心理干预对剖宫产患者心理状态及术后认知功能的影响
The effects of psychological intervention on the psychological status and postoperative cognitive function in postpartum women undergoing cesarean section
ES评分 0
| DOI |
|
| 刊名 |
Journal of International Psychiatry
|
| 年，卷(期) |
2024, 51(6) |
| 作者 |
|
| 作者单位 |
郑州市第七人民医院麻醉科
|
| 摘要 |
【摘要】目的 探讨剖宫产产妇实施心理干预对其心理、认知功能的影响。方法 于2022年5月-2023年3月采集病例资料入档，对象为医院收治的84例剖宫产产妇，基于“随机数字表法”分组，组别为对照组（实行腰硬联合麻醉）与观察组（腰硬联合麻醉+心理干预）；观察对比两组心理状态、认知功能、术后舒适状况、睡眠质量及产后抑情况。结果 干预后，两组焦虑自评量表评分、抑郁自评量表评分均降低，其中观察组更低（P＜0.05）；干预后观察组易智力状态检查量表评分明显高于对照组（P＜0.05）；术后两组简易健康状况调查表评分较之前均呈升高趋势，且观察组更为突出（P＜0.05）；相较于对照组，观察组术后视觉模拟评分法、爱丁堡产后抑郁量表评分明显低（P＜0.05）。结论 剖宫产产妇实施腰硬联合麻醉辅助心理干预，可积极改善患者负性情绪，维持稳定的心理状态，以促进术后认知功能恢复，提高患者生理舒适状态及睡眠质量，降低产后抑郁程度。
|
| Abstract |
[Abstract] Objective To explore the effects of psychological intervention on the psychological and cognitive functions of cesarean section women. Methods From May 2022 to March 2023, 84 cesarean section women were divided into two groups based on a "random number table" method: the control group (receiving spinal epidural anesthesia) and the observation group (receiving spinal epidural anesthesia+psychological intervention);The psychological status, cognitive function, postoperative comfort, sleep quality and postpartum depression between the two groups were compared. Results After intervention, the scores of the Self Rating Anxiety Scale (SAS) and Self Rating Depression Scale (SDS) decreased in both groups, with the observation group having a lower score (P<0.05); After the intervention, the MMSE score of the observation group was significantly higher than that of the control group (P<0.05). After operation, the scores of SF-36 in both groups showed an upward trend, especially in the observation group (P<0.05). Compared with the control group, the scores of visual analogue scale (VAS) and Edinburgh Postpartum Depression Scale (EPDS) in the observation group were significantly lower (P<0.05).Conclusion The implementation of combined lumbar and epidural anesthesia as an auxiliary psychological intervention for cesarean section women can actively improve negative emotions, maintain a stable psychological state, promote postoperative cognitive function recovery, improve patients' physiological comfort and sleep quality, and reduce postpartum depression.
|
| 关键词 |
【关键词】硬膜外麻醉；腰麻；心理干预；剖宫产；心理状态；认知功能
|
| KeyWord |
[Key words] Epidural anesthesia; Lumbar anesthesia; Psychological intervention; Cesarean section; mentality; cognitive function
|
| 基金项目 |
|
| 页码 |
1862-1865 |
孙丽.
心理干预对剖宫产患者心理状态及术后认知功能的影响 [J].
国际精神病学杂志.
2024; 51; (6).
1862 - 1865.