心理行为护理干预对剖宫产初产妇产后焦虑、抑郁及疼痛状态的影响

Effect of psychological behavioral nursing intervention on postpartum anxiety, depression and pain in primipara after cesarean section

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(5)
作者
作者单位

西安市第五人民医院 ;
西安市医学院第一附属医院 ;
第四军医大学唐都医院 ;
西安医学院第二附属医院 ;
西安市临潼区中医医院 ;

摘要
【摘要】探讨心理行为护理干预对于剖宫产初产妇产后焦虑、抑郁及疼痛状态的影响。方法 将102例择期剖宫产初产妇随机分为观察组与对照组各51例。对照组给予常规护理,观察组给予常规护理联合心理行为护理干预。干预前后评价两组Zung焦虑自评量表(SAS)、抑郁自评量表(SDS)评分,比较术后72h疼痛程度及术后并发症发生率。结果 护理后两组的SAS、SDS评分均较护理前显著降低,且观察组显著低于对照组(P<0.05);术后72h,观察组的疼痛程度显著轻于对照组(P<0.05);观察组术后并发症发生率为5.88%,显著低于对照组的19.61%(P<0.05)。结论 心理行为干预能够有效缓解初产妇剖宫产术后焦虑、抑郁情绪,减轻术后疼痛程度并降低并发症发生率
Abstract
【Abstract】 Objective To investigate the effect of psychological behavior nursing intervention on postpartum anxiety, depression and pain in primipara after cesarean section.Methods A total of 102 primipara with cesarean section were randomly divided into observation group and control group,each group with 51 cases. The control group received routine nursing,the observation group routine routine nursing combined with psychological behavior nursing intervention. The SAS,SDS scores were evaluated,the degree of pain of postoperative 72 h and postoperative complication were compared. Results After intervention,the scores of SAS and SDS in the two groups were significantly decreased,and the observation group were significantly lower than those in the control group (P<0.05);At 72 hours after operation,the pain degree in the observation group was significantly lower than that in the control group (P<0.05);The incidence of postoperative complications in the observation group was significantly lower than that in the control group (5.88% vs 19.61%, P<0.05). Conclusion The psychological behavioral nursing intervention can effectively relieve anxiety and depression for primipara after cesarean section, reduce the degree of postoperative pain and the incidence of complications.
关键词
【关键词】剖宫产;初产妇;焦虑;抑郁;疼痛;心理行为护理
KeyWord
【Key words】 Cesarean section; Primipara;Anxiety; Depression; Pain; Psychological behavioral nursing
基金项目
页码 911-914
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郭瑛,刘亚娇,王华,董敏,何金川*. 心理行为护理干预对剖宫产初产妇产后焦虑、抑郁及疼痛状态的影响 [J]. 国际精神病学杂志. 2017; 44; (5). 911 - 914.

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