孕晚期妇女分娩情景预演结合系统化心理干预效果  

Effect of delivery scenario rehearsal combined with systematic psychological intervention for treating pregnant women during the third trimester of pregnanc

作　　者：王少娟 陈雯 WANG Shaojuan;CHEN Wen(The First People's Hospital of Xiantao,Hubei Province,433000)

机构地区：[1]湖北省仙桃市第一人民医院,433000

出　　处：《中国计划生育学杂志》2023年第12期2902-2906,共5页Chinese Journal of Family Planning

摘　　要：目的:探究分娩情景预演结合系统化心理干预对孕晚期妇女分娩焦虑、恐惧、自我效能、希望水平、分娩方式和妊娠结局的影响。方法:选取2022年1-6月100例于本院定期产前检查的孕晚期妇女,随机(乱数表法)分为对照组、观察组各50例。两组均接受常规产前护理,观察组增加分娩情景预演结合系统化心理干预。比较两组干预前后妊娠相关焦虑量表(PAQ)、分娩态度问卷(CAQ)、分娩自我效能量表(CBSEI-32)、Herth希望指数量表(HHI)评分、分娩方式及妊娠结局。结果:干预后观察组PAQ(17.78±3.51分)、CAQ(27.62±4.87分)评分均低于对照组(19.32±3.78分、30.95±5.14分),CBSEI-32(113.36±6.08分、109.21±5.78分)及HHI各维度评分均高于对照组(109.12±5.69分、103.86±6.34分),阴道分娩率(74.0%)高于对照组(54.0%),产后2h出血量及产后抑郁发生率(4.0%)低于对照组(16.0%),新生儿5min Apgar评分(9.5±0.5分)高于对照组(9.1±0.5分)(均P<0.05)。结论:分娩情景预演结合系统化心理干预可有效减轻孕晚期妇女分娩焦虑、恐惧情绪,提高其自我效能和希望水平,改善妊娠结局。Objective:To explore the effects of delivery scenario rehearsal combined with systematic psychological intervention for treating pregnant women during the third trimester of pregnancy on their childbirth anxiety,fear,self-efficacy,hope level,delivery mode,and pregnancy outcomes.Methods:A total of 100pregnant women during the third trimester of pregnancy who had received regular antenatal care were selected and were randomly divided into two groups(50cases in each group)from January 2022to June 2022.The women in the control group received routine prenatal care,and the women in the observation group received delivery scenario rehearsal combined with systematic psychological intervention additionally.The scores of pregnancy-related anxiety questionnaire(PAQ),childbirth attitudes questionnaire(CAQ),short form of the Chinese childbirth self-efficacy inventory(CBSEI-32),and Herth hope index(HHI)before and after intervention,the delivery mode,and the pregnancy outcomes of the women were compared between the two groups.Results:After intervention,the scores of PAQ(17.78±3.51points)and CAQ(27.62±4.87 points)of the women in the observation group were significantly lower than those of the women the control group(19.32±3.78points and 30.95±5.14points).The scores of CBSEI-32and the different dimensionality of HHI(113.36±6.08points and 109.21±5.78points)of the women in the observation group were significantly higher than those(109.12±5.69points and 103.86±6.34points)of the women in the control group.The vaginal delivery rate(74.0%)of the women in the observation group was significantly higher than that(54.0%)of the women in the control group.The blood loss at 2hours after delivery of the women in the observation group was significantly less than that of the women in the control group.The incidence of postpartum depression(4.0%)of the women in the observation group was significantly lower than that(16.0%)of the women in the control group.The Apgar score(9.5±0.5points)of the newborns at 5minutes after born in the observa

关 键 词：孕晚期 分娩情景预演结合系统化心理干预 分娩焦虑 自我效能 希望水平 妊娠结局 

分 类 号：R473.71[医药卫生—护理学]