心理护理干预对产前抑郁初产妇妊娠和分娩的影响  

Effect of Psychological Intervention on Pregnancy and Parturition in Primiparas with Prenatal Depression

作　　者：倪娟娟[1] 徐惠芳[1] 黄显芬[1] 章秋莲 

机构地区：[1]温州医科大学附属第二医院产科,浙江温州325000

出　　处：《解放军护理杂志》2015年第22期28-30,共3页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的探讨心理护理干预对产前抑郁初产妇妊娠的影响。方法便利选取2012年11月至2014年4月在温州医科大学附属第二医院进行产前检查的初产妇450例,使用爱丁堡产后抑郁量表筛选出产前抑郁初产妇共212例,其中106例给予产前心理护理（干预组）、106例给予常规护理（抑郁组）;选取同期无产前抑郁的正常初产妇236例为对照组。比较各组产妇分娩疼痛情况和妊娠结局。结果干预组与对照组产妇的Ⅱ-Ⅲ级疼痛率、剖宫产率及新生儿窒息率均低于抑郁组,产程时间、产后出血量大于抑郁组,差异均有统计学意义（P〈0.05或P〈0.01）。结论心理护理干预可以改善产前抑郁初产妇的分娩疼痛及妊娠结局,使其平稳度过孕期及分娩期,确保母婴安全。Objective To discuss the effect of psychological intervention on primiparas with prenatal depression.Methods By convenience sampling,450 cases of primiparas were selected to carry out prenatal examination in our hospital.There were 212 cases screened out by using Edinburgh postpartum depression scale,106 cases had prenatal psychological intervention（intervention group）,other 106 cases were applied with conventional nursing（depression group）;and 236 cases with no prenatal depression were selected as control group.The labor pain and pregnancy outcome were compared among three groups.Results The Ⅱ-Ⅲ grade pain rate,cesarean section rate and neonatal asphyxia rate in intervention group and control group were lower than which in depression group,while the labor time,postpartum bleeding were more than that of depression group（P〈0.05 or P〉0.01）.Conclusion Psychological intervention can release the pain and improve pregnancy outcome in primiparas with prenatal depression,which ensures the safety of mother and child.

关 键 词：产前抑郁 心理护理 分娩疼痛 妊娠结局 

分 类 号：R493[医药卫生—康复医学] R473.71[医药卫生—临床医学]