导乐陪伴联合自由体位在无痛分娩产妇中的应用  

Application of doula accompaniment combined with free positioning in women with painless delivery

作　　者：朱新如 许春玲 黄雪瑞 曹慧 王微亚 ZHU Xinru;XU Chuning;HUANG Xuerui;CAO Hui;WANG Weiya(Zhumadian Hospital of Traditional Chinese Medicine,Zhumadian 463000,China)

机构地区：[1]驻马店市中医院产房,河南省驻马店市463000

出　　处：《护理实践与研究》2024年第4期615-620,共6页Nursing Practice and Research

摘　　要：目的 探究导乐陪伴联合自由体位在无痛分娩产妇中的应用效果。方法 选取2021年6月—2022年6月于医院行无痛分娩的产妇85例为研究对象,按照组间基线资料均衡可比的原则分为对照组(n=42)和观察组(n=43)。两组产妇均行无痛分娩,对照组采取常规分娩方式,观察组在常规分娩基础上采取导乐陪伴联合自由体位分娩。比较两组产妇产程、疼痛分级、心理状态、分娩自我效能、母婴结局、产妇满意率。结果 与对照组相比,观察组产妇第一、第二、第三及总产程均缩短,疼痛程度减轻,经比较差异有统计学意义(P<0.05)。护理前两组产妇心理状态、分娩自我效能评分比较差异无统计学意义(P>0.05);相比于对照组,观察组产妇抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分均降低,自我效能期望(EE-16)评分、结果期望(OE-16)评分、简化中文版分娩自我效能量表(CBSEI-C32)评分均升高,经比较差异有统计学意义(P<0.05)。观察组母婴不良结局发生率低于对照组,差异有统计学意义(P<0.05)。观察组产妇满意率高于对照组,差异有统计学意义(P<0.05)。结论 导乐陪伴联合自由体位能够有效缩短无痛分娩产妇产程,减轻疼痛、不良情绪,增强分娩自我效能感,降低不良母婴结局发生率,提高产妇满意率。Objective To explore the application effect of doula accompaniment combined with free positioning in women with painless delivery.Methods To select 85 women who had painless delivery in the hospital from June 2021 to June 2022 as the research subjects,they were divided into a control group(n=42)and an observation group(n=43)according to the principle of balanced and comparable baseline data between groups.Both groups of mothers underwent painless delivery,the control group adopted conventional delivery methods,and the observation group adopted doula accompaniment and free position delivery on the basis of conventional delivery.The labor process,pain rating,psychological state,delivery self-efficacy,maternal and infant outcomes,and maternal satisfaction rate were compared between the two groups.Results The duration of thefirst stage of labor,second stage of labor,third stage of labor and the total stage of labor in the observation group were shorter than those in the control group,and the pain degree was lighter than that in the control group,the differences were statistically significant(P<0.05).There was no statistically significant difference in the psychological state and delivery self-efficacy scores between the two groups before maternal care(P>0.05).After nursing,the self-rating depression scale(SDS)and self-rating anxiety scale(SAS)scores in the observation group were lower than those in the control group,the self-efficacy expectations(EE-16),outcome-expectations(OE-16)and the short form of the Chinese-version Childbirth self-efficacy inventory(CBSEI-C32)scores were higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence of adverse maternal and infant outcomes in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).The maternal satisfaction rate in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion Doula acc

关 键 词：无痛分娩 导乐陪伴 自由体位 产程 疼痛分级 自我效能 母婴结局 

分 类 号：R473.71[医药卫生—护理学]