围分娩期初产妇不同心理干预方式的效果评估

Effect evaluation of different psychological intervention method to primipara around the period of delivery

目的评估围分娩期初产妇不同心理干预方式的效果,为临床围分娩期产妇心理干预提供理论依据。方法将200例临产妇随即分为音乐组、心理疏导组、导乐组和常规护理对照组,用抑郁自评量表(SDS)和焦虑自评量表(SAS)评分,用产程图记录总产程时间,观察分娩方式,测量产后2h出血量,记录新生儿Apgar评分,进行统计学分析。结果导乐法、音乐干预法和心理疏导法都能显著减轻围分娩期产妇的焦虑和抑郁情绪,提高顺产率,缩短总产程时间,减少产后2h内出血量,提高新生儿Apgar评分(P<0.05)。结论导乐陪伴分娩依然是目前最好的心理干预方法,音乐干预法和心理疏导法临床效果相同,3种方法相比音乐干预法具有成本低,易于开展的特点,值得普及。

Objective To evaluate which one is the best psychological intervention method to primipara around the period of delivery to serve clinical practice . Methods 200 primipara were divided into four groups in random：musical group , mental comfort group , holistic Doula group and control group . Observe and compare whether there is significant differences among the four groups in the index of self-rating depression scale （ SDS） , self-rating anxiety scale （ SAS） , the time of total stages of labor , postpartum hemorrhage , Apgar assessment of neonate , delivering methods . Results Compare with the control group , the three other groups have significant differences in the index of relief primiparas＇anxiety and depression emotion , the time of total stages of labor , postpartum hemorrhage amount , Apgar assessment of neonate and delivering methods （P 〈 0 .05 ） . Conclusion It should not be neglected ,which will contribute to the physical and mental health of primipara . Holistic Doula is still the best mental intervention method . Musical mental intervention and mental comfort mental intervention have the same clinical effect . However , musical mental intervention is more easy to practice and spread in hospital .