温馨陪伴助产服务对足月单胎头位产妇无痛分娩产程时间、负性情绪及母婴结局的影响  

Effects of warm accompaniment on painless labour duration,negative emotions and maternal and infant outcomes for women with the first position of a single child at term

作　　者：王盛花 孟繁霞 Meng Fanxia(Department of Obstetrics,First People's Hospital of Pingyuan County,Pingyuan Shandong,253100,China)

机构地区：[1]平原县第一人民医院,山东平原253100

出　　处：《中外女性健康研究》2024年第10期14-17,共4页Women＇s Health Research

摘　　要：目的:探讨温馨陪伴助产服务对足月单胎头位产妇无痛分娩产程时间、负性情绪及母婴结局的影响。方法:选择本院2022年1月至2022年12月接收自然分娩产妇90例,随机分为2组,对照组(n=45)予常规护理,观察组(n=45)采用温馨陪伴助产服务干预,比较两组分娩产程,采用焦虑/抑郁(SAS/SDS)自评表评估患者产前、产后负性情绪状态,另统计两组不良分娩结局与护理满意度进行对比分析。结果:观察组第一、第二产程及总产程分别为(413.21±105.18)min、(43.52±11.36)min、(465.67±103.80)min,均短于对照组(P<0.05,t=3.855、5.253、4.704)。干预后观察组SAS(38.72±4.26)分、SDS(35.25±3.89)分,均低于对照组(P<0.05,t=6.306、7.209)。观察组产妇不良结局、新生儿不良结局率分别为6.67%、0.00%,均小于对照组22.22%、13.33%(P<0.05,χ^(2)=4.406、4.464)。观察组护理满意度高于对照组(95.56%vs 82.22%,P<0.05,χ^(2)=4.050)。结论:对足月单胎头位无痛分娩产妇采用温馨陪伴助产服务能加快产程,减轻负性情绪,可改善母婴结局与护理满意度。Objective:To investigate the effect of warm accompaniment midwifery service on painless labor time,negative emotions and maternal and infant outcomes in full-term singleton head position.Methods:A total of 90 women who received spontaneous labor in First People's Hospital of Pingyuan County from January to December 2022 were randomly divided into 2 groups,the control group(n=45)was treated as usual care,the observation group(n=45)was treated with warm accompanying midwifery service,the two groups were compared with the labor process,and the anxiety/depression(SAS/SDS)self-rating form was used to assess the negative emotional state before and after birth,and the adverse delivery outcome and nursing satisfaction of the two groups were compared and analyzed.Results:The first and second stages of labour and total labour in the observation group were(413.21±105.18)min,(43.52±11.36)min and(465.67±103.80)min,respectively,which were shorter than those in the control group(P<0.05,t=3.855,5.253 and 4.704).SAS(38.72±4.26)and SDS(35.25±3.89)in the post-intervention observation group were lower than those in the control group(P<0.05,t=6.306,7.209).The rates of maternal adverse outcomes and neonatal adverse outcomes in the observation group were 6.67%and 0.00%,respectively,which were lower than those in the control group of 22.22%and 13.33%(P<0.05,χ^(2)=4.406,4.464).Observation group had higher satisfaction(95.56%vs82.22%,P<0.05,χ^(2)=4.050).Conclusion:The use of warm accompanying midwifery services for full-term single fetus in painless head delivery can speed up labor,reduce negative emotions,and improve maternal and infant outcomes and satisfaction.

关 键 词：温馨陪伴助产 足月 单胎头位 无痛分娩 负性情绪 

分 类 号：R473[医药卫生—护理学]