体验式分娩联合导乐分娩护理在足月单胎头位初产妇中的应用效果  

Application effects of experiential delivery combined with doula delivery in primiparas with single full-term fetus with cephalic presentation

作　　者：白文静[1] BAI Wenjing(Department of Obstetrics of People’s Hospital of Zhengzhou,Zhengzhou 450000 Henan,China)

机构地区：[1]郑州人民医院产科,河南郑州450000

出　　处：《中国民康医学》2023年第13期176-179,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察体验式分娩联合导乐分娩护理在足月单胎头位初产妇中的应用效果。方法:回顾性分析2020年1月至2022年3月该院收治的200例初产妇的临床资料,按照护理方法不同将其分为观察组和对照组各100例。对照组实施导乐分娩护理,观察组在对照组护理基础上实施体验式分娩护理,两组均连续护理至分娩后3 d。比较两组分娩结局(自然分娩、剖宫产)、分娩相关指标(第一、第二、第三产程及新生儿Apgar评分)水平、不同时间(产程开始、宫口开至3 cm、宫口全开)分娩疼痛[数字等级评定量表(NRS)]评分,护理前后焦虑[状态焦虑问卷(S-AI)]、抑郁[爱丁堡产后抑郁量表(EPDS)]评分和母亲角色适应评分。结果:观察组自然分娩率高于对照组,差异有统计学意义(P<0.05);观察组第一、第二产程均短于对照组,差异有统计学意义(P<0.05);宫口开至3 cm、宫口全开时,观察组NRS评分均低于对照组,差异有统计学意义(P<0.05);护理后,观察组S-AI、EPDS评分均低于对照组,母亲角色适应评分高于对照组,差异有统计学意义(P<0.05)。结论:体验式分娩联合导乐分娩护理应用于足月单胎头位初产妇可提高自然分娩率和母亲角色适应评分,缩短第一、第二产程,降低分娩疼痛评分及焦虑、抑郁评分,效果优于单纯导乐分娩护理。Objective:To observe application effects of experiential delivery combined with Doula delivery in primiparas with single fullterm fetus with cephalic presentation.Methods:The clinical data of 200 primiparas admitted to this hospital from January 2020 to March 2022 were retrospectively analyzed.They were divided into observation group and control group according to different nursing methods,100 cases in each group.The control group was given the Doula delivery nursing,while the observation group was given the experiential delivery nursing on the basis of that of the control group.Both groups were given continuous nursing until 3 days after delivery.The delivery outcomes(natural delivery,cesarean section),the delivery-related indicator levels(first,second,third stage of labor and neonatal Apgar score),the labor pain[numerical rating scale(NRS)]score at different time(beginning of labor,cervical opening to 3 cm,cervical opening),and the scores of anxiety[state anxiety inventory(S-AI)],depression[Edinburgh postnatal depression scale(EPDS)]and maternal role adaptation score were compared between the two groups before and after the nursing.Results:The natural delivery rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The first and second stages of labor in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).When the cervix was opened to 3 cm and the cervix was fully opened,the NRS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).Further,after the nursing,the scores of S-AI and EPDS in the observation group were lower than those in the control group,the score of maternal role adaptation were higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusions:Experiential delivery combined with doula delivery nursing can improve the natural delive

关 键 词：导乐分娩 体验式分娩 足月 单胎 头位 初产妇 产程 

分 类 号：R473.71[医药卫生—护理学]