摘要
目的探讨建立助产士咨询门诊对二胎产妇焦虑、抑郁情绪和妊娠结局的影响,为临床应用提供参考意见。方法选取该院2015年1月—2017年6月所收治二胎产妇102例,随机分为研究组与对照组。对照组51例,予以产科门诊常规产前检查和指导;研究组51例,加用助产士咨询门诊相关指导。比较两组产妇干预前后焦虑、抑郁情绪及分娩结局情况。结果早期妊娠时,研究组产妇SDS和SAS评分分别为(50.12±4.15)分、(51.19±3.28)分,与对照组相比较,差异无统计学意义(t=0.834、0.564,P>0.05);中期妊娠时,研究组SDS评分、SAS评分分别为(52.18±3.26)分、(53.19±4.25)分,均明显低于对照组,差异有统计学意义(t=9.263、6.095,P<0.01);晚期妊娠时,研究组SDS评分、SAS评分分别为(53.19±4.22)分、(55.12±4.60)分,均明显低于对照组,差异有统计学意义(t=8.472、7.667,P<0.01)。研究组产妇中,剖宫产率为9.80%,显著低于对照组的27.45%,差异有统计学意义(χ~2=4.140,P<0.05)。结论助产士咨询门诊指导应用于二胎产妇产前指导工作中,可帮助产妇释放不良情绪、减轻心理压力,有利于降低剖宫产率,保障母婴健康,值得临床推广应用。
Objective To study the effect of establishment of midwife consultation outpatient on the anxiety and depression emotions and gestational outcomes of second-child delivery women thus providing reference and suggestions for the clinical application. Methods 102 cases of second-child delivery women admitted and treated in our hospital from January 2015 to June 2017 were selected, and divided into two groups with 51 cases in each, the control group used the routine outpatient prenatal examination and guidance, while the research group increased the midwife consultation outpatient related guidance, and the anxiety, depression and delivery outcomes of the two groups before and after intervention were compared. Results In the early pregnancy, the SDS and SAS scores in the research group were respectively(50.12±4.15)points and(51.19±3.28)points, and the differences were not statistically significant(t=0.834,0.564,P0.05); in the middle pregnancy, the SDS score and SAS score in the research group were respectively( 52.18±3.26)points and(53.19±4.25)points, which were obviously lower than those in the control group, and the differences were statistically significant(t=9.263, 6.095,P0.01), in the late pregnancy, the SDS score and SAS score in the research group were respectively(53.19±4.22)points and(55.12±4.60)points, and the difference was statistically significant(t=8.472, 7.667,P0.01), and the cesarean section rate in the research group was obviously lower than that in the control group(9.80% vs 27.45%), and the difference was statistically significant(χ~2=4.140,P0.05). Conclusion The application of midwife consultation outpatient in the prenatal guidance work of second-child delivery women can help delivery women release the adverse emotion, relieve the mental pressure, which is conductive to reducing the cesarean section rate and ensuring the maternal and infant health, and it is worth clinical promotion and application.
作者
邱敏
赖春利
李小平
QIU Min;LAI Chun-li;LI Xiao-ping(Department of Obstetrics,Affiliated Hospital of Southwest Medical University,Chengdu,Sichuan Province,646000 China)
出处
《系统医学》
2018年第16期162-164,共3页
Systems Medicine
关键词
二胎产妇
助产士咨询门诊
焦虑
抑郁
妊娠结局
Second-child delivery women
Midwife consultation outpatient
Anxiety
Depression
Gestational outcome