心理护理干预在孕产妇妊娠结局及产后抑郁中应用价值.docVIP

心理护理干预在孕产妇妊娠结局及产后抑郁中应用价值 　　[摘要] 目的 观察评价孕产妇给予心理护理干预对其妊娠结局及产后抑郁状况的影响效果。方法 选择2015年3月～2016年8月期间南海区第三人民医院产科收治的孕产妇86例，并随机对照试验（RCT）分为两组，对照组43例给予常规产科护理模式；观察组43例在对照组基础上进行心理护理干预，并比较两组护理干预后的临床效果。 结果 观察组剖宫产率为16.28%明显的低于对照组34.88%（χ2=3.9091，P0.05），观察组产后3d的SAS评分与SDS评分均显著地低于对照组（P0.05）。 结论 对孕产妇给予心理护理干预可以显著地改善其围产期的负性情绪，有效地降低剖宫产率，提高自然分娩率。 　　[关键词] 孕产妇；妊娠结局；产后抑郁；心理护理干预 　　[中图分类号] R473.75 [文献标识码] A [文章编号] 2095-0616（2017）11-100-04 　　The value of psychological nursing intervention for maternal pregnancy outcome and postpartum depression 　　SUN Pinyan HE Bing HUANG Aizhen WU Yuyan LIU Manhua 　　Department of Obstetrics，the Third Peoples Hospital，Nanhai District，Foshan 528244，China 　　[Abstract] Objective To observe the effect of psychological care intervention on pregnancy outcome and postpartum depression. Methods Eighty-six pregnant women from Mar 2015 to Aug 2016 in department of obstetrics of the third peoples hospital of Nanhai District were selected asn randomly divided into two groups.43 cases of the control group receive obstetric routine nursing；and 43 cases of the observation group received psychological care intervention based ong routine nursing.The intervention efficacy of two groups was compareda. Results The rate of cesarean section of the observation group was 16.28%，which was significantly lower than that of the control group（34.88%，χ2=3.9091，P0.05）.The scores of SAS and SDS of two group at 3th day of postpartum were significantly lower than those of the control group （P0.05）. Conclusion The intervention of psychological nursing for pregnant women can significantly improve the negative emotions of perinatal period，effectively reduce the rate of cesarean section and improve the rate of natural childbirth. 　　[Key words] Maternal；Pregnancy outcome；Postpartum depression；Psychological care intervention 　　妊娠（pregnancy）和分娩（Childbirth）是孕?a妇（pregnant woman，PW）的一种正常生理现象，是为人们所计划且快乐期盼的终身大事，能够让妇女角色在生理发生巨大变化的同时转换呈现为一种压力状态剧烈的应激因素，会产生各种心理变化与问题，对个体会发生严重的自卑、焦虑、烦恼、恐惧、抑郁等负面情绪[1-2]。焦虑（anx