【摘要】目的：探析门诊"一对一"孕前保健咨询对高龄二胎妊娠孕妇心理压力的缓解作用。方法：选取2021年6月—2022年6月在本院建档立卡的112例高龄二胎妊娠孕妇为研究对象，以数字随机表法将其等分为两组，即对照组(n=56，常规孕前指导)和观察组(n=56，门诊"一对一"孕前保健咨询)。对两组高龄妇女的心理状态及护理干预满意度进行比较。结果：干预后，两组患者的SAS及SDS评分比干预前明显降低，且观察组SAS及SDS评分更低(P<0.05)；观察组护理满意度为96.43%，明显高于对照组(P<0.05)。结论：对于高龄二胎妊娠孕妇实施门诊"一对一"孕前保健咨询，可有效缓解心理压力，提升高龄妇女护理干预的满意度。

    【关键词】高龄产妇；二胎妊娠；心理压力；门诊"一对一"孕前保健咨询

    The effect of outpatient"one to one" pre-pregnancy health consultation on relieving psychological pressure in elderly women with second child pregnancy

    LIANG Zhihui

    Tianshui Maiji Maternal and Child Health Hospital， Tianshui， Gansu 741020， China

    【Abstract】Objective：To explore the effect of outpatient"one-to-one" pre-pregnancy health care consultation on relieving psychological pressure of elderly women with second pregnancy.Methods：A total of 112 elderly women with second pregnancy registered in our hospital from June 2021 to June 2022 were selected as the research objects，and they were divided into two groups by the numerical random table method ......