焦慮和抑郁對分娩方式的影響和分析
發(fā)布時間:2018-04-01 13:01
本文選題:焦慮 切入點:抑郁 出處:《中國醫(yī)科大學》2005年碩士論文
【摘要】:前言 妊娠分娩是生殖健康的重要組成部分。WHO的全球策略提出“2015年人人享有生殖健康”。如何提高分娩質(zhì)量,保證母嬰安全,一直是圍產(chǎn)醫(yī)學要求的目標,也是人文關(guān)懷的體現(xiàn)。目前心身醫(yī)學正在日益受到廣泛重視,不但要重視生理因素對分娩的影響,更應關(guān)注社會及心理因素對分娩過程的影響。分娩雖是生理過程,但分娩對于產(chǎn)婦確實是一種持久而強烈應激源。分娩應激既可以產(chǎn)生生理上的應激,也可以產(chǎn)生精神生理上的應激。產(chǎn)婦精神心理因素能夠影響機體內(nèi)部的平衡,適應力和健康。我們產(chǎn)科醫(yī)生必須認識到影響分娩的因素除了產(chǎn)力、產(chǎn)道、胎兒之外還有產(chǎn)婦精神心理因素。在不同的精神情感因素中,焦慮和抑郁是妊娠婦女最主要的心理反應,焦慮和抑郁是唯一能夠?qū)θ焉锊l(fā)癥有預示作用的因素。從而不利于良好妊娠結(jié)局的獲得。本研究對392名在中國醫(yī)科大學附屬二院及遼陽市第三人民醫(yī)院等五家醫(yī)院分娩的產(chǎn)婦進行調(diào)查分析,探討焦慮和抑郁對分娩方式的影響及分析,同時對與此相關(guān)的社會因素進行調(diào)查研究。
[Abstract]:Foreword. Pregnancy and delivery is an important component of reproductive health. The WHO's global strategy "Reproductive Health for all in 2015". How to improve the quality of delivery and ensure the safety of mother and child has been the goal of perinatal medicine. At present, psychosomatic medicine is being paid more and more attention to, not only the influence of physiological factors on labor, but also the influence of social and psychological factors on the process of delivery. Although childbirth is a physiological process, But childbirth is really a lasting and strong source of stress for the parturient. Childbirth stress can produce both physiological and psychophysiological stress. The mental and psychological factors of the parturient can affect the balance of the body. Adaptability and health. We obstetricians have to recognize that there are other factors that affect childbirth, in addition to fertility, birth canal, fetuses, and maternal psycho-psychological factors. In different psycho-emotional factors, Anxiety and depression are the main psychological reactions of pregnant women. Anxiety and depression are the only predictors of pregnancy complications, which is not conducive to the acquisition of a good pregnancy outcome. This study of 392 in the second affiliated Hospital of China Medical University and Liaoyang City third people's Hospital, etc. The pregnant women who were delivered in hospitals were investigated and analyzed. To explore the influence and analysis of anxiety and depression on delivery style, and to investigate the social factors.
【學位授予單位】:中國醫(yī)科大學
【學位級別】:碩士
【學位授予年份】:2005
【分類號】:R395
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