认知行为干预模式对孕妇心理保健作用的实证研究

An empirical study of the function of cognitive behavior intervention mode for the mental health of pregnant women

目的构建提高孕妇心理健康水平的认知行为干预模式并实证其有效性。方法以认知行为干预模式对实验组进行干预;并采用组内与组间比较的方式,对相关有效性指标进行考察,判断出干预的有效性。结果实验组与对照组干预前的年龄、孕次、产次、孕产知识水平、焦虑、抑郁、一般自我效能感、自尊方面的差异均无统计学意义(P>0.05);干预后,组间比较在出生方式、顺产出血量、非顺产出血量、顺产产程1、顺产产程2、Apgar评分、孕产知识水平、焦虑、抑郁、一般自我效能感、自尊的2或t值分别是3.978、-5.364、-3.724、-4.371、-2.179、3.200、98.346、-3.821、-3.186、3.151、5.556,差异均有统计学意义(P<0.05或0.01、0.001);实验组组内前后比较在孕产知识水平、焦虑、抑郁、一般自我效能感、自尊的t值分别是-97.703、4.89、4.088、-10.10、-4.016,差异均有统计学意义(P<0.001)。结论实验组实验后的有效性指标显著优于实验前,且显著优于对照组;因此,采用认知行为干预模式来提高孕妇心理健康水平是极其有效的。

Objective To construct cognitive behavior intervention mode to improve level of the psychological health pregnant women and its effectiveness. Methods the cognitive behavior interv prove Apply ention mode to the experimental group; Make comparision of different groups and within the related effecti Results groups, investigate index to detect the veness of intervention There is no statistical significance （P〉0. 05）of the age,gravidity, Levels of knowledge anxiety, depression, general self- efficacy, self-esteem between the experimental group and the control group before the intervention; After intervention, comparison between groups at delivery mode, Eutocia bleeding, Non eutocia bleeding, the birth process of eutocia, the C2 or T values of 1, the birth process of eut0cia 2, Apgar score, the level of knowledge, anxiety, depression, general self-efficacy, self-esteem are 3.978, -5.364, -3.724, -4.371, -2.179, 3.200,98.346, -3.821, -3.186, 3.151, 5.556, the difference was statistically significant（P〈0.05 or 0.01, 0.001）; The t values of the level of knowledge, anxiety, depression, general self-efficacy, self-esteem before and after the intervention in the experimental group are -97.703, 4.89, 4.088,-10.10, -4.016, and statistically significant they are （P〈0. 001）. Conclusion the effective index of experimental group after intervention is significantly better than before the use intervention; therefore, the of cognitive, behavior interventionmode to improve the level of mental health of pregnant women is very effective.