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目的:研究心理支持对高龄初产妇阴道分娩的结局影响,为提高产妇的分娩结局寻求有效的干预方式。方法:调取2013-2015年我院接收的80例高龄初产妇的临床资料,并对其进行回顾性分析,按照产前是否进行心理支持分为对照组与干预组,比较两组产妇的分娩相关指标、产前心理焦虑及抑郁评分、新生儿Apgar评分。结果:干预组产妇顺产比例显著高于对照组(χ~2=17.073,P<0.01),且总产程时间也明显低于对照组(t=-4.682,P<0.01);两组产妇产前SAS评分与SDS评分相比入院时均明显升高(P<0.05),但干预组产妇产前SAS评分相比对照组低(t=-4.351,P<0.01),SDS评分也明显低于对照组(t=-3.937,P<0.01);干预组新生儿Apgar评分明显高于对照组(t=4.950,P<0.01),出生正常的新生儿比例也显著高于对照组(χ~2=11.630,P<0.01),差异有统计学意义。结论:采用心理支持对高龄初产妇进行负性情绪干预,能有效缓解产妇的焦虑及抑郁心理,同时改善不良分娩的结局,提高自然分娩的几率,对产妇与胎儿的预后具有良好的作用。
Objective: To study the effect of psychological support on the outcome of vaginal delivery in the elderly primiparous women, and to seek effective interventions to improve the delivery outcome of the pregnant women. Methods: The clinical data of 80 cases of primiparae received in our hospital from 2013 to 2015 were retrieved and analyzed retrospectively. The patients were divided into control group and intervention group according to whether or not prenatal psychological support. Related indicators, prenatal psychological anxiety and depression scores, neonatal Apgar score. Results: The proportion of spontaneous labor in the intervention group was significantly higher than that in the control group (χ ~ 2 = 17.073, P <0.01), and the duration of labor was significantly lower than that in the control group (t = -4.682, P <0.01) Compared with the SDS score, the SAS score was significantly higher at admission (P <0.05), but the intervention group had a lower prenatal SAS score than the control group (t = -4.351, P <0.01), and the SDS score was significantly lower than that of the control (T = -3.937, P <0.01). Apgar score of neonates in intervention group was significantly higher than that in control group (t = 4.950, P <0.01), and the proportion of newborns with normal birth was significantly higher than that of control group 11.630, P <0.01), the difference was statistically significant. Conclusion: The psychological support for negative emotions of early primiparous women can alleviate the anxiety and depression of maternal, improve the outcome of poor delivery and improve the chance of natural childbirth, and have a good effect on the prognosis of maternal and fetus.