心理护理及认知行为联合对产妇焦虑抑郁及疼痛程度的影响

Effect of the combination of psychological nursing and cognitive behavior in the treatment of depression and anxiety in pregnant woman

目的研究心理护理以及认知行为联合对于产妇焦虑抑郁和疼痛程度的影响。方法将我院收治的146例产妇作为观察对象,随机分为观察组和对照组,观察组产妇给予心理护理和认知行为干预,对照组产妇仅给予常规护理,统计两组产妇的分娩数据,评价不同护理方法对于防止妊娠期焦虑抑郁和疼痛的的临床效果。结果观察组73例产妇中,Ⅰ级疼痛的有0人,占比0,Ⅱ级疼痛44人,占比60.2%,Ⅲ级疼痛20人,占比27.3%,Ⅳ级疼痛9人,占比12.3%;对照组73例产妇中,Ⅰ级疼痛的有0人,占比0,Ⅱ级疼痛3人,占比4.1%,Ⅲ级疼痛11人,占比15.0%,Ⅳ级疼痛70人,占比80.8%,观察组产妇治疗后心理健康总评分为(0.90±0.17),对照组产妇治疗后心理健康总评分为(0.97±0.12),两组产妇的疼痛情况和心理健康水平比较,差异有统计学意义(P<0.05)。结论心理护理和认知行为干预能够有效控制产妇妊娠期间的焦虑和抑郁情绪,缓解产妇分娩时的疼痛症状,值得推广借鉴。

ObjectiveTo evaluate effect of the combination of psychological nursing and cognitive behavior in the treatment of depression and anxiety in pregnant woman.Methods 146 pregnant woman were included in this study. Based on the sequence of enrollment, they were randomly divided into two groups： the therapy group （73 patients） receiving psychological nursing and cognitive behavior and the control group （73 patients） receiving usual care besides the same basic operative treatment in the two groups. Collected the maternal birth data of two groups, evaluated the effect of the combination of psychological nursing and cognitive behavior in the treatment of depression and anxiety in pregnant woman. ResultsIn the experiential group of 73 patients,0 cases was Ⅰ level painful,in the rate of 0, 44 cases were Ⅱ level painful,in the rate of 60.2%,20 cases were Ⅲ level painful,in the rate of 27.3%,9 cases were Ⅳ level painful,in the rate of 12.3%. In another group of 73 patients,0 cases was Ⅰ level painful,in the rate of 0,3 cases were Ⅱ level painful,in the rate of 4.1%,11 cases were Ⅲ level painful,in the rate of 15.0%,70 cases were IV level painful,in the rate of 80.8%.,the pain situation and mental health level were significant differences（P〈0.05）. Conclusion The combination of psychological nursing and cognitive behavior have good effect in the treatment of depression and anxiety in pregnant woman, which is worthy of promotion.