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| Impacts of the psychological intervention based on solution-focused approach for critically ill pregnant women or puerperas on their anxiety, depression, and pregnancy outcomes |
| Nanjing Hospital Affiliated to Nanjing Medical University(Nanjing First Hospital), Nanjing, Jiangsu Province, 210006 |
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Abstract To investigate the impacts of the psychological intervention based on solution-focused approach(SFA) for critically ill pregnant women or puerperas. Methods: This study is a non-synchronous control study. The pregnant women or puerperas who met the criteria of critical care were selected as the study objects. 51 critically ill pregnant women or puerperas admitted to the hospital from September 2021 to June 2022 were selected in the control group and were given routine nursing. 53 critically ill pregnant women or puerperas admitted to the hospital from July 2022 to August 2023 were selected in the study group and were given psychological intervention based on SFA combined with the routine nursing. The emotional status, the coping strategies, the pregnancy outcomes and the satisfaction of nursing of the critically ill pregnant women or puerperas were compared between two groups. Results: The scores of two items of the emotional states and the negative coping of the critically ill pregnant women or puerperas in both groups after intervention had decreased significantly, and which(42.2±3.9 points, 43.6±3.5 points and 12.9±3.5 points) of the critically ill pregnant women or puerperas in the study group were significantly lower than those(47.4±4.6 points, 49.3±4.3 points and 16.6±3.8 points) of the critically ill pregnant women or puerperas in the control group. The positive coping score of the critically ill pregnant women or puerperas in both groups after intervention had increased significantly, and which(24.8±5.5 points) of the critically ill pregnant women or puerperas in the study group was significantly higher than that(21.4±5.0 points) of the critically ill pregnant women or puerperas in the control group. The rates of the cesarean section(28.3%), the postpartum hemorrhage(7.6%), the preterm birth(3.8%), and the neonatal asphyxia(5.7%) of the critically ill pregnant women or puerperas in the study group were all significantly lower than those(49.0%, 21.6%, 17.7% and 19.6%) of the critically ill pregnant women or puerperas in the control group. The nursing satisfaction(96.2%) of the critically ill pregnant women or puerperas in the study group was significantly higher than that(80.4%) of the critically ill pregnant women or puerperas in the control group(all P<0.05). Conclusion: The SFA based psychological intervention used for the critically ill pregnant women or puerperas can effectively regulate their emotional state, improve their coping strategies, reduce their incidence of their adverse pregnancy outcomes and improve their nursing satisfaction.
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