心理危机配合期待疗法对未足月胎膜早破孕妇的心理与生理的应用价值  

Psychological and physiological value of psychological crisis combined with expectant therapy in pregnant women with premature rupture of membranes

作　　者：顾颖[1] 邹炜炜[2] GU Ying;ZOU Weiwei(Department of Obstetrics,Wuxi Maternal and Child Health Hospital,Jiangsu Province,Wuxi 214000,China;Ward 12,Department of Obstetric Wuxi Maternal and Child Health Hospital,Jiangsu Province,Wuxi 214000,China)

机构地区：[1]江苏省无锡市妇幼保健院产科,江苏无锡214000 [2]江苏省无锡市妇幼保健院产科十二病区,江苏无锡214000

出　　处：《中国医药导报》2022年第2期176-179,共4页China Medical Herald

摘　　要：目的分析心理危机配合期待疗法对未足月胎膜早破孕妇的心理与生理的应用价值。方法选取2017年9月至2020年8月江苏省无锡市妇幼保健院收治的80例未足月胎膜早破孕妇,采用随机数字表法将其分为研究组和对照组,每组各40例。对照组实施常规期待疗法,研究组在此基础上联合实施心理危机疗法,比较两组接受不同干预模式后心理与生理的干预效果。结果干预后,研究组汉密尔顿抑郁量表和汉密尔顿焦虑量表评分低于入院时,且研究组低于对照组,差异有统计学意义(P<0.05);研究组剖宫产、产后出血及新生儿窒息发生率低于对照组,差异有统计学意义(P<0.05);研究组保胎时间长于对照组,差异有统计学意义(P<0.05);研究组护理满意度显著高于对照组,差异有统计学意义(P<0.05)。结论未足月胎膜早破孕妇应用心理危机配合期待疗法,可改善和缓解孕妇负面心理情绪,延长孕妇保胎时间,减少剖宫产、新生儿窒息及产后出血等并发症发生,提高母婴分娩结局的安全性。Objective To analyze the psychological and physiological value of psychological crisis combined with expectation therapy in pregnant women with premature rupture of membranes.Methods A total of 80 pregnant women with premature rupture of membranes were selected from September 2017 to August 2020 in Wuxi Maternal and Child Health Hospital of Jiangsu Province,they were divided into study group and control group according to random number table method,with 40 cases in each group.The control group was treated with routine expectant therapy,on the basis,the study group combined the psychological crisis therapy.The effects of the psychological and physiological intervention were compared between the two groups after receiving different intervention modes.Results After intervention,the scores of Hamilton depression scale and Hamilton anxiety scale in the study group were lower than those in the admission,and which of the study group was lower than the control group,the differences were statistically significant(P<0.05),the incidence of cesarean section,postpartum hemorrhage,and neonatal asphyxia in the study group was lower than that in the control group,the difference was statistically significant(P<0.05),the study group had longer fetal protection time than the control group,and the difference was statistically significant(P<0.05),the nursing satisfaction in the study group was significantly higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion The application of psychological crisis combined with expectation therapy can improve and alleviate the negative psychological emotion of parturients,prolong the delivery time of parturients,reduce the occurrence of complications such as cesarean section,neonatal asphyxia,and postpartum hemorrhage,and ensure the safety of maternal and infant delivery outcomes.

关 键 词：心理危机 期待疗法 未足月胎膜早破 心理与生理 

分 类 号：R473[医药卫生—护理学]