心理护理干预对初产妇情绪及分娩的影响

Influence of psychological nursing intervention on emotion and delivery of primipara

目的探讨心理护理干预对初产妇情绪及分娩的影响。方法将本院2013年1-12月收治的120例初产妇随机分为两组,各60例,对照组给予基础护理（含常规健康教育）、规范治疗、对症处理,观察组在对照组的基础上应用焦虑自评量表、抑郁自评量表评价患者的心理状况,针对具体心理问题采取心理护理,观察两组的焦虑、抑郁状况,产程时间及产后出血量。结果观察组焦虑、抑郁评分显著低于对照组,差异有统计学意义（P〈0.05）;对照组剖宫产率为40.0%,显著高于观察组的23.3%,差异有统计学意义（P〈0.05）;两组分娩疼痛比较,对照组Ⅲ级疼痛者57例（95%）,显著高于观察组的50例（83.3%）,差异有统计学意义（P〈0.05）;观察组第一产程时间为（652±71）min,第二产程时间为（87±42）min;显著低于对照组的（726±85）min、（107±49）min,差异有统计学意义（P〈0.05）;对照组产后24 h出血量为（428±89）ml,观察组产后24 h出血量为（386±69）ml,两组比较差异有统计学意义（P〈0.05）。结论心理护理有助于改善患者焦虑、抑郁状况,减轻分娩时疼痛,缩短产程,减少产后出血量,有利于患者康复。

Objective To explore the influences of psychological nursing intervention on emotion and delivery of prim-ipara. Methods 120 cases of primiparas from January 2013 to December in our hospital were randomly divided into observation group and control group,60 cases in each group.The control group were given basic care （including regular healthy education）,standard treatment,symptomatic treatment.The observation group were given the self-rating anxiety scale,self-rating depression scale on the basis of control group,to evaluate the psychological state of those patients,then taken psychological care for specific psychological problems.The anxiety and depression,the length of the stage of labor and postpartum hemorrhage of two groups was observed. Results The anxiety and depression scores of the observation group were lower than that of the control group,with statistical difference （P〈0.05）.Caesarean section rate of the control group was 40.0%,which was significantly higher than 23.3% of the observation group,with statistical difference（P〈0.05）. Compared with two group of labor pain,There was 57 cases （95%） with grade Ⅲ pain of the control group,which was significantly higher than 50 cases （83.3%） of the observation group,with statistical difference （P〈0.05）.The time of the first stage of the observation group was （652±71） min,the second stage was （87±42） min,which was significantly less than （726±85） min, （107±49） min of the control group,with statistical difference （P〈0.05）.The amount of postpartum bleeding in 24 h of the control group was （428±89） ml,the amount of postpartum bleeding in 24 h of observation group was （386±69） ml,there was statistical difference between two groups （P〈0.05）. Conclusion Psychological nuring inter-vention can improve the patient’s anxiety and depression,relieve their childbirth pain,shorten labor,reduce postpartum hemorrhage,which is conducive to the rehabilitation of patients.