心理干预在妊娠期糖尿病剖宫产前孕妇中的应用价值分析.docVIP

心理干预在妊娠期糖尿病剖宫产前孕妇中的应用价值分析 韩敏 山东省枣庄市立医院 妇产科 【摘要】目的 观察心理干预在妊娠期糖尿病剖宫产前孕妇中的应用价值。方法 选取2012年2月至2014年1月在我院产科实施剖宫产手术的妊娠期糖尿病孕妇153例，经数字表法随机分为观察组77例和对照组76例。对照组给予常规护理，观察组在对照组的基础上给予心理干预。观察两组孕妇术前焦虑和抑郁情况、术中生命体征以及术后恢复情况。结果 观察组的焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分分别为(51.39±5.76)分、（48.35±5.01）分，对照组的分别为（58.70±6.14）分、（56.82±5.49）分，两组的SAS评分、SDS评分差异均有统计学意义（P＜0.05）；观察组术中呼吸、心率、收缩压、舒张压、出血量等指标分别为（20.85±1.67）次/min、（78.29±6.71）次/min、（104.82±13.68）mmHg、（76.43±11.84）mmHg和（263.79±46.72）ml，对照组的分别为（25.93±2.10）次/min、（96.47±8.55）次/min、（127.45±15.36）mmHg、（87.04±13.56）mmHg和（326.18±53.45）ml，两组上述指标差异均亦有统计学意义（P＜0.05）；术后2d内观察组产妇术后疼痛发生率为62.34%，食欲恢复率为97.40%，并发症发生率为14.29，对照组的分别为85.53%、90.79%、40.79%，两组上述指标差异均亦有统计学意义（P＜0.05）。结论 对妊娠期糖尿病计划剖宫产的孕妇进行产前心理干预，能够有效地缓解孕妇焦虑、恐惧的负性心理，利于术中生命体征的稳定，使手术能够顺利进行，并利于术后恢复。 【关键词】心理干预；妊娠期糖尿病；剖宫产术； Psychological intervention in pregnant women with gestational diabetes before cesarean Value Analysis Application [Abstract] Objective: To observe the value of psychological care in pregnant women with gestational diabetes before the cesarean section.Method: 153 cases of gestational diabetes with cesarean section were choosed in our hospital obstetric from February 2012 to January 2014, they weredivided into 77 cases of observation group and 76 cases of control group. The control group received routine care, observation group were given psychological intervention on the basis of the control group. Pregnant women were observed before surgery anxiety and depression cases, intraoperative and postoperative recovery of vital signs.Results: In the observation group Anxiety Rating Scale (SAS) score, Self-rating Depression Scale (SDS) score was (51.39±5.76) points, respectively, (48.35±5.01) points, respectively, in the control group (58.70±6.14) points, (56.82±5.49) points, two groups of SAS score, SDS score differences were statistically significant (P0.05); observation group intraoperative breathing, heart rate, systolic blood pressure, diastolic blood pressure, bleedin