分娩预演对初产妇认知程度、心理状态及妊娠结局的影响
|
摘要
目的:观察分娩预演对初产妇认知程度、心理状态及妊娠结局的影响。方法:以抽签法将我院收治96例初产妇随机分为两组,各48例,对照组给予常规产前教育,实验组在其基础上给予分娩预演培训,观察并比较两组干预前后认知水平、焦虑自评量表(SAS)与抑郁自评量表(SDS)评分、分娩方式意向与妊娠结局。结果:干预后,实验组SAS(t=8.750,P<0.001)、SDS(t=3.007,P=0.002)评分均明显低于对照组,分娩态度(t=6.430,P<0.001)、妊娠知识(t=7.327,P<0.001)及产时应对(t=9.140,P<0.001)评分均明显高于对照组;实验组剖宫产率明显低于对照组且自然分娩率明显高于对照组(χ~2=6.554,P<0.05);实验组产后出血(χ~2=6.095,P=0.014)、感染(χ~2=5.031,P=0.025)及新生儿窒息(χ~2=7.551,P=0.006)发生率均明显低于对照组。结论:对初产妇进行分娩预演,可有效提高初产妇认知程度,减少其焦虑、抑郁等不良心理,改善分娩方式的选择及妊娠结局。
Objective:To observe the effect of childbirth rehearsal on the cognition degree,mental state and pregnancy outcomes of primiparas.Methods:A total of 96 primiparas in our hospital were randomly divided into 2groups,48 cases in each group.The control group were given routine prenatal education,while the experimental group were given childbirth rehearsal training.The cognitive level,scores of Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS),delivery mode and pregnancy outcomes were observed and compared between the 2groups before and after the intervention.Results:After the intervention,the SAS score(t=8.750,P<0.001)and SDS score(t=3.007,P<0.01)of the experimental group were significantly lower than those of the control group,while scores of attitude toward labor(t=6.430,P<0.001),pregnancy knowledge(t=7.327,P<0.001)and intrapartum response(t=9.140,P<0.001)were significantly higher than those of the control group.The cesarean section rate of the experimental group was significantly lower than that of the control group and the natural delivery rate was significantly higher than that of the control group(χ~2=6.554,P<0.05).The incidence rates of postpartum hemorrhage(χ~2=6.095,P=0.014),infection(χ~2=5.031,P<0.05)and neonatal asphyxia(χ~2=7.551,P<0.01)in the experimental group were significantly lower than those in the control group.Conclusion:Childbirth rehearsal can effectively improve the cognitive level of primiparas,reduce their anxiety and depression,improve the selection of delivery mode and pregnancy outcomes.
Objective:To observe the effect of childbirth rehearsal on the cognition degree,mental state and pregnancy outcomes of primiparas.Methods:A total of 96 primiparas in our hospital were randomly divided into 2groups,48 cases in each group.The control group were given routine prenatal education,while the experimental group were given childbirth rehearsal training.The cognitive level,scores of Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS),delivery mode and pregnancy outcomes were observed and compared between the 2groups before and after the intervention.Results:After the intervention,the SAS score(t=8.750,P<0.001)and SDS score(t=3.007,P<0.01)of the experimental group were significantly lower than those of the control group,while scores of attitude toward labor(t=6.430,P<0.001),pregnancy knowledge(t=7.327,P<0.001)and intrapartum response(t=9.140,P<0.001)were significantly higher than those of the control group.The cesarean section rate of the experimental group was significantly lower than that of the control group and the natural delivery rate was significantly higher than that of the control group(χ~2=6.554,P<0.05).The incidence rates of postpartum hemorrhage(χ~2=6.095,P=0.014),infection(χ~2=5.031,P<0.05)and neonatal asphyxia(χ~2=7.551,P<0.01)in the experimental group were significantly lower than those in the control group.Conclusion:Childbirth rehearsal can effectively improve the cognitive level of primiparas,reduce their anxiety and depression,improve the selection of delivery mode and pregnancy outcomes.
引文
[1]彭玉凤.音乐疗法配合心理激励对初产妇心理和分娩结局的影响[J].中国健康心理学杂志,2017,25(7):1086-1089
[2]陶旻枫,丁辉,游川,等.北京市围产营养门诊妊娠期糖尿病孕妇的焦虑、抑郁状况及相关影响因素[J].神经疾病与精神卫生,2017,17(4):257-260
[3]赵宝玉.阶段性健康教育对初产妇的负性情绪、疼痛程度和分娩方式的影响[J].医学临床研究,2017,34(5):886-888
[4]杨蜀云,苏虹,阮冶,等.围产期抑郁、焦虑的现况调查[J].神经疾病与精神卫生,2015,15(1):50-52
[5]刘丽,段颖欣,王蕊.临床应用导乐分娩对初产妇心理的影响[J].中国健康心理学杂志,2014,22(9):1331-1332
[6]杨灿,王高华,朱志先,等.抑郁与痴呆:不可忽略的联系[J].神经疾病与精神卫生,2016,16(1):94-96
[7]Vlachopouslos C,Kosmopoulou F,Alexopoulous N,et al.Acute mental stress has a prolonged unfavorable effect[J].Psycho Som Med,2006,68(2):231-237
[8]毛志芬.健康教育对初产妇产褥期相关知信行的影响[J].中国基层医药,2016,23(14):2234-2237
[9]唐健梅,闫丽盈.亲属陪护联合志愿者爱心教育对产妇分娩方式及产褥期行为的影响[J].西部医学,2015,27(9):1406-1408Tang Jianmei,Yan Liying.Impact of relatives care and volunteer education on mode of delivery and postpartum maternal behavior[J].Medical Journal of West China,2015,27(9):1406-1408
[10]曾榕,丁爱华.孕妇心理因素对分娩方式及妊娠结局的影响[J].中国健康心理学杂志,2017,25(12):1812-1814
[11]张艳,徐惠英,陈明珠,等.孕妇产前分娩预演培训的效果[J].护理学杂志,2016,31(20):10-12
[12]Paavilainen T,Kurki T,Farkkila M,et al.Lower brain diffusivity in postpartum period compared to late pregnancy:results from a prospective imaging study of multiple sclerosis patients[J].Neuroradiology,2012,54(8):823-828
[13]李群立.产前护理教育对初产妇心理状态及分娩结局的影响[J].蚌埠医学院学报,2015,40(7):981-983
[14]周燕.产程早期体位干预对初产妇自我效能、分娩控制感及分娩方式的影响[J].江苏医药,2016,42(7):845-846
[15]廖红,李婉容,李明丽.护理干预对初产妇分娩方式及母乳喂养的影响[J].河北医学,2016,22(7):1182-1184
[16]黎艳琼,刘荣添.对初产妇加用微信公众平台健康教育效果的观察[J].中国医药导刊,2015,17(3):317-318
[17]程琦.产程早期体位干预对初产妇自我效能分娩控制感及分娩方式的影响[J].中国药物与临床,2015,15(8):1166-1168
[18]刘哲奕.孕期情景模拟访视对初产妇焦虑及分娩结局的影响[J].护理管理杂志,2015,15(7):503-505
[19]秦静.分娩预演对初产妇分娩自我效能及分娩结局的影响[J].中国急救医学,2016,36(z1):37-38
[20]吕连玉,孙莉娟.分娩预演对初产妇自我效能和产后抑郁情绪的影响[J].中华现代护理杂志,2015,21(1):44-46
[2]陶旻枫,丁辉,游川,等.北京市围产营养门诊妊娠期糖尿病孕妇的焦虑、抑郁状况及相关影响因素[J].神经疾病与精神卫生,2017,17(4):257-260
[3]赵宝玉.阶段性健康教育对初产妇的负性情绪、疼痛程度和分娩方式的影响[J].医学临床研究,2017,34(5):886-888
[4]杨蜀云,苏虹,阮冶,等.围产期抑郁、焦虑的现况调查[J].神经疾病与精神卫生,2015,15(1):50-52
[5]刘丽,段颖欣,王蕊.临床应用导乐分娩对初产妇心理的影响[J].中国健康心理学杂志,2014,22(9):1331-1332
[6]杨灿,王高华,朱志先,等.抑郁与痴呆:不可忽略的联系[J].神经疾病与精神卫生,2016,16(1):94-96
[7]Vlachopouslos C,Kosmopoulou F,Alexopoulous N,et al.Acute mental stress has a prolonged unfavorable effect[J].Psycho Som Med,2006,68(2):231-237
[8]毛志芬.健康教育对初产妇产褥期相关知信行的影响[J].中国基层医药,2016,23(14):2234-2237
[9]唐健梅,闫丽盈.亲属陪护联合志愿者爱心教育对产妇分娩方式及产褥期行为的影响[J].西部医学,2015,27(9):1406-1408Tang Jianmei,Yan Liying.Impact of relatives care and volunteer education on mode of delivery and postpartum maternal behavior[J].Medical Journal of West China,2015,27(9):1406-1408
[10]曾榕,丁爱华.孕妇心理因素对分娩方式及妊娠结局的影响[J].中国健康心理学杂志,2017,25(12):1812-1814
[11]张艳,徐惠英,陈明珠,等.孕妇产前分娩预演培训的效果[J].护理学杂志,2016,31(20):10-12
[12]Paavilainen T,Kurki T,Farkkila M,et al.Lower brain diffusivity in postpartum period compared to late pregnancy:results from a prospective imaging study of multiple sclerosis patients[J].Neuroradiology,2012,54(8):823-828
[13]李群立.产前护理教育对初产妇心理状态及分娩结局的影响[J].蚌埠医学院学报,2015,40(7):981-983
[14]周燕.产程早期体位干预对初产妇自我效能、分娩控制感及分娩方式的影响[J].江苏医药,2016,42(7):845-846
[15]廖红,李婉容,李明丽.护理干预对初产妇分娩方式及母乳喂养的影响[J].河北医学,2016,22(7):1182-1184
[16]黎艳琼,刘荣添.对初产妇加用微信公众平台健康教育效果的观察[J].中国医药导刊,2015,17(3):317-318
[17]程琦.产程早期体位干预对初产妇自我效能分娩控制感及分娩方式的影响[J].中国药物与临床,2015,15(8):1166-1168
[18]刘哲奕.孕期情景模拟访视对初产妇焦虑及分娩结局的影响[J].护理管理杂志,2015,15(7):503-505
[19]秦静.分娩预演对初产妇分娩自我效能及分娩结局的影响[J].中国急救医学,2016,36(z1):37-38
[20]吕连玉,孙莉娟.分娩预演对初产妇自我效能和产后抑郁情绪的影响[J].中华现代护理杂志,2015,21(1):44-46