母婴分离的高危妊娠产妇心理问题分析及护理干预对策

目的：以调研的方式对处于母婴分离状态的高危妊娠产妇心理问题进行分析,以此为基础探讨护理干预对纠正该类产妇心理状态的正面意义。方法于2015年1月—6月,经便利抽样采集90例该院妇产科母婴分离的高危妊娠产妇纳入研究视野。于剖宫产术后1 d分别采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评估产后焦虑和抑郁状况。随机分为研究组和对照组,对照组给予常规护理,研究组接受整体性护理,再次评价产妇心理状况,并记录护理满意率、母乳喂养率。结果新生儿出生孕周短、妊娠合并症及产妇人格特征等是母婴分离的高危妊娠产妇心理问题的独立因素。护理后7 d,研究组SAS、SDS分值分别为(36.04±9.03)、(44.96±10.21)分,对照组分别为(41.32±7.45)、(49.33±7.62)分,对比差异具有统计学意义(P﹤0.05)。结论母婴分离作为应激源会使高危妊娠产妇产生不良的应激反应,对此类产妇给予针对性的护理干预可降低其心理应激反应,提高母乳喂养率。

High-risk Pregnancy,Maternal Mental Problems Maternal Separation and Nursing Intervention Measures

Objective Research-way high-risk pregnancy maternal mental problems in maternal separation state is analyzed as a basis to explore nursing intervention to correct such maternal mental state of positive significance. Methods In January 2015 to June 2015, by a convenience sample collected 90 cases of high-risk pregnancy, maternal hospital maternity maternal separation into research perspective. In cesarean section 1d were self-rating anxiety scale (SAS) and Self-Rating Depression Scale (SDS) to assess postpartum anxiety and depression status. Randomly divided into study group and the control group, the control group received routine care, research group received holistic nursing, maternal mental health evaluation again, and record the care satisfaction rate, rate of breastfeeding. Results Short gestational age birth, pregnancy complications and maternal personality traits and other factors that are independent of maternal separation of high-risk pregnancy maternal mental problems. After nursing 7d, the Study Group SAS, SDS scores were (36.04 ± 9.03)、(44.96 ± 10.21) points, respectively, in the control group(41.32±7.45)、(49.33±7.62) points, compared to the difference was statistically significance (P<0.05). Conclusion Maternal separation as a high-risk pregnancy maternal stressors cause adverse stress reaction to such mothers give specific nursing intervention can reduce the psychological stress response, improve breastfeeding rates.