[摘要] 目的 探讨高龄初产妇在围产期的心理状况波动情况及心理护理对策和措施。 方法 回顾性分析2010～2011年在笔者所在科室住院的高龄初产妇围产期焦虑和抑郁等负面心理状况的波动变化情况，针对易引发孕产妇围产期发生负面心理的因素，积极进行相应的心理护理。 结果 生育方式、有无并发症的发生、家庭教育等因素，易引发高龄初产妇围产期发生负面心理。经过有针对性的积极的心理护理，取得良好效果。 结论 积极进行高龄初产妇围产期心理情绪状态的评估与护理工作，不仅有利于恢复产妇产后的身体机能，还可以促进其产后身心健康，促进母婴的健康。
　　[关键词] 围产期；高龄初产妇；心理护理
　　[中图分类号] R473.71???[文献标识码] B???[文章编号] 2095-0616（2012）12-154-02
　　Application of psychological care for the elderly primipara during perinatal period
　　SU?Jing
　　Department of Obstetrics and Gynecology,the Affiliated Hospital of Xinyang Vocational and Technical College,Xinyang 464000,China
　　[Abstract] Objective To evaluate the effects of psychological care for the elderly primiparas during the perinatal period,who were obvious volatility in mental status, in the department of obstetrics and gynecology. Methods 30 patients during 2010 to 2011 of perinatal period in the department of obstetrics and gynecology were reviewed. Anxiety, depression and other negative mental states were common symptoms. The pertinence psychological cares for these patients were application during the perinatal period. Results The facts of planning mode, complication, household, level of education and others caused negative mental status to the elderly primiparas. The pertinence psychological cares were effective. Conclusion Evaluation of mental status and pertinence psychological cares were necessary and effective for the elderly primiparas during the perinatal period in the department of obstetrics and gynecology.
　　[Key words] Perinatal period;Elderly primipara;Psychological care
　　高龄初产妇在妊娠过程中已经承受了身体上诸多的压力，在围产期更将是一次强烈的生理、心理应激过程。围产期中产妇情绪、心理的波动对母体及婴儿都会有负面影响[1]。因而高龄初产妇围产期的心理护理越来越受人们的重视。2010年1月～2011年1月笔者对住院高龄初产妇进行围产期心理状况的调查与分析，而后对有明显情绪波动的患者进行心理护理，取得了良好的临床效果，现报道如下。
　　1?资料与方法
　　1.1?一般资料
　　收集2010年1月～2011年1月在笔者所在医院产科住院的高龄初产妇30例，年龄35～45岁，平均（37.8±3.8）岁。既往无妊娠及流产史，无急、慢性疾病史、无精神障碍史。
　　1.2?方法
　　以问卷式对患者进行调查，采用焦虑自我评价量表（SAS）和抑郁自我评价量表（SDS）。根据评价表中症状出现频度计分，SDS评分＞50分者认为有抑郁状态出现，SAS评分＞50分者认为正处在焦虑状态。调查的问卷均由经过培训的医师和护师负责分发与收集，进行严格的测试。