首页|多模式分层心理干预结合阶段化情景模拟教育在初产妇中的应用价值

多模式分层心理干预结合阶段化情景模拟教育在初产妇中的应用价值

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目的 探讨多模式分层心理干预结合阶段化情景模拟教育在初产妇中的应用价值。方法 选取2020 年7 月至2022 年10 月于江苏省盐城市第一人民医院分娩的182 名初产妇为研究对象,采用随机数字表法将其分别纳入对照组(91 名)和观察组(91 名)。对照组接受常规健康教育和孕期护理,观察组在对照组的基础上给予多模式分层心理干预结合阶段化情景模拟教育。比较2 组的分娩结局等指标。结果 分娩前及产后24 h,2 组的分娩恐惧测评量表、焦虑和抑郁自评量表评分均显著低于同组入院时,结果期望评分和分娩自我效能期望评分均显著高于同组入院时(P均<0。05),且观察组均显著优于同期对照组(P均<0。05)。观察组产妇的自然分娩率高于对照组,产后2h出血量明显少于对照组,总产程明显短于对照组,新生儿1 min Apgar评分明显高于对照组(P均<0。05)。结论 多模式分层心理干预结合阶段化情景模拟教育可改善初产妇对分娩的焦虑、抑郁和恐惧情绪,提高其自我分娩效能,明显改善分娩结局。
Application value of multimodal stratified psychological intervention combined with staged situational simulation education in primiparas
Objective To explore the application value of multimodal stratified psychological intervention combined with staged situational simulation education in primiparas.Methods A total of 182 primiparas who gave birth at Yancheng No.1 People's Hospital of Jiangsu Province from July 2020 to October 2022 were enrolled.They were assigned into either the control group(91 cases)or the observation group(91 cases)by random number table method.The control group received routine health education and pregnancy care,and the observation group received multimodal stratified psychological intervention combined with staged situational simulation education on the basis of the control group.The delivery outcomes and other indicators were compared between the two groups.Results Before delivery and at 24 h postpartum,the scores of the Childbirth Attitude Questionnaire and the Self-Rating Anxiety and Depression Scale in both groups were significantly lower than those at admission,and the scores of outcome expectancies and delivery self-efficacy expectancies were significantly higher than those at admission(all P<0.05).The observation group was significantly better than the control group on the corresponding period(all P<0.05).The natural delivery rate of the observation group was higher than that of the control group.The blood loss within 2 h postpartum was less than that of the control group.The total stage of labor was shorter than that of the control group.The 1-min Apgar score was higher than that of the control group(all P<0.05).Conclusion The multimodal stratified psychological intervention combined with staged situational simulation education can alleviate the anxiety,depression,and fear of delivery in primiparas,enhance their self-efficacy in delivery,and significantly improve the delivery outcomes.

primiparamultimodal stratified psychological interventionstaged situational simulation educationdelivery outcomefear of delivery

严丽、吕银婷、祁萌

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江苏省盐城市第一人民医院,江苏 盐城,224003

初产妇 多模式分层心理干预 阶段化情景模拟教育 分娩结局 分娩恐惧

2024

中西医结合护理(中英文)
上海交通大学

中西医结合护理(中英文)

ISSN:2096-0867
年,卷(期):2024.10(6)