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| Investigation of the negative emotion of primipara before delivery and the effect of cooperative psychological nursing for the primiparae during expectant labor |
| The Second Affiliated Hospital of Air Force Military Medical University, Xi'an, Shaanxi Province, 710004 |
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Abstract To understand the occurrence of negative emotions of primiparae before delivery, and to analyze the intervention effect of collaborative psychological nursing for the negative emotions of the primipara before delivery. Methods: 202 primiparae who waited for delivery were selected as the subjects. The negative emotional status of these primiparae was evaluated by Hamilton anxiety scale (HAMA) and Hamilton depression scale (HAMD). The primiparae with anxiety or depression were divided into two groups. The primipara in the control group received routine care during labor, and the primiparae in the study group received coordinated psychological care based on routine care during labor. The mode of delivery, the duration of labor, the negative emotional changes, and the satisfaction for nursing of the primiparae were compared between the two groups. Results: 86 (42.6%) primiparae had negative emotions, among which, 73 (36.1%) primiparae had anxiety, 31 (15.4%) primiparae had depression, and 18 (8.9%) primiparae had both anxiety and depression. The HAMA and HAMD scores of the primiparae in the study group after intervention had decreased significantly (P＜0.05), and which of the primiparae in the control group after intervention had no changed significantly (P＞0.05). The rate of cesarean section (7.0%) of the primiparae in the study group was significantly lower than that (27.9%) of the primiparae in the control group, the rate of vaginal vaginal delivery (83.7%) of the primiparae in the study group was significantly higher than that (55.8%) of the primiparae in the control group. The durations of the first, the second, and the third stages of labor of the primiparae in the study group were significantly lower than those of the primiparae in the control group. The incidence of abnormal labor behavior (14.0%), the overall incidence of adverse outcomes (0) of the primiparae in the study group were significantly lower than those (23.3% and14.0%) of the primiparae in the control group. The nursing satisfaction rate (97.7%) of the primiparae in the study group was significantly higher than that (79.1%) of the primiparae in the control group (all P＜0.05). Conclusion: Prenatal anxiety, depression, and other negative emotions are common in the primiparae before delivery. The implementation of collaborative psychological care for the primiparae during labor has significant role in alleviating their negative emotions, and improving their vaginal delivery rate and nursing satisfaction.
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