Retrospective Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. Dec 19, 2023; 13(12): 1053-1060
Published online Dec 19, 2023. doi: 10.5498/wjp.v13.i12.1053
Effect of cognitive behavior therapy training and psychological nursing on the midwifery process in the delivery room
Qin Shi, Jie Wang, Dan Zhao, Ling-Yan Gu
Qin Shi, Jie Wang, Dan Zhao, Ling-Yan Gu, Department of Gynaecology and Obstetrics, Dushu Lake Hospital Affiliated to Soochow University, Suzhou 215125, Jiangsu Province, China
Author contributions: Shi Q and Gu LY contributed equally to this work; Shi Q, Wang J, Zhao D and Gu LY designed the research study; Shi Q, Wang J, Zhao D and Gu LY performed the research; Shi Q and Gu LY contributed new reagents and analytic tools; Shi Q and Gu LY analyzed the data and wrote the manuscript; all authors have read and approve the final manuscript.
Institutional review board statement: The study was reviewed and approved by the Institutional Review Board of Dushu Lake Hospital Affiliated to Soochow University.
Informed consent statement: All research participants signed informed consent forms before the study.
Conflict-of-interest statement: All authors have no conflicts of interest to disclose.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ling-Yan Gu, RN, Nurse, Department of Gynaecology and Obstetrics, Dushu Lake Hospital Affiliated to Soochow University, No. 9 Chongwen Road, Suzhou Industrial Park, Suzhou 215125, Jiangsu Province, China. 18761945891@163.com
Received: September 21, 2023
Peer-review started: September 21, 2023
First decision: October 9, 2023
Revised: October 18, 2023
Accepted: December 2, 2023
Article in press: December 2, 2023
Published online: December 19, 2023
Processing time: 89 Days and 3.5 Hours
Abstract
BACKGROUND

The severe physical and psychological impact of pain on the physical and mental health of women during labor leads to increased risks and complications during childbirth, presenting a major public health concern. Some studies have shown that cognitive behavioral therapy (CBT) has a positive effect on maternal psychology during delivery, reducing stress and shortening labor time. Thus, CBT training for mothers and delivery room staff may be beneficial in minimizing complications and adverse effects during natural birth.

AIM

To investigate the clinical effects of CBT training and psychological care during delivery, and their therapeutic effects on women in labor.

METHODS

This study used a retrospective analysis and included 140 mothers admitted to the maternity ward between January 2021 and January 2023. The study subjects were randomized into two groups: control (n = 70) and observation (n = 70). Routine care, CBT training, and psychological care were provided to mothers in both groups. Psychological status scores, delivery time, and satisfaction with care pre- and post-delivery were compared, and the incidence of complications after receiving care was analyzed between the two groups.

RESULTS

Although the psychological state of both groups improved significantly in the late stages of labor, the psychological state scores of the mothers in the observation group were significantly lower than those of the mothers in the control group (P < 0.05). The duration of labor and incidence of complications in the observation group were significantly lower than those in the control group (P < 0.05). The mothers in the observation group were significantly more satisfied with nursing care during the course of labor than those in the control group (P < 0.05).

CONCLUSION

CBT training and psychological care for mothers in the midwifery process can effectively improve anxiety and depression, shorten labor duration, reduce postnatal complications, and improve nursing satisfaction and nurse-patient relationships. Its clinical application is effective and has popularization value, providing a new way to protect maternal mental health.

Keywords: Cognitive behavior therapy; Cognitive behavior therapy training; Psychological care; Childbirth; Mental health

Core Tip: The application of cognitive behavior therapy training and psychological care in the delivery process can effectively improve the psychological condition of mothers, shorten labor duration, reduce the incidence of complications, and improve nurse-patient relationships and nursing satisfaction. Compared to either approach alone, the effect of the combined intervention was more significant.