产前个体化心理干预对产程及分娩结局的有利影响研究
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摘要
目的:探讨产前个体化心理干预对产程及分娩结局的有利影响。方法:选择2016年6月至2018年2月在我院产检并住院分娩的,具备阴道试产条件的孕妇200例,分为实验组和对照组,各100例,对照组行常规产前辅导,实验组行产前个体化心理干预。比较两组干预前与产前焦虑抑郁(HAD)情绪评分、各产程耗时、分娩方式及产妇满意度。结果:实验组的焦虑抑郁评分显著降低,且低于对照组,实验组第一产程及第二产程用时明显少于对照组,实验组自然分娩率高于对照组,而剖宫产率低于对照组,实验组满意率为96. 00%,高于对照组的76. 00%,上述差异均有统计学意义(P <0. 05)。结论:产前个体化心理干预可显著改善产妇的焦虑抑郁情绪,有效缩短产程耗时,提高自然分娩率,降低剖宫产率。
Objective: To explore the beneficial effects of prenatal individualized psychological intervention on labor outcome and delivery outcome. Methods: A total of 200 pregnant women with vaginal trial production were enrolled in our hospital from June 2016 to February 2018. They were divided into experimental group and control group,100 cases each.The control group received routine prenatal counseling. The experimental group performed prenatal individualized psychological intervention. The pre-intervention and prenatal anxiety and depression( HAD) emotional scores,time consuming of each labor,mode of delivery,and maternal satisfaction were compared between the two groups. Results: Before intervention,there was no significant difference in anxiety and depression scores between the two groups( P > 0. 05). The anxiety and depression scores of the prenatal group were significantly lower than those of the control group,the experimental group's incubation period,active period,first stage of labor and second. The time of labor was significantly less than that of the control group. The natural delivery rate of the experimental group was higher than that of the control group,and the cesarean section rate was lower than that of the control group. The satisfaction rate of the experimental group was 96. 00%,which was higher than that of the control group( 76. 00%),with statistical significance( P <0. 05). Conclusion: Prenatal individualized psychological intervention can significantly improve maternal anxiety and depression,effectively shorten the time of labor,increase the rate of natural delivery and reduce the rate of cesarean section.
Objective: To explore the beneficial effects of prenatal individualized psychological intervention on labor outcome and delivery outcome. Methods: A total of 200 pregnant women with vaginal trial production were enrolled in our hospital from June 2016 to February 2018. They were divided into experimental group and control group,100 cases each.The control group received routine prenatal counseling. The experimental group performed prenatal individualized psychological intervention. The pre-intervention and prenatal anxiety and depression( HAD) emotional scores,time consuming of each labor,mode of delivery,and maternal satisfaction were compared between the two groups. Results: Before intervention,there was no significant difference in anxiety and depression scores between the two groups( P > 0. 05). The anxiety and depression scores of the prenatal group were significantly lower than those of the control group,the experimental group's incubation period,active period,first stage of labor and second. The time of labor was significantly less than that of the control group. The natural delivery rate of the experimental group was higher than that of the control group,and the cesarean section rate was lower than that of the control group. The satisfaction rate of the experimental group was 96. 00%,which was higher than that of the control group( 76. 00%),with statistical significance( P <0. 05). Conclusion: Prenatal individualized psychological intervention can significantly improve maternal anxiety and depression,effectively shorten the time of labor,increase the rate of natural delivery and reduce the rate of cesarean section.
引文
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[2]莫应萍,常荷,胡灵芝.孕早期心理干预对焦虑孕妇妊娠结局的影响[J].中国健康教育,2015,31(10):989-991.
[3]李爱梅,彭元,熊冠星.孕妇更长计远虑?---怀孕对女性跨期决策偏好的影响[J].心理学报,2015,47(11):1360-1370.
[4]李珊珊,贝为武,张晓庆,等.孕妇焦虑抑郁状况及其影响因素调查研究[J].中国现代医学杂志,2016,26(24):124-128.
[5]周海燕,李国鹏,厉萍,等.孕妇妊娠感知压力与睡眠质量的关系---心理困扰的中介作用[J].中国心理卫生杂志,2016,30(12):896-900.
[6]Cevik S,Yamur Y.Impact of intolerance of uncertainty on psychological well-being in pregnant women with or without miscarriage risk[J].Perspect Psychiatr Care,2018,54(3):436-440.
[7]冯群,韩庆.孕晚期综合干预对产时认知行为、产程及分娩结局的影响[J].重庆医学,2017,46(9):1266-1268.
[8]孙媛,陈雪,曹静,等.孕妇焦虑抑郁情绪的正念练习效果研究[J].中国实用妇科与产科杂志,2017,33(7):715-720.
[9]贾思侬,宋禹霏,孟晨,等.早期全程运动干预对降低产妇心理焦虑水平的效果评价[J].中国医科大学学报,2018,47(5):458-460.
[10]贾晓敏,郝加虎,朱鹏,等.合肥地区孕妇妊娠早期心理社会应激影响因素分析[J].中国公共卫生,2016,32(3):257-261.
[11]叶永青,梁妮,郑杏珊,等.围生期综合护理服务的应用效果评价[J].广东医学,2016,37(S1):260-262.
[12]Symons Downs D,Savage JS,Rivera DE,et al.Individually Tailored,Adaptive Intervention to Manage Gestational Weight Gain:Protocol for a Randomized Controlled Trial in Women With Overweight and Obesity[J].JMIR Res Protoc,2018,7(6):e150.