理性情绪疗法对胎儿异常孕产妇心理状况的影响

摘要

目的：探讨以理性情绪疗法为基础的心理干预策略及应用方法对胎儿异常孕产妇的影响。方法以理性情绪疗法为依据，制订心理干预策略，并应用于30例妊娠20周后突发胎儿异常的孕产妇的心理护理。在干预前后，采用意外事件影响量表和三维筛选评估模型进行评定。结果干预后孕产妇意外事件影响量表自评分及三维筛选评估模型评分均降低（P ﹤0.01）。结论理性情绪疗法能缓解孕产妇对胎儿异常意外事件的影响，达到情感-认知-行为的和谐。%Objective To investigate the effects of rational emotive therapy - based psychological intervention strategies for maternal fetal abnormalities. Methods Psychological intervention strategy was established based on rational emotive therapy and applied to the psychological care of 30 pregnancy women af-ter 20 weeks of gestation who suddenly encountered fetal abnormalities. The woman were assessed using the Impact of Event. Scale - Revised(IES - R)and Tri-age Assessment System(TAS)before and after intervention. Results After the intervention,the score of IES - R and the score of TAS decreased significanthy than baseline(P ﹤ 0. 01). Conclusion Rational emotive therapy can ease the impact of maternal fetal abnormalities accidents,reaches emotional - cognitive -behavior harmonious.