情绪弹性团体训练对二次以上剖宫产产妇孕期心理压力源的影响

Effect of Emotional Flexibility Group Training on Psychological Stressors of Pregnant Women with More than Twice Cesarean Sections

目的:探讨情绪弹性团体训练对二次以上剖宫产产妇孕期心理压力源的影响。方法:选取2019年1月1日-2020年7月1日中山市博爱医院收治的二次以上剖宫产产妇380例,根据随机数字表法将产妇分为观察组(n=190)与对照组(n=190)。对照组行产科常规性护理,观察组在对照组基础上临产前实施情绪弹性团体训练。比较两组产妇心理压力源、应对方式及妊娠结局。结果:观察组干预后心理压力源总评分与各维度评分、屈服与回避评分均低于对照组,面对评分高于对照组,差异均有统计学意义(P<0.05)。观察组阴道助产率、剖宫产率、滞产率均低于对照组,自然分娩率、满意率均高于对照组(P<0.05);两组产后2 h出血率、子宫破裂率比较,差异均无统计学意义(P>0.05)。结论:情绪弹性团体训练能有效减轻二次以上剖宫产产妇孕期心理压力,使其能以积极的方式面对分娩,减少不良妊娠结局。

Objective:To explore the effect of emotional flexibility group training on the psychological stressors of pregnant women with more than twice cesarean sections.Method:A total of 380 pregnant women with more than twice cesarean sections in Bo’ai Hospital of Zhongshan City were selected from January 1,2019 to July 1,2020.The patients were divided into the observation group(n=190)and the control group(n=190)according to the random number table.The control group was received with routine obstetric care during pregnancy,the observation group was received with emotional flexibility group training before labor on the basis of the control group.The psychological stressors,coping styles and pregnancy outcomes of two groups were compared.Result:The total score of psychological stressor and scores of various dimensions,yield and avoidance scores of the observation group after intervention were lower than those of the control group,the face score of the observation group was higher than that of the control group,the differences were statistically significant(P<0.05).The rate of vaginal delivery,cesarean section and hysteretic yield rate of the observation group were lower than those of the control group,and the rate of natural delivery and satisfaction rate of the observation group were higher than those of the control group(P<0.05).2 h postpartum hemorrhage rate and uterine rupture rate between two groups compared,there were no statistically significant differences(P>0.05).Conclusion:Emotional flexibility group training can effectively alleviate the psychological pressure of pregnant women after more than two cesarean sections,enable women to face delivery in a positive way,and reduce adverse pregnancy outcomes.