情志护理联合人流后关爱对流产患者自我效能及负性情绪的护理效果研究

A Study on the Nursing Effect of Emotional Care Combined with Post-Abortion Support on Self-Efficacy and Negative Emotions in Abortion Patients

摘要: 目的：探讨情志护理联合人流后关爱对流产患者自我效能及负性情绪的护理效果。方法：选取2024年10月至2025年4月于本院接受首次无痛人工流产手术的140例患者，随机分为观察组与对照组，每组70例。对照组实施常规流产后关爱健康关怀服务，观察组在对照组基础上实施情志护理联合人流后关爱(包括个性化咨询、延续随访等)。实施随机分配隐藏，本研究因护理干预特性无法对研究对象与干预实施者设盲，仅对结局评价人员实施单盲。比较两组患者干预前后自我效能感量表(GSES)、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分，以及两组患者人工流产相关知识掌握程度及护理服务满意度情况。结果：干预后观察组一般自我效能感量表评分为(32.5 ± 4.2)分，高于对照组的(26.8 ± 5.0)分(P < 0.001)；观察组焦虑自评量表评分为(38.2 ± 5.6)分、抑郁自评量表评分为(40.5 ± 5.8)分，均低于对照组的(45.6 ± 6.4)分、(47.2 ± 6.5)分(P < 0.001)；观察组人工流产相关知识掌握程度评分为(85.2 ± 6.8)分(总分100分)，高于对照组的(68.5 ± 7.2)分(P < 0.001)；观察组护理服务满意度评分为(46.2 ± 3.5)分(总分50分)，高于对照组的(38.5 ± 4.1)分(P < 0.001)。结论：情志护理联合人流后关爱能够有效提高流产患者的自我效能感，缓解焦虑、抑郁等负性情绪，提高人工流产相关知识掌握程度与护理服务满意度，值得临床推广应用。

Abstract: Objective: To explore the nursing effect of emotional care combined with post-abortion support on self-efficacy and negative emotions in abortion patients. Methods: A total of 140 patients who underwent their first painless artificial abortion at our hospital between October 2024 and April 2025 were randomly divided into an observation group and a control group, each consisting of 70 cases. The control group received routine post-abortion health care services, while the observation group received emotional care combined with post-abortion support (including personalized counseling and follow-up visits) based on the interventions provided to the control group. Pre- and post-intervention scores on the General Self-Efficacy Scale (GSES), the Self-Rating Anxiety Scale (SAS), and the Self-Rating Depression Scale (SDS) were compared between the two groups, along with assessments of knowledge acquisition regarding abortion and satisfaction with nursing services. Results: After intervention, the GSES score in the observation group was (32.5 ± 4.2) points, significantly higher than the control group’s (26.8 ± 5.0) points (P < 0.001). The SAS score in the observation group was (38.2 ± 5.6) points and the SDS score was (40.5 ± 5.8) points, both significantly lower than those in the control group (45.6 ± 6.4) and (47.2 ± 6.5) points, respectively (P < 0.001). The knowledge acquisition score regarding abortion in the observation group was (85.2 ± 6.8) points (out of 100), significantly higher than the control group’s (68.5 ± 7.2) points (P < 0.001). The nursing service satisfaction score in the observation group was (46.2 ± 3.5) points (out of 50), significantly higher than the control group’s (38.5 ± 4.1) points (P < 0.001). Conclusion: Emotional care combined with post-abortion support effectively enhances self-efficacy, alleviates anxiety and depression, improves knowledge about abortion, and increases patient satisfaction with nursing services, making it worthy of clinical promotion and application.