心理弹性支持结合疼痛管理在行水疗助产初产妇中的应用效果  

Application effect of psychological resilience support combined with pain management in primiparas undergoing hydrotherapy during labor

作　　者：农小花[1] 凌鹏飞 黄梅桂[1] 梁海燕[1] 玉春霞 谢艳玲 方丽新 NONG Xiaohua;LING Pengfei;HUANG Meigui;LIANG Haiyan;YU Chunxia;XIE Yanling;FANG Lixin(Baise People's Hospital,Baise,Guangxi,533000,China)

机构地区：[1]百色市人民医院,广西百色533000

出　　处：《中西医结合护理（中英文）》2024年第2期9-12,共4页Journal of Clinical Nursing in Practice

基　　金：2020年百色市科学研究与技术开发计划课题(20202818)。

摘　　要：目的 探讨对开展水疗助产的初产妇实施心理弹性支持结合疼痛管理的效果。方法 选择2020年5月至2022年5月百色市人民医院接收的86名初产妇作为研究对象,根据随机数字表法将其分为2组,即对照组和观察组,各43名。对照组在开展水疗助产的基础上实施常规护理,观察组在开展水疗助产的基础上实施心理弹性支持结合疼痛管理。比较2组初产妇在孕期各个阶段的心理弹性、产时疼痛程度、产后2 h出血量、新生儿Apgar评分、分娩控制感、各产程时间,以及护理满意度。结果 观察组在孕中期、孕晚期、分娩后的心理弹性量表得分,以及分娩控制量表评分、各方面护理满意度评分均高于对照组,产时视觉模拟评分法评分低于对照组,产后2 h出血量少于对照组,第一产程、第二产程以及总产程均短于对照组,均存在统计学差异(P均<0.05)。2组间新生儿Apgar评分未见统计学差异(P>0.05)。结论 对开展水疗助产的产妇实施心理弹性支持结合疼痛管理可有效缓解疼痛,减少出血量,提升心理弹性、分娩控制感和护理满意度,缩短产程。Objective To explore the application effect of psychological resilience support combined with pain management in primiparas undergoing hydrotherapy during labor.Methods A total of 86 primiparas admitted to Baise People's Hospital from May 2020 to May 2022 were enrolled.They were divided into two groups using the random number method(a control group and an observation group),each with 43 cases.The control group received routine nursing on the basis of hydrotherapy,while the observation group received psychological resilience support combined with pain management on the basis of hydrotherapy.The psychological resilience at different stages of pregnancy,pain intensity during labor,2-h postpartum blood loss,Apgar scores of newborns,perceived control during labor,duration of labor,and nursing satisfaction were compared between the two groups of primiparas.Results The observation group had higher scores of the Connor-Davidson Resilience Scale during mid-pregnancy,late pregnancy and after labor,as well as higher scores of the Labor Agentry Scale and nursing satisfaction compared with the control group.The Visual Analogue Scale score during labor was lower than that of the control group.The amount of 2-h postpartum blood loss was less than that of the control group.The duration of first,second,and total stages of labor were shorter than those of the control group.There were statistically significant differences(all P<0.05).There was no statistically significant difference in Apgar scores of newborns between two groups(P>0.05).Conclusion The implementation of psychological resilience support combined with pain management for primiparas undergoing hydrotherapy during labor can effectively alleviate the pain,reduce the blood loss,improve the psychological resilience,labor control and nursing satisfaction,and shorten the duration of labor.

关 键 词：初产妇 水疗助产 心理弹性支持 疼痛管理 产程 

分 类 号：R473.71[医药卫生—护理学]