地震灾害对孕产妇心理状态的影响及其护理干预  

Influence of Earthquake on Mental Status of Pregnant Women and Nursing Interventions

作　　者：郑冬燕[1] 乔丽雅[1] 焦卫红[2] 曹敏[2] 付春华[2] 张巧玉[1] 王晓茹[1] 

机构地区：[1]解放军总医院第二附属医院妇产科,北京100091 [2]解放军总医院第二附属医院护理部

出　　处：《解放军护理杂志》2008年第15期1-2,18,共3页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的调查地震灾害对灾区孕产妇心理状态的影响,制定并实施护理干预措施,减轻地震灾害对孕产妇的影响。方法采用焦虑自评量表(SAS)和抑郁自评量表(SDS)对地震灾区孕产妇心理状态进行问卷调查。结果地震灾区孕产妇的心理健康状况受到严重的影响,焦虑、抑郁发生率明显高于非地震灾区(P<0.01);直系亲属有遇难者及有外伤的孕产妇焦虑及抑郁发生率明显增高(P<0.01);大专以上文化程度的灾区孕产妇焦虑及抑郁指数明显高于大专以下文化者(P<0.01)。结论地震灾害给孕产妇身心健康造成严重损害;实施护理干预,有助于降低孕产妇的焦虑、抑郁症状,使孕产妇处于最佳身心状态,促进正常分娩及母婴健康。Objective To investigate the influence of earthquake on mental status of pregnant women, so as to develop nursing interventions to reduce the influence. Methods The mental status of the pregnant women in the earthquake was evaluated with SAS and SDS. Results The mental status of the pregnant women was significantly influenced by the earthquake. The incidences of anxiety and depression were higher than those in non-earthquake area（ P〈0.01）. The incidences of anxiety and depression of pregnant women whose direct relatives were earthquake victims or with trauma were higher（ P〈0.01）. The scores of anxiety and depression in the pregnant women with education background of higher than associate degree were significantly higher than those of pregnant women with education background of lower than associate degree（ P〈0.01）. Conclusions The earthquake hurt the pregnant w the pregnant women＇s mental status by make the pregnant women be in the be and make the mother and newborns hea omen＇s mental health. Nursing interventions can improve decreasing symptoms of anxiety and depression. They can st mental health and somatic health, help their childbirth lthy.

关 键 词：地震 孕产妇 焦虑 抑郁 护理干预 

分 类 号：R473.77[医药卫生—护理学] R395.1[医药卫生—临床医学]