助产士主导伙伴式导乐陪伴对产妇分娩结局的影响  

The effect of midwifer-led companion doula accompaniment on maternal delivery outcomes

作　　者：张春梅 杨小霞[1] 孙晶珠[1] 孙军弟[1] ZHANG Chun-mei;YANG Xiao-xia;SUM Jing-zhu(Gansu Provincial Rehabilitation Center Hospital,Lanzhou 730000,Gansu)

机构地区：[1]甘肃省康复中心医院,甘肃兰州730000

出　　处：《安徽医专学报》2023年第4期124-126,共3页Journal of Anhui Medical College

基　　金：甘肃省中医药科研课题(编号:GZKP-2020-39)。

摘　　要：目的:探讨助产士主导伙伴式导乐陪伴对产妇分娩结局的影响。方法:选择在某医院建档分娩的110例产妇作为研究对象,以随机抽签原则为根据,将所有产妇平分为导乐陪伴组与对照组,各55例。对照组给予常规干预,导乐陪伴组产妇在对照组干预的基础上给予助产士主导伙伴式导乐陪伴,所有产妇的干预都持续到产妇分娩前,观察与记录产妇心理状态及分娩结局情况。结果:导乐陪伴组产妇的陪伴期望评分与对照组差异无统计学意义(P>0.05)。导乐陪伴组产妇的第一产程、第二产程与第三产程时间都显著少于对照组(P<0.05)。两组产妇干预后的焦虑与抑郁评分都显著低于干预前(P<0.05),同时干预后导乐陪伴组产妇的焦虑与抑郁评分明显低于对照组(P<0.05)。导乐陪伴组与对照组分娩方式对比,差异有统计学意义(P<0.05)。结论:助产士主导伙伴式导乐陪伴产妇的应用能有效改善心理状态,改善分娩结局,还可缓解产妇的焦虑与抑郁情绪。Objective:To explore the effect of midwifer-led doula accompaniment on the outcome of childbirth.Methods:110 cases of puerperae who were registered and delivered in our hospital were selected as the research subjects.Based on the principle of random drawing,all puerperae were equally divided into the doula companion group and the control group with 55 cases each groups.The control group were given routine intervention,and the doula companion group were given the midwife-led partner doula companion on the basis of the intervention of the control group.The intervention of all puerperae continued until the mother gave birth,and the maternal psychological state and delivery outcome were observed and recorded.Results:The companion expectation score of the doula companion group were(4.52±0.24)points,which were not significantly different compared from the control group's(4.57±0.33)points(t=0.089,P=0.932).The time of the first stage of labor,the second stage of labor and the third stage of labor in the doula companion group were shorter than that in the control group(P<0.05).The anxiety and depression scores of the two groups after the intervention were lower than those before the intervention(P<0.05),and the anxiety and depression scores of the Doula companion group after the intervention were lower than those of the control group(P<0.05).There are differences in the way of delivery between the doula accompany group and the control group(P<0.05).Conclusion:The application of midwife-led partner doula in different mothers can effectively improve the psychological state,improve the delivery outcome,and relieve the anxiety and depression of mothers.

关 键 词：助产士 伙伴式导乐陪伴 心理状态 分娩结局 

分 类 号：R714[医药卫生—妇产科学]