临产前孕妇心理及护理的调查

A survey of psychological features and nursing innervation for parturient women

目的探讨临产前孕妇的心理,通过心理护理,提高产妇的分娩率。方法收集蚌埠医学院第一附属医院2012年6月—2012年9月足月妊娠头位分娩210位产妇的相关临床资料,临产前有合并症93例,临产前有焦虑抑郁症81例。临产前正常组117例,临产前无焦虑抑郁症129例。采用书面问卷调查法分析心理并原因进行有效的护理。结果产前有合并症(包括妊娠合并心脏病、妊娠合并糖尿病、妊娠合并贫血、妊娠HELLP综合症)与产前正常组比较,焦虑、抑郁状况有显著性差异。临产前有焦虑、抑郁与临产前无焦虑、抑郁产妇比较,剖宫产率、阴道助产差异有统计学意义(P<0.01),其中因子宫收缩乏力、不协调性子宫收缩过强、活跃期停滞、第三产程延长、行剖宫产或阴道助产占80.17%。结论通过有效的心理护理使大多数的孕妇顺利渡过分娩期,减少难产的发生。

Objective To study the psychological features and nursing innervation for parturient women,and improve the success rate of delivery. Methods The clinical data of 210 parturient with term pregnancy and a fetus in cephalic presen- tation from June 2012 to September 2012 were studied. They were divided into two groups： 93 patients with parturient complications and 117 patients without parturient complications. The rate of pre-labor anxiety and depression were sur- veyed using questionnaires, and the effective nursing interventions were performed in them. Results The patients with parturient complications such as heart diseases, diabetes, anemia and HELLP syndrome were with a high rate of pre-labor anxiety and depression as compared to the patients without complications, the difference was significance. The incidence of cesarean section and vagina midwifery was different from the other group（ P 〈 0.01 ）. The main causes included uterine at- ony, uncoordinated uterine contractions too strong, a protracted active phase, prolonged third stage of labor, cesarean sec- tion and vagina midwifery which accounted for 80.17%. Conclusion The effective psychological care can get most preg- nant women through the delivery period, and decrease the incidence of dvstocia.