心理护理干预对高危妊娠产妇80例护理影响分析(1)
摘要：目的：探讨心理护理干预对高危妊娠产妇分娩方式与妊娠结局的影响。方法：以我院妇产科2014年1月至2014年12月期间收治的100例高危妊娠产妇作为本组研究的观察对象，随机将其健康观察组与对照组各50例，对照组给予护理，观察组在常规护理的基础上开展心理护理干预，比较两组产妇的分娩方式及妊娠结局。结果：(1)分娩方式：观察组中阴道自然分娩36例，剖宫产14例，剖宫产率为28%；对照组中经阴道自然分娩22例，剖宫产28例，剖宫产率为56%，明显高于观察组，具有统计学意义，P<0.05。(2)观察组出现产后出血4例、胎儿窘迫2例、新生儿窒息1例，发生率均明显低于对照组，具有统计学意义，P<0.05。结论：针对高危妊娠产妇的心理特点开展相应的心理干预护理，能够明显减少剖宫产率，提高分娩安全性。
关键词： 心理护理；分娩方式；高危妊娠；护理
Abstract： Objective： To investigate the effect of psychological nursing intervention on the delivery mode and the pregnant outcome of the high risk pregnant women..Methods： To my courtyard department of gynaecology and obstetrics January 2014 to December 2014 admitted during the period of 100 cases with high risk pregnant women as the study object of observation randomly the health of the observation group and the control group with 50 cases in each， control group were given nursing， observation group on the basis of routine nursing care to carry out psychological nursing intervention， compared two groups of maternal mode of delivery and pregnancy outcome.Results： (1) the mode of delivery： in the observation group 36 cases with spontaneous vaginal delivery， cesarean section birth in 14 cases， the rate of cesarean section was 28%； in the control group 22 cases by vaginal delivery， cesarean section 28 cases， the rate of cesarean section was 56%， significantly higher than the observation group， with statistical significance， P < 0.05).(2) 4 cases of postpartum hemorrhage， 2 cases of fetal distress， 1 cases of neonatal asphyxia， the incidence rate were significantly lower than the control group， with statistical significance， P < 0.05.？Conclusion： The psychological characteristics of the high-risk pregnancy maternal psychological intervention， can significantly reduce the rate of cesarean section， improve delivery safety.
, http://www.100md.com
Keywords： psychological nursing， delivery mode， high risk pregnancy， nursing
近年来，随着人们生育观念以及我国生育政策的改变，临床中产妇的平均年龄有明显提高，高危妊娠产妇的数量也随之增加。高危妊娠产妇经常伴有焦虑、忧郁、恐慌等不良情绪，尤其是初产妇，会因为畏惧疼痛而盲目选择剖宫产[1]。另外，高危妊娠还会引起难产、胎儿窘迫、窒息等情况，严重威胁产妇与胎儿的生命安全。本文中将探讨心理护理干预对高危妊娠产妇分娩方式与妊娠结局的影响，具体报告如下。
1资料与方法
1.1临床资料
以我院妇产科2014年1月至2014年12月期间收治的100例高危妊娠产妇作为本组研究的观察对象，随机将其健康观察组与对照组各50例。对照组年龄20-39岁，平均(26.61±5.53)岁；孕周37-42周，平均(39.62±1.64)周；初产妇31例，经产妇19例；合并心脏病17例、糖尿病13例、妊高症20例。观察组年龄20-38岁，平均(26.16±6.36)岁；孕周36-42周，平均(38.77±1.47)周；初产妇33例，经产妇17例；合并心脏病19例、糖尿病15例、妊高症16例。所有产妇均为单胎，排除伴有肝肾功能障碍、精神障碍患者，且在年龄、孕周，孕次、合并症方面无明显差异，具有可比性。
1.2方法
对照组给予护理，观察组在常规护理的基础上开展心理护理干预，具体方法如下：, 百拇医药(巫铭)
关键词： 心理护理；分娩方式；高危妊娠；护理
Abstract： Objective： To investigate the effect of psychological nursing intervention on the delivery mode and the pregnant outcome of the high risk pregnant women..Methods： To my courtyard department of gynaecology and obstetrics January 2014 to December 2014 admitted during the period of 100 cases with high risk pregnant women as the study object of observation randomly the health of the observation group and the control group with 50 cases in each， control group were given nursing， observation group on the basis of routine nursing care to carry out psychological nursing intervention， compared two groups of maternal mode of delivery and pregnancy outcome.Results： (1) the mode of delivery： in the observation group 36 cases with spontaneous vaginal delivery， cesarean section birth in 14 cases， the rate of cesarean section was 28%； in the control group 22 cases by vaginal delivery， cesarean section 28 cases， the rate of cesarean section was 56%， significantly higher than the observation group， with statistical significance， P < 0.05).(2) 4 cases of postpartum hemorrhage， 2 cases of fetal distress， 1 cases of neonatal asphyxia， the incidence rate were significantly lower than the control group， with statistical significance， P < 0.05.？Conclusion： The psychological characteristics of the high-risk pregnancy maternal psychological intervention， can significantly reduce the rate of cesarean section， improve delivery safety.
, http://www.100md.com
Keywords： psychological nursing， delivery mode， high risk pregnancy， nursing
近年来，随着人们生育观念以及我国生育政策的改变，临床中产妇的平均年龄有明显提高，高危妊娠产妇的数量也随之增加。高危妊娠产妇经常伴有焦虑、忧郁、恐慌等不良情绪，尤其是初产妇，会因为畏惧疼痛而盲目选择剖宫产[1]。另外，高危妊娠还会引起难产、胎儿窘迫、窒息等情况，严重威胁产妇与胎儿的生命安全。本文中将探讨心理护理干预对高危妊娠产妇分娩方式与妊娠结局的影响，具体报告如下。
1资料与方法
1.1临床资料
以我院妇产科2014年1月至2014年12月期间收治的100例高危妊娠产妇作为本组研究的观察对象，随机将其健康观察组与对照组各50例。对照组年龄20-39岁，平均(26.61±5.53)岁；孕周37-42周，平均(39.62±1.64)周；初产妇31例，经产妇19例；合并心脏病17例、糖尿病13例、妊高症20例。观察组年龄20-38岁，平均(26.16±6.36)岁；孕周36-42周，平均(38.77±1.47)周；初产妇33例，经产妇17例；合并心脏病19例、糖尿病15例、妊高症16例。所有产妇均为单胎，排除伴有肝肾功能障碍、精神障碍患者，且在年龄、孕周，孕次、合并症方面无明显差异，具有可比性。
1.2方法
对照组给予护理，观察组在常规护理的基础上开展心理护理干预，具体方法如下：, 百拇医药(巫铭)