产前心理干预联合助产护理在高龄产妇中的应用  

Application of prenatal psychological intervention combined with midwifery nursing in elderly pregnant women

作　　者：李瑞 LI Rui(Department of Obstetrics and Gynecology,Jining Rencheng District Maternal and Child Health Hospital,Shandong Province,Jining 272000,China)

机构地区：[1]山东省济宁市任城区妇幼保健院妇产科,山东济宁272000

出　　处：《妇儿健康导刊》2025年第2期145-148,共4页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

摘　　要：目的分析产前心理干预联合助产护理在高龄产妇中的应用价值。方法选择济宁市任城区妇幼保健院2022年1月至2023年5月收治的276例高龄产妇,以随机数字表法分为研究组(产前心理干预结合助产护理+常规分娩护理)和对照组(常规分娩护理),各138例。对比两组负性情绪评分、产程、分娩方式、产后并发症及胎儿不良结局发生情况。结果研究组干预后的焦虑自评量表和抑郁自评量表评分均低于对照组,差异有统计学意义(P<0.05);研究组的产程短于对照组,差异有统计学意义(P<0.05);与对照组相比,研究组的阴道分娩率更高,产后并发症和胎儿不良结局总发生率更低,差异有统计学意义(P<0.05)。结论产前心理干预结合助产护理对高龄产妇产程、负性情绪及分娩方式均有明显改善价值。Objective To analyze the application value of prenatal psychological intervention combined with midwifery nursing in elderly pregnant women.Methods A total of 276 elderly pregnant women admitted to Jining Rencheng District Maternal and Child Health Hospital from January 2022 to May 2023 were divided into study group(prenatal psychological intervention combined with midwifery nursing+routine delivery care)and control group(routine delivery care)by random number table method,with 138 cases in each group.The negative emotion score,labor,delivery mode,and incidence of postpartum complications and adverse fetal outcomes were compared between the two groups.Results The self-rating anxiety scale and self-rating depression scale scores of the study group were lower than those of the control group,the differences were statistically significant(P<0.05).The duration of labor in the study group was shorter than that in the control group,the difference was statistically significant(P<0.05).Compared with control group,the vaginal delivery rate was higher,the total incidence of postpartum complications and adverse fetal outcomes was lower in the study group,and the differences were statistically significant(P<0.05).Conclusion Prenatal psychological intervention combined with midwifery nursing has significant value in improving the labor,negative emotions,and delivery mode of elderly pregnant women.

关 键 词：产前心理干预 助产护理 高龄产妇 负性情绪 

分 类 号：R473.71[医药卫生—护理学]