产科心理护理对孕产妇妊娠结局及产后抑郁情况的影响  

Effect of psychological nursing on maternal obstetric outcome of pregnancy and postpartumdepression

作　　者：尤金兰 丁敏华[1] 蒋兰英[1] 顾珺[1] 

机构地区：[1]无锡市妇幼保健院临产室,无锡214002

出　　处：《国际精神病学杂志》2015年第3期85-88,共4页Journal Of International Psychiatry

摘　　要：目的探究孕产妇实施心理护理干预对其妊娠结局及产后抑郁状况的影响。方法选取我院妇产科于2012年8月~2013年7月收治的65例孕产妇,设为对照组,开展常规护理模式;选取我院妇产科于2013年8月~2014年7月收治的69例孕产妇,设为研究组,在对照组基础上实施心理干预。记录两组孕产妇剖宫产率、自然分娩率及产后出血率,同时记录两组孕产妇于住院当天及分娩前1天的SAS（焦虑自评量表）和SDS（抑郁自评量表）测评。结果研究组剖宫产及产后出血率均低于对照组（P〈0.05）。研究组产后3天的SAS评分和SDS评分均低于对照组（P〈0.05）。结论个体化心理干预应用于孕产妇,能有效改善其围产期的负性情绪,同时亦能降低剖宫产率,提高自然分娩率。Objective The implementation of psychological nursing intervention on the impact and outcome of pregnancy maternal postpartum depression status inquiry. Methods 65 cases of pregnant women were selected in our hospital obstetrics and gynecology from August 2012 ~ July 2013 were set as the control group,were provided routine nursing mode; 69 cases of pregnant women were chosen from August 2013 ~ July 2014 were set as the study group. Records of two groups of maternal cesarean section rate,the rate of natural childbirth and postpartum hemorrhage rate. Results The study group of cesarean section and the rate of postpartum hemorrhage were lower than the control group（ P〈0. 05）. Research group of postpartum 3 [days] days of SAS score and SDS score were lower than the control group（ P〈0. 05）. Conclusion Individual psychological intervention on pregnant women,can effectively improve the perinatal negative sentiment,also can reduce the rate of cesarean section,increase the rate of natural childbirth.

关 键 词：孕产妇 心理护理 妊娠结局 产后抑郁 

分 类 号：R749[医药卫生—神经病学与精神病学]