目的：探讨围产期情绪管理对孕产妇抑郁情绪和分娩结局的的影响，为围产期护理提供参考依据。方法对80例初产妇给予1个月的围产期情绪管理干预，比较产前1周、产后1周的病人健康问卷-9评分（ PHQ-9）、各产程持续时间和妊娠结局。结果产后1周初产妇的PHQ-9评分为（5．62±1．34），显著低于产前1周（P ＜0.05）；80例初产妇中顺产65例（81．25％），无一例产妇及围生儿死亡，新生儿Apgar评分平均为（9．3±0．2）分；第二产程平均时间为（52．84±6．74） min。结论通过围产期情绪管理干预可以显著减轻初产妇的负面情绪，有助于减少剖宫产和第二产程。%Objective To investigate the effect of perinatal emotion management on maternal depression and delivery outcome and develop scientific knowledge for perinatal care.Method 80 cases of primipara were provided with perinatal emotion management intervention.The length of intervention time was one month.The PHQ-9 score, the duration of the delivery stage and the outcome of pregnancy one week prenatal were compared to those obtained one week postpartum. Findings Primipara PHQ-9 score was (5.62 ±1.34) one week postpartum, significantly lower than that one week prenatal (P<0.05).Among the 80 cases of primipara, there were 65 cases of vaginal delivery(81.25%).No cases of primipara or perinatal death were reported.The neonatal Apgar score average was (9.3 ±0.2).The average time of the second stage of labor was (52.84 ±6.74) min.Conclusion The perinatal emotion management intervention can significantly reduce the negative emotions of primipara.It also can reduce the cesarean section and the second stage of labor.
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