心理干预对心理控制源外控性初产妇分娩过程中情绪的影响

Affects of the adjustment for health locus of control for psychotherapy on delivery of the primiparas with external locus of control

目的探讨心理干预对心理控制源外控性初产妇分娩的影响。方法将符合标准的心理控制源外控性初产妇随机分为实验组（52例）和对照组（52例），实验组除常规护理外，调整其心理控制源，对照组52例只给予常规的分娩护理。结果健康心理控制源调整后，实验组焦虑、抑郁水平[分别为（7．36±1．63）分，（6．45±1．39）分]较对照组[分别为（9．51±1．89）分，（9．19±2．04）分]明显减轻（P〈0．01）；实验组第一产程、第二产程较对照组明显缩短（P〈0．01）；实验组顺产率高于对照组，产后出血发生率低于对照组，两者差异均达显著水平（均p〈0．05）。结论心理控制源外控性初产妇的健康心理控制源调整能有效改善产妇的情绪，有助于分娩质量的提高。

Objective To investigate the effects of the adjustment for health locus of control for psychotherapy on delivery of the primiparas with external locus of control. Methods The cases who fit for the standard admitted were randomly asigned to the trial group （ n = 52） and the control group （ n = 52）. The control group received the routine labour service, while the trial group received the same care, together with internal locus of control training before labour to the time of labour. Two groups were assessed with HAD and compared on the time of one month before entering hospital and entering hospital. Results There is no remarkably difference between the trial group＇ score and the control group＇ before entering hospital. However, the primiparas＇ score in trial group （7.36 ± 1. 63,6.45 ± 1. 39） were remarkably lower than those in the control group（9.51 ± 1.89,9.19 ± 2.04 ） on HAD on the time of entering hospital （ P 〈 0.01 ）. The first and second labour stage of the trial group（358.42 ± 21.51 ,60.24 ± 4.49） were less than the control group（ P〈 0.01 ）. Compared with the control group , the rate of natural delivery of the trial group is higher and the rate of flooding of postpartum was lower, which were both significant（P〈0.05）. Conclusion It is helpful to both mental state and delivery to receive the internal locus of control training before labour for the primiparas with external locus of control.