产前健康教育对孕妇焦虑、分娩结局的影响  

Effects of the prenatal health education for pregnant women on their anxiety and delivery outcomes

作　　者：陈允蒙 董华 沈素素 CHEN Yunmeng;DONG Hua;SHEN Susu(The First Affiliated Hospital of Wenzhou Medical University,Wenzhou,Zhejiang Province,325015)

机构地区：[1]温州医科大学附属第一医院,325015

出　　处：《中国计划生育学杂志》2024年第4期829-833,共5页Chinese Journal of Family Planning

摘　　要：目的:探讨产前健康教育对产妇分娩方式、分娩结局、心理状态和新生儿的影响。方法:将2022年5月-2023年5月计划于本院分娩的160例产妇纳入研究,依据随机数字表法分为对照组(n=80)和观察组(n=80),两组均给予常规产前管理,观察组增加产前健康宣教;比较两组分娩方式、干预前后产妇心理状态[爱丁堡产后抑郁量表(EPDS)、焦虑自评量表(SAS)],产程时间和产后2h出血量,比较两组新生儿Apgar评分,产妇干预前后分娩应对方式。结果:观察组自然分娩率(86.3%)高于对照组(61.3%),两组EPDS、SAS评分均降低,但观察组EPDS(4.33±1.24分)、SAS(21.32±1.98分)评分低于对照组(8.62±1.39分、28.56±2.16分),观察组第一产程、第二产程时间和产后2h出血量低于对照组(均P<0.05);两组新生儿1min、5min Apgar评分无差异(P>0.05);两组产妇积极应对评分均升高、消极应对评分均降低,但观察组积极应对评分(25.19±3.78分)高于对照组(20.11±3.64分),消极应对评分(7.03±1.07分)低于对照组(8.27±1.21分)(均P<0.05)。结论:产前开展健康教育可有效提升产妇自然分娩率,改善心理状态和应对方式,提高分娩指标。Objective:To explore the effects of the prenatal health education for pregnant women on their delivery mode,delivery outcomes,psychological state and newborns.Methods:160 pregnant women who wanted delivery in the hospital were included and were divided into control group(n=80)and observation group(n=80)according to random number table method from May 2022 to May 2023.The women in the two groups were given routine prenatal management,and the women in the observation group were given prenatal health education additionally.The delivery model,the psychological state before and after intervention evaluated by Edinburgh postnatal depression scale(EP-DS),self-rating anxiety scale(SAS),the duration of labor,the blood loss in postpartum 2h,the neonatal Apgar score and the coping style for delivery before and after intervention of the women were compared between the two groups.Results:The natural delivery rate(86.3%)of the women in the observation group was significantly higher than that(61.3%)of the women in the control group.The EPDS and SASscores of the women in the two groups had decreased significantly,but the scores of EPDS(4.33±1.24 points)and SAS(21.32±1.98 points)of the women in the observation group were significantly lower than those(8.62±1.39 points and 28.56±2.16 points)of the women in the control group.The blood loss of the women in the observation group during the first and the second stages of labor and in 2 hours after delivery were significantly lower than those of the women in the control group(all P<0.05).There was no significant difference in the neonatal Apgar scores at 1min and at 5min after born between the two groups(P>0.05).The score of the positive coping of the women in the two groups had increased significantly and the score of the negative coping of the women in the two groups had decreased significantly.The score of positive coping(25.19±3.78 points)of the women in the observation group was significantly higher than that(20.11±3.64 points)of the women in the control group,and the score

关 键 词：产前健康宣教 心理状态 分娩结局 产程 应对方式 

分 类 号：R473.71[医药卫生—护理学]