PDF(Pubmed)
Abstract：
BACKGROUND: The severe physical and psychological impact of pain on the physical and mental health of women during labor leads to increased risks and complications during childbirth, presenting a major public health concern. Some studies have shown that cognitive behavioral therapy (CBT) has a positive effect on maternal psychology during delivery, reducing stress and shortening labor time. Thus, CBT training for mothers and delivery room staff may be beneficial in minimizing complications and adverse effects during natural birth.
OBJECTIVE: To investigate the clinical effects of CBT training and psychological care during delivery, and their therapeutic effects on women in labor.
METHODS: This study used a retrospective analysis and included 140 mothers admitted to the maternity ward between January 2021 and January 2023. The study subjects were randomized into two groups: control (n = 70) and observation (n = 70). Routine care, CBT training, and psychological care were provided to mothers in both groups. Psychological status scores, delivery time, and satisfaction with care pre- and post-delivery were compared, and the incidence of complications after receiving care was analyzed between the two groups.
RESULTS: Although the psychological state of both groups improved significantly in the late stages of labor, the psychological state scores of the mothers in the observation group were significantly lower than those of the mothers in the control group (P < 0.05). The duration of labor and incidence of complications in the observation group were significantly lower than those in the control group (P < 0.05). The mothers in the observation group were significantly more satisfied with nursing care during the course of labor than those in the control group (P < 0.05).
CONCLUSIONS: CBT training and psychological care for mothers in the midwifery process can effectively improve anxiety and depression, shorten labor duration, reduce postnatal complications, and improve nursing satisfaction and nurse-patient relationships. Its clinical application is effective and has popularization value, providing a new way to protect maternal mental health.
OBJECTIVE: To investigate the clinical effects of CBT training and psychological care during delivery, and their therapeutic effects on women in labor.
METHODS: This study used a retrospective analysis and included 140 mothers admitted to the maternity ward between January 2021 and January 2023. The study subjects were randomized into two groups: control (n = 70) and observation (n = 70). Routine care, CBT training, and psychological care were provided to mothers in both groups. Psychological status scores, delivery time, and satisfaction with care pre- and post-delivery were compared, and the incidence of complications after receiving care was analyzed between the two groups.
RESULTS: Although the psychological state of both groups improved significantly in the late stages of labor, the psychological state scores of the mothers in the observation group were significantly lower than those of the mothers in the control group (P < 0.05). The duration of labor and incidence of complications in the observation group were significantly lower than those in the control group (P < 0.05). The mothers in the observation group were significantly more satisfied with nursing care during the course of labor than those in the control group (P < 0.05).
CONCLUSIONS: CBT training and psychological care for mothers in the midwifery process can effectively improve anxiety and depression, shorten labor duration, reduce postnatal complications, and improve nursing satisfaction and nurse-patient relationships. Its clinical application is effective and has popularization value, providing a new way to protect maternal mental health.
摘要：
背景：分娩过程中疼痛对妇女身心健康的严重生理和心理影响导致分娩过程中的风险和并发症增加，这是一个重大的公共卫生问题。一些研究表明，认知行为疗法（CBT）对分娩过程中的产妇心理具有积极作用，减少压力，缩短劳动时间。因此，对母亲和分娩室工作人员进行CBT培训可能有助于最大程度地减少自然分娩期间的并发症和不良反应。
目的：探讨分娩过程中进行CBT训练和心理护理的临床效果。以及它们对分娩妇女的治疗效果。
方法：本研究采用回顾性分析，包括2021年1月至2023年1月期间入住产科病房的140名母亲。研究对象随机分为两组：对照组（n=70）和观察组（n=70）。常规护理,CBT培训,并向两组母亲提供心理护理。心理状态评分，交货时间,并对分娩前和分娩后的护理满意度进行了比较，分析两组患者接受护理后并发症的发生率。
结果：尽管在分娩后期两组的心理状态都有明显改善，观察组母亲的心理状态评分明显低于对照组(P<0.05)。观察组的产程时间和并发症发生率明显低于对照组(P<0.05)。观察组产妇对产程护理的满意度明显高于对照组(P<0.05)。
结论：在助产过程中对母亲进行CBT训练和心理护理可以有效改善焦虑和抑郁情绪，缩短劳动时间，减少产后并发症，提高护理满意度和护患关系。其临床应用效果良好,具有推广价值,为保护孕产妇心理健康提供了新的途径。
目的：探讨分娩过程中进行CBT训练和心理护理的临床效果。以及它们对分娩妇女的治疗效果。
方法：本研究采用回顾性分析，包括2021年1月至2023年1月期间入住产科病房的140名母亲。研究对象随机分为两组：对照组（n=70）和观察组（n=70）。常规护理,CBT培训,并向两组母亲提供心理护理。心理状态评分，交货时间,并对分娩前和分娩后的护理满意度进行了比较，分析两组患者接受护理后并发症的发生率。
结果：尽管在分娩后期两组的心理状态都有明显改善，观察组母亲的心理状态评分明显低于对照组(P<0.05)。观察组的产程时间和并发症发生率明显低于对照组(P<0.05)。观察组产妇对产程护理的满意度明显高于对照组(P<0.05)。
结论：在助产过程中对母亲进行CBT训练和心理护理可以有效改善焦虑和抑郁情绪，缩短劳动时间，减少产后并发症，提高护理满意度和护患关系。其临床应用效果良好,具有推广价值,为保护孕产妇心理健康提供了新的途径。
