自由体位分娩联合时距式放松训练对自然分娩初产妇的影响  

Effect of Free Postural Delivery Combined with Time Interval Relaxation Training on Primipara in Natural Labor

作　　者：朱锦珠 ZHU Jinzhu(Jinjiang Hospital,Jinjiang 362200,China)

机构地区：[1]晋江市医院(上海市第六人民医院福建医院),福建晋江362200

出　　处：《中外医学研究》2024年第31期89-92,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨自由体位分娩联合时距式放松训练对自然分娩初产妇的影响。方法:选取2022年1月—2023年1月晋江市医院收治的150例自然分娩初产妇。根据随机数表法将其分为对照组和观察组,各75例。对照组采用常规仰卧体位分娩及常规护理,观察组采用自由体位分娩联合时距式放松训练。比较两组护理前后分娩恐惧程度、分娩控制感、自我效能感及产妇分娩舒适度、母婴不良结局。结果:护理后,观察组中文版分娩恐惧量表(CAQ)评分低于对照组,分娩控制量表(LAS)评分高于对照组,差异有统计学意义(P<0.05)。护理后,观察组中文版分娩自我效能量表(CBSEI-C32)评分及舒适度量表(GCQ)评分均高于对照组,差异有统计学意义(P<0.05)。观察组母婴不良结局发生率低于对照组,差异有统计意义(P<0.05)。结论:自由体位分娩联合时距式放松训练可以有效缓解自然分娩初产妇的分娩恐惧,提高产妇的分娩控制感、自我效能感及分娩舒适度,减少母婴不良结局发生率。Objective:To investigate the effect of free postural delivery combined with time interval relaxation training on primipara in natural labor.Method:A total of 150 natural parturient primipara admitted to Jinjiang Hospital from January 2022 to January 2023 were selected.They were divided into control group and observation group according to random number table method,with 75 cases in each group.The control group received conventional supine position delivery and routine nursing,and the observation group received free postural delivery combined with time interval relaxation training.The degree of fear of childbirth,sense of control in childbirth,sense of self-efficacy,comfort in childbirth before and after nursing and adverse maternal and infant outcomes were compared between the two groups.Result:After nursing,the Chinese version of the fear of childbirth scale(CAQ)score in the observation group was lower than that in the control group,and the score of the birth control scale(LAS)score was higher than that in the control group,the differences were statistically significant(P<0.05).After nursing,the scores of Chinese version of delivery self-efficacy scale(CBSEI-C32)and comfort scale(GCQ)in observation group were higher than those in control group,the differences were statistically significant(P<0.05).The incidence of adverse maternal and infant outcomes in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:Free postural delivery combined with time interval relaxation training can effectively alleviate the fear of childbirth in primipara in natural labor,improve the sense of control of pregnant women,self-efficacy and comfort of childbirth,and reduce the incidence of adverse outcomes for mothers and infants.

关 键 词：自由体位分娩 时距式放松训练 初产妇 分娩恐惧 分娩控制感 自我效能感 

分 类 号：R473.71[医药卫生—护理学]