初产妇产前负性情绪调查及协同式待产心理护理效果  

Investigation of the negative emotion of primipara before delivery and the effect of cooperative psychological nursing for the primiparae during expectant labor

作　　者：杨晴 曹莉莉 王梦媛 YANG Qing;CAO Lili;WANG Mengyuan(The Second Affiliated Hospital of Air Force Military Medical University,Xian,Shaanxi Province,710004)

机构地区：[1]空军军医大学第二附属医院,西安710004

出　　处：《中国计划生育学杂志》2023年第4期831-836,共6页Chinese Journal of Family Planning

摘　　要：目的:了解初产妇产前负性情绪发生情况,并分析协同式待产心理护理对产前负性情绪的干预效果。方法:选取2021年5月-2022年5月在本院产科待产的初产妇202例,使用汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)评估负性情绪状况。将存在焦虑或抑郁情绪的初产妇分为干预组、对照组,对照组实施常规待产护理,干预组在对照组基础上给予协同式待产心理护理。对比两组分娩方式、产程时长、负性情绪变化及对护理工作的满意度等。结果:86例(42.6%)存在负性情绪,其中73例(36.1%)存在焦虑情绪,31例(15.4%)存在抑郁情绪,18例(8.9%)同时存在焦虑和抑郁情绪。与干预前相比,干预后干预组HAMA及HAMD评分降低(P<0.05),对照组与干预前相比无差异(P>0.05)。干预组剖宫产率(7.0%)低于对照组(27.9%),阴道顺产率(83.7%)高于对照组(55.8%),第一产程、第二产程及第三产程时长短于对照组,产程行为异常发生率(14.0%)低于对照组(23.3%),新生儿的不良结局总发生率(0)低于对照组(14.0%),护理满意率(97.7%)高于对照组(79.1%)(均P<0.05)。结论:产前焦虑、抑郁等负性情绪在初产妇中较为常见,实施协同式待产心理护理对于缓解初产妇负性情绪,提高经阴道分娩率和护理工作满意度有显著作用。Objective:To understand the occurrence of negative emotions of primiparae before delivery,and to analyze the intervention effect of collaborative psychological nursing for the negative emotions of the primipara before delivery.Methods:202 primiparae who waited for delivery were selected as the subjects.The negative emotional status of these primiparae was evaluated by Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD).The primipa-rae with anxiety or depression were divided into two groups.The primipara in the control group received routine care during labor,and the primiparae in the study group received coordinated psychological care based on routine care dur-ing labor.The mode of delivery,the duration of labor,the negative emotional changes,and the satisfaction for nursing of the primiparae were compared between the two groups.Results:86(42.6%)primiparae had negative emotions,a-mong which,73(36.1%)primiparae had anxiety,31(15.4%)primiparae had depression,and 18(8.9%)primiparae had both anxiety and depression.The HAMA and HAMD scores of the primiparae in the study group after intervention had decreased significantly(P<0.05),and which of the primiparae in the control group after intervention had no changed significantly(P>0.05).The rate of cesarean section(7.0%)of the primiparae in the study group was signifi-cantly lower than that(27.9%)of the primiparae in the control group,the rate of vaginal vaginal delivery(83.7%)of the primiparae in the study group was significantly higher than that(55.8%)of the primiparae in the control group.The durations of the first,the second,and the third stages of labor of the primiparae in the study group were signifi-cantly lower than those of the primiparae in the control group.The incidence of abnormal labor behavior(14.0%),the overall incidence of adverse outcomes(0)of the primiparae in the study group were significantly lower than those(23.3%and14.0%)of the primiparae in the control group.The nursing satisfaction rate(97.7%)of the primiparae in the study group was s

关 键 词：初产妇 产前负性情绪 协同式待产心理护理 焦虑 抑郁 产程 新生儿 

分 类 号：R473.71[医药卫生—护理学]