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目的调查围产期母婴心理与生理的健康状态,分析产科心理与生理保健指导服务(简称心身服务)对其的影响。方法收集2014年5月-2015年5月在昆山市妇幼保健院产检的正常妊娠孕28周孕妇220名,随机分为实验组与对照组,每组各110名。实验组提供常规服务和心身服务,而对照组只提供常规服务。采用问卷法对招募时及产后母亲-婴儿健康状态进行调查,分析并比较两组的焦虑症状与抑郁症状各因子得分和阳性体征得分的差异性。结果实验前,实验组与对照组焦虑、抑郁得分比较,差异无统计学意义(t=-0.268,P>0.05;t=-1.941,P>0.05);实验后,实验组与对照组焦虑症状与抑郁症状得分比较,差异有统计学意义(t=-5.058,P<0.01;t=-3.854,P<0.01),母亲阳性体征及婴儿阳性体征得分比较,差异均有统计学意义(t=7.61,P<0.05;t=2.83,P<0.05)。结论围产期心身保健服务有利于产后母亲的情绪稳定和更好地维护母子生理健康。
Objective To investigate the mental and physical health of perinatal mothers and their infants and to analyze the influence of obstetrical psychological and physical health guidance services (Psychosocial Services). Methods Totally 220 pregnant women of 28 weeks of gestation from May 2014 to May 2015 in Kunshan Maternal and Child Health Hospital were randomly divided into experimental group and control group with 110 in each group. The experimental group provided routine services and psychosocial services, whereas the control group only provided routine services. Questionnaire was used to investigate the status of maternal-infant health during recruitment and postnatal period. The differences between scores of anxiety and depression and scores of positive signs in both groups were analyzed and compared. Results Before the experiment, there was no significant difference between the experimental group and the control group in anxiety and depression scores (t = -0.268, P> 0.05; t = -1.941, P> 0.05) (T = -5.058, P <0.01; t = -3.854, P <0.01). There was a significant difference in the positive signs of maternal and infant positive signs (t = 7.61, P <0.05; t = 2.83, P <0.05). Conclusions Perinatal psychosomatic health services are conducive to emotional stability of postpartum mothers and better maintenance of maternal and neonatal physical health.