摘要
目的 探讨高龄产妇产前心理因素对妊娠结局的影响及干预措施.方法 选取2013年1月~2014年1月我院收治的120例高龄产妇,随机将其分成非干预组和干预组,每组各60例患者,其中非干预组产妇给予常规护理,干预组产妇在常规护理的基础上给予干预措施,并选取同期我院收治的年龄<35岁的非高龄产妇120例作为非高龄组,比较高龄组与非高龄组以及干预组与非干预组产妇产前焦虑及抑郁情绪,高龄组与非高龄组产妇以及干预组与非干预组妊娠结局.结果 高龄组产妇SAS和SDS评分,明显高于非高龄组产妇(<0.05);干预组产妇干预后SAS和SDS评分(41.3±4.1和42.3±4.4)明显低于非干预组产妇(57.4±6.3和59.5±5.9)(<0.05);高龄非干预组生长受限、窘迫以及死胎的发生率明显高于非高龄组(<0.05),高龄非干预组Apgar评分明显低于非高龄组(<0.05),高龄干预组窘迫发生率明显低于高龄非干预组(<0.05),高龄干预组Apgar评分明显高于高龄非干预组(<0.05).结论 高龄产妇产前焦虑和抑郁等不良情绪较为严重,且影响妊娠结局,有效的心理干预能够改善高龄产妇的妊娠结局.
Objective To explore advanced maternal prenatal psychological factors on pregnancy outcome and impact of interventions.Methods January 2013~January 2014 period in our hospital 120 cases of advanced maternal age,were randomly divided into intervention group and non-intervention group,60 patients in each group,wherein the non-intervention group received routine maternity care,intervention groups were given interventions in routine care on the basis of,and select the same period in our hospital,age<35 years of non-elderly maternal 120 cases of non-elderly group,the elderly group and the non-elderly group and the intervention group and non-intervention groups were produced before anxiety and depression,the elderly and non-elderly group mothers group and intervention group and non-intervention group pregnancy outcomes.Results The group of elderly mothers SAS and SDS score was significantly higher than the non-elderly group of women(<0.05).Conclusion The effective psychological interventions can improve pregnancy outcomes of older mothers.
作者
伍涛
WU Tao(Jinniu District Hospital of Traditional Chinese Medicine,Chengdu 610083,Sichuan,China)
关键词
高龄产妇
心理因素
妊娠结局
干预措施
Advanced maternal age
Psychological factors
Pregnancy outcomes
Intervention
