心理干预介入椎管内麻醉无痛分娩对产妇泌乳、情绪状态、分娩结果的影响  

Effects of psychological intervention during painless delivery under spinal anesthesia of women on the lactation,emotional state,and labor outcomes of the women

作　　者：孙阚 孙传名 孙尚绘 周翠平 SUN Kan;SUN Chuanming;SUN Shanghui;ZHOU Cuiping(Hefei Third People's Hospital,Hefei,Anhui Province,230022)

机构地区：[1]安徽省合肥市第三人民医院,230022

出　　处：《中国计划生育学杂志》2023年第5期1116-1120,共5页Chinese Journal of Family Planning

摘　　要：目的:探讨心理干预介入椎管内无痛分娩对产妇心理状态、泌乳、母婴结局的影响。方法:选取2020年9月-2022年9月本院接受椎管内麻醉无痛分娩产妇共114例,随机数字表法分别常规组及干预组各57例。常规组予以常规护理干预,干预组在常规组基础上应用心理护理干预方案。对比两组产程时间、泌乳、疼痛情况、分娩前后负面情绪、分娩方式及母婴结局及临床护理满意度。结果:干预组第一、第二、第三产程及总产程用时均低于常规组,泌乳量高于常规组;镇痛后、镇痛结束时两组视觉模拟评分(VAS)均降低且干预组低于常规组,分娩后两组焦虑自评(SAS)、抑郁自评(SDS)均降低且干预组各评分均低于常规组;干预组自然分娩率(89.5%)高于常规组(64.9%),剖宫产率低于常规组,母婴不良结局总发生率(14.0%)低于常规组(31.6%),临床总满意率(96.5%)高于常规组(82.5%)(均P<0.05)。结论:椎管内无痛分娩介入心理护理干预,对缩短产程时间、减轻疼痛、缓解不良情绪、改善母婴结局、提高临床护理满意度具有积极影响。Objective:To investigate the effects of psychological intervention during painless delivery under spinal anes-thesia of women on the lactation,the emotional state,and the maternal and child outcomes of the women.Methods:A total of 114 pregnant women who wanted painless delivery under spinal anesthesia were selected and were divided two groups(57cases in each groups)according to the random number table method from September 2020 to September 2022.The women in control group were given routine nursing intervention,and the women in study group were given psychological nursing intervention except the routine nursing intervention.The labor duration,the situations of lacta-tion and pain,the negative emotions before and after delivery,the delivery mode,the maternal and infant outcomes,and the clinical nursing satisfaction of the women were compared between the two groups.Results:The durations of the first stage,the second stage,and the third stage of labor,and the total labor duration of the women in the study group were significantly lower than those of the women in the control group,while the lactation yield lactation yield in the study group was significantly higher than that of the women in the control group.The score of visual analog scale(VAS)of the women in both groups after analgesia and at the end of analgesia had decreased significantly,and which of the women in the study group was significantly lower than that of the women in the control group.After delivery,the scores of self-rating of anxiety(SAS)and self-rating of depression(SDS)of the women in both groups had de-creased significantly,and which of the women in the study group were significantly lower than those of the women in the control group.The natural delivery rate(89.5%)of the women in the study group was significantly higher than that(64.9%)of the women in the control group.The cesarean section rate of the women in the study group was significantly lower than that of the women in the control group.The total incidence of adverse maternal and infant ou

关 键 词：无痛分娩 心理干预 产程 疼痛 泌乳 心理 母婴结局 

分 类 号：R473.71[医药卫生—护理学]