心理干预对高龄产妇分娩结局的影响

Effect of psychological intervention on delivery outcome in elderly maternal

目的探讨心理干预对高龄产妇分娩结局的影响。方法选取2013年2月至2015年2月在我院住院分娩的高龄产妇128例,按照随机数字表法分为对照组和观察组各64例。对照组产妇接受常规护理,观察组在对照组的基础上接受系统的心理干预护理。观察两组产妇的分娩方式及总产程时间、分娩结局、产后抑郁症的发生率及对护理的满意度。结果观察组自然分娩率高于对照组,剖宫产率低于对照组,总产程时间少于对照组。对照组新生儿出生病死率、体质重量以及新生儿出生窒息率均高于观察组。观察组产后7d及42d抑郁症发生率均低于对照组。观察组产妇对护理的满意度为96.9%,对照组为81.3%。两组比较差异均有统计学意义(P<0.05)。结论心理干预可改善高龄产妇的分娩方式和分娩结局,预防和减少产后抑郁症的发生率,提高护理满意度,值得临床推广应用。

Objective To investigate the effect of psychological intervention on delivery outcome in elderly maternal. Methods A total of 128 cases elderly women delivered in our hospital from February 2013 to February 2015 were selected and divided into control group and observation group according to the grouping method of random number table, with 64 cases in each group. The control group received routine nursing, the observation group received psychological intervention on the base of the control group. The incidence of maternal mode of delivery, total dura- tion of labor, delivery outcome, postpartum depression and satisfaction were observed in the two groups. Results＇ The natural birth rate in the observation group was higher than that of the control group, the rate of cesarean section was lower than that of control group and the total labor time was less than that of the control group. The neonatal mortality and neonatal birth weight, physique asphyxia rate in the control group were higher than those in the observation group. The 7d and 42d postpartum depression incidence rate in the observation group were lower than those in the control group. The maternal satisfaction with care in observation group was 96.9%, and 81.3% in the control group. There were significant difference between two groups（all P〈0. 05）. Conclusion The psychological intervention can improve the mode of delivery and birth outcomes, prevent and reduce the incidence of postpartum depression, improve nursing satisfaction, which is worthy of clinical application.