聚焦解决模式对初产妇产前情绪、应对方式及分娩结局的影响

Effect of solution focused approach on prenatal emotion,coping style,and delivery outcome of primipara

目的探讨聚焦解决模式对初产妇产前情绪、应对方式及分娩结局的影响。方法选取2020年10月至2022年9月在上海交通大学医学院附属第六人民医院定期产检并分娩的初产妇304例,按照随机数字表法将其分为对照组和观察组,每组152例。对照组予常规干预,观察组予聚焦解决模式干预。比较两组干预前后焦虑自评量表(SAS)、抑郁自评量表(SDS)、简易应对方式量表(SCSQ)评分,记录两组分娩结局。结果干预后,两组SAS、SDS评分较干预前降低,且观察组低于对照组(P<0.05)。干预后,两组积极应对评分较干预前升高,消极应对评分较干预前降低;且观察组积极应对评分高于对照组,消极应对评分低于对照组(P<0.05)。两组分娩方式比较,差异有统计学意义(P<0.05)。结论聚焦解决模式可缓解产前情绪,改善其应对方式与分娩结局。

Objective To investigate the effect of solution focused approach on prenatal emotion,coping style,and delivery outcome of primipara.Methods A total of 304 primiparas who received regular prenatal examination and gave birth in the Sixth People’s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine from October 2020 to September 2022 were selected,and they were divided into control group and observation group according to the random number table method,with 152 cases in each group.The control group received routine intervention,the observation group received solution focused approach.The scores of self-rating anxiety scale(SAS),self-rating depression scale(SDS),and simplified coping style questionnaire(SCSQ)were compared between two groups;and the delivery outcome were recorded.Results After intervention,the scores of SAS and SDS scores of two groups were lower than those before intervention,and those of observation group were lower than those of control group(P<0.05).After intervention,the positive coping scores of two groups were higher that those before intervention,while negative coping scores were lower than those before intervention;and the positive coping score of observation group was higher than that of control group,while the negative coping score was lower than that of control group(P<0.05).There was significant difference in delivery mode between the two groups(P<0.05).Conclusion solution focused approach can relieve prenatal emotion,improve coping style,and delivery outcomes.