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| Effect of the constructional mental intervention combined with extended pregnancy health education model for interventing pregnant women with premature rupture of membranes |
| 1.Zhejiang University of Traditional Chinese Medicine, Hangzhou, Zhejiang Province, 310053; 2.Hangzhou Obstetrics and Gynecology Hospital (Hangzhou Maternal and Child Health Care Hospital), Hangzhou, Zhejiang Province; 3.The Second Affiliated Hospital of Guilin Medical College, Guilin, The Guangxi zhuang Autonomous Region |
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Abstract To explore the application effect of the constructional mental intervention combined with extended pregnancy health education model for interventing pregnant women with premature rupture of membranes (PROM). Methods: The pregnant women with PROM admitted to the hospital from January 2021 to Dec 2023 were included in this study. Among these pregnant women, 48 women who had received the routine intervention were randomly selected in control group, and 48 cases who had received the constructional mental intervention combined with extended pregnancy health education model intervention were randomly selected in observation group. The changes of the negative emotions scores evaluated by self-rating anxiety scale (SAS) and self-rating depression scale (SDS) before and after intervention of the women in the two groups were observed. The delivery modes, the perinatal maternal-infant adverse outcomes and the nursing satisfaction of the women were compared between the two groups. Results: The SAS and SDS scores of the women in the two groups after intervention had decreased significantly, and which (37.16±7.21 points and 35.14±6.17 points) of the women in the observation group were significantly lower than those (45.31±8.67 points and 44.06±8.86 points) of the women in the control group. The natural delivery rate (43.8%) of the women in the observation group was significantly higher than that (16.7%) of the women in the control group. The cesarean section rate (31.3%) of the women in the observation group was significantly lower than that (54.2%) of the women in the control group. The total incidence of the perinatal maternal and infant adverse outcomes (12.5%) of the women in the observation group was significantly lower than that (33.3%) of the women in the control group. The nursing satisfaction (97.9%) of the women in the observation group was significantly higher than that (83.3%) of the women in the control group (all P<0.05). Conclusion: The constructional mental intervention combined with the extended pregnancy health education model intervention for the pregnant women with PROM can alleviate their negative emotions, can decrease their cesarean section rate, can reduce their perinatal maternal-infant adverse outcomes and can improve their nursing satisfaction.
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