激励式心理干预对初产妇心理及产程和分娩结局的影响

Effect of Motivational Psychological Intervention on Psychology,Labor Process and Delivery Outcome of Primipara

目的分析激励式心理干预对初产妇心理、产程和分娩结局的影响。方法选择2020年1~6月于本院接受治疗的初产妇80例作为本次研究的对象。随机分为对照组与观察组,每组40例,对照组实施常规干预,观察组实施激励式心理干预。观察两组产妇干预前后心理情绪变化情况、自我护理能力变化情况、不同产程持续时间以及分娩结局。结果干预前,两组产妇心理情绪评分、自我护理能力测定量表(ESCA)评分比较,差异无统计学意义(P>0.05);干预后,两组产妇心理情绪、自我护理能力均得到明显改善,但相对于对照组产妇,观察组产妇焦虑、抑郁情绪更低,ESCA各维度和总分更高,组间、组内两两对比数据差异显著(P<0.05)。两组产妇不同产程持续时间均有所不同,观察组产妇产程短于对照组产妇,组间对比数据存在明显差异(P<0.05)。观察组产妇分娩后卧床时间更短,出血量更少,新生儿评分更高,虽然两组患者均发生了并发症,但观察组产妇仅发生1例产褥期感染,并发症发生率低至2.5%,而对照组产妇并发症发生率高达15%,组间对比数据差异显著(P<0.05)。结论在初产妇分娩过程中,应用激励式心理干预的临床效果显著,不仅能有效改善患者心理情绪和自我护理能力,为后期分娩工作奠定良好的基础,同时也缩短了产程,降低分娩风险,继而改善分娩结局,更好地保证了产妇的生命质量,值得推广。

Objective To analyze effect of motivational psychological intervention on psychology,labor process and delivery outcome of primipara.Methods The paper chose 80 primipara in our hospital from January 2020 to June 2020 as study subjects,and divided them into control group and observation group randomly,with 40 cases in each group.Control group was treated with routine intervention,while observation group with motivational psychological intervention.Changes of psychological emotion,self-care ability,duration of different stages of labor and delivery outcome were observed before and after intervention.Results Before intervention,there was no significant difference between two groups in scores of psychological emotion and self-care ability(ESCA)(P>0.05).After intervention,psychological mood and self-care ability of two groups of parturients were significantly improved,observation group of parturients had lower anxiety and depression,higher ESCA dimensions and total scores than control group,there was significant difference between two groups and within two groups(P<0.05).Duration of different stages of labor in two groups were different,duration of labor in observation group was shorter than control group,there was significant difference between two groups(P<0.05).Observation group had shorter bed rest time,less bleeding and higher neonatal scores after delivery.Although both groups had complications,only one case of puerperal infection occurred in observation group,with complication rate as low as 2.5%,while complication rate in control group was as high as 15%,with significant difference between two groups(P<0.05).Conclusion During delivery of primipara,incentive psychological intervention can achieve significant clinical effect,improve psychological mood and self-care ability,lay good foundation for later delivery,shorten delivery process,reduce delivery risk,and improve delivery outcome effectively,ensure life quality of primipara,which is worthy of promotion.