高危妊娠产妇心理应激观察及心理护理实施对妊娠结局的影响

Observation on psychological stress in high-risk pregnant women and effect of psychological nursing on pregnancy outcome

目的:观察高危妊娠产妇应激心理及心理护理实施对妊娠结局的影响。方法:选取收治的76例高危妊娠产妇,另选取同期于我院收治的76例健康产妇。通过焦虑、抑郁量表评分对两组产妇心理状态进行观察。将高危妊娠产妇随机分为对照组(38例)和观察组(38例),对照组给予常规护理;观察组同时给予心理护。比较两组产妇护理前后焦虑自评量表(SAS)和抑郁自评量表(SDS)评分,记录两组妊娠结局。结果:高危妊娠组产妇SAS、SDS评分[(56.65±6.62)、(59.63±7.37)]分显著高于健康组产妇[(39.27±6.42)、(41.62±5.94)]分(P<0.05);护理后,观察组SAS、SDS评分分别降至[(46.79±5.21)、(43.52±4.16)]分,与本组护理前和对照组护理后均有显著差异(P<0.05);较对照组,观察组剖宫产、产后出血、胎儿窘迫、新生儿窒息发生率44.74%、23.68%、26.32%、23.68%低,两组比较差异有统计学意义(P<0.05)。结论:高危妊娠产妇心理应激情况较健康产妇更明显,实施心理护理能有效缓解产妇心理状态,对改善产妇妊娠结局有积极影响。

Objective To observe the psychological stress in high-risk pregnant women and effect of psychological nursing on pregnancy outcome. Method 76 cases of high-risk pregnant women who were treated in our hospital were selected as the study objects. Another 76 cases of healthy pregnant women who were admitted in the same period were also included in the study. The anxiety and depression scale scores were used to observe the psychological status of the two groups of pregnant women. The high-risk pregnant women were randomized into the control group（38 cases） and observation group（38 cases）. The control group was given routine nursing while the observation group was given psychological nursing. The scores of Self-rating Anxiety Scale（ SAS） and Self-rating Depression Scale（ SDS） were compared between the two groups before and after nursing,and the pregnancy outcomes of the two groups were recorded. Results The SAS,and SDS scores of the high-risk pregnancy group [（56. 65 ± 6. 62）,（59. 63 ± 7. 37）] were significantly higher than those of the healthy group [（39. 27 ± 6. 42）,（41. 62 ± 5. 94）]（ P〈0. 05）;After nursing,the SAS and SDS scores of the observation group were reduced to（ 46. 79 ± 5. 21） and（ 43. 52 ± 4. 16）. Compared with those of the same group before nursing and those of the control group after nursing,there were significant differences（ P〈0. 05）;The incidence rates of cesarean section,postpartum hemorrhage,fetal distress and neonatal asphyxia in the observation group（44. 74%,23. 68%,26. 32%,23. 68%） were lower than those in the control group（ P〈0. 05）. Conclusion The psychological stress condition in high-risk pregnant women is more obvious than that in healthy pregnant women. The implementation of psychological nursing can effectively alleviate the psychological state of the pregnant women,and has a positive impact on the improvement of pregnancy outcomes.