先兆临产产妇的心理问题评估及干预  

Assessment and Nursing Intervention on the Psychological Problems of Pre Parturient Women

作　　者：高贤 GAO Xian(Department of Gynecology and Obstetrics, Maternal and Child Health Care Hospital of Wolong District, Nanyang 473000, Chin)

机构地区：[1]河南省南阳市卧龙区妇幼保健院妇产科

出　　处：《中国健康心理学杂志》2018年第3期359-362,共4页China Journal of Health Psychology

摘　　要：目的：探讨先兆临产阶段产妇的心理特点,并给予护理干预。方法：选取产前病区2015年1-6月收治的150例先兆临产产妇采用SAS、SDS量表进行调查,给予常规护理,为对照组。150例2015年7-12月的先兆临产产妇给予强化护理干预,为观察组。比较两组的产程进展以及产科预后情况。结果：先兆临产产妇的SAS、SDS评分高于国内常模,差异有统计学意义（t=5.663,7.274;P〈0.05）。观察组的第一产程、总产程均分别短于对照组,差异有统计学意义（t=59.837、34.356,P〈0.05）。观察组宫缩乏力、胎儿宫内窘迫、新生儿窒息的发生率分别为0.67%、0.67%、0.67%低于对照组的5.33%、6.00%、5.33%,差异有统计学意义（P〈0.05、0.006、0.036）。观察组产后2h、产后24h的出血量分别少于对照组,差异有统计学意义（t=23.362、46.985,P〈0.05）。结论：先兆流产产妇常合并有不同程度的心理问题,并在宫缩乏力、胎儿窘迫、产后出血上存在不同程度的问题。Objective：To investigate the effect of puerperant psychological intervention in threatened labor stage on obstetric prognosis.Methods：A total of 150 cases of threatened parturient women from January to June 2015 in the antenatal ward were surveyed by SAS and SDS questionnaire survey;the control group was treated with routine nursing.A total of 150 another cases from July to December 2015 were the observation group with intensive nursing intervention.The two groups were compared of the progress of labor and obstetric prognosis.Results：SAS,SDS score of pre parturient women was respectively higher than the national norm,the difference was statistically significant（t=4.73,3.69,P〈0.05）.The first stage of labor in the observation group,the total production process were shorter than that of the control group,the difference was statistically significant（t=6.65,7.21,P〈0.05）.Uterine atony,fetal distress and neonatal asphyxia rate in the observation group were lower than that of the control group,the difference was statistically significant（χ2=4.21,5.07,4.21,7.26,P〈0.05）.Postpartum hemorrhage after 2 h and 24 hwas less than that of the control group,the difference was statistically significant（t=5.18,7.26,P〈0.05）.Conclusion：Pre parturient women often have varying degrees of psychological problems,with problems at uterine inertia,fetal distress,and postpartum hemorrhage.

关 键 词：先兆临产 产妇 心理 护理干预 产程 产科预后 

分 类 号：R395.6[哲学宗教—心理学]