产前焦虑/抑郁障碍心理护理

Psychological Nursing of Prenatal Anxiety and Depressive Disorder

目的探讨人性化心理护理在产前焦虑、抑郁障碍孕妇中的应用效果。方法本次研究选择的对象共80例,均为我院2012年1月至2013年1月收治的产前存在焦虑、抑郁障碍的孕妇,随机按观察组和对照组各40例划分,对照组采用产科常规护理方案,观察组加强人性化心理护理干预,回顾临床资料。结果观察组阴道自然分娩率、医护依从率、母乳喂养率明显高于对照组,平均产后出血量明显低于对照组,差异均有统计学意义(P<0.05)。两组护理前焦虑、抑郁评分无明显差异,护理后均有改善,但观察组改善幅度显著高于对照组(P<0.05)。结论加强产前焦虑、抑郁患者的心理护理干预,可显著提高分娩质量,降低不良事件率,为母婴安全生命质量提供保障。

Objective To explore the application effect of humanized psychological nursing on prenatal anxiety and depressive disorder in pregnant women. Methods 80 pregnant inpatients who suffer from prenatal anxiety and depressive disorder entering our hospital from January 2012 to January 2013 were selected as the study subjects. They were randomly divided into the observation group and the control group with 40 cases in each one： the control group was given routine nursing care; while the observation group was strengthened with humanized psychological nursing intervention and the clini- cal data were reviewed （ P 〈 0.05 ）. Results In the observation group, the rates of spontaneous vaginal delivery, medi- cal compliance, breast feeding were significantly higher than those of the control group, and the average bleeding volume was significantly lower than the control group ; the differences were statistically significant （ P 〈 0. 05 ）. There were no significant differences in terms of anxiety and depression between these two groups before the psychological nursing, yet the symptoms in both groups were released after the nursing. However, the improvement rate in the observation group was significantly higher than that of control group （ P 〈 O. 05 ）. Conclusion Strengthening the psychological nursing intervention on the patients with prenatal anxiety or depressive disorder can significantly improve the quality of delivery, reduce the incidence of adverse events and provide guarantee for life quality as well as safety of mother and baby.