Effect Of Continuous Care Based On Wechat Platform On Anxiety And Depression In Pregnant Women With Amniocentesis

ObjectiveTo explore the effect of continuous care based on wechat platform on improving anxiety and depression in pregnant women with amniocentesis and on pregnancy outcome.To provide guidance and basis for medical staff to carry out holistic and scientific nursing for such pregnant women in clinic.MethodsA total of 82 pregnant women who received amniocentesis in prenatal diagnosis center from January 2022 to June 2022 were selected as the subjects of this study.Pregnant women were divided into experimental group(41 cases)and control group(41 cases).The control group received routine nursing;In the experimental group,on the basis of routine nursing,the implementation of wechat platform as the main media,supplemented by telephone follow-up for a period of 3 months of continuous nursing intervention.From the hospital to the home of the intervention site,wechat push once a week,relaxation training twice a week,15 to 20 minutes each time,telephone follow-up once a week.The measurement tools included general information questionnaire,self-rating anxiety scale,self-rating depression scale,amniocentesis cognitive questionnaire.SPSS26.0 software was used for descriptive analysis of general data.Chi-square test was used for the comparison of general data equilibrium.T-test was used for the comparison between groups of self-rating anxiety scale,self-rating depression scale and amniocentesis cognitive questionnaire before and after intervention,and Wilcoxon sign rank test was used for non-normal distribution.Results1.82 pregnant women were included.During the study,1 case in the control group withdrew from the study,41 cases in the experimental group and 40 cases in the control group.There was no statistically significant difference between the two groups in age,nationality,residence,education level,monthly income,occupation,health insurance,previous pregnancy history,and relevant information of this pregnancy(P>0.05).2.The scores of self-rating anxiety scale,self-rating depression scale and cognitive questionnaire of amniocentesis before intervention were not statistically significant between the two groups(P > 0.05),showing comparability;Compared with before intervention,the scores of self-rating anxiety scale and self-rating depression scale of experimental group were significantly decreased after intervention,and the scores of cognitive questionnaire of amniocentesis were significantly increased,with statistical significance(P<0.05).There was no significant difference in the scores of self-rating anxiety scale,self-rating depression scale and cognitive questionnaire of amniocentesis before and after intervention in the control group(P>0.05).ConclusionsThe continuous care based on wechat platform can effectively alleviate the anxiety and depression of pregnant women with amniocentesis,improve the cognitive level of pregnant women;It is suggested that more attention should be paid to anxiety and depression in pregnant women with amniocentesis during pregnancy.