Study On Intervention Effect Of Family Support Program On Women With Abnormal Fetal Induction

Background:Fetal malformation and stillbirth during pregnancy can not only cause strong and lasting negative emotions for women induced labor,but also adversely affect their family function.Family support is considered an important coping resource to facilitate an individual’s adjustment after a traumatic event.Studies have shown that family support programs can improve individual family functioning and alleviate psychological problems such as depression and post-traumatic stress disorder.However,current studies show that the family support of women with abnormal fetal induction is insufficient,and few studies pay attention to the family function of women with fetal induction.The effect of systematic family support plan on the family function of women with abnormal fetal induction,postpartum depression and post-traumatic stress disorder still needs to be verified.Objective:To investigate the effects of family support program on family function,postpartum depression and post-traumatic stress in women with abnormal fetal induction.Methods:The experimental research method was adopted.A total of 70 women who terminated pregnancy due to fetal abnormalities in Beijing Obstetrics and Gynecology Hospital from September 2021 to March 2023 were conveniently selected.In order to avoid "contamination" of the subjects,the intervention group(n=34)was included in the initial stage of the study,and the control group(n=36)was included later.The control group received routine care during hospitalization,while the intervention group received family support during hospitalization,including 42 days of follow-up after discharge.The family support program is mainly constructed through literature review and semistructured interview results.Before intervention and 42 days after intervention,the family function,depressive mood,and post-traumatic stress disorder of women with abnormal induced abortion were measured using the Family Assessment Device,Edinburgh postnatal depression scale,and the Impact of Event Scale-Revised.Independent sample t test and Chi-square test were used to compare the differences between the two groups of subjects after receiving different interventions,in order to evaluate the effect of family support program intervention.Results:A total of 70 subjects in both groups completed the intervention and follow-up,including 34 cases in the intervention group and 36 cases in the control group.There was no significant difference between the intervention group(n=34)and the control group(n=36)in general information and baseline information(P>0.05).The scores of family function,depression and post-traumatic stress disorder in the two groups were analyzed before and after the intervention:(1)Family function:After the intervention,the scores of problem solving dimension,role dimension and total functional dimension in the intervention group were all lower than those in the control group,with statistical significance(P<0.05);The total score of family function,communication dimension and role dimension were significantly decreased in both groups before and after intervention(P<0.05).(2)Depressive mood:After the implementation of the intervention,the incidence of depression in the intervention group was lower than that in the control group,and the difference was statistically significant(P<0.05);Before and after the intervention,depressive mood scores in both groups were significantly decreased(P<0.05).(3)Posttraumatic stress disorder:There was no significant difference between the total score of IES-R and the three dimensions in the intervention group and the control group(P>0.05).The IES-R score and invasion dimension score of the two groups were lower after intervention than before intervention,and the difference was statistically significant(P<0.05).Conclusion:Family support intervention for women with abnormal fetal induction did not reduce the level of post-traumatic stress disorder,but reduced the incidence of postpartum depression and improved the family function of women with induced labor.It is suggested to further verify the effect of intervention on post-traumatic stress disorder in women with induced labor.