程序化健康教育联合心理干预在足月胎膜早破产妇中的应用效果

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　　[摘要]目的 探討程序化健康教育联合心理干预对足月胎膜早破产妇中的应用效果。方法 选取2016年12月～2018年10月赣州市南康区第一人民医院收治的60例足月胎膜早破产妇作为研究对象，采用随机数字表法将其分为对照组和联合组，每组各30例。对照组产妇进行单纯的心理干预，联合组产妇进行程序化健康教育联合心理干预。比较两组产妇干预前后的心理状况[抑郁自评量表（SDS）和焦虑自评量表（SAS）]、分娩方式及不良分娩结局发生率。结果 干预前，两组产妇的SAS、SDS评分比较，差异无统计学意义（P>0.05）;干预后，两组产妇的SAS、SDS评分均低于本组干预前，差异有统计学意义（P<0.05）;联合组产妇干预后的SAS、SDS评分均低于对照组，差异有统计学意义（P<0.05）。联合组产妇的自然分娩率高于对照组，剖宫产、引产率低于对照组，差异均有统计学意义（P<0.05）。联合组产妇的不良分娩结局总发生率低于对照组，差异有统计学意义（P<0.05）。结论 程序化健康教育联合心理干预对足月胎膜早破产妇的应用效果较好，可以改善产妇抑郁和焦虑的情绪，提高自然分娩率，减少产妇的不良分娩结局发生。
　　[关键词]程序化健康教育;心理干预;胎膜早破;产妇
　　[中图分类号] R714          [文献标识码] A          [文章编号] 1674-4721（2019）11（a）-0235-04
　　Application effect of procedural health education combined with psychological intervention in full-term parturientl with premature rupture of membranes
　　XIE Yun-jing1   LIU Hua-zhi2
　　1. The First People′s Hospital of Nankang District in Ganzhou City， Jiangxi Province， Ganzhou   341400， China; 2. Department of Hospital Infection， the First Affiliated Hospital of Gannan Medical College， Jiangxi Province， Ganzhou   341000， China
　　[Abstract] Objective To explore the application effect of procedural health education combined with psychological intervention in full-term parturientl with premature rupture of membranes. Methods A total of 60 cases of full-term premature rupture of membranes admitted to the First People′s Hospital of Nankang District in Ganzhou City from December 2016 to October 2018 were selected as the research objects， and they were divided into control group and combined group by the random number table method， with 30 cases in each group. The control group was given simple psychological intervention， and the combined group was given procedural health education combined with psychological intervention. The psychological status （self-rating depression scale [SDS] and self-rating anxiety scale[SAS]）， delivery methods and incidence of adverse delivery outcomes before and after intervention were compared between the two groups. Results Before the intervention， there were no significant difference in SAS and SDS scores between the two groups （P>0.05）. After the intervention， the SAS and SDS scores of the two groups parturients were lower than before the intervention， and the differences were statistically significant （P<0.05）. After intervention， SAS and SDS scores in the combined group were lower than those in the control group， and the differences were statistically significant （P<0.05）. The natural delivery rate of parturients in the combined group was higher than that in the control group， while the cesarean section rate and induced labor rate were lower than those in the control group， the differences were statistically significant （P<0.05）. The total incidence of adverse delivery outcomes in the combined group was lower than that in the control group， and the difference was statistically significant （P<0.05）. Conclusion Procedural health education combined with psychological intervention has a good effect on full-term premature rupture of membranes， which can improve maternal depression and anxiety， increase natural delivery rate and reduce adverse delivery outcomes.
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