瘢痕子宫再次妊娠孕妇的心理压力及干预措施

Psychological stress and intervention measures of subsequent pregnant women with scarred uterus

目的研究瘢痕子宫再次妊娠孕妇的心理压力及相关干预措施。方法选取2014年2月-2016年1月就诊的再次妊娠的瘢痕子宫孕妇200例,根据随机数字表分为观察组和对照组,每组各100例。对照组孕妇给予常规的产前检查及医疗干预。观察组则在此基础上,对孕妇进行相关问卷调查及相关量表测评,分析孕妇的心理压力,并给予针对性干预。采用妊娠压力量表评估孕妇的心理压力,采用医院焦虑抑郁量表评估孕妇的焦虑、抑郁情况,采用社会支持评定量表(SSRS)评价孕妇的社会支持情况。结果观察组孕妇无压力人数比例显著高于对照组,而重度压力人数比例显著低于对照组,差异均有统计学意义(均P<0.05)。干预前,两组孕妇焦虑、抑郁评分比较差异无统计学意义(P>0.05);干预后,观察组孕妇焦虑、抑郁评分均显著低于对照组,差异均有统计学意义(均P<0.05)。干预前,两组孕妇SSRS评分比较差异无统计学意义(P>0.05);干预后,观察组孕妇客观支持得分、主观支持得分、对支持的利用度及总分均显著高于对照组,差异均有统计学意义(均P<0.05)。结论瘢痕子宫再次妊娠孕妇均存在一定程度的心理压力,给予针对性干预可有效降低其心理压力,改善焦虑、抑郁情况,提高社会支持程度。

Objective To research psychological stress and related intervention measures of subsequent pregnant women with scarred uterus. Methods A total of 200 subsequent pregnant women with scarred uterus were selected from February 2014 to January 2016,then they were divided into observation group and control group according to random number table,100 pregnant women in each group. The pregnant women in control group underwent routine prenatal examination and medical intervention. The pregnant women in observation group received related questionnaire survey and evaluation based on routine prenatal examination and medical intervention. Psychological pressure of pregnant women was analyzed,and corresponding intervention was provided. Pregnancy stress scale was used to evaluate psychological stress of pregnant women. Hospital Anxiety and Depression Scale was used to evaluate anxiety and depression of pregnant women,social support rating scale（ SSRS） was used to evaluate social support status of pregnant women. Results The proportion of pregnant women without stress in observation group was significantly higher than that in control group,but the proportion of pregnant women with severe stress in observation group was significantly lower than that in control group（ P〈0. 05）. Before intervention,there was no statistically significant difference in anxiety and depression scores between the two groups（ P〈0. 05）. After intervention,anxiety and depression scores in observation group were statistically significantly lower than those in control group（ P〈0. 05）. Before intervention,there was no statistically significant difference in SSRS score between the two groups（ P〈0. 05）. After intervention,the scores of objective support,subjective support,utilization of support,and total score in observation group were statistically significantly higher than those in control group（ P〈0. 05）. Conclusion The subsequent pregnant women with scarred uterus have psychological stress to a certain extent. The targeted intervention can effectively reduce psychological stress,improve anxiety and depression,and increase the degree of social support.