剖宫产全程一对一导乐陪伴对产妇情绪、疼痛及新生儿状态的影响  

Effects of the one-to-one doula accompaniment during cesarean section for women on the maternal emotion and pain and their neonatal status

作　　者：孙薇 万丽[1] SUN Wei;WAN Li(Jiaxing Maternity and Child Health Care Hospital,Jiaxing,Zhejiang Province,314000)

机构地区：[1]浙江省嘉兴市妇幼保健院,314000

出　　处：《中国计划生育学杂志》2024年第7期1703-1706,共4页Chinese Journal of Family Planning

摘　　要：目的探究剖宫产全程一对一导乐陪伴对产妇紧张疼痛及新生儿状态的影响。方法:选取2022年6-12月本院行择期剖宫产手术产妇100例,按个人意愿分为两组各50例。对照组采用常规护理,观察组采用全程一对一导乐陪伴护理。比较两组术中镇静止痛药使用情况、产妇身体疼痛感受、产妇对紧张缓解调查、新生儿Apgar评分、新生儿体温。结果:观察组术中追加药物次数(0.82±0.39次)少于对照组(1.06±0.37次),产后VAS评分(4.90±1.15分)低于对照组(5.76±1.14分),紧张缓解程度(96.0%)优于对照组(62.0%)(均P<0.05);两组新生儿Apgar评分(9.14±0.73分、8.96±0.86分)无差异,新生儿娩出30min的体温(36.53±0.23℃、36.37±0.28℃)无差异,新生儿娩出30min发生低体温(观察组1例、对照组3例)也无差异(P>0.05)。结论:剖宫产全程一对一导乐陪伴能够促进产妇分娩及产后恢复,缓解疼痛感受,调节紧张情绪,利于减少新生儿低体温发生。Objective: To explore the effects of the one-to-one doula accompaniment during cesarean section for women on the maternal tension and pain and their neonatal status. Methods: 100 pregnant women who wanted the scheduled cesarean section in the hospital were selected and were divided into two groups(50 cases in each group) by the personal willingness of the women from June 2022 to December 2022. The women in the control group were given the usual care with a midwifery approach, and the women in the observation group were given the full course of one-to-one doula accompaniment care. The intraoperative sedatives used, the maternal bodily pain perception, the maternal tension, and the neonatal Apgar scores and body temperature of the women were compared between the two groups. Results: The number of the intraoperative drugs additional used(0.82±0.39 times) and the postpartum VAS score(4.90±1.15 points) of the women in the observation group were significantly less than those(1.06±times and 5.76±1.14 points) of the women in the control group. The rate of the decreased anxious degree(96.0%) of the women in the observation group was significantly higher than that(62.0%) of the women in the control group(all P<0.05). There were no significant differences in neonatal Apgar score(9.14±0.73 points vs. 8.96±0.86 points), the neonatal body temperature at 30 minutes after delivery(36.53±0.23℃ vs. 36.37±0.28℃) and the incidence of the neonatal hypothermia at 30 minutes after delivery(1 case in the observation group and 3 cases in the control group) between the two groups(P>0.05). Conclusion: The one-to-one doula accompanying the whole process for the women during cesarean section can promote their labor and postpartum recovery, can relieve the maternal pain and regulate the maternal tension, and which is benefit to reduce the incidence of the neonatal hypothermia.

关 键 词：剖宫产 全程一对一导乐陪伴 产后恢复 疼痛 

分 类 号：R473.71[医药卫生—护理学]