全程心理干预及术中配合对心脏病孕妇剖宫产分娩结局的影响

Effect of psychological intervention and intraoperative operation cooperation on cesarean delivery outcome of pregnant women with heart disease

目的分析全程心理干预及术中配合对心脏病孕妇剖宫产分娩结局的影响。方法选取河北医科大学第一医院于2010年7月至2012年7月间收治的妊娠伴心脏病住院孕妇60例作为研究对象,根据干预措施不同分为使用常规干预的对照组患者及使用心理干预配合术中操作的观察组患者各30例,比较两组患者的分娩结局、负面情绪评分等差异。结果观察组患者接受全程心理干预及术中配合后其分娩结局明显优于对照组患者,差异有统计学意义(P<0.05);观察组患者接受系统护理后的负面情绪评分明显低于对照组患者,差异有统计学意义(P<0.05)。结论使用全程心理干预及术中配合方式可以有效改善产妇及胎儿的负面结局,减轻患者焦虑、抑郁等负面情绪。

Objective To analyze the effect of psychological intervention and intraoperative operation cooperation on cesarean de- livery outcome of pregnant women with heart disease. Methods 60 cases of pregnant women complicating heart disease in this hos- pital from July 2010 to July 2012 were taken as the research subjects and divided into the control group by the conventional inter- vention and the observation group（30 cases） by the psychological intervention and intraoperative cooperation according to the differ- ent intervention measures. The differences of delivery outcomes and the negative mood scores were compared between the two groups. Results The delivery outcome after receiving psychological intervention and intraoperative cooperation in the observation group was significantly better than that in the control group（P（0.05） ;the negative mood scores after the systematic nursing in the observation group were significantly lower than those in the control group patients（P（0.05）. Conclusion Using the whole course psychological intervention and intraoperative cooperation can effectively improve the maternal and fetal negative outcomes, reduce anxiety, depression and other negative moods.