CAJ | 학술논문

目的：探讨心理护理干预对产妇分娩方式影响，为临床工作提供参考。方法选取2012年2月～2013年4月期间我院妇产科收治的100例产妇作为本组研究的观察对象，按照入院先后顺序将其分为观察组与对照组各50例。对照组给予常规护理，观察组在常规护理的基础上给予相应心理护理，比较两组产妇的分娩方式以及Apgar评分等情况。结果（1）分娩方式：观察组经阴道自然分娩37例，剖宫产13例，其中有4例为阴道试产不成功转为剖宫产，剖宫产率为26%；对照组经阴道自然分娩21例，剖宫产29例，其中有2例为阴道试产不成功转为剖宫产，剖宫产率为58%，明显高于观察组，差异明显，具有统计学意义（P＜0.05）。（2）Apgar评分：观察组新生儿出生后1min的Apgar评分情况明显优于对照组，具有统计学意义（P＜0.05）。结论通过在产前针对产妇的心理特点开展相应的心理干预护理，可以有效提高阴道自然分娩率，而且对新生儿出生Apgar评分有所改善。
목적：탐토심리호리간예대산부분면방식영향，위림상공작제공삼고。방법선취2012년2월～2013년4월기간아원부산과수치적100례산부작위본조연구적관찰대상，안조입원선후순서장기분위관찰조여대조조각50례。대조조급여상규호리，관찰조재상규호리적기출상급여상응심리호리，비교량조산부적분면방식이급Apgar평분등정황。결과（1）분면방식：관찰조경음도자연분면37례，부궁산13례，기중유4례위음도시산불성공전위부궁산，부궁산솔위26%；대조조경음도자연분면21례，부궁산29례，기중유2례위음도시산불성공전위부궁산，부궁산솔위58%，명현고우관찰조，차이명현，구유통계학의의（P＜0.05）。（2）Apgar평분：관찰조신생인출생후1min적Apgar평분정황명현우우대조조，구유통계학의의（P＜0.05）。결론통과재산전침대산부적심리특점개전상응적심리간예호리，가이유효제고음도자연분면솔，이차대신생인출생Apgar평분유소개선。
Objective To explore the effect of psychological nursing intervention on delivery modes, provides the reference for the clinical work. Methods 100 cases of maternal gynaecology and obstetrics were divided into the observation group and the control group with 50 cases in each group. The control group was given conventional nursing, the observation group was given psychological nursing on the basis of routine care. Compared the mode of delivery and Apgar score in the two groups Results (1) The cesarean section rate in observation group was 26%, the control group was 58%, the difference is obvious. (2) The Apgar score of 1min after the birth was signiifcantly better in the observation group. Conclusion The psychological characteristics of the maternal psychological interventions in prenatal can effectively improve the rate of spontaneous vaginal delivery, and neonatal Apgar score was improved.