产前心理护理对初产妇分娩及产后情绪的影响

Effect of prenatal psychological nursing on delivery and postpartum mood of primipara

目的 研究产前心理护理干预对初产妇情绪及分娩的影响,为促进初产妇顺利分娩提供帮助。方法 选取2018年8月—2019年8月在天津市滨海新区大港医院分娩的初产妇74例,按照随机数字表法分为对照组和研究组各37例。对照组给予常规护理干预,研究组给予产前心理干预。比较两组产妇生产前及出院时情绪状态评分、第一产程、第二产程、第三产程及生产时的出血量。结果 出院时,研究组SAS、SDS评分为(32.66±4.53)和(35.85±4.33)分,低于对照组的(44.66±5.24)和(46.75±5.65)分,差异均有统计学意义(P<0.05)。两组第一产程比较差异无统计学意义(P>0.05);研究组第二及第三产程均短于对照组,生产时的出血量少于对照组,差异均有统计学意义(P<0.05)。结论 初产妇在产前采取良好的心理护理干预,能够缓解其负面情绪,缩短整体产程时间,减少生产时的出血量,确保产妇安全,值得临床应用。

Objective To study the effect of prenatal psychological nursing intervention on primiparas’ mood and delivery,so as to provide help for the smooth delivery of primiparas.Methods A total of 74primiparas who gave birth in Tianjin Binhai New Area Dagang Hospital from August 2018 to August 2019were selected and divided into the control group and the study group with 37 cases in each group,according to random number table method.The control group was given routine nursing intervention,and the study group was given prenatal psychological intervention.The emotional state score,the first stage of labor,the second stage of labor,the third stage of labor and the amount of bleeding during labor were compared between the two groups.The emotional state score,the first stage of labor,the second stage of labor,the third stage of labor and the amount of bleeding during labor were compared between the two groups.Results At the time of discharge,the SAS and SDS scores of the study group were(32.66±4.53)and(35.85±4.33)points,which were lower than those of the control group with(44.66 ±5.24)and(46.75 ±5.65)points,and the differences were statistically significant(P<0.05).There was no significant difference in the first stage of labor between the two groups(P>0.05);the second and third stages of labor in the study group were shorter than those in the control group,and the amount of bleeding during labor was lower than that in the control group,and the differences were statistically significant(P<0.05).Conclusion Good psychological nursing intervention for primiparas before delivery could alleviate their negative emotions,shorten the overall labor process,reduce the amount of bleeding,and ensure the safety of primiparas,which was worthy of clinical application.