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目的:观察音乐疗法与心理激励措施在初产妇中应用效果,进一步分析初产妇心理现状、分娩结局的情况。方法:选取2013年1月-2015年12月笔者单位的100例初产妇为研究受试者,根据护理措施的差异分成了观察组及对照组,各50例产妇。对照组产妇采取常规的产科护理措施,观察组则在对照组的基础上加音乐疗法、心理激励措施。对患者心理情绪指标、分娩结局等进行评价。结果:观察组患者汉密尔顿抑郁量表(HAMD)评分、汉密尔顿焦虑量表(HAMA)评分、抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分均显著低于对照组(t=-14.1567,-106329,-9.4004,-10.3742;P<0.01)。观察组产妇的第一产程、第二产程、第三产程以及总产程均低于对照组(t=-6.6420,-12.3747,-27.2876,-6.8092;P<0.01)。观察组顺产例数高于对照组(χ~2=6.8501,P<0.05);观察组产褥期感染例数低于对照组(χ~2=4.3956,P<0.05);观察组新生儿Apgar评分高于对照组(t=5.4727,P<0.01),观察组产妇的产后出血量低于对照组(t=-35.0457,P<0.01)。结论:音乐疗法联合心理激励措施能够显著改善初产妇的心理负性情绪,产程时间缩短,剖宫产风险降低,出血量减少。
Objective: To observe the effect of music therapy and psychological encouragement in primipara, to further analyze the psychological status and delivery outcome of primipara. Methods: 100 primipara from January 2013 to December 2015 were selected as study subjects. According to the difference of nursing measures, the observation group and the control group were divided into two groups, 50 maternal women each. The control group of mothers to take conventional obstetric care measures, the observation group is based on the control group plus music therapy, psychological incentives. Psychological and emotional indicators of patients, delivery outcomes, etc. were evaluated. Results: The HAMD, HAMA, SDS and SAS scores in the observation group were significantly lower than those in the control group (t = -14.1567, -106329, -9.4004, -10.3742; P <0.01). In the observation group, the first stage of labor, second stage of labor, third stage of labor and total labor were all lower in the observation group than in the control group (t = -6.6420, -12.3747, -27.2876, -6.8092; P <0.01). In the observation group, the number of patients in the observation group was higher than that in the control group (χ ~ 2 = 6.8501, P <0.05). The number of puerperium infection in the observation group was lower than that in the control group (χ ~ 2 = 4.3956, In the control group (t = 5.4727, P <0.01), the amount of postpartum hemorrhage in the observation group was lower than that in the control group (t = -35.0457, P <0.01). Conclusion: The combination of music therapy and psychological measures can significantly reduce the psychological negative emotions of primipara, shorten labor duration, reduce the risk of cesarean section and reduce the amount of bleeding.