激励式心理护理对产妇分娩方式和母婴结局的影响

Effect of motivational psychological care on the maternal mode of delivery and maternal and fetal outcomes

目的 探讨激励式心理护理对产妇分娩方式和母婴结局的影响。方法 选取2018年1月—2019年9月于焦作市第二人民医院住院待产的82例产妇,采用随机数字表法分为研究组与对照组,每组41例。对照组产妇采用常规护理,研究组产妇在对照组基础上采用激励式心理护理,比较2组产妇分娩方式、产程时间、心理状态评分及母婴结局。结果 研究组产妇自然分娩率为85.37%(35/41),高于对照组的65.85%(27/41),差异有统计学意义(χ^(2)=4.232,P=0.040)。研究组自然分娩产妇第一产程、第二产程、第三产程时间均短于对照组,差异均有统计学意义(P<0.05)。2组产妇分娩前焦虑自评量表(SAS)、抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05);2组产妇分娩后SAS、SDS评分均低于分娩前,且研究组低于对照组,差异均有统计学意义(P<0.05)。研究组产妇不良分娩结局发生率为4.88%(2/41),低于对照组的24.39%(10/41),差异有统计学意义(χ^(2)=6.248,P=0.012)。结论 针对产妇分娩采用激励式心理护理,可提高自然分娩率,调节产妇心理状态,缩短产程时间,改善母婴结局。

Objective To investigate the effect of motivational psychological care on the mode of delivery and maternal and fetal outcomes. Methods Eighty-two parturients hospitalized in the Second People’s Hospital of Jiaozuo from January 2018 to September 2019 were selected as study subjects. They were assigned to the study group and the control group by the random number table, with 41 cases in each group. Subjects in the control group received routine care, and subjects in the study group motivational psychological care on top of the routine care in the control group. The delivery mode, duration of labor, psychological status score, and maternal and fetal outcomes were compared between the two groups. Results The spontaneous delivery rate of parturients in the study group was 85.37%(35/41), which was higher than that in the control group(65.85%, 27/41), with a statistically significant difference(χ^(2)=4.232, P=0.040). The duration of the first stage of labor, the second stage of labor, and the third stage of labor in the study group were significantly shorter than those in the control group(P <0.05). There was no significant difference in SAS and SDS scores before delivery between the two groups(P>0.05);The SAS and SDS scores after delivery in the two groups were significantly lower than those before delivery, and the study group was significantly lower than the control group(P<0.05). The incidence of adverse delivery outcomes in the study group was 4.88%(2/41), which was lower than that in the control group(24.39%,10/41), and the difference was statistically significant(χ^(2)=6.248, P=0.012). Conclusion The use of motivational psychological care for parturient delivery can improve the spontaneous delivery rate, regulate the psychological status of parturients, shorten the duration of labor and enhance maternal and fetal outcomes.