刘凯 赵慧敏 郭慧君

【摘要】 目的：研究在產妇分娩期间给予心理护理干预的效果。方法：将2017年5月-2018年5月来笔者所在医院待产的120例健康产妇作为研究对象，采用随机数字表法将其中60例归入常规组，剩余60例归入干预组。常规组实施常规护理，干预组在常规组基础上再给予心理护理干预，统计并比较两组心理状态、分娩方式、产后出血率、新生儿Apgar评分及产妇满意度情况。结果：护理前两组焦虑、抑郁评分比较差异无统计学意义（P>0.05），护理后两组评分均降低，但干预组低于常规组，差异均有统计学意义（P<0.05）;干预组剖宫产率（6.67%）、产后出血率（1.67%）均低于常规组（28.33%、11.67%），自然分娩率（76.67%）高于常规组（53.33%），差异均有统计学意义（P<0.05）。两组阴道助产率比较差异无统计学意义（P>0.05）;干预组新生儿Apgar评分、护理满意度均高于常规组，差异均有统计学意义（P<0.05）。结论：在产妇分娩期间，给予其良好的心理护理干预，可以帮助产妇构建良好的心理状态，提高其自然分娩率和对护理工作的满意度，并可避免其产后出血和新生儿窒息的发生，临床应用价值高。

【关键词】 产妇 心理护理干预 自然分娩 Apgar评分

doi：10.14033/j.cnki.cfmr.2019.29.044 文献标识码 B 文章编号 1674-6805（2019）29-0-03

[Abstract] Objective： To study the effect of psychological nursing intervention during maternal delivery. Method： A total of 120 healthy women who came to the hospital from May 2017 to May 2018 were enrolled in the study. A total of 60 patients were included in the routine group by random number table， and the remaining 60 were included in the intervention group. The routine group was given routine nursing， the intervention group was given psychological nursing intervention on the basis of the routine group. The psychological status， mode of delivery， postpartum hemorrhage rate， neonatal Apgar score and maternal satisfaction with nursing work were compared and compared between the two groups. Result： There was no significant difference in anxiety and depression scores between the two groups before nursing （P>0.05）. The scores of anxiety and depression in the two groups decreased after nursing， but the scores in the intervention group were lower than those in the routine group （P<0.05）. The cesarean section rate of the intervention group （6.67%） and the postpartum hemorrhage rate （1.67%） were lower than that of the normal group （28.33%， 11.67%）， the natural delivery rate （76.67%） was higher than that of the normal group （53.33%）， the differences were statistically significant （P<0.05）. There was no significant difference in vaginal delivery rate between the two groups （P>0.05）， but the Apgar score and nursing satisfaction of neonates in the intervention group were significantly higher than those in the routine group （P<0.05）. Conclusion： Giving good psychological nursing intervention during maternal delivery can help the mother to build a good psychological state， improve her natural delivery rate and satisfaction with nursing work， and avoid postpartum hemorrhage and neonatal asphyxia. The clinical application value is high.

[Key words] Maternal Psychological nursing intervention Natural childbirth Apgar score

First-authors address： Inner Mongolia Maternal and Child Health Hospital， Hohhot 010020， China

分娩是一个正常的生理过程，预示着新生命的到来。而在这个正常生理过程中，产妇不仅会有初为人母的喜悦，同时也会因分娩疼痛、分娩不适、角色转变及对分娩过程不了解等出现各种复杂的负性情绪，导致不利于其顺利分娩，甚至可能会增加分娩风险[1-2]。因此，作为产科护理人员，必须要积极帮助产妇构建良好的心理状态，努力改善母婴结局，将保证母婴安全作为产科护理工作中最为重要的目标[3]。本文就主要研究了在产妇分娩期间给予其心理护理干预的效果，旨在找到可以有效改善产妇分娩及母婴结局的护理干预方式，为产科护理工作提供参考，现将研究情况总结如下。

1 资料与方法

1.1 一般资料

将2017年5月-2018年5月来笔者所在医院待产的120例健康产妇作为研究对象。纳入……