自我心理干预在剖宫产中的应用效果

Application effect of self-psychological intervention in cesarean section

目的探讨自我心理干预在剖宫产中的应用效果。方法选取2013年12月~2014年7月我院100例剖宫产产妇作为研究对象,采取计算机单盲分组法随机将产妇分为两组,每组50例,对照组采取传统被动式心理干预,观察组在对照组基础上实施自我心理干预,比较两组产妇的焦虑、抑郁评分、血压及心率情况、护理满意度。结果干预前,两组产妇SAS、SDS评分结果比较,差异均无统计学意义(P>0.05);干预后两组产妇的两指标评分均有所降低,与干预前比较,差异有统计学意义(P<0.01);观察组两指标评分均高于对照组,差异有统计学意义(P<0.01)。进入手术室前,两组产妇血压、心率水平比较,差异均无统计学意义(P>0.05)。进入手术室后,对照组产妇血压、心率水平均所有上升,以干预前比较,差异有统计学意义(P<0.01);而观察组产妇的血压、心率水平与进入手术室前比较,差异无统计学意义(P>0.05)。观察组产妇血压、心率水平低于对照组,差异有统计学意义(P<0.01)。观察组产妇的护理满意度高于对照组,差异有统计学意义(P<0.01)。结论对剖宫产产妇采取自我心理干预,可有效缓解产妇的负性情绪,减少其血压、心率等波动,有利于剖宫产手术的顺利实施,还可有效提高产妇对护理服务的满意度。

Objective To explore the application effect of self-psychologieal intervention in cesarean section.Methods 100 cases of cesarean section from December 2013 to July 2014 in our hospital were selected and randomly divided into the observation group and the control group,with 50 cases in each group by taking single grouping method.The control group were given traditional passive psychological intervention,while the observation group were given self-psycho- logical intervention based on the control group,the levels of maternal anxiety,depression,blood pressure and heart rate and nursing satisfaction were compare between two groups.Results Before intervention,there were no significantly different among the scores of SAS and SDS in two groups （P〉0.05）;after intervention, the scores SAS and SDS in two groups were all increased,and compared with those before nursing,the differences were statistically significant （P〈0.01）. And those in the observation group were higher than those in control group,and the differences were statistically significant（P〈0.01）.Before entering the operating room,there were no significantly different among the levels of blood pressure and heart rate in two groups （P〉O.05）;After entering the operating room, those in the control group were increased,and compared with those before entering the operating room,the differences were statistically significant（P〈0.01）,but there were no statistically significant differences in the obseration group between those before and after entering the operating room （P〉0.OS）.And those in observation group were lower than those in control group, and the differences were statisti- cally significant （P〈0.01）. The nursing satisfaction in the observation group were higher than those in control group,and the differences were statistically significant（P〈0.01）.Conclusion The self-psychological intervention of cesarean section can effectively alleviate the negative emotions of maternal and reduce the fluctuation of blood pressure and heart rate, which is beneficial to the smooth implementation of cesarean section and improve the satisfaction of maternal care service.