分娩产妇的心理护理措施探讨(1)
[摘要] 目的 探讨产妇分娩心理护理方法及效果。方法 随机选取2013年2月—2014年2月于该院分娩的100例产妇为研究对象，并随机分成研究组和对照组两组，每组50例，对照组采取常规护理，研究组在此基础上实施心理护理，对比分析两组的产妇的HAMD评分、SDS评分、自然分娩率、护理满意度及并发症发生率。结果 护理后研究组HAMD评分(16.5±3.3)分，对照组HAMD评分(21.3±1.2)分，研究组SDS(39.3±5.5)分，对照组SDS(46.3±5.3)分，研究组HAMD评分及SDS评分显著低于对照组(P<0.05)。研究组护理满意度92.00%，对照组护理满意度76.00%。自然分娩率研究组58.00%，对照组自然分娩率32.00%，研究组产后并发症发生率4.00%，研究组护理满意度、自然分娩率显著高于对照组，并发症发生显著低于对照组，两组对比差异有统计学意义(P<0.05)。结论 在产妇分娩前、中、后等阶段加强心理护理可改善产妇的心理状态，减轻其心理负性情绪，促进机体康复，值得推广应用。
[关键词] 产妇；分娩；心理护理
[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742(2015)10(a)-0161-03
Psychological Nursing Intervention for Puerperants with Childbirth
SONG Xiao-cha
Department of Obstetrics and Gynecology， The First Affiliated Hospital of Xiamen University Xinglin Branch， Xiamen， Fujian Province， 361022 China
[Abstract] Objective To explore the method and effect of psychological nursing for puerperants with childbirth. Methods 100 puerperants underwent childbirth in our hospital from February 2013 to February 2014 were selected and randomly divided into two groups， the study group and the control group with 50 cases in each. Both groups were treated by the conventional nursing， and the study group was additionally given psychological nursing. The HAMD scores， SDS scores， natural childbirth rate， nursing satisfaction and incidence of complications of the two groups were compared and analyzed. Results After nursing， compared with the control group， the study group had much lower HAMD scores[(16.5±3.3) vs (21.3±1.2)]points， (P<0.05)； obviously lower SDS scores[(39.3±5.5) vs (46.3±5.3)] points， (P<0.05). The study group had much higher level of nursing satisfaction than the control group(92.00% vs 76.00%)(P<0.05). The natural birth rate of the study group was obviously higher than that of the control group (58.00% vs 32.00%) (P<0.05). The incidence of complications was 4.00% in the study group， which was significantly lower than that of the control group (P<0.05). Conclusion Strengthening the psychological nursing for puerperants before， in and after childbirth， can improve the psychological status， reduce the negative mood， and promote the rehabilitation of the body in puerperants， which is worthy of popularization and application.
[Key words] Puerperants； Childbirth； Psychological nursing
孕产期期间，初产妇生理经历着未有的变化，随之会影响心理发生变化，在缺乏医学知识、生产体验的状况下的初产妇多伴有紧张、焦虑、抑郁、担忧等心理负性情绪，对分娩存有恐惧、紧张等心理。有研究报道表示[1-2]，产妇发生抑郁的时间危险因素主要为分娩前阶段及分娩后，在此两阶段产妇心理负性情绪过多、程度过重会可能导致大出血、难产、新生儿窒息等一系列情况发生，加强对产妇分娩前后心理护理至关重要，科学合理的心理护理模式有助于改善母婴结局。该研究随机选取2013年2月—2014年2月该院分娩的100例初产妇为研究对象，对该院实施心理护理的初产妇做出分析，取得了较好的临床效果，现报道如下。 (宋小茶)
[关键词] 产妇；分娩；心理护理
[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742(2015)10(a)-0161-03
Psychological Nursing Intervention for Puerperants with Childbirth
SONG Xiao-cha
Department of Obstetrics and Gynecology， The First Affiliated Hospital of Xiamen University Xinglin Branch， Xiamen， Fujian Province， 361022 China
[Abstract] Objective To explore the method and effect of psychological nursing for puerperants with childbirth. Methods 100 puerperants underwent childbirth in our hospital from February 2013 to February 2014 were selected and randomly divided into two groups， the study group and the control group with 50 cases in each. Both groups were treated by the conventional nursing， and the study group was additionally given psychological nursing. The HAMD scores， SDS scores， natural childbirth rate， nursing satisfaction and incidence of complications of the two groups were compared and analyzed. Results After nursing， compared with the control group， the study group had much lower HAMD scores[(16.5±3.3) vs (21.3±1.2)]points， (P<0.05)； obviously lower SDS scores[(39.3±5.5) vs (46.3±5.3)] points， (P<0.05). The study group had much higher level of nursing satisfaction than the control group(92.00% vs 76.00%)(P<0.05). The natural birth rate of the study group was obviously higher than that of the control group (58.00% vs 32.00%) (P<0.05). The incidence of complications was 4.00% in the study group， which was significantly lower than that of the control group (P<0.05). Conclusion Strengthening the psychological nursing for puerperants before， in and after childbirth， can improve the psychological status， reduce the negative mood， and promote the rehabilitation of the body in puerperants， which is worthy of popularization and application.
[Key words] Puerperants； Childbirth； Psychological nursing
孕产期期间，初产妇生理经历着未有的变化，随之会影响心理发生变化，在缺乏医学知识、生产体验的状况下的初产妇多伴有紧张、焦虑、抑郁、担忧等心理负性情绪，对分娩存有恐惧、紧张等心理。有研究报道表示[1-2]，产妇发生抑郁的时间危险因素主要为分娩前阶段及分娩后，在此两阶段产妇心理负性情绪过多、程度过重会可能导致大出血、难产、新生儿窒息等一系列情况发生，加强对产妇分娩前后心理护理至关重要，科学合理的心理护理模式有助于改善母婴结局。该研究随机选取2013年2月—2014年2月该院分娩的100例初产妇为研究对象，对该院实施心理护理的初产妇做出分析，取得了较好的临床效果，现报道如下。 (宋小茶)