临产妇的心理状态及护理措施.docVIP

临产妇的心理状态及护理措施 　　[摘要] 目的 分析临产妇的心理特征，探讨心理护理干预对临产妇心理状态的影响。方法 90例初产妇，单胎、头位临产妇随机分为试验组和对照组，每组各45例。试验组临产妇进行个性化心理护理，对照组给予普通护理。观察两组的焦虑程度、剖宫产率、阴道助产率、产程时间。 结果 试验组产妇的焦虑程度、剖宫产率、阴道助产率显著低于对照组（P < 0.01），产程的潜伏期、活跃期及总产程时间较对照组显著缩短（P < 0.01）。 结论 心理护理能够缓解临产妇紧张和焦虑的心理状态，缩短产程，有益于临产妇的身心健康。 　　[关键词] 临产妇；心理状态；护理措施 　　[中图分类号] R473.71 [文献标识码] A [文章编号] 1674-4721（2013）07（a）-0109-02 　　Psychological status and nursing measures of parturient women 　　YANG Xiu-li 　　Obstetrical Department of Maternal and Child Health-Care Hospital in Guangdong Province，Heyuan 517000，China 　　[Abstract] Objective To analyze the psychological characteristics of parturient women，to investigate the influence of psychological nursing intervention on the psychological status of parturient women. Methods 90 cases of parturient women with single pregnancy and cephalic presentation were randomly divided into the experimental group （n = 45）and the control group（n=45）.All of parturient women were primipara.The experimental group was given individualized psychology nursing and the control group was given conventional nursing.The degree of anxiety，time of birth process，rate of cesarean and vaginal delivery was observed. Results The anxiety，rate of cesarean and vaginal delivery in the experimental group was significantly lower than the control group （P < 0.01），while the incubation period and active period of birth process and the total stage of labor were significantly shorter than the control group （P < 0.01）. Conclusion Psychological nursing can relieve psychological state of tension and anxiety of parturient women，shorten stage of labor，it is beneficial to physical and mental health of parturient women. 　　[Key words] Parturient women；Psychological status；Nursing measures 　　妊娠、分娩时，妇女会相应地出现一系列生理心理变化，尤其以临产前的心理变化最为显著[1]。随着产科学研究的不断深入，精神因素对生产的影响逐渐被重视。产前焦躁、忧郁、恐惧等负面情绪均会影响子宫的收缩，导致产程延长或出现产后出血等并发症，此时护理人员的心理护理干预显得尤为重要[2]。本院对90例临产妇进行心理状态的分析，并进行个性化的心理护理，取得了较为满意的效果。 　　1资料与方法 　　1.1 一般资料 　　选取2011年4月～2012年5月在本院分娩的初产、单胎、头位临产妇90例为研究对象，其