全程陪伴分娩配合心理干预对初产妇产时认知行为及妊娠结局的影响

冯瑜，郗艳

（渭南市妇幼保健院，陕西 渭南，714000）

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摘要：

目的 观察全程陪伴分娩配合心理干预对初产妇产时认知行为及妊娠结局的影响。方法 选择2015年12月至2016年11月于我院进行分娩的96例产妇作为研究对象，运用随机数表法将其分为观察组（48 例）与对照组（48 例）。对照组给予产科常规干预，观察组则实施全程陪伴分娩配合心理干预。对比两组产妇分娩态度、分娩知识、产时认知行为以及妊娠结局。结果 干预后观察组分娩态度、分娩知识以及产时认知行为等评分高于对照组（P<0.05）；观察组剖宫产、助产比例低于对照组，顺产比例高于对照组（P<0.05）。结论 全程陪伴分娩配合心理干预有助于提升初产妇心理健康状态与产时认知行为，改善妊娠结局，有较高的临床推广价值。

关键词：全程陪伴分娩；心理干预；初产妇；产时认知行为；妊娠结局

中图分类号：R473.71文献标志码：A文章编号：2096-1413(2017)21-0187-02

Effect of whole-process companion delivery and mental intervention on intrapartum cognitive behavior and pregnancy outcome of primipara
FENG Yu, XI Yan
(Weinan Maternal and Child Health Care Hospital, Weinan 714000, China)

ABSTRACT: Objective To observe the effect of whole-process companion delivery and mental intervention on intrapartum cognitive behavior and pregnancy outcome of primipara. Methods From December 2015 to November 2016, 96 cases of pregnant women with delivery in our hospital were selected, which were divided into observation group (n=48) and control group (n=48) by random number table. The control group was given routine intervention, and the observation group was given whole-process companion delivery and mental intervention. The delivery attitude, delivery knowledge, intrapartum cognitive behavior and pregnancy outcome of the two groups were compared. Results After intervention, the scores of delivery attitude, delivery knowledge and intrapartum cognitive behavior of the observation group were higher than those of the control group (P<0.05); the ratio of cesarean section and midwifery of the observation group were lower than those of the control group (P<0.05). Conclusion Whole-process companion delivery and mental intervention can improve mental health state and intrapartum cognitive behavior of primipara, improve pregnancy outcome, which has high promotional value.

KEYWORDS: whole-process companion delivery; mental intervention; primipara; intrapartum cognitive behavior; pregnancy outcome

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