分娩球自由体位助产联合综合系统评估助产管理对初产妇产痛的影响  

Evaluate the Effect of Midwifery Management on Parturient Labor Pain

作　　者：郭艳[1] 杨婷芳 GUO Yan;YANG Tingfang(Shenzhen Bao'an Women's and Children's Hospital,Shenzhen 518100,China;不详)

机构地区：[1]深圳市宝安区妇幼保健院,广东深圳518100

出　　处：《中外医学研究》2024年第36期98-101,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探究分娩球自由体位助产联合综合系统评估助产管理对初产妇产痛的影响。方法:选取2021年11月—2022年11月深圳市保安区妇幼保健院收治的122例行阴道分娩产妇作为研究对象,采用随机数表法分为研究组和常规组,每组各61例。常规组采用分娩球自由体位助产,研究组采用分娩球自由体位助产联合综合系统评估助产管理。比较两组自我效能量表(CBSEI-32)及分娩期间的疼痛程度视觉模拟量表(VAS)、汉密尔顿焦虑量表(HAMA)、分娩恐惧量表(CAQ)评分,记录产妇分娩过程中及产后出血量及住院时间,比较两组分娩结果。结果:研究组CBSEI-C32评分高于常规组,VAS评分低于常规组,差异有统计学意义(P<0.05);与干预前比较,干预后两组CAQ评分、HAMA评分均降低,研究组CAQ、HAMA评分低于常规组,差异有统计学意义(P<0.05);研究组产程出血量、产后出血量及住院时间均低于常规组,差异有统计学意义(P<0.05);研究组自然分娩率较常规组高,阴道助产、会阴侧切率较常规组低,差异有统计学意义(P<0.05)。结论:分娩球自由体位助产联合综合系统评估助产管理有利于提高初产妇自我效能,降低初产妇产痛,缩短产程,减少分娩期间出血量、产后出血量并减少住院时间。Objective:To explore the effect of free position midwifery combined comprehensive system to evaluate midwifery management on labor pain in primipara.Method:A total of 122 puerpera who underwent vaginal delivery in the Shenzhen Bao' an Women's and Children's Hospital from November 2021 to November 2022 were divided into the study group and the conventional group with 61 cases.The conventional group performed free position midwifery,the study group performed the combined comprehensive system evaluation of midwifery management.The childbirth self-efficacy inventory (CBSEI-32) scores,visual analogue scale (VAS) scores,Hamilton anxiety scale (HAMA) and childbirth anxiety scale (CAQ) scores of the two groups were compared.The amount of blood loss and hospital stay during and after delivery were recorded,and the delivery results of the two groups were compared.Result:The CBSEI-C32 score in study group was higher than that in conventional group,the VAS score was in study group lower than that in conventional group (P<0.05).Compared with the before intervention,the CAQ score and HAMA score descreased after intervention,and the study group were lower than the conventional group (P<0.05).The bleeding,postpartum bleeding and hospitalization time in study group were lower than those in the conventional group (P<0.05).The natural delivery rate in the study group was higher than that in conventional group,but the vaginal delivery and perineal resection in study group rate was lower than that in conventional group (P<0.05).Conclusion:Free position midwifery combined with comprehensive system evaluation of midwifery management can improve self-efficacy of primioare,reduce labor pain in primipara,shorten labor process,reduce the amount of blood loss during delivery,and postpartum blood loss,and reduce hospital stay.

关 键 词：综合系统评估助产管理 分娩球 自由体位助产 产妇 产程出血量 

分 类 号：R47[医药卫生—护理学]