Effect of cognitive behavior therapy training and psychological nursing on the midwifery process in the delivery room

doi:10.5498/wjp.v13.i12.1053

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World Journal of Psychiatry

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2220-3206

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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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

ARTICLE HIGHLIGHTS

Research background

The severe physical and psychological impact of pain on the physical and mental health of women during childbirth, leads to increased risks and complications, presenting a major public health issue.

Research motivation

During childbirth, labor pain causes strong psychological stimulation in women, which often leads to accidents due to excessive mental stress.

Research objectives

To provide new insights into reducing accidents during childbirth and safeguarding mothers’ physical and mental health.

Research methods

This study used a retrospective analysis and included 140 mothers admitted to the maternity ward between January 2021 and January 2023. The two groups were randomized: Routine care, cognitive behavior therapy (CBT) training, and psychological care were, respectively, provided to mothers in the control (n = 70) and the observation (n = 70) groups.

Research results

The results showed that although the psychological state of mothers in both groups improved significantly in the late stage of labor, that of the mothers in the observation group was significantly lower than that of mothers in the control group. The labor duration and incidence of complications in the observation group were significantly lower than those in the control group, and the satisfaction of mothers with care during the process of labor in the observation group was significantly higher than that in the control group. In addition, labor duration and complication rates in the observation group were significantly lower than those in the control group, and the satisfaction rate in the observation group was significantly higher than that in the control group.

Research conclusions

CBT training and psychological care for mothers in the midwifery process can effectively improve maternal 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 the mental health of mothers.

Research perspectives

CBT training and psychological care were administered during the delivery process, and the clinical effects were assessed by evaluating the psychological state scores of the mothers after delivery, observing labor duration, incidence of post-delivery complications, and satisfaction with nursing care.