全孕期心理管理对伴异常情绪的不良孕产史孕妇心理状况及妊娠结局的影响

Influence of Psychological Management Throughout Pregnancy on Psychological State and Pregnancy Outcomes of Pregnant Women with Advance Pregnancy History and Abnormal Emotions

目的分析全孕期心理管理对伴异常情绪的不良孕产史孕妇心理状况及妊娠结局的影响。方法选取2020年1月至2023年1月郑州大学第一附属医院收治的100例不良孕产史孕妇,随机分为试验组和参照组,各50例。参照组接受常规干预,试验组在参照组基础上接受全孕期心理管理。对比两组心理状态[抑郁自评量表(SDS)、焦虑自评量表(SAS)]、一般自我效能感量表(GSES)、生活质量指数量表(QLI)评分、胎儿不良结局、孕妇不良结局。结果干预后,试验组SDS评分、SAS评分较参照组低,GSES、QLI评分评分较参照组高(P<0.05);胎儿、孕妇不良结局发生率较参照组低(P<0.05)。结论对异常情绪的不良孕产史孕妇实施全孕期心理管理可减轻负性情绪,提高自我效能,减少不良妊娠。

Objective To analyze the effects of psychological management throughout pregnancy on the psychological status and pregnancy outcomes of pregnant women with abnormal emotions and adverse pregnancy history.Methods A total of 100 pregnant women with adverse pregnancy and childbirth history admitted to the First Affiliated Hospital of Zhengzhou University from January 2020 to January 2023 were randomly divided into an experimental group and a reference group,with 50 cases in each group.The reference group received routine intervention,while the experimental group received full pregnancy psychological management on the basis of the reference group.Psychological states[self rating depression scale(SDS),self rating anxiety scale(SAS)],general self efficacy scale(GSES),quality of life index(QLI)scores,adverse fetal outcomes,and adverse maternal outcomes of two groups were compared.Results After intervention,the SDS and SAS scores of the experimental group were lower than those of the control group,while the GSES and QLI scores were higher than those of the control group(P<0.05).The incidence of adverse outcomes in fetuses and pregnant women was lower than that in the control group(P<0.05).Conclusion Implementing full pregnancy psychological management for pregnant women with a history of adverse pregnancy and childbirth due to abnormal emotions can reduce negative emotions,improve self-efficacy,and reduce adverse pregnancies.