分娩期的心理分析及护理干预对分娩结局的影响

Analysis on psychological state of woman during delivery and significance of nursing intervention

目的分析产妇分娩期各产程的心理状态,探讨对其实施护理干预的作用和意义。方法选择2012年1月至2013年1月足月单胎初产妇无妊娠合并症和合并内外科疾病的,分为实验组和对照组各100例,实验组在常规宣教的基础上针对性分析产妇分娩各期的心理需求并进行护理干预。对照组采取常规宣教护理。观察比较两组产妇分娩方式,产后出血率及新生儿窒息率。结果两组相比较,实验组剖宫产率,产后出血率及新生儿窒息率较对照组降低,P<0.05,具有统计学意义。结论针对分娩期对初产妇实施产前产时产后的心理分析并给予护理干预,促进产妇能积极主动配合医务人员的各种治疗护理,使产妇安全度过分娩期,降低手术产率,产后出血率,新生儿窒息率等有非常重要的作用。

Objective To analyze the psychological state of labor,discuss the function and significance of the implementation of nursing intervention. Methods January,2012 to January 2013,singletons first-time mothers without full term pregnancy complications and merging of local disease,divided into experimental group and the control group（ n = 60）,the experimental group on the basis of conventional education evaluation of lyingin woman＇s psychological needs and nursing intervention. Control group take routine mission of nursing. Compare two groups of puerpera childbirth way,the total labor time,the rate of postpartum hemorrhage and neonatal asphyxia rate. Results Compared two groups,experimental group cesarean section rate and the total labor time,the rate of postpartum hemorrhage and neonatal asphyxia rate than the control group decreased,P〈0. 05,with statistical significance. Conclusions In view of the intrapartum for primipara antenatal psychological analysis of postpartum nursing,and give the promotion can actively cooperate with the medical staff of maternal care,maternal safety through intrapartum,reduce operation delivery rate,the rate of postpartum hemorrhage,neonatal asphyxia rate and has a very important role.