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非医学指征剖宫产孕产妇术前心理社会状况调查
引用本文:汤宇红,银燕,刘晓红,夏妮.非医学指征剖宫产孕产妇术前心理社会状况调查[J].护理学杂志,2009,24(16).
作者姓名:汤宇红  银燕  刘晓红  夏妮
作者单位:1. 株洲市三医院妇产科,湖南,株洲,412003
2. 株洲市二医院妇产科
摘    要:目的 探讨非医学指征剖宫产孕产妇术前心理社会因素,并进行相关综合分析,以指导选择合适的分娩方式.方法 对待产孕妇(36~40周)461例采用症状自评量表(SCL-90)、艾森克个性问卷(EPQ)及社会支持评定量表(SSRS)评定分析.结果 孕妇产前SCL-90总分及其焦虑、恐怖、抑郁、偏执因子分显著高于常模(均P<0.01);孕妇EPQ各因子分与常模存在显著差异(P<0.05,P<0.01);试产时改为剖宫产组客观支持及总分显著低于试产时自然分娩组(均P<0.01);SCL-90总分与EPQ中P、N分及与SSRS客观支持分呈显著相关(P<0.05,P<0.01);EPQ中的N分与客观支持评分及社会支持总分呈显著负相关(P<0.05,P<0.01),而外向分仅与社会支持总分呈显著正相关(P<0.05).结论 孕产妇的心理社会状况影响其对分娩方式的抉择,应采取有效措施加以干预.

关 键 词:孕产妇  剖宫产术  心理社会状况  个性心理特征

Survey on Preoperative Psychosocial Status of Pregnancy Undergoing Caesarean Section without Obstetric Indications
TANG Yuhong,YIN Yan,LIU Xiaohong,XIA Ni.Survey on Preoperative Psychosocial Status of Pregnancy Undergoing Caesarean Section without Obstetric Indications[J].Journal of Nursing Science,2009,24(16).
Authors:TANG Yuhong  YIN Yan  LIU Xiaohong  XIA Ni
Institution:Department of Gynecology and Obstetrics;The Third Hospital of Zhuzhou City;Zhuzhou 412003;China
Abstract:Objective To explore psychosocial factors that influence pregnancies to choose caesarean sections without obstetric indications,and to provide references for selecting a proper mode of delivery.Methods Symptom Check List(SCL-90),Eysenck Personality Questionnaire(EPQ) and Social Support Rating Scale(SSRS) were conducted on 461 women who had been pregnant for 36 to 40 weeks of gestation.Results The total score and scores of anxiety,phobia,depression,paranoid of SCL-90 in pregnant women were significantly high...
Keywords:pregnant women  caesarean section  psychosocial status  personality psychological characteristics  
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