首页|胎心监护联合精细化心理护理对待产孕妇心理状态及新生儿结局的影响

胎心监护联合精细化心理护理对待产孕妇心理状态及新生儿结局的影响

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目的 分析予以待产孕妇胎心监护联合精细化心理护理的临床价值和对新生儿结局的影响.方法 随机选取2022年6月—2023年6月新沂市中医医院收治的80例待产孕妇为研究对象,以不同护理方法划分为两组,对照组40例实施胎心监护联合常规护理,观察组40例实施胎心监护联合精细化心理护理.对比两组孕妇心理状态、孕妇分娩效能感及新生儿结局.结果 护理后,观察组焦虑、抑郁评分分别为(42.16±3.85)分、(44.12±3.56)分,低于对照组的(49.65±5.46分)、(49.55±3.85)分,差异均有统计学意义(t=7.091,6.549;P均<0.05).观察组分娩自我效能评分高于对照组,差异有统计学意义(P<0.05).新生儿不良结局发生率为2.50%(1/40),低于对照组的20.00%(8/40),差异有统计学意义(χ2=4.507,P<0.05).结论 给予待产孕妇胎心监护联合精细化心理护理可减轻孕妇负性情绪,提升其分娩效能感,降低新生儿不良结局发生率,具有临床价值.
Effects of Fetal Heart Monitoring Combined with Refined Psychological Care on the Mental State of Pregnant Women and Neonatal Outcomes
Objective The clinical value of fetal heart monitoring combined with refined psychological nursing for pregnant women and its effect on neonatal outcome were analyzed.Methods From June 2022 to June 2023,80 preg-nant women waiting for delivery in Xinyi Hospital of Traditional Chinese Medicine were randomly selected as the re-search objects.They were divided into two groups according to different nursing methods.40 cases in the control group were treated with fetal heart monitoring combined with routine nursing,and 40 cases in the observation group were treated with fetal heart monitoring combined with refined psychological nursing.The psychological state,delivery efficacy and neonatal outcome of pregnant women were compared between the two groups.Results After nursing,the scores of anxiety and depression in the observation group were(42.16±3.85)points and(44.12±3.56)points,respec-tively,which were lower than(49.65±5.46)points and(49.55±3.85)points in the control group,and the differences were statistically significant(t=7.091,6.549;both P<0.05).The Childbirth Self-Efficacy Inventory-C32 score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The incidence of neonatal adverse outcomes was 2.50%(1/40),which was lower than 20.00%(8/40)in the control group,and the difference was statistically significant(χ2=4.507,P<0.05).Conclusion The combination of fetal heart monitoring and refined psychological care can alleviate the negative emotions of pregnant women,improve their sense of delivery efficacy,and reduce the incidence of adverse outcomes of newborns.

Fetal heart monitoringRefined psychological nursingPregnant womenMental stateNeonatal outcome

陆委、胡学丽、孟凡

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新沂市中医医院产科,江苏 新沂 221400

胎心监护 精细化心理护理 待产孕妇 心理状态 新生儿结局

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(34)