一对一全程陪伴助产模式对高龄初产妇不适感及心理应激的临床效果  

Effect of establishing one-to-one whole-course accompanying midwifery mode in relieving discomfort and psychological stress in elderly primipara

作　　者：刘红丽[1] 孔颖[2] LIU Hongli;KONG Ying(Delivery Room,Northern Jiangsu People’s Hospital,Jiangsu,Yangzhou 225001,China;不详)

机构地区：[1]江苏省苏北人民医院产房,江苏省扬州市225001 [2]江苏省苏北人民医院心脏大血管中心,江苏省扬州市225001

出　　处：《河北医药》2024年第18期2877-2880,共4页Hebei Medical Journal

基　　金：江苏省苏北人民医院科研项目(编号:yzucms201837)。

摘　　要：目的探讨一对一全程陪伴助产模式缓解高龄初产妇不适感及心理应激的效果。方法选取2021年5月至2022年5月分娩的高龄初产妇110例纳入研究,按随机数字表法分为对照组和观察组,每组55例。对照组给予常规护理干预模式,观察组给予一对一全程陪伴助产。统计产妇的恢复情况。结果观察组第一、二、三产程和总产程时间短于对照组(P<0.05)。观察组产妇的不适感程度低于对照组(P<0.05)。观察组产妇分娩后的焦虑评分为(6.64±1.74)分,对照组为(8.75±1.65)分,分娩后2组产妇的焦虑状态比分娩前减轻,且观察组比对照组减轻(P<0.05)。观察组剖宫产率为12.73%,低于对照组的34.55%,观察组自然分娩率为76.36%,高于对照组的56.36%(P<0.05)。观察组产后出血量为(252.39±82.53)mL,少于对照组的(399.52±143.67)mL(P<0.05),产后出血发生率为9.09%,低于对照组的23.64%(P<0.05)。观察组新生儿正常率为96.36%,高于对照组的70.91%(P<0.05)。结论高龄初产妇建立一对一全程陪伴助产模式,能有效缓解产妇的不适感,改善产妇心理状态,缩短产程,提高自然分娩率,减少新生儿窒息和产后出血。Objective To explore the effect of establishing one-to-one whole-course accompanying midwifery mode in relieving discomfort and psychological stress in elderly primipara.Methods A total of 110 elderly primipara delivered in our hospital from May 2021 to May 2022 were enrolled in the study.They were randomly assigned in a 1:1 ratio to either routine nursing mode(control group)or one-to-one whole-course accompanying midwifery mode(observation group).The recovery of parturients was counted by special persons.Results The first,second and third stages of labor and the total stages of labor in the observation group were shorter than those in the control group(P<0.05).The discomfort degree of the observation group was lower than that of the control group(P<0.05).After delivery,the anxiety score in the both groups was significantly lower than that before delivery(P<0.05),and which in the observation group was significantly lower than that of the control group([6.64±1.74]points vs[8.75±1.65]points,P<0.05).The cesarean section rate was significantly lower in the observation group than in the control group,but the natural delivery rate was significantly higher(12.73%vs 34.55%,76.36%vs 56.36%,P<0.05).The amount of postpartum hemorrhage in the observation group was significantly less than that of the control group([252.39±82.53]ml vs[399.52±143.67]ml,P<0.05).The incidence of postpartum hemorrhage in the observation group was significantly lower than that of the control group(9.09%vs 23.64%,P<0.05).The normal rate of neonates in the observation group was significantly higher than that of the control group(96.36%vs 70.91%,P<0.05).Conclusion The one-to-one whole-course accompanying midwifery mode can effectively relieve the discomfort of the elderly primipara,improve the psychological state of the parturient,shorten the labor process,increase natural delivery rate,and reduce neonatal asphyxia and postpartum hemorrhage.

关 键 词：高龄初产妇 全程助产 一对一助产 焦虑 不适感 产程进展 

分 类 号：R492.6[医药卫生—康复医学]