of the psychological experience of patients with thromboembolism during pregnancy and after childbirth (孕产期血栓栓塞症患者真实心理体验的研究)HU Jiali (胡嘉丽)0HUANG Xuefang (黄学芳)1XU Xiaoyun (徐晓耘)2MENG Ya (孟雅)3Department of Interventional Radiology, Affiliated Hospital of Nantong University, Nantong, Jiangsu, 226001 (南通大学附属医院 介入放射科, 江苏 南通, 226001)Department of Interventional Radiology, Affiliated Hospital of Nantong University, Nantong, Jiangsu, 226001 (南通大学附属医院 介入放射科, 江苏 南通, 226001)Infection Management Office, Affiliated Hospital of Nantong University, Nantong, Jiangsu, 226001 (南通大学附属医院 感染管理办公室, 江苏 南通, 226001)Outpatient Injection Room, Affiliated Hospital of Nantong University, Nantong, Jiangsu, 226001 (南通大学附属医院 门诊注射室, 江苏 南通, 226001)Objective To understand the psychological experience of patients with thromboembolism during pregnancy and after childbirth. Methods A total of 100 patients with thromboembolism during pregnancy or after delivery were selected as the research subjects. All patients completed the Symptom Check List-90 (SCL-90) on the first day of admission and before discharge. Ten patients were randomly selected for a semi-structured qualitative interview to understand their psychological experience of and reaction to thromboembolism. Results The factor scores of somatization, anxiety, depression, paranoid ideation and interpersonal sensibility decreased significantly after hospitalization management compared with those before hospitalization management(P<0. 01). Qualitative findings were distilled into two major themes: low disease knowledge and awareness among patients with thromboembolism during pregnancy and after childbirth; increased psychological burden as excessive fear of disease and concerns about fetus and newborns. Conclusion Efforts such as risk assessment, risk factors analysis and health education should be made to enhance the non-hospitalized self-prevention and management in women during pregnancy and after childbirth. Early implementation of targeted interventions should also be mentioned to strengthen psychological care for pregnant women, in order to reduce the blindness and passivity of behavior. (目的 了解孕产期血栓栓塞症患者的真实心理体验。方法 选取医院收治的孕产期血栓栓塞症患者100例为研究对象, 所有患者在入院第一天及出院前填写症状自评量表(SCL-90), 了解住院管理前后患者的心理状态。采用质性研究方法, 选取10名孕产妇进行半结构式访谈, 了解患血栓栓塞症后的真实心理体验。结果 住院管理后, SCL-90量表中躯体化、焦虑、抑郁、偏执、人际关系敏感性维度评分均较住院管理前降低, 差异有统计学的意义(P<0. 01)。质性访谈结果显示, 孕产期血栓栓塞症患者对疾病知识缺乏认知; 患者因对疾病的过度恐惧及对胎儿/婴儿产生影响的担忧而导致心理负担增加。结论 应做好孕产期血栓栓塞症风险筛查, 在探讨危险因素的同时, 加大科普宣传和健康宣教力度, 帮助孕产妇提升自我预防及管理能力。入院后提前实施针对性干预措施, 加强患者心理护理, 能够减少孕产妇行为的盲目性和被动性。)http://www.zxyjhhl.hk/thesisDetails#10.55111/j.issn2709-1961.202206067pregnant womenpuerperalthromboembolismpsychological experiencehealth educationrisk assessmentpsychological care孕妇产妇静脉血栓栓塞症真实心理体验健康宣教风险筛查心理护理
spellingShingle HU Jiali (胡嘉丽)
HUANG Xuefang (黄学芳)
XU Xiaoyun (徐晓耘)
MENG Ya (孟雅)
A study of the psychological experience of patients with thromboembolism during pregnancy and after childbirth (孕产期血栓栓塞症患者真实心理体验的研究)
中西医结合护理
pregnant women
puerperal
thromboembolism
psychological experience
health education
risk assessment
psychological care
孕妇
产妇
静脉血栓栓塞症
真实心理体验
健康宣教
风险筛查
心理护理
title A study of the psychological experience of patients with thromboembolism during pregnancy and after childbirth (孕产期血栓栓塞症患者真实心理体验的研究)
title_full A study of the psychological experience of patients with thromboembolism during pregnancy and after childbirth (孕产期血栓栓塞症患者真实心理体验的研究)
title_fullStr A study of the psychological experience of patients with thromboembolism during pregnancy and after childbirth (孕产期血栓栓塞症患者真实心理体验的研究)
title_full_unstemmed A study of the psychological experience of patients with thromboembolism during pregnancy and after childbirth (孕产期血栓栓塞症患者真实心理体验的研究)
title_short A study of the psychological experience of patients with thromboembolism during pregnancy and after childbirth (孕产期血栓栓塞症患者真实心理体验的研究)
title_sort study of the psychological experience of patients with thromboembolism during pregnancy and after childbirth 孕产期血栓栓塞症患者真实心理体验的研究
topic pregnant women
puerperal
thromboembolism
psychological experience
health education
risk assessment
psychological care
孕妇
产妇
静脉血栓栓塞症
真实心理体验
健康宣教
风险筛查
心理护理
url http://www.zxyjhhl.hk/thesisDetails#10.55111/j.issn2709-1961.202206067
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