精神心理因素与产后出血的相关性研究

Study on the correlation between psychological factor and hemorrhage after parturition

目的了解产妇精神心理因素对产后出血的影响,以降低产后出血发生率和减少产后出血量。方法选择120例正常妊娠的初产妇,随机分为观察组与对照组各60例。观察组除实施常规产科护理外,还对产妇实施心理干预;对照组实施常规产科护理。对两组产后2h出血量及产后出血发生率进行比较;产后对产妇采用症状自评量表(SCL-90)自制问卷进行评定。结果观察组产妇的SCL-90评分为9.97±4.62,比对照组13.1±5.15低。观察组产后2h出血量162.6±62.8mL,比对照组284.5±65.1mL少,两组比较,差异显著(P<0.05)。观察组产后出血发生率明显低于对照组(P<0.05)。结论加强产妇精神心理因素的护理,可有效地降低产后出血的发生率,减少产后出血的量。

Objective To study the correlation between psychological factor and hemorrhage.Methods All participatore were asked to fill in the questionnaire based on the worldwide used the self-report checklist（SCL-90）.The first group was given normal nursing after parturition named control group,and the second group was given additional psychological treatment besides normal nursing after parturition named treated group.The total number in each group was 60.Results The results showed that the total scores of SCL-90 from the group with psychological treatment was 9.97±4.62,which was significantly lower（P〈0.05） than that of from the control group（13.1±5.15）.There was significant difference about the amount of hemorrhage 2 hrs after parturition between the treated group and the control group,the amount was 162.6±62.8 ml and 284.5±65.1 ml respectively.The ratio of hemorrhage 2 hrs after parturition had similar trend as above.Conclusion This study indicates that psychological factor has important effect on both amount and ratio of hemorthage for primiparous women,so enhancing psychological nursing after parturition can help to decrease the amount and the ratio of hemorrhage.