目的：观察心理护理干预应用于临产妇分娩过程中的效果。方法选取2013年2月~2014年2月于江苏省无锡市妇幼保健院进行分娩的临产妇共148例，将其分为研究组与对照组。对照组74例予以常规护理，研究组74例在对照组基础上予以心理护理干预。比较两组产妇分娩过程各项评分情况、各产程时间及分娩前后两组抑郁自评量表评分(SDS)、焦虑自评量表评分(SAS)、汉密尔顿抑郁量表评分(HAMD)等量表评分。结果研究组产后出血评分为(1.47±1.04)分，新生儿Apgar评分为(9.47±0.52)分，显著优于对照组[(4.52±0.36)、(5.23±1.18)分]，差异均有统计学意义(P<0.05)；研究组总产程为(8.86±1.02)h，显著少于对照组[(13.87±1.64)h]，差异有统计学意义(P<0.05)；研究组分娩后SDS、SAS、HAMD分别为(41.28±1.37)、(40.06±2.24)、(4.35±0.08)分，均显著低于对照组[(50.61±1.87)、(51.75±5.49)、(8.65±1.72)分]，差异均有统计学意义(P<0.05)。结论心理护理干预应用于临产妇分娩过程中，能够有效缓解产妇的紧张、恐惧情绪，同时降低分娩中危险情况的发生率，保障分娩顺利进行，提升分娩安全性，具有临床应用价值。%Objective To observe the effect of psychological nursing intervention in the process of parturient delivery. Methods The study data were from 148 cases of parturient patients for childbirth in Wuxi Maternity and Child Care Hospital from February 2013 to February 2014, which were divided into study group and control group. 74 patients in the control group were received routine nursing, while 74 cases in the study group were treated with psychological nurs-ing intervention plus routine nursing. Varions grading puerpera childbirth and the labor time were compared between two groups. The anxiety and depression scale score of self-rating depression scale(SDS), self-rating anxiety scale (SAS) and hamilton depression scale (HAMD) of two groups of parturient patients were compared before and after delivery. Results The postpartum bleeding score of study group was (1.47±1.04) scores and the infant Apgar score was (9.47±0.52) scores, which were both significantly better than those in the control group [(4.52±0.36), (5.23±1.18) scores], there were statistically significant differences (P<0.05). The total stage of labor of study group was (8.86±1.02) h, which was significantly less than that of the control group [(13.87±1.64) h], there was statistically significant difference (P<0.05). Scores of SDS, SAS and HAMD of the study group after delivery were (41.28±1.37), (40.06±2.24), (4.35±0.08) scores respectively, which were significantly lower than those of the control group [(50.61±1.87), (51.75±5.49), (8.65±1.72) scores], there were statistically significant differences (P < 0.05). Conclusion The psychological nursing intervention applied in the process of parturient women’s delivery can effectively alleviate maternal tension and fear and reduce the incidence of risk, which can ensure smooth delivery and improve safety of delivery, thus worth of clinical application.
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