感染乙型肝炎病毒孕妇心理社会干预的对照研究

Comparative study of psychological social intervention in pregnant women with infected HBV

目的 对感染乙型肝炎病毒 (HBV)孕妇采取前瞻性随机对照研究 ,探讨心理社会干预的效果。方法 选择 12 0例感染HBV孕妇 ,随机分为干预组 (60例 )和对照组 (60例 )。干预组接受系统的医学科普教育和心理社会干预 ,对照组仅发给孕妇医学科普读物 ,自然观察。两组孕妇分别于入组前和妊娠中、晚期评测SCL 90量表分值和随访肝功能变化 ;并记录孕妇分娩时的身高、体重、孕周和新生儿体重。结果 干预组孕妇SCL 90量表焦虑、抑郁、恐惧评分值 ,体重 ,孕周 ,ALT值与对照组比较差异显著 (P <0 .0 5或 0 .0 1)。干预组孕妇不良情绪明显好转 ,病毒性肝炎发病率明显下降。结论 对HBV感染孕妇及时给予系统的医学科普教育和心理社会干预 ,是促进其身心健康和优生优育的行之有效的方法 ,应大力倡导和推广应用。

Objective To explored the effect of psychological social intervention on pregnant women with infected HBV. Methods 120 pregnants were randomly divided into intervention group(60 cases) and control group(60 cases). The intervention group receives systematic psychological social intervention. While the control group was given relevant medical general reading material only.The following study induded evaluating SCL-90 quantity value,the change of liver function,record newborn son weight and pregnancy weeks in the two groups of pregnant woman. Results After the systematic psychological social intervention, compared to the control group, The SCL-90 value of intervention group have marked differences( P <0.05and0.01),which indicates that the symptom, inferior mood and liver function of intervention group have got obvious improvements. Conclusion Timely systematic psychological social intervention to the pregnant women with infected HBV is an effective method for their recovery and worth spread application.