中心群组化孕期保健模式对高龄初产妇分娩不良情绪和妊娠结局的影响  

The effect of center group pregnancy care on negative emotions and delivery outcomes of elderly primiparas

作　　者：顾欣 曹琦林 彭雪 范雪 季静[2] 刘萍[4] GU Xin;CAO Qilin;PENG Xue;FAN Xue;JI Jing;LIU Ping(Tsinghua Changgeng Hospital Affiliated to Tsinghua University,Beijing 102218,China)

机构地区：[1]清华大学附属北京清华长庚医院妇产科门诊,北京102218 [2]清华大学附属北京清华长庚医院麻醉科,北京102218 [3]北京大学医学部 [4]首都医科大学附属北京友谊医院门诊

出　　处：《中国临床护理》2024年第1期27-29,33,共4页Chinese Clinical Nursing

基　　金：北京市临床重点专科项目经费(编号:京卫医〔2018〕118号)。

摘　　要：目的探讨中心群组化孕期保健模式对高龄初产妇分娩不良情绪与妊娠结局的影响。方法选取2022年1月-6月北京市某三级综合医院妇产科门诊建档并定期参加产检的60例高龄初产妇,采用随机数字表法将其分为对照组和干预组,各30例。对照组实施常规孕期护理,干预组在对照组基础上实施中心群组化孕期保健干预。分别于干预前和分娩后采用焦虑自评量表(self-rating anxiety scale,SAS),抑郁自评量表(self-rating depression scale,SDS)评价2组焦虑、抑郁情况,并统计不良妊娠结局和顺产率。结果干预后,干预组SAS、SDS评分均低于对照组(t=2.830,P=0.006;t=5.315,P<0.001),顺产率高于对照组(χ^(2)=5.711,P=0.017),2组胎儿窘迫、新生儿窒息、产后出血发生率比较,差异均无统计学意义(χ^(2)=5.868,P=0.167;χ^(2)=3.086,P=0.283;χ^(2)=2.576,P=0.152)。结论中心群组化孕期保健模式能有效提高高龄初产妇顺产率,缓解其孕期焦虑、抑郁情绪,值得临床推广。Objective To explore the effect of center group pregnancy care on negative emotions and pregnancy outcomes of elderly primiparas.Methods Sixty elderly primiparas admitted to the obstetrics and gynecology outpatient department of a tertiary general hospital in Beijing in the first half of 2022 were selected and divided into an intervention group and a control group,each of 30,according to a random number table.Both groups were given routine pregnancy nursing,while the intervention group was additionally provided with central group pregnancy health care.The self-rating anxiety scale(SAS)and self-rating depression scale(SDS)were used to evaluate the anxiety and depression in the two groups before intervention and after delivery,respectively.Moreover,the adverse pregnancy outcomes and vaginal delivery rate were observed.Results After the intervention,the SAS and SDS scores of the intervention group were significantly lower than that of the control group(t=2.830,P=0.006;t=5.315,P<0.001),and the rate of natural delivery was significantly higher than the latter(χ^(2)=5.711,P=0.017).There was no significant difference in the incidence of fetal distress,neonatal asphyxia and postpartum hemorrhage between the two groups(χ^(2)=5.868,P=0.167;χ^(2)=3.086,P=0.283;χ^(2)=2.576,P=0.152).Conclusion The center group pregnancy care can effectively improve the rate of natural labor of elderly primiparas,alleviate their anxiety and depression.Therefore,such care is worth popularizing in the clinical practice.

关 键 词：中心群组化孕期保健模式 社会支持 负性情绪 高龄 初产妇 妊娠结局 

分 类 号：R473.71[医药卫生—护理学]