心理干预护理对产后出血产妇心理状态影响.docVIP

心理干预护理对产后出血产妇心理状态影响 　　【摘要】 目的 探讨心理干预护理对产后出血产妇所致焦虑、抑郁心理状态的影响。方法 70例产后出血产妇， 随机分为观察组与对照组， 各35例。对照组给予常规护理， 观察组在常规护理的基础上实施心理干预护理；使用抑郁自评量表（SDS）和焦虑自评量表（SAS）测评两组产妇的心理状态， 评价心理干预护理效果。结果 对照组SAS、SDS评分干预前、后比较， 差异无统计学意义（P0.05）。 观察组SAS、SDS评分干预前、后比较， 差异均有统计学意义（P0.01）；干预后两组SAS、SDS评分比较差异均有统计学意义（P0.01）。结论 对产后出血产妇实施心理干预护理可明显改善其焦虑和抑郁情绪， 临床可大力推广应用。 　　【关键词】 心理干预护理；产后出血；心理状态 　　DOI：10.14163/j.cnki.11-5547/r.2015.36.143 　　【Abstract】 Objective To investigate influence of psychological intervention nursing on postpartum hemorrhage-induced psychological states of anxiety and depression. Methods A total of 70 puerpera with postpartum hemorrhage were randomly divided into observation group and control group， with 35 cases in each group. The control group received conventional nursing， and the observation group received additional psychological intervention nursing. Self-rating depression scale （SDS） and self-rating anxiety scale （SAS） were applied to evaluate psychological states in puerpera and effect by psychological intervention nursing. Results There was no statistically significant difference of SAS and SDS scores in the control group before and after intervention （P0.05）. The differences of SAS and SDS scores in the observation group before and after intervention all had statistical significance （P0.01）. After intervention， the SAS and SDS scores between the two groups had statistically significant differences （P0.01）. Conclusion Implement of psychological intervention nursing for puerpera with postpartum hemorrhage can remarkably improve their anxiety and depression. It is worth widely clinical promotion and application. 　　【Key words】 Psychological intervention nursing； Postpartum hemorrhage； Psychological states 　　产后出血（postpartum hemorrhage， PPH）是指胎儿娩出后24 h内失血量≥500 ml， 剖宫产时≥1000 ml， 是分娩期的严重并发症[1]。产后出血其主要原因有子宫收缩乏力、胎盘因素、软产道裂伤及凝血功能障碍等[2]。出血不仅导致产妇发生生理变化， 还对产妇的心理产生巨大影响， 如易产生烦躁、紧张、焦虑、抑郁、恐惧等负性情绪；不良的心理反应容易加重病情， 尤其是焦虑、抑郁情绪可以使产妇出现产后心理障碍， 严重的会出现产后抑郁症。心理干预护理是以心理支持为基础， 将应激处理、健康教育与应对技巧有机结合， 鼓励患者