Lake M F, Johnson T M, Murphy J, Knuppel R A
Department of Obstetrics and Gynecology, University of South Florida College of Medicine, Tampa.
Am J Obstet Gynecol. 1987 Nov;157(5):1203-6. doi: 10.1016/s0002-9378(87)80295-8.
An analysis of the effects of intervention from a perinatal grief support team was begun in 1982. Seventy-eight women experiencing stillbirth or early perinatal death were randomly assigned to either the grief support team's protocol of care or to the control group who received routine hospital care. Assessment was carried out on 34 participants, 16 from the control group and 18 from the treatment, 6 months after delivery. A three-part self-administered, self-rating grief index questionnaire was used. There was no statistical difference on overall grief scores between the two matched groups. The treatment group reported significantly lower scores than the control group on the two grief subscales of anger-hostility and physical symptoms. Women who reported more life changes before the perinatal death tended to have fewer problems with the symptomatology of grief. Social support was an important variable in explaining grief symptomatology. Women reporting low levels of social support who were in the treatment group had significantly lower mean scores on the grief subscales of anger-hostility, somatic experience, physical symptoms, and problems with vigor.
1982年开始了一项关于围产期悲伤支持团队干预效果的分析。78名经历死产或早期围产期死亡的女性被随机分为两组，一组接受悲伤支持团队的护理方案，另一组作为对照组接受常规医院护理。在分娩6个月后，对34名参与者进行了评估，其中16名来自对照组，18名来自治疗组。使用了一份由三部分组成的自我管理、自我评分的悲伤指数问卷。两组匹配组在总体悲伤得分上没有统计学差异。在愤怒-敌意和身体症状这两个悲伤子量表上，治疗组的得分显著低于对照组。在围产期死亡前报告生活变化较多的女性，在悲伤症状方面往往问题较少。社会支持是解释悲伤症状的一个重要变量。治疗组中报告社会支持水平较低的女性，在愤怒-敌意、躯体体验、身体症状和活力问题等悲伤子量表上的平均得分显著较低。
