A clinical study on multidisciplinary cooperation diagnosis and treatment system in the treatment of physical dysfunction induced by psychological problems in pregnant women

Abstract

Objective To investigate the clinical effect of a multidisciplinary cooperation mode of physiological regulation, psychological adjustment and music conditioning(PPM) intervention measures (based on obstetrics department) in the treatment of psychological problems induced physical dysfunction among pregnant women. Methods A total of 100 pregnant women who received prenatal examination in the Maternal Physical and Mental Health Clinic of Dagang Maternal and Child Health Care Center in Binhai New Area, Tianjin, Maternal and Child Health Care Hospital in Yuexiu District, Guangzhou, Yantai Mountain Hospital in Yantai, Hangu Maternal and Child Health Care Center in Binhai New Area, Tianjin, and Maternal and Child Health Care Center in Hebei District, Tianjin, from March to April 2016 were selected as study objects.They were randomly divided into observation group(n=50) and control group(n=50) employing the ballot method.The observation group was treated with PPM intervention measures in addition to traditional health education, while the control group was only treated with traditional health education.Statistical methods were applied to compare the changes in main symptoms of the chief complain of physical dysfunction, the functional state of the autonomic nervous system(VNS) and Hamilton anxiety scale(HAMA) scores between two groups after treatment for 3 weeks. Subjects in both groups showed disordered functional state of the VNS before treatment, and there were no significant differences between two groups in constituent ratios of age, educational background, occupation, maternal types and gestational age, also HAMA scores before treatment(P>0.05). Procedures in this study were in line with the ethical standards established by the Institutional Review Board of each medical unit above mentioned and approved by each committee, additionally, all subjects signed informed consent in clinical research. Results ①After treatment, twelve kinds of main symptoms of physical dysfunction including dreaminess, festless sleep, difficulty falling asleep, frequent micturition, nausea, vomiting, astriction, gastrectasia, chest tightness, palpitation, dry mouth and muscular soreness of pregnant women in observation group were improved compared with those of control group, and the differences were statistically significant(P<0.05). ②There were significant differences between pregnant women of two groups in constituent ratio of VNS functional state after treatment, and the difference was statistically significant(χ2=79.704, P=0.000), with equilibrium state mainly of pregnant women in observation group while disordered state mainly in control group.③HAMA score of pregnant women in observation group after treatment[(1.9±1.2) points] was lower than that of control group[(9.8±2.5) points], and the difference was statistically significant(t=-19.490, P=0.000). Conclusions Application of PPM intervention measures in a multidisciplinary cooperation mode (based on obstetrics department) in the treatment of physical dysfunction induced by psychological problems in pregnant women presents significant efficacy, moreover, PPM has therapeutic effect on anxiety and depression. Key words: Multidisciplinary cooperation; Anxiety; Depression; Somatoform disorders; Psychophysiologic disorders; Pregnant women