摘要
目的研究负性心理情绪对足月胎膜早破产妇及婴儿的健康指标的影响。方法收集2014年10月—2016年9月在该院产科接受治疗的200例足月胎膜早破患者为研究对象,根据是否进行心理干预将其分为观察组和对照组,采用综合医院焦虑抑郁量表评估产妇干预前后的心理状况,并记录分析二组产妇的生产方式、产后出血量、产后卧床时间、产褥感染及尿潴留发生情况及二组新生儿的体质量、Apgar评分、窒息、肺炎及死亡的发生情况。结果干预前,二组产妇的焦虑抑郁情绪差异无统计学意义,干预后观察组的焦虑抑郁情绪及对照组的抑郁情绪显著改善,且观察组的改善情况显著优于对照组(P<0.01);观察组产妇的自然分娩比例显著高于对照组,卧床时间、产褥感染率及尿潴留发生率则显著小于对照组(P<0.05),但二组患者的产后出血量比较差异无统计学意义(P>0.05);二组新生儿的体质量与死亡率比较差异无统计学意义(P>0.05),但观察组新生儿的Apgar评分显著高于对照组(P<0.01),且观察组中窒息及肺炎的发生率显著低于对照组(P<0.05)。结论心理干预能够有效改善由于负性心理情绪造成的对足月胎膜早破产妇及婴儿的健康指标影响。
Objective To explore the influences of negative psychological state on the healthy indicators of both puerperal and infants with term premature rupture of membranes （TPROM）. Methods Puerperas with negative psychological mood （n = 200）, who received therapy in author＇s hospital from Oct. 2014 to Sept. 2016, were enrolled as subjects in this study. According to whether accepted psychological treat- ment, puerperas were divided into objective group and control group. Hospital anxiety and depression scale was used to estimate the psychological condition of puerperas at before and after intervention. The delivery mode, postpartum bleeding, postpartum in- bed time and the occurrence rates of puerperal infection and uroschesis of puerperas were recorded and compared, as well as the weight, Apgar score and occurrence rates of stifle, pneumonia and mortality of infants. Results There was no significant difference was identi- fied between two groups before treatment, but after treatment, the anxiety and depression in objective group and the depression in control group were obviously improved, and the improvements in objective group were markedly better than control group （P〈0.01）. After treatment, the natural delivery rate in objective group was higher than control, but in- bed time and occurrence rates of puerperal infection and uroschesis were lower than control group （P〈0.05）, besides, there was no difference observed in the ost- partum bleeding between two groups （P〉0.05） . Among the infants, no significant differences were identified in weight and mortality of two groups （P^0.05）, but the Apgar score was obviously better in ob- jective group compared with control group, as well as the occurrence rates of stifle and pneumonia （P〈 0.05）. Conelusion Psychological intervention can significantly alleviate the influence of negative mode on the healthy indicators of both puerperas and infants with TPROM.
出处
《中国煤炭工业医学杂志》
2017年第4期485-488,共4页
Chinese Journal of Coal Industry Medicine
基金
2017年度河北省医学科学研究重点课题计划(编号:20171322)
关键词
负性心理状态
足月胎膜早破
产妇
婴儿
健康指标
Negative psychological state
Term premature rupture of membranes
Puerperal
Infants
Healthy indicator
