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Original Research

Open Access

The effect of cognitive behavioral stress management on the psychological status and pain stress response of parturients with cesarean section

  • Xiqun Yang1
  • Qiong Zhang1
  • Jiaojiao Chen2
  • Bin Tong2
  • Feijuan Yang3
  • Xiaomin Chen1,*,

1Department of Nursing, Zhejiang Provincial People’s Hospital, 310014 Hangzhou, Zhejiang, China

2Operating Room, Zhejiang Provincial People’s Hospital, 310014 Hangzhou, Zhejiang, China

3Department of Neurosurgery, Tongde Hospital of Zhejiang Province, 310012 Hangzhou, Zhejiang, China

DOI: 10.22514/sv.2022.043 Vol.18,Issue 4,July 2022 pp.91-96

Submitted: 08 March 2022 Accepted: 02 April 2022

Published: 08 July 2022

*Corresponding Author(s): Xiaomin Chen E-mail:


Purpose: This study aimed to explore the effect of cognitive behavioral stress management on the psychological status and pain stress response of parturients with cesarean section. Method: A total of 100 parturients who received cesarean delivery in Zhejiang Provincial People's Hospital from April 2020 to April 2021 were recruited in this study and randomly divided into control group and study group. The control group received routine nursing care, while the study group received cognitive behavioral stress management for 12 weeks before delivery. The negative emotions, stress levels, hope levels and stress hormone levels in serum of the two groups were measured. Results: Before the intervention (T0), there was no significant difference between the two groups (all p > 0.05). Immediately after entering the operating room (T1) and at the end of the operation (T2), the scores of the Self-rating Anxiety Scale (SAS), the Self-rating Depression Scale (SDS) and Pregnancy Stress Scale (PSS) in study group were significantly lower than those in control group (all p < 0.05). The hope level scale (HHI), the scores of positive attitude to reality and future (T), positive actions taken (P), and maintaining close relationship with others (I) in study group were markedly higher in the study group compared control group (all p < 0.05). The levels of cortisol (Cor), adrenaline (ADR) and adrenocorticotropic hormone (ACTH) in serum were significantly lower in study group than those in control group (all p < 0.05). Conclusion: Cognitive behavioral stress management intervention for parturients with cesarean section before delivery can effectively reduce their negative emotions and stresses, improve their level of hope and relieve their pain-induced stress.


Cesarean section; Cognitive behavioral stress management; Negative emotions; Stresses; Hope level; Pain stress response

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Xiqun Yang,Qiong Zhang,Jiaojiao Chen,Bin Tong,Feijuan Yang,Xiaomin Chen. The effect of cognitive behavioral stress management on the psychological status and pain stress response of parturients with cesarean section. Signa Vitae. 2022. 18(4);91-96.


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