分娩操结合配偶支持对初产妇的影响  

Effect of Delivery Exercise Combined with Spouse Support in Primiparas

作　　者：曾明凤 邓柳君 刘霞[1] 苏高莉[1] 梁土娇 Zeng Mingfeng;Deng Liujun;Liu Xia;et al(North Hospital of the People′s Hospital of Guangxi Zhuang Autonomous Region,Nanning Guangxi 530000,China)

机构地区：[1]广西壮族自治区人民医院北院,广西南宁530000

出　　处：《齐鲁护理杂志》2023年第2期8-10,共3页Journal of Qilu Nursing

摘　　要：目的:探讨分娩操结合配偶支持对初产妇的影响。方法:选取2021年3月1日~12月31日就诊的100例初产妇为研究对象,采用随机数字表法分为观察组和对照组各50例;观察组采取分娩操结合配偶支持的干预模式,对照组采取分娩操培训,两组均干预至临产前。比较两组干预前后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分,干预后每日分娩操进行情况、分娩时产妇与新生儿情况,分娩后产妇状态。结果:干预后,两组SAS、SDS评分均低于干预前(P<0.01),且观察组低于对照组(P<0.01);干预10 d后至临产前,两组做操的时间、次数、依从性均高于干预开始10 d内(P<0.01),且观察组高于对照组(P<0.01);干预后,观察组自然分娩率高于对照组(P<0.05),巨大儿发生率低于对照组(P<0.05),新生儿窒息发生率比较差异无统计学意义(P>0.05);分娩后,观察组产后2 h出血量、初次排气和初次下床时间均少于对照组(P<0.01)。结论:将分娩操与配偶支持相结合,可以有效缓解初产妇焦虑、抑郁等不良情绪,提高其做分娩操的积极性,减少巨大儿发生,提高自然分娩率,有利于产妇分娩后恢复。Objective: To explore the effect of delivery exercise combined with spouse support in primiparas.Methods: A total of 100 primiparous admitted during March 1 to December 31,2021 were selected as the research subjects, and they were divided into the observation group and the control group by the random number table method, with 50 cases in each group.The observation group was given delivery exercise combined with spouse support intervention model, while the control group was given delivery exercise training, and they were intervened until before delivery.The scores of Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were compared between the two groups before and after intervention.The daily delivery exercise implementation after intervention, puerpera and neonate conditions during delivery and maternal status after delivery were compared between the two groups.Results: After intervention, the scores of SAS and SDS were lower in both groups than those before intervention(P<0.01),and those in the observation group were lower than those in the control group(P<0.01).During the period from after 10 d of intervention to before delivery, the exercise time, frequency and compliance of patients were higher in both groups than those within 10 d of interbention(P<0.01),and those in the observation group were higher than those in the control group(P<0.01).After intervention, the natural delivery rate in the observation group was higher than that in the control group(P<0.05),while the macrosomia rate was lower than that in the control group(P<0.05),and there was no significant difference in the incidence rate of neonatal asphyxia(P>0.05).After delivery, the blood loss at 2 h after delivery, initial exhaust time and initial ambulation time were less in the observation group than those in the control group(P<0.01).Conclusion: Delivery exercise combined with spouse support can effectively improve the anxiety, depression and other negative emotions in primiparas, improve the enthusiasm for delivery exercise, redu

关 键 词：分娩操 配偶支持 初产妇 不良情绪 分娩结局 

分 类 号：R473.71[医药卫生—护理学]