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心理支持对初产妇临产后的情绪及分娩方式的影响
引用本文:蒋国秀,杨菊生,李瑞莹.心理支持对初产妇临产后的情绪及分娩方式的影响[J].中国心理卫生杂志,2004,18(1):27-28.
作者姓名:蒋国秀  杨菊生  李瑞莹
作者单位:武汉大学人民医院,430060
摘    要:目的:探讨临产后初产妇的焦虑状态及心理支持对分娩方式的影响.方法:对272例经过检查决定能够试行顺产的临产初产妇进行Hamilton焦虑量表(HAMA)评估,随机分为支持组(152例)和对照组(120例),支持组除常规治疗外,给予心理支持,对照组120例只给予常规的观察产程、检查、治疗等.结果:临产后支持组和对照组均存在焦虑情绪(HAMA:25.22±6.04, 25.12±6.02,P>0.05)但差异不显著,心理支持后(分娩前)复测HAMA,支持组的焦虑情绪较对照组明显减轻(16.19±3.67,25.79±6.12,P<0.05),支持组的顺产率也高于对照组(92.8%,81.7%,P<0.05).结论:心理支持能有效改善产妇的情绪,有助于分娩质量的提高.

关 键 词:临床心理学  焦虑情绪  干预研究  初产妇  心理干预  临产

Effect of Psychological Support on Mood and Type of Delivery of Primigravida
JIANG Guoxiu,YANG Jusheng,LI Ruiying,et al..Effect of Psychological Support on Mood and Type of Delivery of Primigravida[J].Chinese Mental Health Journal,2004,18(1):27-28.
Authors:JIANG Guoxiu  YANG Jusheng  LI Ruiying  
Institution:JIANG Guoxiu,YANG Jusheng,LI Ruiying,et al. People's Hospital of Wuhan University,Wuhan,Hubei 430060
Abstract:Objective:To study the mental state of primigravida before delivery and the effect of psychological help on their mood and delivery type.Method:272 primigravida who was just near their delivery were assessed with STAI and VAS for anxiety in Labor, 152 of them received psychological help including support from medical staff and family members in a sweet environment with accompanied family members?The other 120 primigravida received routine labor service.Result:During labor, primigravida had bad mood,psychological help deceased their anxiety and fear, and was helpful in upgrading the rate of delivery.Conclusion:Bad mood of primigravida is common, supportive attitude and environment are helpful to both mental state and their delivery.
Keywords:clinical psychology labor intervention studies primigrodvida anxiety support delivery  
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