放松训练结合心理疏导对孕妇产前焦虑干预的影响研究

Study on the effect of relaxation training combined with psychological counseling for prenatal anxiety intervention in pregnant women

目的评估孕妇的心理特点,探讨采用放松训练配合心理疏导对孕妇产前焦虑干预的影响。方法 2013年1月-2013年12月在妇保科随机抽取系统建卡的孕妇388例为研究对象,并随机分为两组,从孕妇32周开始进行焦虑评估、社会支持评定、妊娠压力测定等,对照组应用传统方法进行常规产前检查,孕妇学校学习;干预组除了进行常规产前检查,孕妇学校学习外,对孕妇不同的心理状态进行多样化产前教育,应用放松训练结合心理疏导进行干预,跟踪随访两组孕妇心理状态变化、分娩结局和新生儿情况等。结果对照组和干预组孕36周、产前、产后的焦虑水平经统计学检验,两组差异均具有统计学意义（P〈0.05）;对照组和干预组在剖宫产率,有指针剖宫产、产后出血和新生儿窒息率几方面,经统计学校验,两组差异均具有统计学意义（P〈0.05）。结论采用放松训练结合心理疏导对孕妇进行干预,能有效地帮助孕妇有效减少焦虑的发生,改善分娩结局,降低新生儿窒息率。

Objective To evaluate the feature of maternities’mental health and Study on the effect of relaxation training combined with psychological counseling for prenatal anxiety intervention in pregnant women . Methods 388 cases of pregnant women were selected as researchers for the study. All researchers were divided into two groups,194 cases of each. From the 32th week of pregnancy,anxiety assessment,social support evaluating and pregnancy pressure measurement have been done to participated pregnant women. The pregnant women in intervention group got psychological guidance and relaxation training,including the schedule of control group,such as prenatal examination and the routine classes teaching pregnant women in the school . Results Anxiety level of intervention group at 36th week,antenatal and postpartum period were better than that of control group（P〈0.05）,and so as cesarean section rate, postpartum hemorrhage and probability of newborns’asphyxi（P 〈 0.05）. Conclusion Relaxation training combined with psychological counseling for prenatal anxiety intervention is good for the pregnant women.