分娩全程予以心理护理对妊娠结局的影响  

Effect of psychological nursing on the outcome of pregnancy during the overall delivery

作　　者：李彩虹[1] 陈亚莉[1] 李小会[1] 李秋侠[1] 徐静静[1] 

机构地区：[1]陕西省宝鸡市妇幼保健院产科,宝鸡721000

出　　处：《国际精神病学杂志》2016年第4期735-738,共4页Journal Of International Psychiatry

摘　　要：目的探讨分娩全程予以心理护理对妊娠结局的影响。方法选取我院2015年1月至2015年10月200例住院分娩的产妇,随机分为对照组和干预组,每组各100例,其中对照组产妇给予常规产科护理,干预组在此基础上施加系统的心理护理,采用SAS、SDS、VAS评分标准对比分析两组产妇的心理及分娩情况,包括分娩时疼痛评分、分娩前后焦虑及抑郁状态评分、产后出血评分、分娩方式、产程时间、剖宫产率、新生儿窒息情况等。结果相对于对照组,干预组产妇的VAS疼痛分级、SAS焦虑评分及SDS抑郁评分结果较好,而且产后出血量较低、自然分娩率较高(76%>62%),剖宫产率较低(17%<34%),分娩时间较短,且新生儿窒息率较低。上述组间差异均有统计学意义(P<0.05)。结论分娩全程在常规产科护理基础上增加系统性心理护理能够更好的缓解产妇的抑郁和焦虑等不良心理情绪,有助于提高产妇自然分娩率,降低剖宫产率,减少产妇产后出血量和新生儿窒息率,缩短分娩时间,因此值得在临床推广应用。Objective To investigate the effect of psychological nursing on the outcome of pregnancy during the overall delivery. Methods 200 cases of puerperas in the inpatient department of our hospital were selected from January 2015 to October 2015. All the puerperas were randomly divided into two groups ：the control group and the intervention group,100 cases in each group. The control group was given the routine obstetric care,and the intervention group was treated with psychological nursing besides the routine one. The SAS,SDS and VAS scales were used to analyze the psychological and delivery situation of the two groups,including the pain scores,the anxiety and depression status scores,the postpartum bleeding scores,the delivery modes,the labor time,the cesarean rates,the status of neonatal asphyxia,etc. Results Compared with the control group,the scores of VAS,SAS,and SDS of the intervention group were better,furthermore,the postpartum hemorrhage was lower,natural labor rate was higher（76% 62%）,and the rate of cesarean rate was lower（17% 34%）,the delivery time was shorter,and the neonatal asphyxia rate was lower. All the differences above between the two groups had statistical significance（P0.05）. Conclusion Systematic psychological nursing intervention on the basis of the routine obstetric nursing during the overall delivery is more effective to relieve the negative psychological mood of the puerpera,such as anxiety,depression and so on. Also it is better to increase the natural delivery rate. Also it is more effective to reduce the rate of cesarean section,the amount of postpartum hemorrhage,the neonatal asphyxia and the delivery time. Thus,it is worthy of the clinical popularization and application.

关 键 词：分娩 心理护理 产妇 妊娠结局 

分 类 号：R749[医药卫生—神经病学与精神病学]