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目的研究心理疏导联合知信行模式干预对门诊胎心监测异常孕妇心理状态的影响。方法选取我院2014年2月至2016年2月经门诊诊断胎心监测异常的孕妇78例,按照就诊顺序编号,采取随机数表法将纳入研究的孕妇分为观察组与对照组两组,每组39例,给予对照组孕妇心理疏导,给予观察组孕妇心理疏导联合知信行模式干预,比较两组孕妇护理干预前后抑郁自评量表(SDS)、焦虑自评量表(SAS)、意外事件影响量表(IES-R)及三维筛选评估模型(TAS)评分,比较两组孕妇妊娠方式及新生儿阿氏评分(Apgar)。结果干预后,观察组孕妇SDS、SAS评分较对照组显著降低(P<0.05);观察组IES-R及TAS各项评分较对照组显著较低(P<0.05);观察组顺产率为51.28%较对照组23.08%显著较高(P<0.05),剖宫产率为38.46%较对照组64.10%显著较低(P<0.05);观察组新生儿评分在8-10分数段的概率为71.7%较对照组48.72%显著较高(P<0.05)。结论给予门诊胎心监测异常孕妇心理疏导联合知信行模式干预能显著改善孕妇焦虑、抑郁等负面情绪,有利于孕期状态稳定,孕妇剖宫产率降低,有利于新生儿。
Objective To study the effect of psychological counseling combined with mode of knowing and acting on the psychological status of pregnant women with abnormal fetal heart rate in clinic. Methods Seventy-eight pregnant women with abnormal fetal heart rate were diagnosed in our hospital from February 2014 to February 2016. The pregnant women were divided into observation group and control group according to the order of treatment, (N = 39). The pregnant women in the control group were given psychological counseling and the psychological counseling combined with the mode of knowing and acting in the observation group was given. The self-rating depression scale (SDS), anxiety self-rating scale (SAS) (IES-R) and three-dimensional screening assessment model (TAS) scores were compared between the two groups of gestational patterns of pregnancy and neonatal Apgar score. Results After intervention, the scores of SDS and SAS in observation group were significantly lower than those in control group (P <0.05); IES-R and TAS scores in observation group were significantly lower than those in control group (P <0.05); The birth rate in observation group was 51.28 (P <0.05). The rate of cesarean section was 38.46%, which was significantly lower than that of control group (64.10%) (P <0.05). The probability of newborns in observation group was 8-10 71.7% was significantly higher than the control group 48.72% (P <0.05). Conclusions The intervention of psychological counseling in pregnant women with abnormal fetal heart rate in clinic can significantly improve the negative emotions such as anxiety and depression of pregnant women, which is beneficial to the stable state of pregnancy and the reduction of cesarean section rate in pregnant women, which is benefit to the newborn.