认知行为训练与心理护理在产房助产过程中的应用效果分析  

Analysis of Application Effect of Cognitive Behavior Training and Psychological Nursing in Process of Midwifery in Delivery Room

作　　者：李霞 Li Xia(Department of Obstetrics and Gynecology,People's Hospital of Qinnan District,Qinzhou 535000,Guangxi Zhuang Autonomous Region,China)

机构地区：[1]广西钦州市钦南区人民医院妇产科,广西钦州535000

出　　处：《中国社区医师》2023年第14期112-114,共3页Chinese Community Doctors

摘　　要：目的:探讨认知行为训练与心理护理在产房助产过程中的应用效果。方法:选取2020年1月—2022年5月广西钦州市钦南区人民医院收治的90例产妇作为研究对象,随机分为观察组和对照组,各45例。对照组实施常规护理,观察组在对照组基础上实施认知行为训练结合心理护理。比较两组产程时间、产后并发症发生情况、心理情况及分娩方式。结果:观察组第一、第二、第三产程时间均短于对照组,差异有统计学意义(P<0.001)。观察组产后并发症发生率低于对照组,差异有统计学意义(P=0.035)。观察组焦虑评分、抑郁评分、剖宫产率均低于对照组,自然分娩率高于对照组,差异有统计学意义(P<0.05)。结论:在产妇助产过程中实施认知行为训练及心理护理,可减轻心理负担,改善负性情绪,缩短产程,提高自然分娩率,减少并发症发生率,促进母婴健康,值得临床推广。Objective:To explore the application effect of cognitive behavior training and psychological nursing in the process of midwifery in the delivery room.Methods:A total of 90 puerperae admitted to People's Hospital of Qinnan District of Qinzhou City from January 2020 to May 2022 were selected as the study subjects.They were randomly divided into the control group and the observation group,with 45 cases in each group.The control group implemented routine nursing and the observation group implemented cognitive behavior training combined with psychological nursing on the basis of control group.The duration of labour,postpartum complications,psychological condition and mode of delivery were compared between the two groups.Results:The first,second and third stages of labour in the observation group were shorter than those in the control group,and the difference was statistically significant(P<0.001).The incidence of postpartum complications in the observation group was lower than that in the control group,and the difference was statistically significant(P=0.035).The anxiety score,depression score and cesarean section rate in the observation group were lower than those in the control group,and the spontaneous delivery rate in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:The implementation of cognitive behavior training and psychological nursing in the process of midwifery can reduce psychological burden,improve negative emotions,shorten labor time,increase spontaneous delivery rate,reduce complication rate,and promote maternal and infant health,which is worthy of clinical promotion.

关 键 词：认知行为训练 心理护理 产房助产 产程时间 

分 类 号：R473.71[医药卫生—护理学]