不良妊娠孕产妇的心理分析及护理对策(精选).docVIP

此文章2010.4发表于《健康大视野》 不 良 妊 娠 孕 产 妇 的 心 理 分 析 及 护 理 对 策 陈少敏 梁淑贞 陈爱容 吴云清 麦带英 陈翠红 （肇庆市第一人民医院产科，广东 肇庆 526021） [摘要] 目的：探讨不良妊娠孕产妇的心理特征及护理对策。方法：分析56例不良妊娠孕产妇的心理特征。结果：56例不良妊娠孕产妇中，具有多种心理改变，包括震惊与否认、悲伤和内疚、紧张和焦虑以及潜在角色转换不适应，其中震惊与否认是不良妊娠孕产妇最早出现的心理反应，悲伤和内疚是最突出的心理问题，采取相应的护理措施后均康复出院。结论：通过分析不良妊娠孕产妇的心理特征，做好各项护理措施，有助于改善其不良心理状态，使她们恢复自信心，促进身心康复，为优生优育打下良好基础，应引起我们足够的重视。 [关键词] 不良妊娠 孕产妇 心理 护理 Psychoanalysis and Nursing Strategy of Pregnant Women with Adverse Pregnancy Chen Shaomin Liang Shuzhen Chen Airong Wu yunqing Mai Daiying Chen Cuihong (the First Peoples Hospital of ZhaoQing, Guang Dong Zhao Qing 526021) [Abstract]Objective: To improve the psychological characteristics and nursing strategy of pregnant women with adverse pregnancy. Methods: Analyzing on psychological characteristics of 56 pregnant women with adverse pregnancy. Results:There are many kinds of psychology changes among 56 pregnant women , including: shocking and denial, grief and guilt, nervousness and anxiety and inadaptation to potential role conversion,among them shocking and denial were the earliest psychological reaction , grief and guilt were the most outstanding psychological problems.After taking corresponding nursing measures ,all patients were recovery. Conclutions:To analyze the psychological characteristics of pregnant women, take good all kinds of nursing measures,which is helpful to improve poor outcome, recovery their self-confidence, promote physical and psychological rehabilitation, lay a good foundation to prepotency.We should draw enough attention. [Keywords] Adverse Pregnancy ; Pregnant Women; Psychology ;Nursing 由于胎儿畸形、不明原因死胎、宫内停止发育或妊娠合并疾病不宜继续妊娠等种种原因而必须终止的妊娠，此种状况孕产妇不得不做引产术，故统称为不良妊娠。这类孕产妇及家属往往存在明显的心理负担，直接影响孕产妇的身心健康，因而做好孕产妇心理护理工作显得尤为重要[1]。在临床护理中要根据她们的心理需求，采取不同的心理支持，以提高孕产妇引产过程中的有效性和安全性，并提醒孕产妇及家属对下次妊娠采取谨慎的态度，对提高出生人口素质发挥积极的作用。 1 一般资料 2008年1月～12月在本院住院分娩的不良妊娠引产56例，孕产妇年龄20～36岁，平均27岁，孕周16～36+周，其中，城镇人员34例，农村人员22例，在本院系统产前检查24例，外院系统产前检查18例，无系统产前检查14例。 不良妊娠孕产妇的心理特征 当孕产妇被告知为不良妊娠时,会出现各种不