心理疏导联合知信行模式干预对门诊胎心监测异常孕妇心理状态的影响  

The influence of knowledge attitude belief model intervention combining psychological counseling on mental status of pregnant women with abnormal fetal heart monitoring

作　　者：唐海花[1] 王宇波 卢玲 胡春丽 TANG Haihua WANG Yubo LU Ling et al.(Hanzhong City Central Hospital, Obstetrics and Hynaecology, Hanzhong 723000, Chin)

机构地区：[1]汉中市中心医院产科,汉中723000

出　　处：《国际精神病学杂志》2017年第5期918-921,共4页Journal Of International Psychiatry

摘　　要：目的研究心理疏导联合知信行模式干预对门诊胎心监测异常孕妇心理状态的影响。方法选取我院2014年2月至2016年2月经门诊诊断胎心监测异常的孕妇78例,按照就诊顺序编号,采取随机数表法将纳入研究的孕妇分为观察组与对照组两组,每组39例,给予对照组孕妇心理疏导,给予观察组孕妇心理疏导联合知信行模式干预,比较两组孕妇护理干预前后抑郁自评量表(SDS)、焦虑自评量表(SAS)、意外事件影响量表(IES-R)及三维筛选评估模型(TAS)评分,比较两组孕妇妊娠方式及新生儿阿氏评分(Apgar)。结果干预后,观察组孕妇SDS、SAS评分较对照组显著降低(P<0.05);观察组IES-R及TAS各项评分较对照组显著较低(P<0.05);观察组顺产率为51.28%较对照组23.08%显著较高(P<0.05),剖宫产率为38.46%较对照组64.10%显著较低(P<0.05);观察组新生儿评分在8-10分数段的概率为71.7%较对照组48.72%显著较高(P<0.05)。结论给予门诊胎心监测异常孕妇心理疏导联合知信行模式干预能显著改善孕妇焦虑、抑郁等负面情绪,有利于孕期状态稳定,孕妇剖宫产率降低,有利于新生儿。Objective To investigate the influence of knowledge attitude belief model intervention combining psychological counseling on mental status of pregnant women with abnormal fetal heart monitoring. Methods Totally 78 cases of pregnant women with abnormal fetal heart monitoring in our hospital from February 2014 to February 2016 were collected and randomly divided into research group and control group,each with 39 cases. The pregnant women in the control group were treated with psychological counseling,while the pregnant women in the research group were treated with knowledge attitude belief model intervention combining psychological counseling. The scores of Self-Rating Anxiety Scale（SAS）,Self-Rating Depression Scale（SDS）,Triage Assessment Model（TAS）and Impact of Event Scale-Revised（IES-R）between the two groups were compared. Results After the intervention,the scores of SAS,SDA,TAS and IES-R in the research group were significantly lower than those in the control group（P〈0.05）;After the intervention,the rate of vaginal delivery in research group were significantly higher than the control group（P〈0.05）. Conclusion The knowledge attitude belief model intervention combining psychological counseling can effectively improve the mental status in pregnant women with abnormal fetal heart monitoring.

关 键 词：心理疏导 知信模式 胎心监测异常 心理状态 

分 类 号：R749[医药卫生—神经病学与精神病学]