Objective:To explore the status and characteristic of psychology for primipara and gravida with second child so as to improve psychological status of them and take them keep positive mentality in whole gestation.Methods: 176 gravidas randomly were selected in this study, and a self-designed questionnaire of psychology was applied to evaluate and compare the psychological status and self-care capacity between primipara and gravida with second child by using method of questionnaire survey. The primipara and gravida with second child were implemented hierarchical management depended on their differently psychological problem, and personalized intervening measurement was adopted to enhance their self-care capacity.Results: The psychological enduring capacity, self-care capacity and the ability of deal with problem about interpersonal relationship of gravidas with second child were obviously better than that of primiparas, while the neglect degree for antenatal care of them was higher than that of primiparas.Conclusion: The whole society should pay attention to the process for gestation of pregnant woman, and give them higher social support so as to promote the maternal and child health and effectively decrease the occurrence rate of delivery risk.%目的:探讨初孕妇与二胎孕妇心理状况及特点,进而改善孕妇的心理状态,使其在整个孕期保持积极的心态.方法:随机选取176名孕妇,利用自行设计的心理问卷调查表,通过问卷调查的方式,对初孕妇与二胎孕妇的孕期心理状况和自我护理能力进行评价和比较,医护人员根据初孕妇、二胎孕妇孕期存在的不同心理问题进行分层管理,采取个性化的干预措施,提高其自我护理能力.结果:二胎孕妇在心理承受能力、自我护理能力及人际关系问题处理能力方面较初孕妇能力显著,但对于产前检查的忽视程度高于初孕妇.结论:孕妇孕期过程必须受到全社会的关注,并应给予高度的社会支持,以促进母婴健康,有效降低分娩风险发生率.
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