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| Effects of psychological reconstruction based on bibliotherapy of pregnant women with reproductive tract group B streptococcus infection on their prenatal anxiety and pregnancy outcomes |
| The Third Affiliated Hospital of Chengdu Medical College, Pidu District People's Hospital, Chengdu, Sichuan Province, 611730 |
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Abstract To explore the effects of psychological reconstruction based on bibliotherapy of pregnant women with reproductive tract group B streptococcus(GBS)infection on their prenatal anxiety and pregnancy outcomes. Methods: 107 pregnant women with reproductive tract GBS infection were selected as the research subjects and were divided into observation group(n=53)and control group(n=54)according to simple randomization method from March 2020 to August 2021. The women in the control group were given routine nursing intervention, while the women in the observation group were given psychological reconstruction nursing based on bibliotherapy additionally. The psychological status evaluated by Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS), the coping styles evaluated by Medical Coping Modes Questionnaire(MCMQ), the treatment compliance, and the pregnancy outcomes of the women before intervention and before and after delivery were compared between the two groups. Results: The psychological status, the coping styles, and the treatment compliance of the women in the two groups had changed after intervention. The SAS score(44.14±3.17 points and 46.77±3.88 points)and SDS score(43.35±3.11 points and 45.78±3.25 points)of the women in the two groups after intervention had decreased significantly, and the MCMQ face scores(22.16±4.11 points and 19.73±3.87 points)of the women in the two groups after intervention had increased significantly. The yield scores(12.71±3.44 points and 15.12±3.65 points)and avoidance scores(14.27±3.34 points and 16.51±3.28 points)of the women in the two groups after intervention had decreased significantly, and the range of change of which of the women in the observation group were significantly better than those of the women in the control group(all P＜0.05). The total compliance(92.5%)of the women in the observation group was significantly higher than that(77.8%)of the women in the control group(P＞0.05). There was no significant difference in the overall incidence of adverse pregnancy outcomes(7.6% vs.16.7%)of the women between the two groups(P＞0.05). Conclusion: Psychological reconstruction based on bibliotherapy for the pregnant women with reproductive tract GBS infection can significantly reduce their prenatal anxiety and depression, improve their coping styles and treatment compliance, and reduce the incidence rate of their adverse pregnancy outcomes, therefore it is worthy of recommendation.
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