梅毒产妇住院期间负性心理调查及临床干预

目的：分析梅毒产妇住院期间的负性心理,探讨对其实施临床干预的意义和方法.方法：选取梅毒产妇155例,随机分为两组,其中对照组73例,观察组82例,同时选取同期健康产妇100例,使三组产妇各方面有可比性.对照组给予常规治疗和护理,观察组患者在对照组基础上针对产妇的负性情绪实施临床干预.以问卷调查的方式对三组产妇入院时心理特点、分娩后心理表现进行调查,并以SCL-90量表分别于产妇入院后和出院前对产妇的心理状况进行评价.结果：合并梅毒的产妇其躯体化、抑郁、焦虑、恐怖因子得分均明显高于健康产妇,两组比较差异明显,有统计学意义（P＜0.05）.而在其他方面两组产妇得分差别不大,无统计学意义（P＞0.05）.154例（99.35%）产妇担心梅毒会传染给胎儿,此外,担心得不到家庭的支持、对工作产生影响、不能对患者个人信息保密或者是影响以后的生育,居产妇负性心理的前5位.观察组产妇经过临床干预失眠烦躁、害怕、羞愧、后悔、悲观绝望、抑郁、报复等不良心理发生率均明显高于对照组,两组比较差异明显,有统计学意义（P＜0.05）.在分娩之后经过心理干预的观察组产妇在躯体化、抑郁、焦虑、恐怖因子得分接近于健康产妇,而与对照组产妇具有明显差异（P＜0.05）.结论：在治疗和护理的过程中应给予患者针对性的临床干预,包括积极的心理护理和抗感染治疗,以此改善患者的心理状况,取得患者的良好配合.

Negative psychological state of hospitalized parturients with syphilis and the related clinical intervention

Objectives： To analyze the negative psychological state of parturients with syphilis during hospi-talization and to explore the value and effectiveness of clinical interventions. Method： 155 cases of maternal syphilis were randomly divided into 2 groups： 73 cases in the control group, and 82 cases in the observation group. Meanwhile, 100 cases of healthy pregnant women were selected. The control group received routine treatment while patients in the observation group got additional psychological intervention that targeted at their negative emotion. Psychological characteristics and mental state of all the three groups were evaluated by SCL - 90 scale when patients were first admitted into hospital and when they were discharged from hospital. Results： The level of somatization, depression, anxiety, fear among parturients with syphilis were reported significantly higher than the level in healthy women （P 〈 0.05）. Meanwhile, there is no significant difference between the control group and the observation group （ P 〉 0. 05 ）. 154 （99.35 % ） mothers with syphilis worried about their situation ： transmission to their babies, family support, jobs, protection of their privacy and future fertility topped their worry list. Besides, after clinical intervention, insomnia, irritability, fear, shame, regret, despair, depression, and other adverse psychological incidence rate of the observation group were significantly lower than those of the control group （ P 〈 0.05 ）. Conclusion ： Patients should be given positive psychological interventions and anti - infection treatment for the improvement of patients＇ mental health.