产前心理护理干预对初产妇分娩方式、产后出血及产后心理的影响

The effect of prenatal psychological nursing intervention on mode of delivery,postpartum hemorrhage and postpartum mentality in primiparas

目的探讨产前心理护理干预对初产妇分娩方式、产后出血及产后心理的影响。方法选取我院收治的待产初产妇94例,根据护理方式不同分为观察组和对照组各47例,对照组采用常规产科护理,观察组在此基础上加以心理护理干预,比较两组产妇分娩方式、产后出血量及产后出血发生率,调查产妇入院时、分娩后的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分及满意度。结果观察组产妇自然分娩率(89.36%)高于对照组(70.21%),剖宫产率(10.64%)低于对照组(29.79%);产后2h及24h出血量均低于对照组,产后出血并发症低于对照组(P<0.05);观察组分娩后SAS、SDS评分低于对照组(P<0.05);观察组产妇第1、2、3产程及总产程时间均低于对照组(P<0.05)。观察组产妇满意度(95.74%)明显高于对照组(78.72%)(P<0.05)。结论产前心理护理干预可提高产妇自然分娩率,减少产后出血,改善产妇心理状况,缩短产程时间,提高产妇满意度,值得临床推广应用。

Objective To explore the effect of prenatal psychological nursing intervention on mode of delivery,postpartum hemorrhage and postpartum mentality in primiparas.Methods Ninety-four primiparas admitted to our hospital were selected and divided into observation group and control group according to different nursing methods,47 in each group.The control group was treated with routine obstetric care,and the observation group was supplemented with psychological nursing intervention.The patient’s mode of delivery,postpartum blood loss,and the incidence of postpartum hemorrhage were recorded.The SAS and SDS scores and satisfaction of the primiparas at the time of admission and after delivery were investigated.Results The rate of natural delivery in the observation group was89.36%,which was higher than that of the control group(70.21%),and the cesarean section rate was 10.64%,which was lower than29.79%in the control group.The postpartum blood loss at 2 hours and 24 hours after delivery in the observation group were lower than those in the control group.The incidence of complications of postpartum hemorrhage in the observation group was lower than that in the control group(P<0.05).There was no significant difference in the scores of SAS and SDS between the two groups at the time of admission(P>0.05).After delivery,the decreasing of the scores was observed in both group(P<0.05).The scores of SAS and SDS in the observation group after delivery were lower than those in the control group(P<0.05).The duration of the first stage,the second stage,the third stage and the total stage of labor were shorter in the observation group than those in the control group(P<0.05).The satisfaction of the observation group was 95.74%,which was significantly higher than that of the control group(78.72%)(P<0.05).Conclusion Prenatal psychological nursing intervention can increase the rate of natural delivery,reduce the postpartum hemorrhage,improve the psychological status of primiparas,shorten the labor time,improve the satisfaction of primiparas,and have high clinical efficacy.It is worthy of popularization and application.