产褥期对产妇心理干预的作用探讨

Relationship between psychosocial intervention and mode or duration of labor

目的探讨产褥期心理干预对产妇心理的疗效。方法随机将70例产妇分为心理干预组和非心理干预组。非心理干预组给予产科常规进行分娩而不进行干预,心理干预组在常规护理基础上加用心理干预,观察其分娩方式、产程及产后出血情况,同时采用抑郁自评量表、焦虑自评量表对产妇进行评定。结果心理干预组产妇抑郁及焦虑情绪发生率明显低于非心理干预组产妇。结论产褥期心理干预可明显改善产妇的心理和降低产妇抑郁的发生率。

Objective To observe the effect of psychological intervention （anxiety and depression） and postpartum hemorrhage, mode and duration of labor. Methods Ninety healthy nulliparas who had no gist of cesarean section were involved in our study. They were random divided into two groups： psychological intervention and non - psychological intervention. The evaluation were performed twice with Self- rating Anxiety Scale （SAS） and self- rating Depression Scale（ SDS ）. All women were not interfered during the course of delivery. Mode, duration of labor and postpartum hemorrhage were observed. Results Among the 90 nulliparas observed, the spontaneous delivery rate were 80 cases and the postpartum hemorrhage rate was 8 eases. The duration of first and second stage of the psychological intervention group was significantly shorter than another group. Conclusion The status of anxiety and depression may increase the rate of dystocia and postpartum hemorrhage. So it is suggested that the aimed psychological education is beneficial to improve the quality of obstetrics.