不同分娩方式初产妇配偶心理健康状况调查及对策

A survey of mental heath status of primipara＇s spousesof different delivery modes and its countermeasures

目的调查分析自然分娩与剖腹产初产妇配偶的心理健康状况，为提高产科护理工作提供理论依据。方法在产后1周用症状自评量表（SCL-90）测评自然分娩与剖腹产初产妇配偶的心理健康状况。结果两种分娩方式初产妇配偶SCL-90总均分与国内常模比较差异均无显著性，因子中躯体化、强迫、焦虑及恐怖得分均明显高于常模，而人际关系、抑郁得分明显低于常模。自然分娩配偶的总均分与剖腹产配偶的差异无显著性，而人际关系、敌对性、偏执、精神病性及其他因子分与剖腹产比较差异均有显著性，其中人际关系、其他因子得分自然分娩明显低于剖腹产者，而敌对性、偏执、精神病性则自然分娩者明显高于剖腹产者。结论妊娠分娩影响初产妇配偶的心理健康，剖腹产配偶需要更多的支持与帮助，医务人员应加强宣教，指导初产妇及配偶正确选择分娩方式。

Objective To investigate andanalyzemental health status of primipara＇s spouses ofnatural childbirth and cesarean section, and thus to provide theory basis for improvingobstetrical nursing. Methods Symptom Checklist 90（SCL-90） was adopted to measuremental health status ofprimipara＇s spouses ofnatural childbirth and cesarean section in one week after labor.Results SCL-90 average score ofprimipara＇s spouses of twodelivery modes has no obvious difference with the norm. The scores of body, force, anxious and frightened factor were higher than the norms, but the score ofinterpersonal relationship sensitive and depressed factor were lower than the norms. Theaverage score was no significant difference betweennatural childbirth and cesarean section. The score ofinterpersonal relationship sensitive ,hostile, bigoted, mental diseases nature and other factor ofnatural childbirth hassignificant difference withcesarean section. The score ofinteq, ersonal relationship sensitive and other factor innatural childbirth was lower than the score incesarean section, but the score of hostile, bigoted and mental diseases nature factor is higher.Conclusion mental health of primipara＇s spouseswas influenced bypregnancy and delivery. The spouses incesarean section need more supports and helps.medical personnel shouldstrengthen teaching, and guideprimiparas and their spouses to choseappropriate delivery mode.