加强临产孕妇心理干预与分娩相关并发症发生率的相关性研究

《加强临产孕妇心理干预与分娩相关并发症发生率的相关性研究》由会员上传分享，免费在线阅读，更多相关内容在应用文档-天天文库。

1、加强临产孕妇心理干预与分娩相关并发症发生率的相关性研究李林蔡俐杨鲜鲜钱森林三峡大学人民医院妇科二病区三峡大学人民医院检目的探讨加强临产孕妇心理护理对分娩相关并发症的发生率的影响。方法随机选择观察组和对照组各120例临产孕妇，观察组予以常规产科护理和心理护理干预措施，对照组仅进行常规产科护理。比较两组间总产程、产后出血量、新生儿窒息率、胎儿宫内窘迫发生率及新生儿阿氏评分情况之间的差异。结果两组间比较，观察组总产程明显缩短(8.47±2.31vs12.24±2.25,P=0.01);观察组新生儿窒息比例和胎儿宫内窘迫比例显著降低(2/120vs13/120，P

2、-0.003和6/120vs21/120，P=0.002);孕妇产后出血量明显减少(150.33±19.48vs247.75±25.91，P=0.000);新生儿阿氏评分明显增加(8.78±1.10vs6.73±1.11，P=0.01)。结论加强临产孕妇心理指导及干预，可有效降低分娩相关并发症，优化母婴结局，值得在临床广泛开展。关键词：临产孕妇;心理干预;产后并发症;母婴安全;基金：盆腔器官脱垂盆底组织特异表达miRNAs的功能及调控机制研究(国家自然科学基金81401187)AStudyonCorrelationofPsychologicalInterv

3、entionandObstetricalComplicationsinLaborWomenLILinCAILiYANGXian-xianQIANSen-linThesecondareaofgynecologydepartmentPeople’sHospitalofThreeGorgesUniversity;DepartmentofClinicalLaboratory，People’sHospitalofThreeGorgesUniversity;Abstract：ObjectiveToinvestigatetheeffectofpsychologynurs

4、inginterventionsontheincidenceofobstetricalcomplications.Methods120pregnantcaseswererandomlydividedintotheobservationgroupandthecontrolgroup.Accordingtothepsychologicalstateofpregnantwomeninlabor,psychologicalcareforpatientseachpersonintheobservationgroup.Thecontrolgroupcasesonlya

5、cceptedroutineobstetriccare.Thepostpartumhemorrhage,neonatalasphyxia,fetaldistressandneonatalApgarscorewereanalyzed.ResultsComparedwiththecontrolgroup,theobservationgroupwassignificantlyshortertotallabor(8-47±2.31vs12.24±2.25,P=0.01)，therateneonatalasphyxiaandfetaldistresswassigni

6、ficantlylower(2/120vs13/120,P=0.003and6/120vs21/120,P=0.002),maternalpostpartumhemorrhagewassignificantlyreduced(150.33±19.48vs247.75±25.91,P二0.000),neonatalApgarscoresignificantlyimproved(8.78±1.10vs6.73±1.11，P=0.01).ConclusionTheappropriatepsychologicalnursinghaspositiveeffecton

7、obstetricalcomplications,neonatalandmaternalmorbidity.Itisworthpracticingextensivelyinclinicalpractice.Keyword：Pregnantwomeninlabor;Psychologicalcare;Postpartumcomplications;Maternalandchildsafety;0引言妊娠分娩对孕妇会产生剧烈的生理刺激，如果孕妇对阴道分娩的认识不充分，容易出现心理及身体的复杂应激反应，进而严重威胁到母婴健康。心理护理在产科护理中尤其重要，同时也

8、引起医院越来越多的重视。研宂表明，临产孕妇的心理状态同产程进展息息