综合护理干预减轻分娩疼痛效果观察  

Integrated nursing intervention in reducing labor pain

作　　者：邱燕平[1] 陈伟月[1] 钟瑞卿[1] 

机构地区：[1]肇庆市第一人民医院,526000

出　　处：《国际医药卫生导报》2013年第23期3541-3544,共4页International Medicine and Health Guidance News

基　　金：肇庆市科技创新计划项目（2011E175）

摘　　要：目的 探讨护理干预对分娩疼痛的影响及效果.方法 以100例住院待产的初产妇为研究对象,随机分为实验组和对照组各50例,对照组采用传统方法进行产时护理及健康教育,实验组在常规护理的基础上运用综合护理干预减轻分娩疼痛,例如产前进行自我放松技巧训练、产程中指导产妇实施自我放松、实施导乐分娩、提供舒适护理.结果 实验组产妇分娩疼痛程度评分：1～3分20例,4～6分34例,7～10分6例,明显低于对照组,x2=29.21,P＜0.01.实验组的产妇在产程中大喊大叫者3例,要求用药止痛5例,要求剖腹产3例,明显低于对照组（分别为16例、13例、12例）,P＜0.05,差异有统计学意义.结论 运用有效的综合护理干预,可减轻产妇分娩疼痛,提高自然分娩率.Objective To investigate the effect of integrated nursing intervention on labor pain. Methods 100 cases of primipara in our hospital were randomly divided into experimental group and control group, 50 cases in each group. Control group received conventional intraparmm care and health education, experimental group received integrated nursing intervention to reduce labor pain on the basis of control group. Integrated nursing intervention included prenatal self-relaxation techniques training, intrapartummaternal self-relaxalion guidance, Doula and comfort care. Results Labor pain score in experimental group： There were 20 cases of 1-3, 34 cases of 4-6, 6 cases of 7-10. Labor pain score of experimental group was significantly lower than that of control group （X 2=29-21, P 〈 0.01）. In experimental group, 3 cases shouted in production process, 5 cases required pain medication, 3 cases required caesarean section, which were significantly lower than those in control group （P 〈 0.05）. Conclusion Effective integrated nursing intervention can reduce labor pain and improve the natural birth rate.

关 键 词：护理干预 放松技巧 导乐分娩 分娩疼痛 

分 类 号：R473.71[医药卫生—护理学]