心理干预对高龄产妇分娩质量及产后抑郁的影响

目的探讨心理干预对高龄产妇分娩质量及产后抑郁的影响。方法选取在胶州市人民医院分娩的142例高龄产妇为研究对象进行前瞻性随机对照研究,年龄35~43岁,平均(37.1±2.3)岁,80例为初产妇,62例是经产妇。将研究对象按随机数字表法随机分为对照组和干预组,每组71例产妇。对照组产妇接受常规护理和健康教育,干预组产妇在常规护理的基础上进行产前、产中和产后3个阶段的心理干预。分并且比较两组产妇临床疗效、分娩并发症发生率、产程时长和剖宫产率及入院前和产后4周HAMD-17评分。结果两组产妇发生的分娩并发症主要为胎膜早破、脐带脱落、子宫翻出和产后出血,且心理干预组产妇的分娩并发症发生率低于对照组产妇12.7%(9/71)比25.3%(18/71)],差异有统计学意义(P<0.05)。对照组产妇的产程时长于干预组(17.2±2.1)h比(10.8±1.7)h];且对照组产妇的剖宫产率53.52%(38/71)]也高于干预组28.17%(20/71)](P均<0.05)。经干预后两组HAMD评分均明显降低(P<0.05),且干预组降低较多(P<0.05)。结论心理干预有利于提高高龄产妇的分娩质量,降低分娩并发症的发生率和剖宫产率,缩短产程,并减少产后抑郁的发生,具有临床应用价值。

Effect of psychological intervention on the quality of maternal childbirth and the reduction of postpartum depression

ObjectiveTo explore the effect of psychological intervention on the delivery quality and postpartum depression of elderly parturient women. MethodsA prospective randomized controlled study was conducted on 142 elderly women who gave birth in Jiaozhou People’s Hospital, aged 35~43 years, with an average age of (37.1±2.3) years. Among them, 80 were primipara and 62 were pluripara. The study subjects were randomly divided into control group and intervention group according to the random number table, with 71 parturients in each group. The control group received routine nursing and health education, the intervention group on the basis of routine nursing, prenatal, delivery and postpartum three stages of psychological intervention. The HAMD-17 score before admission and 4 weeks postpartum was also compared. ResultsThe incidence of labor complications in the two groups was lower than that in the control group 12.7% (9/71) than 25.3% (18/71)], and the difference was statistically significant (P<0.05). The duration of labor in the control group was longer than that in the intervention group (17.2±2.1) h ratio (10.8±1.7) h]. The cesarean section rate 53.52% (38/71)] in the control group was also higher than that in the intervention group 28.17% (20/71)] (P <0.05). After intervention, HAMD scores of the two groups were significantly lower (P<0.05), and the HAMD scores of the intervention group were significantly lower (P<0.05). ConclusionPsychological intervention is beneficial to improve the quality of delivery, reduce the incidence of delivery complications and cesarean section, shorten the labor process, and reduce the incidence of postpartum depression.