心理干预与高龄孕妇妊娠结局的关系

Analysis on the connections between psychological intervention and pregnancy outcome of pregnant women with advanced maternal age

目的探讨心理干预与高龄孕妇妊娠结局的关系。方法将在我院进行产检分娩的196例高龄初产孕妇随机分为观察组(n=98)和对照组(n=98),给予对照组常规护理,给予观察组孕妇心理干预,比较分析两组孕妇的干预前后的心理状况、妊娠结局和相关并发症的发生情况。结果观察组孕妇干预后SCL-90症状自评量表、阿森斯失眠量表评分均明显低于对照组(P<0.01);所有高龄初产孕妇分娩的新生儿均未出现死亡;观察组产妇的自然分娩率(70.41%)明显高于对照组(27.55%),差异具有统计学意义(χ2=21.562,P<0.01)。对照组产妇的剖宫产率(68.37%)明显高于观察组(27.55%),差异具有统计学意义(χ2=15.208,P<0.01)。观察组产妇的妊娠期高血压病、早产、产后出血、足月低体重儿等相关并发症的发生率均明显低于对照组,差异具有统计学意义(P<0.05)。结论心理干预能够有效地改善高龄孕妇的心理状况,从而改善高龄产妇的妊娠结局。

Objective To explore the connections between psychological intervention and pregnancy outcome of preg nant women with advanced maternal age. Methods All 196 primipara with advanced maternal age who received antenatal examination and gave birth to children in our hospital were randomly allocated to observation group （n=98） and control group （n=98）. The control group received routine nursing while the observation group received psychological interven- tion. Mental conditions, pregnancy outcome and related complications were compared and analyzed between the two groups of pregnant women before and after the intervention. Results Scores of SCL-90 and Athens insomnia scale in the observation group after the intervention were significantly lower than those in the control group （P〈0.01） ;all new- horns delivered by primipara with advanced maternal age were alive; rate of natural childbirth in observation group （70.41%） was significantly higher than that in the control group （27.55 %）, and the difference was statistically signifi- cant （x2=21.562,P〈0.01）. Rate of cesarean section in the control group （68.37%） was s!gnificantly higher than that in the observation group （27.55%）, and the difference was statistically significant （X2=15.208, P〈0.01）. Incidence of complications such as hypertension, premature birth, postpartum hemorrhage and full-term infants with low birth weight in the observation group were all lower than those in the control group, and the differences were statistically sig- nificant （P〈0.05）. Conclusion Psychological intervention is capable of effectively improving the mental status of preg- nant women with advanced maternal age, and therefore ameliorates the pregnancy outcome.