摘要
目的探讨心理行为干预对高危妊娠孕妇妊娠结局和负性情绪的影响。方法将符合高危妊娠诊断标准的孕妇按入组顺序编号分组，共完成临床观察高危孕妇干预组（A组）31例，高危妊娠孕妇对照组（B组）32例，孕妇配偶干预组（c组）31人，孕妇配偶对照组（D组）32人。A组和B组孕妇均接受门诊常规高危妊娠管理，A组、C组接受16周夫妻共同参与以关键心理问题处理、负性情绪应对技巧学习、夫妻沟通技巧学习、家庭社会支持作业、康复信念强化等为核心内容的综合干预。观察高危妊娠分娩新生儿体质量、窒息率，孕妇和配偶干预前后焦虑抑郁总发生率、焦虑自评量表（SAS）评分、抑郁自评量表（SDS）评分、家庭关怀度指数问卷评分（APGAR）等变化。结果新生儿出生平均体质量，干预A组（3．12±0．69）kg，高于B组（2．29±0．78）kg，差异具有统计学意义（t=2．3148，P=0．024）；新生儿窒息率比较，A组12．9％，B组34．4％，差异具有统计学意义（x2=4．0018，P=0．0455）；自然分娩率A组58．1％，B组25％，差异具有统计学意义（x2=7．1023，P=0．0077）；剖宫产率A组29．0％，B组59．4％，差异具有统计学意义（X2=5．8713，P=0．0154）；孕妇焦虑抑郁总发生率，干预后A组19．4％，B组46．9％，差异具有统计学意义（x2=5．3664，P=0．0205）；孕妇配偶焦虑抑郁总发生率，干预后A组9．7％，B组31．2％，差异具有统计学意义（x2=4．4745，P=0．0344）；高危妊娠孕妇干预后APGAR总分[A组（9．42±1．53）分，B组（7．71±1．56）分]，A组优于B组，差异具有统计学意义（t=4．3910，P=0．000），亲密度、情感度、成长度、合作度、适应度5项因子分A组优于B组，差异具有统计学意义（P〈0．05—0．01）。结论高危妊娠孕妇及其配偶有较重的负性情绪反应，夫妻心理行为干预对高危妊娠孕妇妊娠结局和负性情绪的改善有重要作用。
Objective To investigate the husband and wife psychological and behavioral intervention on high-risk pregnant women, pregnancy outcome and negative emotions. Methods in line with the number of highrisk pregnancy diagnostic criteria for pregnant women into the group of order packets were completed by the clinical observation of high-risk pregnant women in the intervention group （A） 31 cases, 32 cases of high-risk pregnant women in the control group （ group B）, spouses of pregnant women in the intervention group （ Group C） 31 spouses of pregnant women in the control group （ group D）. Pregnant women in group A and group B underwent outpatient conventional high-risk pregnancy management, group A, group C received 16 weeks of husband and wife jointly participate in the key psychological problems, negative emotion coping skills to learn, couples communication skills, learning, family and social support operations, rehabilitation and faith strengthening and other intervention as the core content. Quality delivery of newborns, asphyxia, anxiety and depression in pregnant women and their spouses before and after intervention the overall incidence of anxiety and self-assessment scale（SAS） score, the score of the Self-Rating Depression Scale（ SDS）, the Family APGAR Index Questionnaire score （observation of high-risk pregnancy APGAR） and other changes. Results The average body weight of newborns：the intervention group A （3.12±0.69） kg, than in group B （2.29±0.78） kg, a statistically significant difference （ t=2. 3148, P = 0. 024） ; asphyxia ： group A was 12.9% and 34.4% in group B, the difference was statistically significant （ X2 =4. 0018, P=0. 0455） ;natural birth rate：58.1% in group A, group B 25%, a statistically significant difference （X2 = 7. 1023, P= O. 0077） ;the rate of cesarean section ：29.0% in group A, group B, 59.4% , a statistically significant difference （X2 = 5. 8713, P= 0. 0154） ;anxiety and depression in pregnant women ：the total incidence after the intervention group A was 19.4% , 46.9% in Group B, the difference was significant （ X2 = 5. 3664, P = 0. 0205 ） ;maternal spouse anxiety and depression：in the overall incidence of A group of 9.7% after the interven- tion group B 31.2% , the difference was statistically significant （X2 = 4. 4745, P = 0. 0344） ; APGAR score：after the intervention of high-risk pregnant women in group A （9.42 ± 1.53 ） , Group B （7.71 ±1.56 ） , group A betterthan group B, the difference was statistically significant （ t = 4. 3910, P = 0. 000 ）, intimacy, emotional degree, the growth degree, cooperation degree, adapt to the degree of five factor scores in group A than group B, a statistically significant difference （P 〈 0.05, P 〈 0.01 ）. Conclusion High-risk pregnant women and their spouses have a severe negative emotional reaction, the husband and wife psychological and behavioral intervention on the improvement of high-risk pregnant women, pregnancy outcome and negative emotions have an important role.
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2012年第9期813-816,共4页
Chinese Journal of Behavioral Medicine and Brain Science
关键词
夫妻
心理行为干预
高危妊娠
负性情绪
husband and wife psychological and behavioral intervention, the negative emotions of thehigh-risk pregnancy
