心理护理对产妇心理状态和分娩结局的影响

Effect of psychological nursing on mental status and delivery outcome of puerpera

目的分析心理护理对产妇心理状态和分娩结局的影响。方法 100例待产产妇,随机分为对照组和观察组,各50例。对照组实施常规产前护理,观察组在常规护理基础上实施心理护理干预,对比两组的心理状态和分娩结局。结果入院时,观察组焦虑自评量表(SAS)和抑郁自评量表(SDS)评分与对照组比较差异无统计学意义(P>0.05);分娩前,两组的SAS、SDS评分均降低,且观察组低于对照组,差异具有统计学意义(P<0.05)。对照组第一产程、第二产程、第三产程时间均长于观察组,差异具有统计学意义(t=2.849、4.557、6.250,P<0.05)。观察组经阴道分娩率88.0%高于对照组70.0%,产后出血量≥300 ml占比10.0%低于对照组26.0%,差异具有统计学意义(P<0.05)。结论对产妇实施心理护理可有效的改善心理状态及分娩结局,值得临床应用。

Objective To analyze the effect of psychological nursing on mental status and deliveryoutcome of puerpera.Methods A total of100puerpera awaiting delivery were randomly divided into controlgroup and observation group,with50cases in each group.The control group received routine prenatal nursing,and the observation group received psychological nursing on the basis of conventional nursing.Comparison weremade on mental status and delivery outcome in two groups.Results At admission,the observation group had nostatistically significant difference in anxiety self-rating scale(SAS)and self-rating depression scale(SDS)score,comparing with the control group(P>0.05).Before delivery,both groups had lower SAS and SDS score,and theobservation group was lower than the control group.Their difference was statistically significant(P<0.05).Thecontrol group had longer time of first stage of labor,second stage of labor and third labor than the observationgroup,and their difference was statistically significant(t=2.849,4.557,6.250,P<0.05).The observation grouphad higher vaginal delivery rate as88.0%than70.0%in the control group,and lower proportion of postpartumhemorrhage≥300ml as10.0%than26.0%in the control group.Their difference was statistically significant(P<0.05).Conclusion Psychological nursing for puerpera can effectively improve the mental state and deliveryoutcome,and worthy of clinical application.