对自然分娩实施心理干预护理的研究

Study of implementation of psychological intervention nursing for natural childbirth

目的探讨心理干预护理对自然分娩率及产妇焦虑抑郁情绪的影响。方法选择2011年6月～2012年1月在本院产科进行自然分娩的健康初产妇100例,将其分为对照组(常规护理)与干预组(心理护理干预),每组50例。对产妇分娩前后进行SAS测量。结果分娩前两组SAS差异无统计学意义(t=1.64,P>0.05);干预组干预前的SAS(45.67±1.43)显著高于干预后的(38.17±2.12),差异有统计学意义(t=20.176,P<0.05);干预后干预组的SAS(38.17±2.12)显著低于对照组的(44.24±1.71),差异有统计学意义(t=15.76,P<0.05)。干预组的自然分娩率(86%)显著高于对照组(64%),差异有统计学意义(x2=6.45,P=0.011)。结论对产妇实施心理护理干预能够显著降低产妇产后焦虑、抑郁情绪,提高自然分娩率。

Objective To investigate the influence of psychological intervention nursing on the natural childbirth rate and the maternal anxiety and depression. Methods One hundred healthy primiparae who delivered naturally in our hospital from July 2011 to January 2012 were randomly divided into the control group（conventional nursing）and the intervention group （psychological nursing intervention）,with 50 patients in each group. SAS of these primiparae before and after delivery was measured. Results The two groups were not different in SAS before delivery（t=1.64,P 〉 0.05）. In the intervention group,SAS before intervention （45.67 ± 1.43） was significantly higher than that after intervention （38.17 ± 2.12） （t=20.176, P 〈 0.05）. After intervention, SAS of the intervention group （38.17 ± 2.12） was significantly higher than that of the control group （44.24 ± 1.71） （t=15.76,P 〈 0.05）.The intervention group （86%） was significantly higher than the control group （64%）in the natural childbirth rate （t=6.45,P=0.01 1）. Conclusion The implementation of psychological nursing intervention among puerperae can significantly reduce their postpartum anxiety and depression and improve their natural childbirth rate.