以家庭为中心的温柔分娩管理模式在初产妇分娩中的应用效果  

Application effect of family-centered tender childbirth management model in delivery of primiparae

作　　者：吴婉艺 WU Wanyi(Department of Nursing,Quanzhou Women's and Children's Hospital·Children's Hospital,Fujian Province,Quanzhou362000,China)

机构地区：[1]福建省泉州市妇幼保健院·儿童医院护理部,福建泉州362000

出　　处：《中国当代医药》2023年第20期177-180,共4页China Modern Medicine

基　　金：福建省泉州市科技计划项目(2018N090S)。

摘　　要：目的分析以家庭为中心的温柔分娩管理模式在初产妇分娩中的应用效果。方法选取2020年2月至2022年5月泉州市妇幼保健院·儿童医院收治的150例初产妇为研究对象,按照随机数字表法将其分为对照组(n=75)和观察组(n=75)。对照组给予常规护理,观察组在上述基础给予以家庭为中心的温柔分娩管理模式,比较两组产妇总产程、产后2 h出血量、疼痛程度、心理状况以及一般自我效能量表(GSES)评分。结果观察组产妇总产程短于对照组,产后2 h出血量少于对照组,差异有统计学意义(P<0.05)。观察组第一产程、第二产程疼痛视觉模拟评分法(VAS)评分均低于对照组,差异有统计学意义(P<0.05)。护理前,两组产妇焦虑自评量表(SAS)、抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05),护理后,两组产妇SAS、SDS评分低于护理前,且观察组产妇SAS、SDS评分低于对照组,差异有统计学意义(P<0.05)。护理前,两组患者GSES评分比较,差异无统计学意义(P>0.05),护理后,两组产妇GSES评分高于护理前,且观察组产妇GSES评分高于对照组,差异有统计学意义(P<0.05)。结论以家庭为中心的温柔分娩管理模式在初产妇分娩中的应用效果显著,可缓解疼痛,减少产后出血,改善心理状况,提高自我效能水平。Objective To analyze the application effect of family-centered tender childbirth management model in delivery of primiparae.Methods A total of 150 primiparae admitted to Quanzhou Maternal and Child Health Hospital·Children's Hospital from February 2020 to May 2022 were selected as research objects,they were divided into the control group(n=75)and the observation group(n=75)according to the random number table method.The control group received routine nursing,and the observation group received family-centered tender childbirth management model on this basis.The total stage of labor,2 h postpartum bleeding volume,pain degree,psychological status and the general self efficacy scale(GSES)scores were compared between the groups.Results The total stage of labor in the observation group was shorter than that in the control group,and 2 h postpartum bleeding volume was smaller than that of the control group,the differences were statistically significant(P<0.05).The visual analogue scale(VAS)score of the observation group in the first and second stages of labor was lower than that of the control group,the difference was statistically significant(P<0.05).There were no statistically significant differences in the self-rating anxiety scale(SAS)score and self-rating depression scale(SDS)score between the groups before nursing(P>0.05).After nursing,the SAS scores and SDS scores of the two groups were lower than those before nursing,and the scores of observation group were lower than those of the control group,the differences were statistically significant(P<0.05).There was no statistically significant difference in the GSES score between the groups before nursing(P>0.05).After nursing,the GSES score of the two groups was higher than those before nursing,and the score of observation group was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion Family-centered tender childbirth management model is effective for primiparae.It can relieve pain,reduce postpartum bleeding,and improve

关 键 词：初产妇 分娩 以家庭为中心 温柔分娩管理模式 

分 类 号：R473[医药卫生—护理学]