毕业设计论文-焦虑和抑郁与妊娠分娩方式关系的临床初步探讨.doc

妊娠分娩方式焦虑和抑郁的申请人：学科（专业）：指导教师 2008年月论文题目： 学科（专业： 申请人： 指导教师：(焦虑和抑郁)与分娩方式的关系。探讨焦虑和抑郁发生的社会相关因素。为产前、产时实施心理护理提供临床依据。 方法：对190 例健康产妇以焦虑自评量表(SAS)和抑郁自评量表(SDS)评定精神状态。所有产妇以产科常规、家属陪伴进行分娩而不进行干预，观察其分娩方式;按分娩方式分为正常产组、产钳助产组和剖宫产组。采用SPSS软件进行统计学分析，卡方检验及卡方趋势检验。 结果：190例产妇中存在心理障碍的占59.47 %，%，抑郁发生率为24.74%,焦虑并抑郁发生率为14.21 %,剖宫产组、产钳助产组的焦虑评分及抑郁评分明显高于正常产组，而且焦虑和抑郁的发生随年龄增大、学历增高而增加。未参加母婴宣教的孕妇焦虑和抑郁的发生率高于参加母婴宣教的孕妇。 结论：焦虑和抑郁状态是增加手术助产率的一个显著因素，焦虑和抑郁的发生与年龄、文化程度、是否参加母婴宣教等社会因素相关。 关 键 词：产妇；焦虑； 抑郁； 分娩方式 论文类型：研究报告 Title: Anxiety and depression on pregnancy means the impact of clinical preliminary study Speciality: Nursing Applicant: Liu Bai Supervisor: Prof. Gao Rui ABSTRACT Background：Pregnancy delivery of reproductive health is an important part. In the spirit of different emotional factors, anxiety and depression is only able to indicate the role of pregnancy complications. And thus not conducive to good pregnancy outcome was. Objective: To observe the relationship between the psychic factors (anxiety and depression) and delivery modes and to discuss the relevant social factors causing anxiety and depression. Method: 190 healthy nuliparas were in volved in our study.Their mental state were evaluated according to Hamiltonian anxiety scale (SAS)and Hamiltonian depression scale (SDS). The delivery course of all women were routinely with the relative accompaniments and no interference. Delivery mode and postpartum were observed. They were divided into three groups (natural labor section group,forced group and caesarean group) according to diferent modes. The statistics analysis, variance analysis, q examination and chi square test,were conducted by SPSS software. Result: Among the 190women labor, the women getting mental obstacle occupied 59.47 %% .Among them, the anxiety rate is 20.52%, the depression rate was 24.74%, while the complication of birth occupies 14.21 %. The anxiety score and depression score in Caesarean Group and forceps group were distinctly higher than that in natural group. The occurring po