系统化宣教对硬膜外分娩镇痛初产妇的价值  

Value of systematic education for primiparas undergoing epidural labor analgesia

作　　者：李秀荣[1] 雍芳芳[2] 孙亚平[1] 董家男[1] 赵娜[1] 史丽[1] 王合梅[2] 王小梅 Li Xiurong;Yong Fangfang;Sun Yaping;Dong Jianan;Zhao Na;Shi Li;Wang Hemei;Wang Xiaomei(Department of Obstetrics,The Fourth Hospital of Hebei Medical University,Shijiazhuang 050011,China;Department of Anesthesiology,The Fourth Hospital of Hebei Medical University,Shijiazhuang 050011,China;Department of Obstetrics and Gynecology,Zhengding Maternal and Child Health Hospital,Shijia-zhuang 050800,China)

机构地区：[1]河北医科大学第四医院产科,石家庄050011 [2]河北医科大学第四医院麻醉科,石家庄050011 [3]石家庄市正定县妇幼保健院妇产科,石家庄050800

出　　处：《中华麻醉学杂志》2022年第5期569-571,共3页Chinese Journal of Anesthesiology

基　　金：河北省医学科学研究重点课题计划项目(ZD20140477)。

摘　　要：目的评价系统化宣教对硬膜外分娩镇痛初产妇的价值。方法选择适宜且自愿行硬膜外分娩镇痛的初产妇240例,年龄20~35岁,孕周37~41^(+6)周,单胎头位,胎儿未见异常,依据在妊娠期是否接受过系统化硬膜外分娩镇痛知识宣教,分为宣教组和对照组(n=120)。在宫缩规律、宫颈口直径≥2 cm时,开始实施硬膜外分娩镇痛。硬膜外穿刺术开始前,采用焦虑自评量表评估孕产妇的焦虑程度。记录镇痛前沟通时间、摆放体位时间和产妇及其家属对分娩镇痛满意情况。结果与对照组比较,宣教组焦虑自评量表评分降低,镇痛前沟通时间、摆放体位时间缩短,产妇及家属对分娩镇痛满意率升高(P<0.05)。结论系统化宣教有助于缓解初产妇硬膜外分娩镇痛时的焦虑情绪,提高镇痛实施效率,改善其分娩体验。Objective To evaluate the value of systematic education for primiparas undergoing epidural labor analgesia.Methods A total of 240 primiparas who were suitable and voluntarily requested epidural labor analgesia,aged 20-35 yr,at 37-41^(+6) weeks gestation,with a singleton fetus,in vertex presentation without fetal abnormality,were selected.According to whether the primiparas and their accompanying family members had received systematic education on epidural labor analgesia during pregnancy,the primiparas were divided into 2 groups(n=120 each):education group and control group.When the uterine contraction was regular and the diameter of the uterine orifice reached 2 cm or more,epidural labor analgesia was carried out.Before the begining of epidural puncture,the degree of anxiety of pregnant women was evaluated using the self-rating anxiety scale.The time of communication before analgesia,time of placing body position,and satisfaction of puerperae and their family members with labor analgesia were observed and recorded.Results Compared with control group,the self-rating anxiety scale score was significantly decreased,the time of communication before analgesia and time of placing body position were shortened,and the rate of satisfaction of puerperae and their family members with labor analgesia was increased in education group(P<0.05).Conclusions Systematic education is helpful in relieving the anxiety of primiparas during epidural labor analgesia,increasing the efficiency of analgesia implementation and improving the delivery experience of puerperae.

关 键 词：镇痛 硬膜外 分娩疼痛 病人教育 

分 类 号：R473.71[医药卫生—护理学]