产前心理弹性支持及护理对孕妇心理状态及分娩结局的影响  

Influence of Prenatal Mental Resilience Support and Nursing on Pregnant Women's Mental State and Delivery Outcomes

作　　者：李爱惠 郑彩云 LI Aihui;ZHENG Caiyun(Department of Obstetrics,Xiamen Fifth Hospital,Xiamen 361000,China)

机构地区：[1]厦门市第五医院产科,福建厦门361000

出　　处：《中国医药指南》2023年第31期158-161,共4页Guide of China Medicine

摘　　要：目的分析产前心理弹性支持及护理对孕妇心理状态及分娩结局的影响。方法选取2022年1月至2022年12月在厦门市第五医院分娩的100例初产妇,随机分为两组,对照组和观察组分别给予常规护理和产前心理弹性支持护理,对比两组的护理效果。结果观察组精神状态、焦虑控制、抑郁控制、不安抑制及总分均比对照组高(P<0.05);观察组各产程时间均比对照组短(P<0.05);观察组产后2、24 h出血量均比对照组低(P<0.05);观察组自然分娩率明显比对照组高(P<0.05);观察组产后首次泌乳时间、泌乳频率,产后24、48 h泌乳量评分均比对照组优(P<0.05);观察组母乳喂养率明显比对照组高(P<0.05);观察组照顾行为、角色认同、亲子依附感评分均比对照组高(P<0.05)。结论针对孕妇应用产前心理弹性支持及护理干预可以减轻孕妇的心理负面情绪,缩短产妇分娩产程,有助于提升产妇自然分娩率和产后母乳喂养成功率,提升护理服务质量。Objective To analyze the influence of prenatal mental resilience support and nursing on pregnant women's mental state and delivery outcomes.Methods In this paper,100 cases of primipara who gave birth in our hospital from January 2022 to December 2022 were randomly divided into 2 groups.The control group and observation group were given routine nursing and prenatal mental resilience support nursing,respectively,and the nursing effect of the two groups was compared.Results The mental state,anxiety control,depression control,anxiety inhibition and total score of observation group were higher than those of control group(P<0.05).The duration of labor in the observation group was shorter than that in the control group(P<0.05),and the blood loss at 2h and 24h postpartum was lower than that in the control group(P<0.05).The natural delivery rate of the observation group was significantly higher than that of the control group(P<0.05).The first lactation time,frequency of lactation and lactation volume 24 h and 48 h after delivery in observation group were better than those in control group(P<0.05).The breastfeeding rate of the observation group was significantly higher than that of the control group(P<0.05).The caregiving behavior,role identity and parent-child attachment in the observation group were higher than those in the control group(P<0.05).Conclusions The application of prenatal psychological resilience support and nursing can reduce the negative psychological emotions of pregnant women,shorten the labor and delivery process of pregnant women,help to improve the rate of natural childbirth and postpartum breastfeeding success rate,and improve the quality of nursing services.

关 键 词：妊娠 产前心理弹性支持 心理状态 分娩结局 

分 类 号：R714.1[医药卫生—妇产科学]