产前心理干预对产妇精神状态、分娩方式和产后出血的影响

Effect of mental state, delivery way and postpartum hemorrhage in maternal with prenatal psychological care

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2018, 45(6)
作者
作者单位

重庆市大足区人民医院妇产科 ;

摘要
摘要 探讨产前心理干预对产妇精神状态、分娩方式和产后出血的影响。方法 按照随机数字表法将来我院分娩的180例产妇均分为观察组和对照组各90例,对照组产妇接受常规产前护理,观察组产妇在此基础上接受针对性心理护理,比较两组干预效果。结果 产妇不良情绪诱发原因较多,其中恐惧分娩和疼痛、担心胎儿存在畸形与顺产信心不足担心程度最高;观察组产妇产前SAS和SDS评分均明显低于对照组,差异有统计学意义(P<0.05);观察组产妇自然分娩率明显高于对照组,剖宫产率和产后出血率明显低于对照组,差异有统计学意义(P<0.05);观察组产妇出院时护理总满意度明显高于对照组,差异有统计学意义(P<0.05)。结论 产前实施针对性心理护理能够有效改善产妇精神状态,降低剖宫产率和产后出血率,提高护理服务质量,值得临床推荐。
Abstract
Abstract Objective To explore the effect of mental state, delivery way and postpartum hemorrhage in maternal with prenatal psychological care. Methods 180 cases of maternal were randomly divided into observation group(90 cases) and control group(90 cases). The control group were under routine prenatal care; the observation group were under pointed psychological nursing based on routine prenatal care. The nursing efficacy were observed. Results There had a lot of induced factor in maternal bad mood, the fear of childbirth and pain, fear of deformities in the fetus, lack of confidence were the most worried(P<0.05); The rate of natural delivery for the observation group were higher than the control group(P<0.05); The rate of cesarean section and postpartum hemorrhage for the observation group were lower than the control group(P<0.05); The total nursing satisfaction for the observation group when discharged were higher than the control group(P<0.05). Conclusion It improve the mental state, delivery way, postpartum hemorrhage and nursing satisfaction for maternal with prenatal psychological care. It worth of recommendations to clinical use.
关键词
关键词 产前心理干预;精神状态;分娩方式;产后出血
KeyWord
Keywords prenatal psychological care; mental state; delivery way; postpartum hemorrhage
基金项目
页码 1122-1125
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李庆书,李庆平*,冉约曼,王文玉. 产前心理干预对产妇精神状态、分娩方式和产后出血的影响 [J]. 国际精神病学杂志. 2018; 45; (6). 1122 - 1125.

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