母婴分离对产妇心理状态影响及护理.docVIP

母婴分离对产妇心理状态影响及护理 　　[摘要] 目的 探讨母婴分离对产妇心理状态的影响及相关护理。 方法 选取2015年1月―2017年1月期间于该院进行分娩的135例，婴儿由于各种原因转入新生儿监护室导致母婴分离的产妇作为该次研究对象，采用焦虑自评量表（Self-Rating Anxiety Scale，SAS）和抑郁自评量表（Self-rating depression scale，SDS）评估产前、产后母婴分离对产妇心理状态的变化，并制定相应的护理干预措施，以期改善产妇的负性情绪，促进产后恢复。 结果 母婴分离后，两组产妇焦虑、抑郁人数较分离前有明显上升，但组间对比差异无统计学意义（P0.05）；产后1 d，两组产妇SAS和SDS评分对比差异无统计学意义（P0.05），产后7 d观察组SAS与SDS分别为（52.69±4.75）分、（50.37±3.46）分，而对照组分别为（61.34±4.28）分、（59.48±4.51）分，差异有统计学意义（t =11.110、13.180，P0.05）；产后3周，观察组SAS与SDS分别?椋?45.73±3.28）分、（42.67±3.59）分，而对照组分别为（52.64±4.85）分、（52.55±4.46）分，与对照组相应量表对比，观察组各分值明显更低，差异有统计学意义（t=9.710、14.189，P0.05）；观察组对其所接受的护理工作表示非常满意者（88.24%）明显大于对照组（73.13%），差异有统计学意义（χ2=7.325，P0.05）。 结论 母婴分离对产妇心理状态的影响较大，明显增加产妇焦虑与抑郁情绪，通过有效的护理干预可改善其负性情绪，提高产妇满意度评价，值得推广。 　　[关键词] 母婴分离；产妇；心理状态；护理 　　[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2018）03（a）-0135-03 　　Effect of Maternal and Infant Separation on Maternal Psychological State and Nursing 　　WU Xia 　　Obstetrics Department， Xiamen Maternal and Child Health Care Hospital， Xiamen， Fujian Province， 361001 China 　　[Abstract] Objective This paper tries to study the impact of maternal separation in the psychological states and the nursing interventions. Methods 135 puerpera delivered from January 2015 to January 2017 in this hospital were convenient selected. The SAS （Self-Rating Anxiety Scale） and SDS （Self-rating depression scale） were used to evaluate their psychological state. The nursing interventions could improve their negative emotions and promote their recovery. Results After separation， the anxiety and depression puerpera were more than before； but there was no statistical difference among groups（P0.05）； after 1d of delivery， the SAS points and SDS points for two groups were not significantly different（P0.05）； after 7 d and 3 w of delivery， the SAS points and SDS points for observation group were（52.69±4.75）points and （50.37±3.46）points， respectively； the SAS and SDS points for control group were（61.34±4.28）points and （59.48±4.51）points， respectively； the SAS