智慧健康2024，Vol.10Issue(7) ：191-194.DOI:10.19335/j.cnki.2096-1219.2024.07.048

多模式分层心理干预联合家属陪产宣教对无痛分娩初产妇身心应激及分娩恐惧影响

Effect of Multi-Modal Stratified Psychological Intervention Combined with Family Accompanying Delivery Education on Physical and Mental Stress and Fear of Primiparous Women with Painless Delivery

陈瑶
智慧健康2024，Vol.10Issue(7) ：191-194.DOI:10.19335/j.cnki.2096-1219.2024.07.048
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多模式分层心理干预联合家属陪产宣教对无痛分娩初产妇身心应激及分娩恐惧影响

Effect of Multi-Modal Stratified Psychological Intervention Combined with Family Accompanying Delivery Education on Physical and Mental Stress and Fear of Primiparous Women with Painless Delivery

陈瑶1
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作者信息

  • 1. 南华大学附属第二医院,湖南 衡阳 421000
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摘要

目的 探讨多模式分层心理干预联合家属陪产宣教对无痛分娩初产妇身心应激及分娩恐惧影响.方法 选择2020年3月—2023年4月本院产科收治的76例初产妇开展研究,根据简单随机盲选法将其分成联合组、对照组,每组38例.干预前、干预后,评估两组患者心理健康指标[汉密尔顿焦虑自评量表(HAMA)、汉密尔顿抑郁自评量表(HAMD)]、分娩恐惧指标[分娩恐惧测评量表(CAQ)]、分娩结局.结果 与对照组干预后HAMA评分、HAMD评分、CAQ评分相比,联合组相关评分更低,差异有统计学意义(P<0.05);与对照组自然分娩率相比,联合组更高,差异有统计学意义(P<0.05);产后出血量相比,联合组更低,差异有统计学意义(P<0.05);总产程相比,联合组更短,差异有统计学意义(P<0.05);新生儿出生5min阿氏评分相比,联合组更高,差异有统计学意义(P<0.05).结论 无痛分娩初产妇护理干预联合应用多模式分层心理干预与家属陪产宣教,可有效减轻初产妇的身心应激反应,降低其分娩恐惧,进而改善产妇的分娩结局.

Abstract

Objective To explore effect of multimodal stratified psychological intervention combined with family accompanying delivery education on physical and mental stress and fear of primiparous women with painless delivery.Methods The paper chose 76 primiparous women admitted to obstetrics department of our hospital from March 2020 to April 2023,and divided them into combination group and control group according to simple random blind selection method,with 38 cases in each group.Before and after intervention,psychological health indicators were evaluated between two groups,including Hamilton Anxiety Self Rating Scale(HAMA)and Hamilton Depression Self Rating Scale(HAMD),fear of childbirth,and delivery outcomes.Results HAMA scores,HAMD scores,and CAQ scores after intervention in combination group were lower scores than control group,difference was statistically significant(P<0.05).Combination group had higher natural delivery rate(57.89%)than control group(34.21%),difference was statistically significant(P<0.05).Postpartum bleeding volume in combination group was lower,difference was statistically significant(P<0.05).During total labor process,combination group had shorter duration,difference was statistically significant(P<0.05).5-minute A-scores of newborns in combination group were higher,difference was statistically significant(P<0.05).Conclusion Combination of multi-mode stratified psychological intervention and family accompanying childbirth education can alleviate physical and mental stress response of primiparous women with painless delivery effectively,can reduce fear of childbirth,and improve delivery outcome of primiparous women.

关键词

无痛分娩/初产妇/多模式分层心理干预/家属陪产宣教/身心应激/分娩恐惧

Key words

Painless delivery/Primiparous women/Multi mode stratified psychological intervention/Family accompanying delivery education/Physical and mental stress/Fear of delivery

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出版年

2024
智慧健康

智慧健康

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