助产士导乐陪伴分娩结合拉玛泽减痛分娩法对初产妇分娩恐惧感及睡眠质量的影响  

The Impact of Midwife Guided Delivery Combined with Lamaze Pain Reducing Delivery Method on the Fear of Childbirth and Sleep Quality in Primiparous Women

作　　者：朱琳 ZHU Lin(Heze Traditional Chinese Medicine Hospital in Shandong Province,Heze 274000,China)

机构地区：[1]山东省菏泽市中医医院,菏泽274000

出　　处：《世界睡眠医学杂志》2024年第3期557-560,共4页World Journal of Sleep Medicine

摘　　要：目的:分析助产士导乐陪伴分娩结合拉玛泽减痛分娩法对初产妇分娩恐惧感及睡眠质量的影响。方法:选取2020年3月至2023年3月山东省菏泽市中医医院产科收治的分娩产妇60例作为研究对象,按照随机数字表法分为对照组和观察组,每组30例。对照组给予助产士导乐陪伴分娩,观察组给予助产士导乐陪伴分娩结合拉玛泽减痛分娩法。采用手术恐惧问卷(SFQ)对术中恢复、术后疼痛、手术失败、麻醉等方面进行评估,采用状态-特质焦虑量表(STAI)比较2组患者干预前后焦虑状态的改善效果;采用医学应对问卷(MCMQ)比较2组患者的应对方式的区别;采用视觉模拟评分法(VAS)比较2组患者干预前后的疼痛感受;采用匹兹堡睡眠质量指数(PSQI)比较2组患者干预前后睡眠质量的变化,并比较2组患者的分娩结局。结果:护理干预后,观察组分娩恐惧感SFQ评分各指标、STAI评分显著低于对照组,观察组VAS评分显著低于对照组,观察组产妇产后第1天、第2天、第4天的PSQI评分显著低于对照组,观察组医学应对问卷(MCMQ)评分显著高于对照组,差异均有统计学意义(均P<0.05)。结论:对产妇施以助产士导乐陪伴分娩结合拉玛泽减痛分娩法效果突出,可使产妇的恐惧感降低,减轻疼痛感受,有效提升产妇的睡眠质量,改善其分娩结局,建议推广应用。Objective:To analyze the effect of midwife guided delivery combined with Lamaze pain reducing delivery method on the fear of childbirth and sleep quality of primiparous women.Methods:Sixty parturients who gave birth at the Obstetrics and Gynecology Department of Heze Traditional Chinese Medicine Hospital in Shandong Province from March 2020 to March 2023 were selected as the research subjects.They were randomly divided into a control group and an observation group using a random number table method,with 30 cases in each group.The control group received midwife guided delivery,while the observation group received midwife guided delivery combined with Lamaze pain reduction delivery method.The Surgical Fear Questionnaire(SFQ)was used to evaluate intraoperative recovery,postoperative pain,surgical failure,anesthesia,and other aspects.The State Trait Anxiety Inventory(STAI)was used to compare the improvement effect of anxiety status between two groups of patients before and after intervention.Compare the differences in coping styles between two groups of patients using the Medical Coping Modes Questionnaire(MCMQ).Compare the pain perception of two groups of patients before and after intervention using the Visual Analog Scale(VAS).The Pittsburgh Sleep Quality Index(PSQI)was used to compare the changes in sleep quality before and after intervention between two groups of patients,and to compare the delivery outcomes of the two groups of patients.Results:After nursing intervention,the SFQ score and STAI score of the observation group were significantly lower than those of the control group,the VAS score of the observation group was significantly lower than that of the control group,the PSQI score of the observation group on the 1st,2nd,and 4th day postpartum was significantly lower than that of the control group,and the MCMQ score of the observation group was significantly higher than that of the control group,with statistical significance(P s<0.05).Conclusion:The combination of midwife guidance accompanying delivery and

关 键 词：拉玛泽减痛分娩法 分娩球护理 产妇心理 分娩结局 睡眠质量 应对方式 

分 类 号：R248.3[医药卫生—中医临床基础] R338.63[医药卫生—中医学]