心理干预对高危儿母亲情绪及应对方式的影响

The effect of psychological intervention on mood and coping style of high-risk infants＇ mothers

目的探讨心理干预对高危儿母亲情绪及应对方式的影响。方法将180例高危儿母亲随机分为干预组90例和对照组90例，干预组按照“高危儿母亲情绪管理方案”进行心理干预，对照组实施常规保健护理。利用焦虑白评量表（self-rating anxiety scale，SAS）和抑郁自评量表（self-rating depression scale，SDS）对高危儿母亲的情绪进行评估；采用自行设计的一般情况表及应对方式问卷调查高危儿母亲的一般情况、应对方式。结果干预组在心理干预后SAS标准评分是（38．3±8．2）分，SDS标准评分是（42．5±7．4）分；对照组SAS标准评分是（41．7±9．8）分，SDS标准评分是（47．6±6．6）分；两组比较差异有统计学意义（P〈0．05）。干预组在于预后积极应对标准评分为（18．3±8．5）分，消极应对标准评分为（9．2±8．7）分；对照组积极应对标准评分为（13．8±9．4）分，消极应对标准评分为（12．9±8．4）分；两组比较差异有统计学意义（P〈0．05）。结论高危儿母亲经过心理干预后心理压力明显缓解，应对方式更为成熟，实施高危儿母亲情绪管理方案可促进母婴健康。

Objective To explore the effect of psychological intervention on mood and coping style of high-risk infants＇ mothers. Methods 180 high-risk infants＇ mothers were randomly divided into intervention group and control group, 90 cases in each group. Intervention group carried out psychological intervention in accordance with High-risk Infants＇ Mothers＇ Emotional Management Scheme, while control group received routine care. Evaluated high-risk infants＇ mothers＇ mood with self-rating anxiety scale （SAS） and self-rating depression scale （SDS）; investigated high-risk infants＇ mothers＇ general situation, coping stile with self- designed general situation table and coping style questionnaire. Results SAS standard score was （38.3 ± 8.2）, SDS standard score was （42.5 ± 7.4） in intervention group after psychological intervention; those in control group were （41.7 ± 9.8） and （47.6 ± 6.6）; with statistically significant differences between two groups （P 〈 0.05）. Positive coping style standard score was （18.3 ± 8.5）, negative coping style standard score was （9.2 ± 8.7） in intervention group after psychological intervention; those in control group were （13.8 ± 9.4） and （12.9 ± 8.4）; with statistically significant differences between two groups （P 〈 0.05）. Conclusions Psychological intervention can obviously alleviate psychological pressure of high-risk infants＇ mothers, with maturer coping style. The implementation of high-risk infants＇ mothers＇ mood managerneut solution can promote maternal and child health.