摘要
目的 探讨基层社区先兆流产患者心理、社会支持与应对方式的相关性。方法 选取于2015年1月至2016年12月在山东省临清市新华路街道社区卫生服务中心妇科进行治疗的先兆流产患者40例研究对象，对其心理、社会支持与应对方式的相关性进行探讨。结果 发生先兆流产的40例患者的心理弹性得分为（60.87±20.51）分，各维度得分分别为坚韧（36.36±12.1）分，自强（18.29±6.6）分，乐观（6.22±2.9）分；既往有减肥史、家庭压力过大、自我关注度较高、过度投入、妊娠相关焦虑是导致孕妇出现先兆流产的主要危险因素（P<0.05）。结论 大部分出现先兆流产的患者均存在程度不一的心理障碍，在为其进行治疗时，采取正确的护理措施提升其心理弹性水平对于改善患者病情，延长保胎时间，保证胎儿及孕妇的生命安全的效果显著，值得临床进行推广。
关键词： 基层社区先兆流产；心理支持；社会支持；应对方式
Abstract
Objective To explore the correlation between the psychological, social support and coping style of patients with threatened abortion in the grassroots community. Methods From January 2015 to December 2016, 40 patients with threatened abortion who were treated in the gynecology department of the community health service center of Xinhua Road, Linqing City, Shandong Province were selected as research subjects, and the correlation between their psychological, social support and coping style was analyzed. discuss. Results The psychological resilience score of the 40 patients with threatened abortion was (60.87±20.51), and the scores of each dimension were tenacity (36.36±12.1), self-improvement (18.29±6.6), and optimism (6.22±2.9); Previous weight loss history, excessive family pressure, high self-concern, excessive investment, and pregnancy-related anxiety were the main risk factors for threatened abortion in pregnant women (P<0.05). Conclusion Most of the patients with threatened abortion have different degrees of psychological disorders. When treating them, taking correct nursing measures to improve their psychological resilience can improve the patient's condition, prolong the time of miscarriage, and ensure the safety of the fetus and pregnant women. The effect of life safety is remarkable and worthy of clinical promotion.
Key words： Threatened abortion in grassroots community; Psychological support; Social support; Coping style
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