综合干预对初产妇焦虑和痛阈值的影响及其相关性研究

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摘要目的研究综合干预对初产妇孕晚期焦虑和痛阈值的影响及其相关性。方法 120名初产孕妇随机分为对照组和干预组。对照组常规产检,干预组从孕周28周至37周进行心理干预。在孕28周和37周测定两组孕妇的分娩自我效能评分、焦虑评分和痛阈值。结果对照组孕28周和37周分娩自我效能指标评分均无统计学差异;干预组孕37周时自我效能指标评分高于孕28周(P<0.05)和对照组孕37周(P<0.05)。对照组焦虑的发生率随着孕周显著增高(32.65%,59.18%,P<0.05),干预组孕37周时焦虑的发生率(26.09%)显著低于对照组(59.18%,P<0.05)。对照组焦虑的发生与孕周有相关性;随着焦虑程度的增加,孕妇的痛阈显著下降(P<0.05)。结论增加孕期分娩的自我效能,可降低孕期焦虑,显著增加孕晚期痛阈值。

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关键词 ：综合干预, 自我效能, 焦虑, 痛阈

Abstract：Objective To investigate and analyze the effects of comprehensive intervention on anxiety and pain threshold in primiparas.Methods A total of 120 primiparas were randomly divided into the control group (60 cases) and intervention group (60 cases). Between the 28th week and 37th week, primiparas in the control group received regular check-ups while those in the intervention group received comprehensive intervention. The scores of self-efficacy, anxiety and pain threshold were recorded at the 28th week and 37th week.Results All the scores of self-efficacy at the 37th week were significantly increased compared to those at the 28th week in the intervention group (P<0.05) or compared to those in the control group (P<0.05). The incidence of anxiety at the 37th week was significantly increased compared with that at the 27th week in the control group (59.13%,32.65%,P<0.05). The incidence was significantly decreased at the 37th week in the intervention group compared with the control group(26.09%, 59.18%,P<0.05). There were significant correlations between anxiety and gestational weeks in the control group (P<0.05). Pain threshold in primiparas with severe anxiety was significantly decreased compared with normal primiparas (P<0.05).Conclusions The incidence of anxiety is lower and pain threshold is higher in primiparas who receive comprehensive intervention between the 27th week and 38th week during pregnancy.

Key words： comprehensive intervention self-efficacy anxiety pain threshold

收稿日期: 2016-11-28

ZTFLH:

R614

基金资助:北京市科学技术委员会资助(Z151100003915089)

通讯作者: 尚丽新,E-mail:19932003@163.com

作者简介: 刘永哲,博士,副主任医师。

引用本文:

刘永哲, 马亚群, 尚丽新. 综合干预对初产妇焦虑和痛阈值的影响及其相关性研究[J]. 武警医学, 2017, 28(7): 712-715. LIU Yongzhe, MA Yaqun, and SHANG Lixi. Effects of comprehensive intervention on anxiety and pain threshold in primiparas. Med. J. Chin. Peop. Armed Poli. Forc., 2017, 28(7): 712-715.

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http://journal08.magtechjournal.com/Jwk_wjyx/CN/ 或 http://journal08.magtechjournal.com/Jwk_wjyx/CN/Y2017/V28/I7/712

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