以孕妇为中心的护理对孕妇焦虑及分娩结果的影响

Effect of Gravida-Centered Care on Maternal Anxiety and Delivery Outcome

目的探讨以孕妇为中心的护理方式对孕妇焦虑及分娩结果的影响。方法选取2018年1-6月建档并分娩的200例孕妇作为对照组,选取2018年7-12月建档并分娩的200例孕妇作为观察组;对照组采取常规护理方式,观察组采用以孕妇为中心的护理方式。对2组孕妇不良妊娠结局发生情况,护理前后的焦虑及产后抑郁情况进行比较。结果观察组和对照组的不良妊娠结局发生率比较差异无统计学意义(1.00%比5.50%,P>0.05)。护理后,观察组孕妇的SAS评分为(42.18±5.74)分,显著低于对照组的(49.75±5.74)分(t=13.190,P=0.000);产后观察组孕妇的EPDS评分显著低于对照组[(10.25±2.78)分比(15.89±3.25)分,(t=18.650、P=0.000)]。结论以孕妇为中心的护理方式能够减轻孕妇的紧张焦虑情绪,降低产后抑郁的发生率。

Objective To explore the effect of gravida-centered care on maternal anxiety and delivery outcome.Methods Two hundred gravidas who were filed and delivered between January 2018 and June 2018 were given routine nursing(control group),and 200 gravidas who were filed and delivered between July 2018 and December 2018 were given gravida-centered care(observation group).Adverse pregnancy outcomes,anxiety and postpartum depression were compared between the two groups.Results There was no significant difference in the incidence of adverse pregnancy outcomes between observation group(1.00%) and control group(5.50%)(P>0.05).After nursing care,the SAS score in observation group(42.18±5.74) was lower than that in control group(49.75±5.74)(t=13.190,P<0.001).After delivery,the EPDS score in observation group(10.25±2.78) was lower than that in control group(15.89±3.25)(t=18.650,P<0.001).Conclusion Gravida-centered nursing can alleviate the anxiety of gravidas and reduce the incidence of postpartum depression.