温柔分娩集束化护理对高龄合并宫内胎儿异常孕妇分娩效果及围产期产妇心理的影响  

Effect of cluster nursing for gentle birth choices on the delivery of elderly pregnant women with intrauterine fetal abnormalities and the psychology of perinatal parturients

作　　者：赖荣娣 沈宇清[1] 张翠雁[2] 张惠玲[1] 梁翔空[3] LAI Rong-di;SHEN Yu-qing;ZHANG Cui-yan;ZHANG Hui-ling;LIANG Xiang-kong(Obstetrics Department,Kaiping Central Hospital,Jiangmen 529300,China;Nursing Department,Kaiping Central Hospital,Jiangmen 529300,China;Department of Functional Test,Kaiping Central Hospital,Jiangmen 529300,China)

机构地区：[1]广东省开平市中心医院产科,广东江门529300 [2]广东省开平市中心医院护理部,广东江门529300 [3]广东省开平市中心医院功能检查科,广东江门529300

出　　处：《广东医科大学学报》2021年第3期375-377,共3页Journal of Guangdong Medical University

基　　金：江门市医疗卫生领域科技计划项目(No.201801002001151)。

摘　　要：目的观察温柔分娩集束化护理模式对高龄合并宫内胎儿异常孕妇分娩效果及围产期产妇心理的影响。方法选取高龄合并宫内胎儿异常的孕妇82例,随机分为观察组(n=42)和对照组(n=40)。观察组孕妇实施集束化的温柔分娩助产管理模式,对照组孕妇采用传统助产管理模式,比较两组简化分娩自我效能量表(CBSEI-32)、视觉模拟评分量表(VAS)、分娩应对量表(CCB)、中文版母乳喂养自我效能简式量表(BSES-SF)评分,以及产后心理异常情况。结果观察组产妇的CBSEI-32、CCB、BSES-SF评分均高于对照组,VAS评分、复杂性哀伤和产后抑郁的发生率则低于对照组(P<0.05或0.01)。两组产妇创伤后应激发生情况差异无统计学意义(P>0.05)。结论温柔分娩集束化模式能够提高高龄合并胎儿异常孕妇的分娩效果,并降低产后抑郁的发生。Objective To explore the effect of cluster nursing for gentle birth choices on the delivery of elderly pregnant women with intrauterine fetal abnormalities and the psychology of perinatal parturients.Methods A total of 82 elderly pregnant women with intrauterine fetal abnormalities were selected and randomly divided into the Observation Group(n=42)and the Control Group(n=40).The Observation Group received the cluster midwifery management mode for gentle birth choices while the Control Group received traditional midwifery management mode.The two groups were compared in terms of CBSEI-32,VAS,CCB and BSES-SF scores as well as postpartum mental psychological disorders.Results The Observation Group had the scores of CBSEI-32,CCB and BSES-SF higher than the Control Group and the VAS score and the incidence of complicated grief and postpartum depression lower than the Control Group(P<0.05 or 0.01).There was no statistical difference in the incidence of post-traumatic stress between the two groups(P>0.05).Conclusion cluster nursing mode for gentle birth choices could improve the delivery effect of elderly pregnant women with intrauterine fetal abnormalities and reduce the incidence of postpartum depression.

关 键 词：异常胎儿 高龄产妇 产后精神心理 

分 类 号：R473[医药卫生—护理学]