孕晚期会阴按摩联合髋关节训练对初产孕妇分娩结局及心理弹性的影响  

The Influence of Late Pregnancy Perineal Massage Combined with Hip Training on Labor Outcomes and Psychological Elasticity of Primiparous Pregnant Women

作　　者：王文娟 赖卓璇 张灵灵 邓亚芳 郭宗莲 蔡文智 WANG Wenjuan;LAI Zhuoxuan;ZHANG Lin-gling;DENG Yafang;GUO Zonglian;CAI Wenzhi(Obstetrics Department,Shenzhen Hospital of Southern Medical University,Shenzhen 518101,China;不详)

机构地区：[1]南方医科大学深圳医院产科,广东深圳518101 [2]南方医科大学深圳医院护理部,广东深圳518101

出　　处：《实用医学杂志》2024年第7期1017-1022,共6页The Journal of Practical Medicine

基　　金：国家教育部人文社会科学研究规划基金项目(编号:21JYAZH001)。

摘　　要：目的探讨孕晚期会阴按摩联合髋关节训练对初产孕妇分娩结局及心理弹性的影响。方法将90例就诊于助产士门诊并接受会阴按摩宣教的孕晚期(36周之后)初产孕妇随机分为对照组和观察组各45例。对照组采用正常产检及家庭自我锻炼,观察组采用会阴按摩及髋关节训练联合治疗,比较两组产妇的分娩结局、分娩体验及心理弹性变化。结果观察组的阴道分娩率高于对照组(P<0.05),第二产程明显短于对照组(P<0.05),会阴完整率高于对照组(P<0.05),分娩体验问卷得分及各维度得分均高于对照组(P<0.05),干预后(即待产时、产后)的心理弹性总分及各维度得分均高于对照组(P<0.05)。结论以助产士为主导的孕晚期会阴按摩联合髋关节运动可以有效提升分娩质量,缓解初产孕妇消极情绪,提高孕妇心理弹性水平,改善分娩结局,可为临床提供一定的参考。Objective To investigate the effects of perineal massage combined with hip joint exercise on the outcome of delivery and mental resilience of primipara.Methods 90 pregnant women in the third trimester(after 36 weeks)who obtained the knowledge about perineal massage from midwife clinic were randomly divided into two groups with 45 cases each.The control group received regular antenatal examination and family self-exercise;the experimental group received perineal massage and hip joint training combined treatment.The delivery outcome,birth experience and maternal mental resilience of the two groups were compared.Results the number of vaginal delivery in the experimental group were higher than that in the control group(P<0.05);the second stage of labor was significantly shorter than that of the control group(P<0.05);the perineal integrity rate was higher than that of the control group(P<0.05);the scores of all dimensions in delivery experience questionnaire were higher than that of the control group(P<0.05);the scores of all dimensions in maternal mental resilience were higher than those of the control group(P<0.05)after intervention.Conclusion The perineal massage which conducted by midwives combined with hip movement can effectively improve the quality of delivery,relieve the negative emotions of pregnant women,improve the psychological elasticity level of pregnant women,and improve the delivery outcomes.

关 键 词：初产孕妇 会阴按摩 髋关节运动 分娩结局 心理弹性 

分 类 号：R473.71[医药卫生—护理学]