CAJ | 학술논문

目的：重点探索产前心理指导是否影响产妇分娩方式。方法挑选的研究对象是2012年3月~2014年3月在我院待产的126例初产妇，将孕妇随机分成例数相同的两组，常规指导应用于63例对照组，心理指导应用于63例观察组，对比两种产妇的分娩方式。结果经过干预之后，初产妇的抑郁及焦虑情况得到了很大的改善，观察组的抑郁及焦虑情况明显优于对照组，两组初产妇的抑郁及焦虑情况有明显差异（<0.05）。对照组的剖宫产率高达52.38%，自然分娩率仅为47.62%。观察组的剖宫产率仅为15.87%，自然分娩率高达84.13%。观察组的自然分娩率明显高于对照组，剖宫产率明显低于对照组。两组初产妇的自然分娩率、剖宫产率有明显差异（<0.05）。结论产前心理指导有利于提高自然分娩率，减少剖宫产率，值得推荐。
목적：중점탐색산전심리지도시부영향산부분면방식。방법도선적연구대상시2012년3월~2014년3월재아원대산적126례초산부，장잉부수궤분성례수상동적량조，상규지도응용우63례대조조，심리지도응용우63례관찰조，대비량충산부적분면방식。결과경과간예지후，초산부적억욱급초필정황득도료흔대적개선，관찰조적억욱급초필정황명현우우대조조，량조초산부적억욱급초필정황유명현차이（<0.05）。대조조적부궁산솔고체52.38%，자연분면솔부위47.62%。관찰조적부궁산솔부위15.87%，자연분면솔고체84.13%。관찰조적자연분면솔명현고우대조조，부궁산솔명현저우대조조。량조초산부적자연분면솔、부궁산솔유명현차이（<0.05）。결론산전심리지도유리우제고자연분면솔，감소부궁산솔，치득추천。
Objective The focus is to explore the impact of maternal prenatal psychological guidance mode of delivery.Methods The subjects were selected March 10,2012 to March 10,2014 in our hospital to be produced 126 cases of early maternal,pregnant women were randomly divided into two groups of the same number of cases,conventional guidance applied to 63 cases in the control group, psychological guidance applied to 63 cases in the observation group,comparison of the two maternal mode of delivery.Results After the intervention,early maternal depression and anxiety situation has been greatly improved,depression and anxiety conditions observation group than the control group,depression and anxiety,the two groups were significantly dif erent primiparas ( <0.05).Cesarean section rate as high as 52.38%in the control group,the natural birth rate was 47.62%.Observation group cesarean section rate was 15.87%,natural birth rate as high as 84.13%.Natural birth rate were significantly higher cesarean section rate was significantly lower than the control group.Natural birth rate of early maternal groups,there are significant dif erences in the cesarean section rate ( <0.05). Conclusion Prenatal psychological guidance wil help improve the natural birth rate and reduce the rate of cesarean section,is recommended.