虚拟现实技术联合生育舞蹈干预在初产妇孕晚期及产时中的应用效果  

Application Effect of Virtual Reality Technology Combined with Birth Dance Intervention in Late Pregnancy and Delivery of Primipara

作　　者：孔令丽 周培培 王靖宇 KONG Lingli;ZHOU Peipei;Wang Jingyu(Department of Gynaecology and Obstetrics,Shangqiu Municipal Hospital of Henan Province,Shangqiu Henan 476000)

机构地区：[1]河南省商丘市立医院妇产科,河南商丘476000

出　　处：《医学临床研究》2025年第1期41-44,共4页Journal of Clinical Research

基　　金：河南省医学科技攻关计划联合共建立项项目(LHGJ20200747)。

摘　　要：【目的】探讨虚拟现实(VR)技术联合生育舞蹈干预在初产妇孕晚期及产时中的应用效果。【方法】选取2021年6月至2024年6月在本院进行产检的80例初产妇,按照随机数字表法分为对照组(采用常规护理干预)和观察组(给予VR技术联合生育舞蹈干预),每组40例。比较两组干预前后心理状态[医院焦虑抑郁量表(HADS)、妊娠压力量表(PPS)、分娩期望量表]评分、自我效能[一般自我效能感应量表(GSES)]评分、产时情况[简化McGill疼痛问卷(SF-MPQ)、第一产程时间、分娩方式、新生儿Apgar评分]及不良分娩结局(如新生儿窒息、产后出血、会阴侧切、会阴重度撕裂)发生情况。【结果】干预前,两组孕妇心理状态及自我效能评分比较,差异无统计学意义(P>0.05);干预后,观察组HADS、PPS评分显著低于对照组,分娩期望量表、GSES评分显著高于对照组,差异均有统计学意义(P<0.05)。分娩时,观察组SF-MPQ各项评分、不良分娩结局发生率低于对照组,第一产程时间短于对照组,新生儿Apgar评分及阴道分娩率显著高于对照组,差异有统计学意义(P<0.05)。【结论】VR技术联合生育舞蹈干预可有效缓解初产妇孕晚期的心理压力,提高孕妇的分娩期望及自我效能,还能减轻初产妇分娩时的疼痛程度,缩短产程时间,改善分娩结局及新生儿情况,减少不良妊娠结局的发生风险,可在临床推广应用。【Objective】To explore the effect of virtual reality(VR)technology combined with birth dance intervention in the late pregnancy and delivery of primipara.【Methods】A total of 80 cases of primipara who underwent antenatal examination in our hospital from June 2021 to June 2024 were selected and divided into the control group(with routine nursing intervention)and the observation group(with VR technology combined with fertility dance intervention)according to random number table method,with 40 cases in each group.The psychological status[Hospital Anxiety and Depression Scale(HADS),Pregnancy Stress Scale(PPS),Childbirth Expectation Scale]and self-efficacy[General self-efficacy Perception Scale(GSES)]scores of the two groups were compared before and after the intervention.Intrapartum conditions(delivery situation)[simplified McGill Pain Questionnaire(SF-MPQ),first stage of labor time,delivery mode,neonatal Apgar score]and adverse delivery outcomes(such as neonatal asphyxia,postpartum hemorrhage,lateral perineal incision,severe perineal laceration)were compared as well.【Results】Before intervention,there was no significant difference in psychological status and self-efficacy scores between the two groups(P>0.05).After intervention,HADS and PPS scores in the observation group were significantly lower than those in the control group,while childbirth expectation scale and GSES scores in the observation group were significantly higher than those in the control group,with statistical significance(P<0.05).During delivery,the SF-MPQ scores and the incidence of adverse delivery outcomes in the observation group were lower than those in the control group,the first stage of labor was shorter than that in the control group,and the neonatal Apgar score and vaginal delivery rate were significantly higher than those in the control group,with statistical significance(P<0.05).【Conclusion】VR technology combined with birth dance intervention can effectively relieve the psychological pressure of first-time mothers in the thi

关 键 词：妊娠 计算机模拟 产次 妊娠末期 分娩 

分 类 号：R714.1[医药卫生—妇产科学]