集中群组孕期健康教育对孕妇分娩恐惧心理的影响  

The effect of concentrated group health education during pregnancy in pregnant women

作　　者：庞丽娟 康瑞[1] 张蓟[1] PANG Lijuan;KANG Rui;ZHANG Ji(Qinling District of Zhengzhou Maternal and Child Health Care Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州市妇幼保健院秦岭院区,郑州450000

出　　处：《国际精神病学杂志》2022年第5期945-947,958,共4页Journal Of International Psychiatry

基　　金：河南省医学科技计划联合共建项目(编号:LHGJ20200747)。

摘　　要：目的分析孕妇接受集中群组孕期健康教育对孕妇分娩恐惧心理的影响。方法分组方法为随机数字表法,研究时间及对象为2019年10月~2020年10月接诊的320例孕妇,分为:观察组(160例,提供集中群组孕期健康教育)、对照组(160例,提供常规孕期保健干预),对照分析组间分娩恐惧评分、焦虑自评量表(SAS)、心理弹性、产程时间、会阴损伤情况、分娩方式。结果(1)组间分娩恐惧评分、SAS评分、心理弹性评分在干预前无明显差异,P>0.05;干预后,观察组分娩恐惧评分、SAS评分更低,心理弹性评分更高,P<0.05;(2)观察组第一产程(7.05±1.26)h、第二产程时间(35.76±7.88)min均少于对照组(9.63±1.66)h、(49.57±10.13)min,P<0.05;(3)观察组会阴损伤率(10.00%)、剖宫产率(8.75%)低于对照组(19.38%)、(18.75%),且自然分娩率(91.25%)高于对照组(81.25%),P<0.05。结论对孕妇实施集中群组孕期健康教育,可以减轻其分娩恐惧心理、焦虑心理,增强心理弹性,缩短产程时间,减少会阴损伤,提高自然分娩率。Objective To analyze the impact of pregnant women receiving concentrated group pregnancy health education on pregnant women.Methods The grouping method was random number table method.320 pregnant women were recruited from October 2019 to October 2020.They were divided into observation group(160 cases were included to provide centralized group pregnancy health education)and control group(160 cases were included to provide routine pregnancy health care intervention).The delivery fear score,self rating Anxiety Scale(SAS),psychological elasticity,labor process time,perineal injury and delivery mode between the control groups were analyzed.Results(1)There was no significant difference in fear of delivery score,SAS score and psychological elasticity score between the groups before intervention(P>0.05).After the intervention,the delivery fear score and SAS score of the observation group were lower,and the psychological elasticity score was higher(P<0.05).(2)The first stage of labor(7.05±1.26)H and the second stage of labor(35.76±7.88)min in the observation group were less than those in the control group(9.63±1.66)H and(49.57±10.13)min,P<0.05.(3)The perineal injury rate(10.00%)and cesarean section rate(8.75%)in the observation group were lower than those in the control group(19.38%)and(18.75%),and the natural delivery rate(91.25%)was higher than that in the control group(81.25%)(P<0.05).Conclusion The implementation of centralized group pregnancy health education for pregnant women can reduce their fear and anxiety of delivery,enhance psychological elasticity,shorten the time of labor,reduce perineal injury and improve the rate of natural delivery.

关 键 词：集中群组孕期健康教育 孕妇 分娩恐惧 心理 

分 类 号：R749.99[医药卫生—神经病学与精神病学]