小组式自控分娩镇痛临床指导对初产妇分娩成功率的影响  

Effect of Group Controlled Labor Analgesia Clinical Guidance on Delivery Success Rate of Primipara

作　　者：吴诗萍 刘春燕 蔡萃芳 WU Shiping;LIU Chunyan;CAI Cuifang(Department of Obstetrics,Quanzhou Maternal and Child Health Hospital Children's Hospital,Quanzhou,Fujian Province,362000 China)

机构地区：[1]泉州市妇幼保健院儿童医院产科,福建泉州362000

出　　处：《中外医疗》2024年第2期163-166,共4页China & Foreign Medical Treatment

摘　　要：目的探讨小组式自控分娩镇痛临床指导对初产妇母乳喂养成功率的影响。方法随机选取2022年1—12月泉州市妇幼保健院收治的150例初产妇为研究对象,根据随机数表法分为观察组(n=75)及对照组(n=75),对照组采用常规自控分娩镇痛管理,观察组采用小组式自控分娩镇痛临床指导。比较两组产程、干预前后心理状态及护理依从性。结果观察组第一产程(472.54±40.86)min、第二产程(69.45±18.32)min及第三产程(10.26±1.73)min均短于对照组,差异有统计学意义(t=5.185、4.003、3.640,P均<0.05);观察组干预后抑郁自评量表(Self-rating Depression Scale,SDS)评分、焦虑自评量表(Self-rating Anxiety Scale,SAS)评分均低于对照组,差异有统计学意义(P均<0.05);观察组依从率高于对照组,差异有统计学意义(P<0.05)。结论小组式自控分娩镇痛临床指导能缩短初产妇产程,改善其心理状态,患者依从性更高。Objective To explore the effect of group controlled labor analgesia clinical guidance on the success rate of breast-feeding in primipara.Methods A total of 150 primipara patients admitted to Quanzhou Maternal and Child Health Hospital from January to December 2022 were randomly selected and divided into observation group(n=75)and control group(n=75)according to random number table method.The control group was given routine controlled analgesia management during labor,and the observation group was given clinical guidance for controlled analgesia during labor.The course of labor,psychological state before and after intervention and nuring compliance were compared between the two groups.Results The first stage of labor[(472.54±40.86)min],the second stage of labor[(69.45±18.32)min]and the third stage of labor[(10.26±1.73)min]in the observation group were shorter than those in the control group,and the differences were statistically significant(t=5.185,4.003,3.640,all P<0.05).The Self-rating Depression Scale(SDS)scores and Self-rating Anxiety Scale(SAS)scores of the observation group were lower than those of the control group after intervention,and the differences were statistically significant(both P<0.05).The compliance rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Group controlled labor analgesia clinical guidance can shorten the labor process of primipara,improve the psychological state,and the patient compliance is higher.

关 键 词：初产妇 小组式自控分娩镇痛 产程 心理状态 

分 类 号：R714[医药卫生—妇产科学]