循序式肌肉放松法对高龄初产妇焦虑和抑郁的影响

Effects of progressive muscle relaxation method on anxiety and depression in elderly primipara

目的探讨循序式肌肉放松法对高龄初产妇焦虑和抑郁情绪的影响。方法选择2010年10月～2012年10月我院诊治的80例临产高龄初产妇，随机将其分为对照组和观察组，各40例。对照组采用常规护理。观察组在常规护理基础上采用循序式肌肉放松法。并对两组焦虑和抑郁评分、总产程时间、产后出血量，以及自然分娩率、剖宫产率进行比较。结果与对照组比较，观察组焦虑和抑郁评分明显降低，总产程时间和产后出血量显著减少，自然分娩率升高，剖宫产率降低（P＜0．05）。结论循序式肌肉放松法能够缓解高龄初产妇的焦虑、抑郁情绪，缩短产程和减少出血量，提高自然分娩率。

Objective To investigate the effects of progressive muscle relaxation method on anxiety and depression in elderly primipara .Methods 80 cases of elderly primipara from Oct .2010 to Oct .2012 in our hospital were randomly divided into the control group （conventional care） and observation group （progressive muscle relaxation based on the conventional care） ,anxiety and depression scores ,total labor time ,postpartum hemorrhage ,and the rate of natural childbirth and cesare-an were observed and compared between the two groups .Results Compared with the control group ,the anxiety scores and depression scores were significantly lower ,and the total labor time and postpartum hemorrhage were significantly reduced , the rate of natural childbirth was significantly higher ,and the rate of cesarean section was significantly lower in the observa-tion group（P〈0 .05） .Conclusion Progressive muscle relaxation method can significantly alleviate the anxiety and depres-sion ,shorten the production process and the amount of bleeding and improve the natural birth rate in elderly primipara ,and it is worthy to be promoted .