基于根因分析法的心理支持及干预对高龄孕妇心理状况及妊娠结局的影响  

The influence of psychological support and intervention based on root cause analysis on psychological status and pregnancy outcome of women of advanced maternal age

作　　者：张海花 冯海嫦 瞿国霞 王尼萍 Zhang Haihua;Feng Haichang;Qu Guoxia;Wang Niping(Maternity and Child health hospital of Baiyun district,Guangzhou city,Guangzhou,Guangdong,510410,China)

机构地区：[1]白云区妇幼保健院,广东广州510410

出　　处：《齐齐哈尔医学院学报》2022年第12期1194-1197,共4页Journal of Qiqihar Medical University

基　　金：广州市白云区科技计划项目(2016-KZ-002)。

摘　　要：目的 探讨基于根因分析法的心理支持及干预对高龄孕妇心理状况及妊娠结局的影响。方法 选择2020年1—12月本院收治的360例高龄孕妇作为研究对象,采用随机数表法分为观察组和对照组两组,每组各180例。对照组采用常规产前指导及生产干预,观察组在对照组基础上联合基于根因分析法的心理支持及干预措施,两组均持续干预4周。比较两组孕妇干预前、干预4周后的焦虑自评量表(SAS)、抑郁自评量表(SDS)、心理弹性量表(CD-RISC)评分的变化,以及分娩方式、不良妊娠结局的发生率。结果 干预后,观察组孕妇SAS、SDS评分为(38.95±5.64)分和(34.18±4.03)分,分别低于对照组的(47.11±6.33)分、(43.02±5.16)分,差异均有统计学意义(P<0.05);干预后,观察组孕妇CD-RISC评分中乐观、坚韧、自强分数及总分分别为(15.82±2.04)分、(34.67±4.85)分、(31.28±3.51)分、(81.77±5.60)分,分别高于对照组的(11.43±1.62)分、(27.43±3.61)分、(26.16±3.08)分、(65.02±6.11)分,差异均有统计学意义(P<0.05);观察组孕妇顺产率为76.11%,明显高于对照组的58.33%,助产率为14.44%,明显低于对照组的25.56%,差异均有统计学意义(P<0.05);观察组孕妇不良妊娠结局总发生率为7.78%,明显低于对照组的15.56%,差异有统计学意义(P<0.05)。结论 基于根因分析法的心理支持及干预对高龄孕妇的干预效果明显,可有效改善孕妇心理状况及妊娠结局,值得临床推广应用。Objective To study the effect of psychological support and intervention based on root cause analysis on psychological status and pregnancy outcome of women of advanced maternal age.Methods A total of 360 pregnant women at advanced maternal age those were admitted to the hospital from January 2020 to December 2020 were selected as the research objects, the patients were randomly divided into observation group and control group with 180 cases in each group.The pregnant women in control group received routine prenatal guidance and intervention, and on the basis of the control group, the women in observation group received combined psychological support and intervention based on root cause analysis in addition, and the two groups were intervened for 4 weeks.The variation of scores of anxiety self-rating Scale(SAS),depression Self-rating Scale(SDS),resilience Scale(CD-RISC) before intervention and at 4 weeks after intervention, delivery style and incidence of adverse pregnancy outcome were compared between the two groups of pregnant woman.Results After intervention, SAS and SDS scores in the observation group pregnant woman were(38.95±5.64) points and(34.18±4.03) points, which were significantly lower than(47.11±6.33) points and(43.02±5.16) points of the control group, the differences were statistically significant(P<0.05).After intervention, the scores of optimistic, tenacity, self-improvement and total score of CD-RISC scores in the observation group were(15.82±2.04) points,(34.67±4.85) points,(31.28±3.51) points, and(81.77±5.60) points, which were significantly higher than than(11.43±1.62) points,(27.43±3.61) points,(26.16±3.08) points,(65.02±6.11) points of the control group, the differences were statistically significant(P<0.05).The vaginal delivery rate in the observation group was 76.11%,which was significantly higher than 58.33% of control group;the midwifery rate was 14.44%,which was significantly lower than 25.56% of the control group, the differences were statistically significant(P<0.05).The to

关 键 词：根因分析法 心理支持 高龄孕妇 心理状况 分娩方式 妊娠结局 

分 类 号：R715.3[医药卫生—妇产科学]