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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 study the influence of negative psychological emotion on the health indicators of preterm premature rupture of membranes and infants. Methods A total of 200 full-term patients with premature rupture of membranes who received obstetric treatment in our hospital from October 2014 to September 2016 were enrolled in this study. Patients were divided into observation group and control group according to psychological intervention. Depression scale to evaluate the psychological status before and after maternal intervention. The production patterns, postpartum hemorrhage, postpartum bed rest, puerperal infection and urinary retention of the two groups were recorded and analyzed. The body weight, Apgar score, asphyxia , Pneumonia and the incidence of death. Results Before intervention, there was no significant difference in the anxiety and depression between the two groups. After the intervention, anxiety and depression in the observation group and depression in the control group were significantly improved, and the improvement in the observation group was significantly better than that in the control group (P <0.01) ; The proportion of spontaneous childbirth in the observation group was significantly higher than that in the control group, the bed time, the rate of puerperal infection and the incidence of urinary retention were significantly less than those in the control group (P <0.05), but the postpartum hemorrhage volume in the two groups was no significant difference (P> 0.05). There was no significant difference in body weight and mortality between the two groups (P> 0.05), but the Apgar score of neonates in the observation group was significantly higher than that of the control group (P <0.01) The incidence of asphyxia and pneumonia in the group was significantly lower than that in the control group (P <0.05). Conclusion Psychological intervention can effectively improve the health indicators of premature rupture of membranes caused by negative psychological emotions.