中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2014年
26期
104-106
,共3页
心理护理干预%临产妇%分娩过程%分娩结局
心理護理榦預%臨產婦%分娩過程%分娩結跼
심리호리간예%임산부%분면과정%분면결국
Psychological nursing intervention%Parturient%Delivery process%Delivery outcome
目的：观察心理护理干预应用于临产妇分娩过程中的效果。方法选取2013年2月~2014年2月于江苏省无锡市妇幼保健院进行分娩的临产妇共148例，将其分为研究组与对照组。对照组74例予以常规护理，研究组74例在对照组基础上予以心理护理干预。比较两组产妇分娩过程各项评分情况、各产程时间及分娩前后两组抑郁自评量表评分(SDS)、焦虑自评量表评分(SAS)、汉密尔顿抑郁量表评分(HAMD)等量表评分。结果研究组产后出血评分为(1.47±1.04)分，新生儿Apgar评分为(9.47±0.52)分，显著优于对照组[(4.52±0.36)、(5.23±1.18)分]，差异均有统计学意义(P<0.05)；研究组总产程为(8.86±1.02)h，显著少于对照组[(13.87±1.64)h]，差异有统计学意义(P<0.05)；研究组分娩后SDS、SAS、HAMD分别为(41.28±1.37)、(40.06±2.24)、(4.35±0.08)分，均显著低于对照组[(50.61±1.87)、(51.75±5.49)、(8.65±1.72)分]，差异均有统计学意义(P<0.05)。结论心理护理干预应用于临产妇分娩过程中，能够有效缓解产妇的紧张、恐惧情绪，同时降低分娩中危险情况的发生率，保障分娩顺利进行，提升分娩安全性，具有临床应用价值。
目的：觀察心理護理榦預應用于臨產婦分娩過程中的效果。方法選取2013年2月~2014年2月于江囌省無錫市婦幼保健院進行分娩的臨產婦共148例，將其分為研究組與對照組。對照組74例予以常規護理，研究組74例在對照組基礎上予以心理護理榦預。比較兩組產婦分娩過程各項評分情況、各產程時間及分娩前後兩組抑鬱自評量錶評分(SDS)、焦慮自評量錶評分(SAS)、漢密爾頓抑鬱量錶評分(HAMD)等量錶評分。結果研究組產後齣血評分為(1.47±1.04)分，新生兒Apgar評分為(9.47±0.52)分，顯著優于對照組[(4.52±0.36)、(5.23±1.18)分]，差異均有統計學意義(P<0.05)；研究組總產程為(8.86±1.02)h，顯著少于對照組[(13.87±1.64)h]，差異有統計學意義(P<0.05)；研究組分娩後SDS、SAS、HAMD分彆為(41.28±1.37)、(40.06±2.24)、(4.35±0.08)分，均顯著低于對照組[(50.61±1.87)、(51.75±5.49)、(8.65±1.72)分]，差異均有統計學意義(P<0.05)。結論心理護理榦預應用于臨產婦分娩過程中，能夠有效緩解產婦的緊張、恐懼情緒，同時降低分娩中危險情況的髮生率，保障分娩順利進行，提升分娩安全性，具有臨床應用價值。
목적：관찰심리호리간예응용우임산부분면과정중적효과。방법선취2013년2월~2014년2월우강소성무석시부유보건원진행분면적임산부공148례，장기분위연구조여대조조。대조조74례여이상규호리，연구조74례재대조조기출상여이심리호리간예。비교량조산부분면과정각항평분정황、각산정시간급분면전후량조억욱자평량표평분(SDS)、초필자평량표평분(SAS)、한밀이돈억욱량표평분(HAMD)등량표평분。결과연구조산후출혈평분위(1.47±1.04)분，신생인Apgar평분위(9.47±0.52)분，현저우우대조조[(4.52±0.36)、(5.23±1.18)분]，차이균유통계학의의(P<0.05)；연구조총산정위(8.86±1.02)h，현저소우대조조[(13.87±1.64)h]，차이유통계학의의(P<0.05)；연구조분면후SDS、SAS、HAMD분별위(41.28±1.37)、(40.06±2.24)、(4.35±0.08)분，균현저저우대조조[(50.61±1.87)、(51.75±5.49)、(8.65±1.72)분]，차이균유통계학의의(P<0.05)。결론심리호리간예응용우임산부분면과정중，능구유효완해산부적긴장、공구정서，동시강저분면중위험정황적발생솔，보장분면순리진행，제승분면안전성，구유림상응용개치。
Objective To observe the effect of psychological nursing intervention in the process of parturient delivery. Methods The study data were from 148 cases of parturient patients for childbirth in Wuxi Maternity and Child Care Hospital from February 2013 to February 2014, which were divided into study group and control group. 74 patients in the control group were received routine nursing, while 74 cases in the study group were treated with psychological nurs-ing intervention plus routine nursing. Varions grading puerpera childbirth and the labor time were compared between two groups. The anxiety and depression scale score of self-rating depression scale(SDS), self-rating anxiety scale (SAS) and hamilton depression scale (HAMD) of two groups of parturient patients were compared before and after delivery. Results The postpartum bleeding score of study group was (1.47±1.04) scores and the infant Apgar score was (9.47±0.52) scores, which were both significantly better than those in the control group [(4.52±0.36), (5.23±1.18) scores], there were statistically significant differences (P<0.05). The total stage of labor of study group was (8.86±1.02) h, which was significantly less than that of the control group [(13.87±1.64) h], there was statistically significant difference (P<0.05). Scores of SDS, SAS and HAMD of the study group after delivery were (41.28±1.37), (40.06±2.24), (4.35±0.08) scores respectively, which were significantly lower than those of the control group [(50.61±1.87), (51.75±5.49), (8.65±1.72) scores], there were statistically significant differences (P < 0.05). Conclusion The psychological nursing intervention applied in the process of parturient women’s delivery can effectively alleviate maternal tension and fear and reduce the incidence of risk, which can ensure smooth delivery and improve safety of delivery, thus worth of clinical application.
