分娩时一对一心理疏导对阴道分娩产妇应激状态影响的临床研究

Clinical research on the influence of one-on-one psychological counseling during delivery on stress state of puerperal received vaginal delivery

目的研究分娩时一对一心理疏导对阴道分娩产妇应激状态的影响。方法选择在本院阴道分娩的产妇作为研究对象,随机分为分娩时给予一对一心理疏导的观察组和常规处理的对照组,检测产妇的生理应激血糖水平、血胰岛素水平,观察心理应激指标NRS、HAMA、HAMD评分。结果观察组分娩后NRS、HAMA、HAMD评分及血糖水平均低于对照组,血胰岛素水平高于对照组。结论分娩时一对一心理疏导能够改善阴道分娩产妇的应激状态。

Objective To study the influence of one-on-one psychological counseling during delivery on stress state of puerperal received vaginal delivery.Methods The vaginal delivery puerperaes were collected as the research object and were randomly divided into observation group which was given one-on-one psychological counseling and control group which was given routine treatment.Then maternal physiological blood glucose level and serum insulin level were detected and the psychological stress index such as NRS,HAMA,HAMD scores was observed.Results The NRS,HAMA,HAMD score and blood glucose level of observation group was significantly lower than those of control group,serum insulin level was higher than that of control group.Conclusion One-on-one psychological counseling during delivery can improve the stress state of puerperal received vaginal delivery.