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心理干预改善初产妇分娩恐惧的应用效果

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目的 探讨心理干预在改善初产妇分娩恐惧和母婴结局中的应用效果。方法 选取2021年3月至2022年10月江西省妇幼保健院产科的 200 例规律产检初产妇作为研究对象,按照随机数字表法分为对照组(100 例)和研究组(100例)。对照组采用常规产检和健康教育方法,研究组在对照组方法基础上增加心理干预措施。比较两组初产妇的分娩恐惧程度、分娩自我效能感及分娩结局。结果 研究组分娩恐惧程度评分低于对照组,自我效能感评分高于对照组,差异有统计学意义(P<0。05)。研究组产后出血量少于对照组,分娩满意度高于对照组,差异有统计学意义(P<0。05)。研究组新生儿分娩孕龄大于对照组,差异有统计学意义(P<0。05)。结论 心理干预能降低初产妇分娩恐惧及焦虑抑郁程度,提升分娩自我效能感,改善初产妇的母婴结局。
Application effect of psychological intervention in improving childbirth fear among primigravid women
Objective To investigate the application effects of psychological intervention in improving childbirth fear and maternal-infant outcomes in primiparous women.Methods A total of 200 primiparous women undergoing routine antenatal care at the Jiangxi Maternal and Child Health Hospital from March 2021 to October 2022 were selected as the study objects.They were divided into a control group(n=100)and a study group(n=100)according to random number table method.While the control group received standard antenatal care and health education,the study group underwent additional psychological intervention measures.The levels of childbirth fear,childbirth self-efficacy,and childbirth outcomes were compared be-tween the two groups.Results The score of fear of childbirth in the study group was lower than that in the control group,and the score of self-efficacy was higher than that in the control group,the differences were statistically significant(P<0.05).The amount of postpartum blood loss in the study group was less than that in the control group,and the satisfaction of child-birth was higher than that in the control group,the differences were statistically significant(P<0.05).The gestational age of neonates in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Psychological intervention can reduce the fear of childbirth,anxiety and depression,enhance the self-ef-ficacy of childbirth,and improve the maternal and infant outcomes of primipara.

Psychological interventionChildbirth fearChildbirth self-efficacyMaternal-infant outcomes

范文娟、辛思明、万虹、郑红梅、刘凌芝、曾晓明

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江西省妇幼保健院产科,江西南昌 330000

心理干预 分娩恐惧 分娩自我效能感 母婴结局

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(25)