曼陀罗绘画疗法联合拉玛泽呼吸法在分娩心理创伤患者中的应用  

Effect of Mandala painting therapy combined with Lamaze breathing method in patients with psychological trauma in childbirth

作　　者：蔡娈鸾 张丽芹[1] 杜景景 吴迎春[1] CAI Luanying;ZHANG Liqin;DU Jingjing;WU Yingchun(Maternal and Child Health Hospital Affi liated to Nantong University,Nantong,226018,China)

机构地区：[1]南通大学附属妇幼保健院产房,江苏省南通市226018

出　　处：《护理实践与研究》2023年第17期2658-2664,共7页Nursing Practice and Research

基　　金：南通市卫生健康委员会科研立项课题(编号:QB2021019)。

摘　　要：目的探讨曼陀罗绘画疗法联合拉玛泽呼吸法在分娩心理创伤患者中的应用效果。方法选取2021年1月—2022年7月南通市妇幼保健院产科住院分娩的产妇82例,按照组间基本特征具有可比性的原则分为对照组和观察组,各41例。对照组在常规护理的基础上给予拉玛泽呼吸法进行干预;观察组在对照组的基础上给予曼陀罗绘画疗法进行干预。比较两组产妇干预前后城市分娩创伤量表(City Bi TS)、创伤后应激障碍检查量表平民版(PCL-C)、社会支持评定量表(SSRS)、爱丁堡产后抑郁量表(EPDS)、匹兹堡睡眠质量指数量表(PSQI)评分。结果观察两组患者出院时、干预后6周和3个月时的City BiTS、PCL-C、SSRS、EPDS、PSQI评分,结果显示,两组三个时点City BiTS、PCL-C、EPDS、PSQI评分均呈逐渐降低的趋势,SSRS量表评分呈逐渐升高的趋势,时间之间差异有统计学意义(P_(时间)<0.05);干预后6周和3个月时City BiTS量表评分、PCL-C量表、EPDS量表、PSQI量表评分均以观察组低于对照组,SSRS量表评分高于对照组,差异有统计学意义(P_(组间)<0.05),并且随观察时间延长,组间差异逐渐增大,组间随时间变化的差异有统计学意义(P_(交互)<0.05)。结论采用曼陀罗绘画疗法联合拉玛泽呼吸法对分娩心理创伤患者进行干预,可降低患者产后创伤后应激障碍水平,提高社会支持度,降低产后抑郁程度,提高睡眠质量。Objective To explore the application effect of Mandala painting therapy combined with Lamaze breathing method in patients with childbirth psychological trauma.Methods 82 cases of delivered who were hospitalised for delivery in the obstetrics department of Nantong Maternal and Child Healthcare Hospital from January 2021 to July 2022 were selected and divided into a control group and an observation group of 41 cases each according to the principle of the basic characteristics of the groups being comparable.The control group was given the Lamaze breathing method on the basis of routine care;the observation group was given the Mandala painting therapy on the basis of the control group.Compare the scores of City Birth Trauma Scale(City BiTS),Posttraumatic Stress Disorder Checklist for Civilians(PCL-C),Social Support Rating Scale(SSRS),Edinburgh Postnatal Depression Scale(EPDS),and Pittsburgh Sleep Quality Index(PSQI)before and after the intervention in the two groups.Results The City BiTS,PCL-C,SSRS,EPDS,and PSQI scores at discharge,6 weeks and 3 months after the intervention were observed in both groups,and the results showed that the City BiTS,PCL-C,EPDS,and PSQI scores at the three time points in both groups showed a gradual decrease,and the SSRS scale scores showed a gradual increase,and the differences between the time points were of statistical significance(P<0.05);City BiTS scale scores,PCL-C scale,EPDS scale,and PSQI scale scores were lower in the observation group than in the control group and higher in the SSRS scale scores than in the control group at 6 weeks and 3 months after the intervention,with the differences being statistically significant(P<0.05),and the differences between the groups gradually increased with the prolongation of the observation time,and the change in the groups over time was diff erence was statistically significant(P<0.05).Conclusion The application of Mandala painting therapy combined with Lamaze breathing method to intervene in patients with childbirth psychological trauma can re

关 键 词：分娩心理创伤 曼陀罗绘画疗法 拉玛泽呼吸法 抑郁 创伤后应激障 睡眠质量 

分 类 号：R473.71[医药卫生—护理学]